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Nilsson, Åsa
Publications (4 of 4) Show all publications
Nilsson, Å., Lindberg, B., Söderberg, S. & Olsson, M. (2018). Meanings of participation in hospital care: as narrated by patients. European Journal for Person Centered Healthcare, 6(3), 431-437
Open this publication in new window or tab >>Meanings of participation in hospital care: as narrated by patients
2018 (English)In: European Journal for Person Centered Healthcare, ISSN 2052-5648, E-ISSN 2052-5656, Vol. 6, no 3, p. 431-437Article in journal (Refereed) Published
Abstract [en]

Objective: Patient participation is said to be an important factor for patients to experience satisfaction and quality with hospital care. Still, little is known about what participation actually means for patients in the specific context of hospital settings. Therefore, the aim of this study was to elucidate meanings of participation as narrated by patients.

Method: Narrative interviews were conducted during the Autumn of 2013 until the Spring of 2014 and then phenomenological hermeneutically interpreted. In this study, we suggest that the phenomenon of participation in hospital care is experienced by the patient when being a co-creator and seen as an important person in a trustful context.

Results: The results illustrate that an experience of an open, cooperative and coherent environment invites and contributes to participate despite being in a vulnerable situation. The study highlights the importance of responding to each patient as a person, who sometimes has a need to participate actively and sometimes wants to hand over and assume the role of patient in the hospital care setting.

Discussion: Meanings of participation among patients in hospital care can be understood as a phenomenon experienced when being an involved co-creator and seen as an important person in a trustful context. In this study, as well as in previous research it is obvious that participation in hospital care concerns more than being involved in decision-making and receiving information.

Place, publisher, year, edition, pages
The University of Buckingham Press Ltd, 2018
Keywords
Clinical communication, dignity, hospital care, lived experiences, narratives, nursing, patients, patient-clinician relationship, patient participation, patient satisfaction, person-centered healthcare, phenomenological hermeneutic interpretation, qualitative
National Category
Nursing
Research subject
Nursing
Identifiers
urn:nbn:se:ltu:diva-71036 (URN)10.5750/ejpch.v6i3.1521 (DOI)
Note

Validerad;2018;Nivå 1;2018-10-03 (marisr)

Available from: 2018-09-30 Created: 2018-09-30 Last updated: 2018-10-03Bibliographically approved
Nilsson, Å. (2017). Towards a shared understanding: Exploring encounters in hospital care from the perspectives of nurses and patients. (Licentiate dissertation). Luleå: Luleå tekniska universitet
Open this publication in new window or tab >>Towards a shared understanding: Exploring encounters in hospital care from the perspectives of nurses and patients
2017 (English)Licentiate thesis, comprehensive summary (Other academic)
Abstract [en]

The overall aim of this licentiate thesis was to describe encounters in hospital care from the perspectives of nurses and patients. It focuses specifically on nurses’ views of shortcomings in patient-care encounters in one hospital (I) and the meanings of participation in hospital care as narrated by patients (II). Three focus group discussions with 15 registered nurses were conducted, and data were analyzed using thematic content analysis (I). Narrative interviews were conducted with 15 patients in hospital care, and the interviews were analyzed with a phenomenological hermeneutic interpretation (II). This licentiate thesis shows that a shared understanding is considered as central for both the nurses and the patients in the hospital-care encounter. The nurses demonstrate the need to understand, to create space, and also to be available for vulnerable patients. The patients describe the need to be understood and to understand their own situations. This thesis suggests that positive encounters in hospital care imply that nurses need to take responsibility for creating a mutual dialogue where the patient experiences himself or herself as a co-creator in a trustful context. When nurses acknowledge and confirm the vulnerability of their patients, it becomes possible to support them to participate in an active manner. A well-functioning team, as well as a coherent environment, is, in this thesis, understood as a precondition for positive hospitalcare encounters.

