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Backman, T., Juuso, P., Borg, R. & Engström, Å. (2019). Ambulance nurses' experiences of deciding a patient does not require ambulance care. Nursing Open, 6(3), 783-789
Open this publication in new window or tab >>Ambulance nurses' experiences of deciding a patient does not require ambulance care
2019 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 6, no 3, p. 783-789Article in journal (Refereed) Published
Abstract [en]

Aim: To describe ambulance nurses’ experience of deciding a patient does not require ambulance care.

Design:An inductive, empirical study with a qualitative approach.Methods: Data collection was conducted through semi‐structured interviews, and collected data were analysed with qualitative manifest content analysis. Data were collected during the spring 2017, and eight ambulance nurses participated.Results:The findings are presented in one main category, which is “Not very ill but a difficult decision” with totally three subcategories. The ambulance nurse's experi‐ence of making the assessment when the patient has no need for ambulance care is like walking the balance of slack line. This means that the assessment can be both easy and very difficult but something that definitely requires experience, knowledge and dedication.

Place, publisher, year, edition, pages
John Wiley & Sons, 2019
Keywords
ambulance care, clinical decision‐making, patient safety, qualitative research, refusal of care
National Category
Nursing
Research subject
Nursing
Identifiers
urn:nbn:se:ltu:diva-73270 (URN)10.1002/nop2.255 (DOI)000476917700014 ()31367400 (PubMedID)2-s2.0-85069793633 (Scopus ID)
Note

Validerad;2019;Nivå 2;2019-08-20 (johcin)

Available from: 2019-03-20 Created: 2019-03-20 Last updated: 2019-08-22Bibliographically approved
Nilsson, C., Lindberg, B., Juuso, P. & Olsson, M. (2019). Experiences of striving to maintain daily life among women with osteoporosis. International Journal of Qualitative Studies on Health and Well-being, 14, Article ID 1647402.
Open this publication in new window or tab >>Experiences of striving to maintain daily life among women with osteoporosis
2019 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 14, article id 1647402Article in journal (Refereed) Published
Abstract [en]

In order to describe how women with osteoporosis strive to maintain daily life we interviewed11 women using a reflective lifeworld approach based on phenomenological analysis.Osteoporosis is a major public health concern in the Western world, and is predominantamong women. Our findings indicated that meanings of striving to maintain daily life implya belief in oneself and one’s own capabilities. The women expressly speak out for themselvesas a way of finding reconciliation without giving in to the illness. Women with osteoporosisexpect to gain support early in the course of their illness. They require advice on how tomanage the disease as well as support for striving to maintain daily living. Therefore, it iscrucial that the women not only are given information about the disease. Equally important isto establish continuity in healthcare encounters, and that health care offers support foundedin the women’s lived experiences with focus on their capacities.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2019
Keywords
Nursing, osteoporosis, phenomenology reflective lifeworld research, women’s health
National Category
Medical and Health Sciences Nursing
Research subject
Nursing
Identifiers
urn:nbn:se:ltu:diva-75578 (URN)10.1080/17482631.2019.1647402 (DOI)000477590200001 ()31349764 (PubMedID)
Note

Validerad;2019;Nivå 2;2019-08-20 (johcin)

Available from: 2019-08-19 Created: 2019-08-19 Last updated: 2019-08-22Bibliographically approved
Sandström, L., Nilsson, C., Engström, Å. & Juuso, P. (2019). Experiences of suffering multiple trauma: A qualitative study. Intensive & Critical Care Nursing, 54, 1-6
Open this publication in new window or tab >>Experiences of suffering multiple trauma: A qualitative study
2019 (English)In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 54, p. 1-6Article in journal (Refereed) Published
Abstract [en]

Objectives

In an effort to strengthen health care professionals’ ability to anticipate and address multiple trauma patients’ needs, this study aims to explore the experience of suffering from multiple trauma.

Design

This is a qualitative descriptive study. Nine interviews were analysed using content analysis.

Setting

The study included patients who had been registered in the Swedish Intensive Care registry [SIR] due to suffering multiple trauma.

