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Risoldi, Sandra. "Preventing Patient on Nurse Violence Through Education." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7186.
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Many nurses are physically and verbally abused by the patients under their care, with those providing care to patients dealing with mental illness or addition being at particular risk. Leadership of the project site, an urban mental health treatment center, identified a need to provide additional education to improve their nursing staff's ability to work with combative patients and prevent escalation of violent behaviors. Albert Bandura's social cognitive theory and adaptation to the environment guided the development of this project to answer the question if an education program for nurses working with potentially combative patients will increase their knowledge of strategies to prevent escalation of violent behavior. The education program was developed using results from an extensive literature review and input from a team of local subject experts, who provided evaluation regarding their satisfaction with the planning process through the completion of an anonymous, 10 questions, Likert-type survey. All team members scored each question with a (5) strongly agree or (4) agree. Project deliverables handed over to the facility included the developed education program, an associated handout, a plan for later implementation, and plans for outcome evaluation through evaluation of learning. This project has the potential to achieve positive social change through less violent encounters between nurses and patients, contributing to an increased culture of safety.
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Kan, Ching-yee Eva, and 簡靜兒. "Diabetes education in Hong Kong: fulfillment of patient needs, nurse responses and patient satisfaction." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1998. http://hub.hku.hk/bib/B31220988.
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Kan, Ching-yee Eva. "Diabetes education in Hong Kong : fulfillment of patient needs, nurse responses and patient satisfaction /." Hong Kong : University of Hong Kong, 1998. http://sunzi.lib.hku.hk/hkuto/record.jsp?B21020425.
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Magno, Ronald Dial. "Training mentally disabled individuals for effective nurse-patient communication." Scholarly Commons, 2004. https://scholarlycommons.pacific.edu/uop_etds/2683.
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Health care for the mentally disabled is often hindered by the inability of patients to identify and communicate their health problems to their health care professional. This study assessed the effectiveness of a nurse-patient communication skills training program for mentally disabled individuals. Forty-two participants who received a regular decanote shot (an injected anti-psychotic medication released over time) were randomly assigned to a treatment or control group. The treatment consisted of three 90-min skills training sessions on symptom monitoring, medication management, and communication skills. Assessments were conducted at an injection appointment pretreatment, posttreatment, and at follow-up. Participants were assessed by pencil-and-paper test on the acquisition of symptom monitoring and medication management skills. In addition, patients were observed in an audio-recorded interaction with their nurse. Results identified that communication training was effective in increasing the participation of patients during a nurse's visit at posttest and at up to a 1-month follow-up. Explanation of results and recommendations for improvements for future studies are discussed.
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Gürsoy, Nilay. "Anpassad undervisning till vuxna patienter med astma bronkiale : sjuksköterskans undervisande roll." Thesis, Högskolan Kristianstad, Sektionen för hälsa och samhälle, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-8559.
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Bakgrund: Astma är en folksjukdom som ökar kraftigt bland den svenska befolkningen. Sjukdomens svårighetsgrad kan påverka livskvalitet och arbetsförmågan.För att kunna hantera sjukdomen och minska besvären kan sjuksköterskan lära ut handlingar för egenvård. Syfte: Att belysa hur sjuksköterskor undervisar vuxna patienter med astma bronkiale. Metod: Litteraturstudien grundade sig på tidigare forskning och användes 10 vetenskapliga artiklar från Cinahl, PubMed och Psykinfodatabas. Artiklarna har varit både kvalitativa och kvantitativa. Resultat: Litteraturstudie visade sig på tre olika huvudkategorier. Sjuksköterskan förmedlar kunskap om egenvård genom att göra patienten delaktig, utforma individuellt anpassad utbildning och involvera anhöriga. Att upprätta handlingsplan görs tillsammans med patienten med hjälp av sjuksköterskan. Att kommunicera och ge stöd är en viktig komponent i patientens behandling. Slutsats: Inom vården kan man utgå från Orems och Suzie Kims domäner för en god egenvård. Egenvård bör utföras så gott som möjligt för att främja patientens välbefinnande.Background: Asthma is a widespread disease that is increasing dramatically among the Swedish population. Diseases severity may affect quality of live and working ability. Inorder to cope with the disease and improve health nurse can teach acts of self-care. Aim: To illuminate how nurses teach adult patients with asthma bronchial. Method:The literature review is based on previous research and used 10 scientific articles from database, Cinahl, PubMed and PsycInfo. The review has encompassed both qualitative and quantitative reference. Results: The analysis of the articles revealed three different main categories. The nurse conveys knowledge about self-care by making patient involvement, develop individualized education and involve relatives. The preparation of action plan with the patient is positive for the treatment. To communicate and provide support is an important component of patient treatment. Conclusion: In healthcare it can be assumed Orems and Suzie Kims domains for a good self-care. Self-care should be performed as best as possible to promote patient comfort.
