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Leder
Vitenskapelig publikasjon
(side 4)
av Pia Dreyer
Artikler
Vitenskapelig publikasjon
(side 5-19)
av Hege Skavern, Tuva Sandsdalen og Marit Aralt Skaug
SammendragEngelsk sammendrag

Bakgrunn: Det er økende interesse for å undersøke om Virtual Reality (VR) er egnet som avledning eller distraksjonsterapi ved smerter. Hovedmålet med denne studien var 1) å innhente praktiske erfaringer med tilrettelegging og bruk av VR i en sykehusavdeling, 2) å undersøke hvordan pasienter opplevde VR-tilbudet, og om VR-opplevelsen påvirket pasientens smerteopplevelse. Metode: Studien har et kvalitativt, beskrivende forskningsdesign, og ble gjennomført i to trinn. Det første trinnet (1) beskriver innhenting av forskernes praktiske erfaringer med utprøving av teknisk utstyr og virtuelt miljø i en sykehusavdeling. Det andre trinnet (2) beskriver innhenting av erfaringer med et tilbud om VR fra pasienter ved en ortopedisk avdeling. Utvalget her var syv smertepåvirkede postoperative pasienter. Datamaterialet ble analysert ved hjelp av innholdsanalyse. Resultater: Trinn 1) HTC Vive VR og VR-filmen the Blu fra Wevr ble valgt for videre utprøving på pasientene. Trinn 2): Følgende fire hovedkategorier beskrev pasientenes opplevelse med VR: Positiv sanseopplevelse;- en mental og kroppslig velvære som varte i flere timer. Smerteopplevelse under VR;- pasientene opplevde at VR gav smertelindring. Erfaring med kvalme eller ubehag;- VR-opplevelsen ga ikke kvalme og ubehag. Egenskaper ved VR-miljøet;- filmen opplevdes som interessant og beroligende, og gav en altoppslukende opplevelse av å være i en annen verden. Konklusjon: Pilotutprøvingen viser at VR kan se ut til å være et ikke-medikamentelt alternativ som sykepleiere kan tilby pasienter med postoperative smerter. Selv om denne studien viser lovende resultater, må VR videre testes ut i større intervensjonsstudier på ulike pasientgrupper og pasientsituasjoner. Det er også behov for å finne og utprøve mer brukervennlig utstyr.

Background: There is an increasing interest in Virtual Reality’s (VR) suitability as distraction therapy for pain relief. The main objectives for the study were (1) to gain practical experience with use of VR in a hospital ward and (2) to explore patients experience using VR, and its influence on the patient‘s pain-experience. Method: The study has a qualitative descriptive design and was carried out in two steps. First step (1): Descriptions of the practical experiences of using VR- equipment, where two researchers were testing different VR-equipment and VR-films. Second step (2): Descriptions of patients’ experiences of using VR, interviewing seven post-operative patients with pain, from an orthopaedic ward. The interviews were analysed using content analysis. Findings: 1) The HTC Vive VR and VR movie The Blue from Wevr were selected for trial. 2) The patients’ experiences with VR resulted in four main categories: Positive sensory experiences with mental and physical well-being that lasted for hours. Experience of pain during VR;-patients experienced pain relief during VR. Experience of nausea and discomfort;-patients did not experienced nausea and discomfort during VR. Characteristics of the VR-environment;- the movie was experienced as interesting, calming and an immersive experience of being in another world. Conclusions: This pilot study shows that VR might have a great potential as a non-medical treatment providing postoperative pain relief. However, larger intervention studies are needed using different situations, patient groups and VR equipment.

“Cancer changed my life”
Women’s experiences 1 and 9 years after primary breast cancer surgery
Vitenskapelig publikasjon
(side 20-33)
av Sigrunn Drageset, Torill Christine Lindstrøm og Sidsel Ellingsen
Sammendrag

Breast cancer is the most common form of cancer among women worldwide. Despite considerable research, there is still need for improved patient-centred care. The aim of this study was to investigate whether there were any typical experiences that characterized the lives of the women that we interviewed. Information was collected 1 year after and 9 years after primary breast cancer surgery. Interview data were analysed using Kvale’s method of qualitative meaning condensation. The findings were discussed in light of Martinsen’s philosophy of caring. Three main themes were prominent both 1 and 9 years after surgery: being changed, being unprepared, and living in suspense. However, these typical experiences were often expressed differently. A profound understanding of both similarities and uniqueness in women’s experiences when being treated for breast cancer is vital for health care professionals when supporting women to live with a cancer diagnosis. More information about side effects is needed to prepare these women for a changed life.