Findings

The analysis revealed one theme, A detour in life, based on three sub-themes: (a) Feeling lost and not knowing what to expect, (b) Striving to get life back on track and (c) Dealing with ‘dead ends’ during rehabilitation. The theme showed that those who suffered multiple trauma did not know what to expect of their recovery and they expressed experiencing a lack of understanding and guidance from healthcare professionals. As it was important to focus on the present and find ways to move on in life, they sought for other ways to find direction in matters of rehabilitation and care.

Conclusions

A shared understanding is essential in order to define a person’s needs. By setting short-term goals and improving documentation, healthcare professionals across the trauma recovery continuum could more easily gain insight of their patients’ needs and address them with supportive guidance.

Place, publisher, year, edition, pages
Elsevier, 2019
Keywords
Life change events, Multiple trauma, Patient care planning, Qualitative research, Recovery, Wounds and Injuries
National Category
Nursing
Research subject
Nursing
Identifiers
urn:nbn:se:ltu:diva-73259 (URN)10.1016/j.iccn.2019.07.006 (DOI)000483965500001 ()31351691 (PubMedID)
Note

Validerad;2019;Nivå 2;2019-09-24 (johcin)

Available from: 2019-03-19 Created: 2019-03-19 Last updated: 2019-09-24Bibliographically approved
Persson, A.-C., Engström, Å., Burström, O. & Juuso, P. (2019). Specialist Ambulance Nurses' Experiences of Births Before Arrival. International Emergency Nursing, 43, 45-49
Open this publication in new window or tab >>Specialist Ambulance Nurses' Experiences of Births Before Arrival
2019 (English)In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 43, p. 45-49Article in journal (Refereed) Published
Abstract [en]

Background

Working as an ambulance nurse means interacting with and caring for acutely ill and injured patients. It can even involve births before arrival to the hospital (BBA), which are rare but increasing due to the centralization of maternity wards.

Aim

This study describes the experiences of specialist ambulance nurses with BBA.

Method

A qualitative study was conducted, and nine specialist ambulance nurses who had assisted with one or more prehospital births were interviewed. Data were analysed with thematic content analysis.

Findings

The analysis revealed three categories that were compiled into a theme of feeling fright and exhilaration. The findings showed that BBA causes feelings of anxiety and stress. The experience is also associated with joy and relief when the baby is born. Childbirth is a situation for which specialist ambulance nurses feel less prepared, lack of knowledge, and wish for more education.

Conclusion

Specialist ambulance nurses face challenges in the pre-hospital care environment during BBA, with long distances, a lack of equipment aboard the ambulance, and no assistance from midwives. To feel secure in the complex role that is required when assisting with a BBA, specialist ambulance nurses should be given the opportunity to receive scenario training.

Place, publisher, year, edition, pages
Elsevier, 2019
Keywords
Specialist ambulance nurse, Prehospital birth, Birth before arrival, Experience, Nursing, Qualitative content analysis
National Category
Nursing
Research subject
Nursing
Identifiers
urn:nbn:se:ltu:diva-70514 (URN)10.1016/j.ienj.2018.08.002 (DOI)000460680600008 ()30190223 (PubMedID)2-s2.0-85052753074 (Scopus ID)
Note

Validerad;2019;Nivå 2;2019-03-20 (oliekm)

Available from: 2018-08-21 Created: 2018-08-21 Last updated: 2019-12-09Bibliographically approved
Sandström, L., Nilsson, C., Juuso, P. & Engström, Å. (2017). CCNs experiences of nursing trauma patients. In: : . Paper presented at 7th EfCCNa Congress, Belfast, Northern Ireland, 15-18 February.
Open this publication in new window or tab >>CCNs experiences of nursing trauma patients
2017 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Nursing
Research subject
Nursing
Identifiers
urn:nbn:se:ltu:diva-61115 (URN)
Conference
7th EfCCNa Congress, Belfast, Northern Ireland, 15-18 February
Available from: 2016-12-16 Created: 2016-12-16 Last updated: 2018-02-12Bibliographically approved
Sandström, L., Nilsson, C., Juuso, P. & Engström, Å. (2017). The helicopter as a caring context: Experiences of people suffering trauma. International Emergency Nursing, 32, 34-38
Open this publication in new window or tab >>The helicopter as a caring context: Experiences of people suffering trauma
2017 (English)In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 32, p. 34-38Article in journal (Refereed) Published
Abstract [en]