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Hyatt, Rick D. "Nurse Perceptions: The Relationship Between Patient Safety Culture, Error Reporting and Patient Safety in U.S. Hospitals." Franklin University / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=frank1607988520967849.
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Gross, Stacey B. "The effect of a preoperative education/orientation visit by a critical care nurse on patient anxiety." Thesis, Boston University, 1988. https://hdl.handle.net/2144/37154.
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Thesis (M.S.)--Boston UniversityAnxiety is a common reponse in patients undergoing cardiac surgery. The source of this anxiety is attributed to a multitude of factors. Research findings support the relationship between preoperative preparation and a reduction in anxiety. However, a lack of information exists as to the role of critical care nurses in this process. This purpose of this study was to examine the effect of a structured preoperative education/orientation visit by the critical care nurse on the level of patient anxiety. A sample of 21 patients were drawn from the population of cardiac surgical patients and randomly assigned to the experimental or control group. Subjects in the experimental group received a structured preoperative education/orientation visit by a critical care nurse the evening prior to surgery. Subjects in the control group did not receive the visit. Subjects in both groups completed the State-Trait Anxiety Inventory preoperatively and the A-State Scale plus an additional questionaire postoperatively. Data were analyzed using analysis of covariance on repeated measures and a t-test comparison of mean anxiety scores. Findings revealed no significant differences in postoperative state anxiety scores between the experimental and control group. Results from the second questionaire indicated that subjects in the experimental group felt the preoperative visit was helpful. Furthennore, those patients who had the continuity of the same nurse conducting the preoperative visit and assuming primary care postoperatively in the intensive care unit responded more favorably on the questionaires. There were however, significant pre-existing differences in age and trait anxiety scores between the groups. This fact, in addition to the small sample size limit the ability to evaluate the effectiveness of the experimental intervention. Thus, further research is warranted to determine the effect of a preoperative education/orientation visit by critical care nurses utilizing a larger sample size.
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Snyder, Sharon L. "The effect of a percutaneous transluminal coronary artery education booklet on patients' knowledge." Thesis, The University of Arizona, 1990. http://hdl.handle.net/10150/277268.
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The purpose of this study was to determine if a written patient education booklet would produce an increase in knowledge of adult participants. Thirty subjects were admitted to this quasi-experimental, post-test only study. Subjects in the experimental group (n = 16) were given a patient education booklet, "PTCA--A Patients' Guide," before angioplasty and an Evaluation Questionnaire after angioplasty. Both groups were given a Knowledge Questionnaire after angioplasty. The Student's t-test of independent group means resulted in a non-significant t-value. No difference in knowledge test scores was found between patients who received the booklet and patients who did not receive the booklet. Results from the evaluation questionnaire suggest that subjects perceived the booklet and pictures to be helpful as preparation for angioplasty. Therefore, revision of the PTCA Knowledge Questionnaire and refinement of the study design is suggested.
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Redden, Gloria Medina. "Ambulatory Registered Nurse Perspectives on Health Literacy Roles and Patient Communication." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3365.
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Registered nurses (RNs) have a significant role in communicating health information to patients. The problem addressed in this study was RNs roles with health literacy and communicating health information using words that the patient understands. This study found that ambulatory RN perspectives on their roles in health literacy and patient communication may improve health outcomes and optimal wellness. The purpose of this qualitative study was to examine and describe ambulatory RN perspectives on their roles in health literacy and patient communication, as these are necessary components linked to better health outcomes. The conceptual framework for this study was the nurse role effectiveness model. Fifteen RNs participated in face-to-face, structured, interviews using open-ended questions to contribute perspectives on health literacy roles and nurse-patient communication. Data analysis consisted of Miles and Huberman's methodology to code, extract, sort, review, generalize, and examine for themes. Emergent themes and key findings of this study may improve the gap in knowledge regarding ambulatory RN perspectives on health literacy roles and patient communication, as well as more awareness of the term health literacy, increased formal training on the concepts of health literacy, and techniques to formally assess patients' understanding of health information. An opportunity exists to bridge the gap between RN knowledge of health literacy roles and patient communication. Positive social change implications for health services include promoting RN health literacy roles and strategies for effective communication to promote patient behavior changes for optimal wellness.
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Gustafsson, Josefin, and Robin Engström. "Sjuksköterskans yrkesroll och patientrollen i ett historiskt perspektiv : En kvalitativ intervjustudie." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-154206.