Self-guided physical training as a life unfolding activity
A phenomenological approach to lived experiences of cancer patients taking part in physical training programs
Vitenskapelig publikasjon
(side 34-44)
av Vibeke Oestergaard Steenfeldt og Mette Sonne Noerskov
Sammendrag

Based on the ideas of the impact of architecture on healing and health, the Danish Cancer Society has built buildings of a new kind, called Life Spaces. Our research takes place in one of these houses. In one room, designed as a multifunctional room, cancer patients are invited to do various kinds of physical activities on their own. Several studies have found that physical training programs have a positive impact on cancer patients, in the form of, e.g., well-being, physical capacity, decreased side effects, mental resources, and self-confidence. The aim of this study is to describe what characterizes cancer patients’ lived experiences of participating in self-guided physical training. Based on six narrative interviews and, to a minor extent, participant observation and informal conversations, we distinguish three themes, which emerge from the phenomenological analysis: Fitness training, including varied descriptions of exercises; more than illness, recognizing illness as a common experience that does not need to be constantly articulated; and fellowship, exposing the sense of being part of a group of people who take care of each other. The themes are discussed in the light of Medard Boss’ conception of existential traits.

Vitenskapelig publikasjon
(side 45-56)
av Katrin Hove og Frøydis Vasset
Sammendrag

The purpose is to investigate how palliative teams collaborate interprofessionally with professionals/patients from different occupations in hospital departments and municipal health care services. Background: Previous research has argued that interprofessional teams support the continuity of care, research-based decision-making, advanced care planning, and high-quality care for palliative patients. Method: Qualitative methodology with four focus group interviews was utilized in four hospitals in central Norway, and there were 26 informants: nine doctors, eight nurses, three physiotherapists, two social workers, two priests and two occupational therapists. Results: The informants described factors that were perceived as either facilitators or barriers in interprofessional collaboration with hospitals and municipalities. Together with employees from hospitals and municipalities, the informants could develop a more comprehensive view of the patient’s holistic needs. Discussion: The informants highlighted that patients were followed up by the team. They described their mission to contribute as raising the competence level in other professions and care services. Different professionals with palliative skills could facilitate both health professionals and patients. The physiotherapy profession was especially useful because it emphasized the rehabilitation factor. This study found that patients were referred to the team late in the disease process. Conclusion: Palliative teams want to collaborate with other health institutions, so the palliative patients receive comprehensive, holistic and coordinated care. There is different availability and varieties of palliative care in municipalities. These differences can be a challenge in interprofessional coordinated and holistic health care services.

Vitenskapelig publikasjon
(side 57-69)
av Lone Høegh Pedersen, Hanne Agnholt, Anne Frey Madsen og Mona Kyndi Pedersen
SammendragEngelsk sammendrag

Baggrund: I Danmark diagnosticeres hvert år ca. 2000 personer med reumatoid artrit. Der mangler viden om patientens oplevelse af at få diagnosen og deres behov for støtte og vejledning. Formål: At opnå øget indsigt i, hvordan patienter med ny-diagnosticeret reumatoid artrit oplever at få stillet diagnosen og deres behov for støtte og vejledning fra sygeplejersken. Metode: Kvalitativt design baseret på ni semistrukturerede interviews, analyseret gennem en tematisk analyse. Fund: Der fremkom fire temaer: At få diagnosen, At lære at leve med sygdommen, Tanker om fremtiden og Behov for støtte og vejledning. Konklusion: Forståelsen af hverdagslivet med sygdommen kom gradvist og patienterne var forskellige steder i deres erkendelsesproces. De var som udgangspunkt indstillede på at omstille sig til de justeringer, sygdommen måtte indebære. Der var derfor på diagnosetidspunktet behov for at tilpasse både indholdet og mængden af information til den enkelte og at individualisere tilbuddet om fremtidig støtte og vejledning.