Introduction

When emergency medical services (EMS) are needed, the choice of transport depends on several factors. These may include the patient’s medical condition, transport accessibility to the accident site and the receiving hospital’s resources. Emergency care research is advancing, but little is known about the patient’s perspective of helicopter emergency medical services (HEMS).

Aim

The aim of this study was to describe trauma patients’ experiences of HEMS.

Method

Thirteen persons (ages 21–76) were interviewed using an interview guide. Data were analyzed using qualitative content analysis.

Findings

The analysis resulted in three themes: Being distraught and dazed by the event – patients experienced shock and tension, as well as feelings of curiosity and excitement. Being comforted by the caregivers – as the caregivers were present and attentive, they had no need for relatives in the helicopter. Being safe in a restricted environment – the participants’ injuries were taken seriously and the caregivers displayed effective teamwork.

Conclusion

For trauma patients to be taken seriously and treated as ‘worst cases’ enables them to trust their caregivers and ‘hand themselves over’ to their care. HEMS provide additional advantageous circumstances, such as being the sole patient and having proximity to a small, professional team.

Place, publisher, year, edition, pages
Elsevier, 2017
National Category
Nursing
Research subject
Nursing
Identifiers
urn:nbn:se:ltu:diva-36828 (URN)10.1016/j.ienj.2016.09.006 (DOI)000402650700007 ()27697403 (PubMedID)2-s2.0-85008600109 (Scopus ID)
Note

Validerad; 2017; Nivå 2; 2017-05-18  (andbra)

Available from: 2016-10-03 Created: 2016-10-03 Last updated: 2019-03-19Bibliographically approved
Sandström, L., Juuso, P. & Engström, Å. (2017). The helicopter as a caring context: trauma patients’ experiences. In: : . Paper presented at 7th EfCCNa Congress, Belfast, Northern Ireland, 15-18 February.
Open this publication in new window or tab >>The helicopter as a caring context: trauma patients’ experiences
2017 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Nursing
Research subject
Nursing
Identifiers
urn:nbn:se:ltu:diva-61116 (URN)
Conference
7th EfCCNa Congress, Belfast, Northern Ireland, 15-18 February
Available from: 2016-12-16 Created: 2016-12-16 Last updated: 2018-02-12Bibliographically approved
Sandström, L., Nilsson, C., Juuso, P. & Engström, Å. (2016). Experiences of nursing patients suffering from trauma: preparing for the unexpected: a qualitative study (ed.). Intensive & Critical Care Nursing, 36, 58-65
Open this publication in new window or tab >>Experiences of nursing patients suffering from trauma: preparing for the unexpected: a qualitative study
2016 (English)In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 36, p. 58-65Article in journal (Refereed) Published
Abstract [en]

SummarySettings and objectivesA midsize hospital in the north of Sweden with a high-tech intensive care unit and space for up to 10 patients, with an attached postoperative ward for up to 15 patients. The wards are manned by critical care nurses who are also responsible for carrying a trauma pager. When the alarm goes off, the critical care nurse leaves her/his duties and joins a trauma team. The aim of the study was to describe critical care nurse's experiences of nursing patients suffering from trauma.MethodA qualitative descriptive design was used. Data were collected through four focus group discussions with 15 critical care nurses analysed using qualitative content analysis.FindingsOne theme: Preparing for the unexpected with four subthemes: (1) Feeling competent, but sometimes inadequate; (2) Feeling unsatisfied with the care environment; (3) Feeling satisfied with well-functioning communication; and (4) Feeling a need to reflect when affected.ConclusionsNursing trauma patients require critical care nurses to be prepared for the unexpected. Two aspects of trauma care must be improved in order to fully address the challenges it poses: First, formal preparation and adequate resources must be invested to ensure delivery of quality trauma care. Secondly, follow-ups are needed to evaluate care measures and to give members of the trauma team the opportunity to address feelings of distress or concern.