Place, publisher, year, edition, pages
Luleå: Luleå tekniska universitet, 2017
Series
Licentiate thesis / Luleå University of Technology, ISSN 1402-1757
Keywords
Encounter, participation, nurses, nursing, patients, hospital care, shared understanding, shortcomings in hospital care, qualitative interviews, thematic analysis, phenomenological-hermeneutic interpreation
National Category
Nursing
Research subject
Nursing
Identifiers
urn:nbn:se:ltu:diva-63355 (URN)978-91-7583-912-7 (ISBN)978-91-7583-913-4 (ISBN)
Presentation
2017-06-13, D 770, Luleå, 10:00 (Swedish)
Opponent
Supervisors
Available from: 2017-05-16 Created: 2017-05-15 Last updated: 2018-10-22Bibliographically approved
Nilsson, Å., Skär, L. & Söderberg, S. (2015). Nurses' views of shortcomings in patent care encounters in one hospital in Sweden (ed.). Paper presented at . Journal of Clinical Nursing, 24(19-20), 2807-2814
Open this publication in new window or tab >>Nurses' views of shortcomings in patent care encounters in one hospital in Sweden
2015 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 24, no 19-20, p. 2807-2814Article in journal (Refereed) Published
Abstract [en]

Aim and objectiveTo describe nurses' views of shortcomings in patient care encounters in one hospital in Sweden.BackgroundShortcomings in encounters in healthcare have increased during recent years. Dissatisfaction with encounters in healthcare can affect patients' experiences of dignity, health and well-being.DesignA qualitative design was used in the study.MethodsThree focus group discussions with 15 nurses were conducted. The nurses worked in five different wards. The focus group discussions were subjected to a thematic content analysis.ResultsThe results are presented in two themes. The first theme, ‘Disregard for the patient's unique nursing needs’, describes that information without consideration of the patient's needs, and nurses not being completely present in the meeting with the patient affected healthcare encounters and experiences of quality of care. In the second theme, ‘Difficulty managing obstacles’, nurses described care situations over which they could not always prevail due to lack of time and/or lack of awareness of the patient's vulnerability.ConclusionThe findings illustrate the importance of nurses and their approaches to patients. The nurse's attitude is important for the patient's experiences of participation, security, dignity, and well-being. The findings also illustrate the importance of routines in the healthcare organisation that support and facilitate positive encounters between patients, their close relatives and the healthcare staff.Relevance to clinical practiceNurses require understanding, presence and commitment in their relationships to every unique patient, and their goal should be to adopt interventions with regard to positive healthcare encounters based on each patient's experiences of good nursing care.

National Category
Nursing
Research subject
Nursing
Identifiers
urn:nbn:se:ltu:diva-14488 (URN)10.1111/jocn.12886 (DOI)000362908200012 ()26177676 (PubMedID)2-s2.0-84942194752 (Scopus ID)ddbc7983-ab16-4ebd-8cfb-3e597c677b93 (Local ID)ddbc7983-ab16-4ebd-8cfb-3e597c677b93 (Archive number)ddbc7983-ab16-4ebd-8cfb-3e597c677b93 (OAI)
Note
Validerad; 2015; Nivå 2; 20150717 (andbra)Available from: 2016-09-29 Created: 2016-09-29 Last updated: 2018-07-10Bibliographically approved
Nilsson, Å. (2011). Aktivitet: "Du får aldrig en andra chans att göra ett första intryck": Sjuksköterskors erfarenheter av bemötande i mötet med patienter och närstående (ed.). Paper presented at Norrbottens läns landsting FoU-dag : 22/03/2011 - 22/03/2011. Paper presented at Norrbottens läns landsting FoU-dag : 22/03/2011 - 22/03/2011.
Open this publication in new window or tab >>Aktivitet: "Du får aldrig en andra chans att göra ett första intryck": Sjuksköterskors erfarenheter av bemötande i mötet med patienter och närstående
2011 (Swedish)Conference paper, Published paper (Other (popular science, discussion, etc.))
National Category
Nursing
Research subject
Nursing
Identifiers
urn:nbn:se:ltu:diva-41398 (URN)2ac4681e-c996-4eeb-9b1a-32f1836e7711 (Local ID)2ac4681e-c996-4eeb-9b1a-32f1836e7711 (Archive number)2ac4681e-c996-4eeb-9b1a-32f1836e7711 (OAI)
Conference
Norrbottens läns landsting FoU-dag : 22/03/2011 - 22/03/2011
Note
Startdatum: 22/03/2011; Slutdatum: 22/03/2011; Roll: Föreläsare; Typ: Föreläsning / muntligt bidragAvailable from: 2016-10-03 Created: 2016-10-03 Last updated: 2017-11-25Bibliographically approved
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