Background: Every year about 2000 persons in Denmark are diagnosed with rheumatoid arthritis. There is a lack of knowledge about the patients’ experiences of receiving the diagnosis and their needs for support and guidance. Aim: To gain more insight into the experiences of patients with a recent diagnosis of rheumatoid arthritis in relation to receiving the diagnosis and needs for support and guidance from the nurse. Method: A qualitative design based on nine semi-structured interviews using thematic analysis. Results: Four themes were identified: Receiving the diagnosis, Learning to live with the disease, Thoughts about the future and Need for support and guidance. Conclusion: Understanding everyday life with the disease evolved gradually. In general, they adapted to their treatment and related adjustments, thus support and guidance should be tailored to the needs and life situation of the individual.

Vitenskapelig publikasjon
(side 70-85)
av Ina Koldkjær Sølling, Per Carøe, Kirsten Siggaard Mathiesen og Kurt Lindgren
Sammendrag

Background: A Danish municipality offered a rehabilitation programme to citizens with severe Chronic Obstructive Lung Disease (COPD). The intervention replaced the presence of a primary care nurse in the citizen’s home with online video consultations. Studies have found that online consultations can facilitate and activate the citizens in their rehabilitation. Aim: To investigate the citizen perspective on and experience with online video consultations in the citizen’s home. Furthermore, to investigate the impact of online video consultations on how the citizens managed everyday life with COPD and respiratory problems. Methods: A qualitative study based on individual interviews with nine citizens with severe COPD. Ethics: This study was approved by the Danish Data Protection Agency and ethical rules in research were followed. Findings: Online video consultations created a safe, personal room facilitating the citizen’s coping with respiratory problems. The care was based on sensitive situation-specific attention towards the individual citizen, the flexibility of the programme and professional competences in COPD and IT. In general the good relation online depended on the primary care nurse having met the citizens in the same room prior to the online video consultations. The technology made it possible for the citizens to have frequent contact with the primary care nurse. As follow up on online video consultations, the primary care nurse made acute visits if needed to citizens in their own home and initiated treatment and hospital admission. Despite varying experiences with IT, citizens did not perceive the technology as challenging. Citizens perceived the intervention as a future municipal rehabilitation programme. Conclusion: Citizens took a more active role in their treatment. Online video consultations were perceived as flexible, positive and professional. The citizens experienced that the primary care nurse showed interest and compassion. The technology was not considered a barrier.

Nordisk sygeplejeforskning

41-2020, årgang 10

https://www.idunn.no/nsf

Nordisk Sygeplejeforskning – Nordic Nursing Research is a scientifically and peer-reviewed level-one journal. The journal publishes scientific articles and essays. Nordic Nursing Research addresses researchers within the fields of nursing science and health, teachers in the health education, nurses in clinical practice and other professionals.

The journal publishes articles in Norwegian, Danish, Swedish and English.

Nordisk Sygeplejeforskning – Nordic Nursing Research er et vitenskapelig og fagfellevurdert tidsskrift på nivå 1. Tidsskriftet publiserer vitenskapelige artikler og essays, og henvender seg til forskere innen sykepleievitenskap og helsefag, undervisere, sykepleiere i klinisk praksis og andre fagprofesjonelle.

Tidsskriftet publiserer artikler på norsk, dansk, svensk og engelsk.

 

Editor

Pia Dreyer (PhD), Aarhus Universitetshospital

 

National editor Denmark

Elizabeth Rosted (PhD) Sjællands Universitetshospital, Roskilde

 

National editor Norway

Heidi Jerpeseth (Postdoktorstipendiat), Høgskolen i Oslo og Akershus

 

Editorial assistant

Nina Falsen Krohn

Typeset: Type-it AS

ISSN online: 1892-2686

DOI: 10.18261/issn.1892-2686

The journal is owned jointly by Dansk Selskab for Sygeplejeforskning and Norsk Selskab for Sykepleieforskning NSF and published by Universitetsforlaget.

© Universitetsforlaget 2020 / Scandinavian University Press

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