National Category
Nursing
Research subject
Nursing
Identifiers
urn:nbn:se:ltu:diva-4356 (URN)10.1016/j.iccn.2016.04.002 (DOI)000382343400009 ()27173952 (PubMedID)2-s2.0-84965143712 (Scopus ID)24aa183b-dabb-474e-bb25-6c57b6430be0 (Local ID)24aa183b-dabb-474e-bb25-6c57b6430be0 (Archive number)24aa183b-dabb-474e-bb25-6c57b6430be0 (OAI)
Note

Validerad; 2016; Nivå 2; 20160404 (andbra)

Available from: 2016-09-29 Created: 2016-09-29 Last updated: 2019-03-19Bibliographically approved
Areskoug Josefsson, K., Juuso, P., Gard, G., Rolander, B. & Larsson, A. (2016). Health Care Students' Attitudes Toward Addressing Sexual Health in Their Future Profession: Validity and reliability of a questionnaire (ed.). International Journal of Sexual Health, 28(3), 243-250
Open this publication in new window or tab >>Health Care Students' Attitudes Toward Addressing Sexual Health in Their Future Profession: Validity and reliability of a questionnaire
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2016 (English)In: International Journal of Sexual Health, ISSN 1931-7611, E-ISSN 1931-762X, Vol. 28, no 3, p. 243-250Article in journal (Refereed) Published
Abstract [en]

Objectives: To test the reliability and validity of the Students' Attitudes Towards Addressing Sexual Health questionnaire (SA-SH), measuring students' attitudes towards addressing sexual health in their future professions.

Method: A cross-sectional online survey (22 items) were distributed to 186 nursing, occupational therapy and physiotherapy students in Sweden, April 2015. Validity and reliability were tested.

Results: The construct validity analysis led to three major factors: present feelings of comfortableness, future working environment and fear of negative influence on future patient relations. The construct validity, internal consistency reliability and intrarater reliability showed good results.Conclusion: The SA-SH is valid and reliable.

National Category
Nursing Physiotherapy
Research subject
Nursing; Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-9091 (URN)10.1080/19317611.2016.1199453 (DOI)000384031300006 ()2-s2.0-84981557082 (Scopus ID)7a720a3a-8069-4a0c-b4cb-c075a25b93cc (Local ID)7a720a3a-8069-4a0c-b4cb-c075a25b93cc (Archive number)7a720a3a-8069-4a0c-b4cb-c075a25b93cc (OAI)
Note

Validerad; 2016; Nivå 2; 2016-11-15 (rokbeg)

Available from: 2016-09-29 Created: 2016-09-29 Last updated: 2018-07-10Bibliographically approved
Areskoug Josefsson, K., Larsson, A., Gard, G., Rolander, B. & Juuso, P. (2016). Health care students' attitudes towards working with sexual health in their professional roles - survey of students at nursing, physiotherapy and occupational therapy programmes. In: Conference abstracts: Pre-conference abstracts. Paper presented at 38th Annual Conference of the Nordic Association for Clinical Sexology, "Love, trust, sexuality", September 22-25 2016, Tartu, Estonia.
Open this publication in new window or tab >>Health care students' attitudes towards working with sexual health in their professional roles - survey of students at nursing, physiotherapy and occupational therapy programmes
Show others...
2016 (English)In: Conference abstracts: Pre-conference abstracts, 2016Conference paper, Published paper (Refereed)
National Category
Physiotherapy Nursing
Research subject
Physiotherapy; Nursing
Identifiers
urn:nbn:se:ltu:diva-59584 (URN)
Conference
38th Annual Conference of the Nordic Association for Clinical Sexology, "Love, trust, sexuality", September 22-25 2016, Tartu, Estonia
Available from: 2016-09-26 Created: 2016-10-07 Last updated: 2018-02-12Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-7388-069x

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