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Aim: The aim of this qualitative interview study was to describe the nurse's professional role and the role as a patient during different time periods. Data were collected through semi-structured interviews, where respondents had a link to the nursing profession, either as a student, now working nurse or retired nurse. Method: The data were analyzed using a content analysis. Result: The older nurses believe that nurses today has a high status and is seen as a well-read and well informed person. Most respondents believe that collaboration between nurses and doctors has improved since past. Most of the older nurses point out that new graduate nurses today have a good theoretical knowledge, but that the practical knowledge is not as good. Nurse’s work today is more independent, but has more administrative tasks. That health care professionals have a common dress is seen as something positive, however it may be difficult for patients to tell the difference between professional groups. The patient is more informed today, particularly with help from the Internet. There is today also a greater patient influence, especially in the pediatrics and psychiatric care. Conclusion: By gaining a comprehensive view of the impact changes has on the nurse profession today, the work on further developments can be made.Syfte: Syftet med denna kvalitativa intervjustudie var att beskriva sjuksköterskans yrkesroll samt patientrollens förändring under olika tidsperioder. Metod: Data inhämtades genom semistrukturerade intervjuer, där respondenterna hade en koppling till sjuksköterskeyrket, antigen som student, nu arbetande sjuksköterska eller pensionerad sjuksköterska. Datan analyserades med innehållsanalys. Resultat: De äldre respondenterna anser att sjuksköterskan har en hög status idag och ses som en påläst och välinformerad person. Samarbetet mellan sjuksköterska och läkare anser de flesta har förbättrats genom tiden. Flertalet äldre sjuksköterskor påpekar att nyexaminerade sjuksköterskor idag har en god teoretisk kunskap, men att den praktiska kunskapen inte är lika bra. Idag arbetar sjuksköterskan mer självständigt fast med mer administrativa uppgifter. Att hälso- och sjukvårdens yrkesgrupper har en gemensam klädsel ses som någonting positivt, dock kan det vara svårt för patienterna att se skillnad på yrkesgrupperna. Patienten får idag mer information och är även mer välinformerad, framför allt genom internet. Idag finns även ett större patientinflytande, särskilt inom barnsjukvården och psykiatrisk vård. Slutsats: Genom att få en övergripande syn på vad förändringarna har medfört kan arbetet med vidareutveckling inför framtiden ske.
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Smith, Heather. "An investigation of the reasons parents and carers of children wih asthma declined to attend self management education programs." Access electronically, 2006. http://www.library.uow.edu.au/adt-NWU/public/adt-NWU20060712.115441/index.html.
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Piersma, Hida Jessie. "The role of a nurse leader| Process improvement in patient safety culture." Thesis, Utica College, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=1603160.
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Within the health care system, patient safety outcomes have been criticized for many years. Medical malpractice, common errors, and nosocomial infections (i.e., hospital-acquired infections) are safety concerns, and represent a public health problem. Since the Institute of Medicine (1999) published To Err is Human: Building a Safer Health System in 1999, changes have been made to improve the use of technology and leverage advancements in research that improve patient safety. Nurse leaders can also help to facilitate process improvements in the patient safety culture. The purpose of this capstone project was to explore the nursing leader role in improving patient safety in a hospital setting. The method utilized for this study was a literature review. Prominent articles identifying the role of nursing leadership were included. Seven drivers of patient safety were identified (Sammer, Lyken, Singh, Mains, & Lackan (2011), and subsequently informed this project. The targeted populations were patients, families, nurses, nurse administrators, and medical personnel. Findings regarding the nurse leader role, patient improvements, and barriers to improvements were reviewed. Nurse leaders were found to be of critical importance to patients, medical personnel, and the health care system. The limitations of this review and implications for policy and practice are discussed.
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Nimmo, Graham R. "Materialities of clinical handover in intensive care : challenges of enactment and education." Thesis, University of Stirling, 2014. http://hdl.handle.net/1893/21540.
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The research is situated in a busy intensive care unit in a tertiary referral centre university hospital in Scotland. To date no research appears to have been done with a focus on handover in intensive care, across the professions involved, examining how handover is enacted. This study makes an original contribution to the practical and pedagogical aspects of handover in intensive care both in terms of the methodology used and also in terms of its findings. In order to study handover a mixed methods approach has been adopted and fieldwork has been done in the ethnographic mode. Data has been audio recorded and transcribed and analysed to explore the clinical handovers of patients by doctors and nurses in this intensive care unit. Texts of both handover, and the artefacts involved, are reviewed. Material from journals, books, lectures and websites, including those for health care professionals, patients and relatives, and those in industry are explicated. This study explores the role of material artefacts and texts, such as the intensive care-based electronic patient record, the whiteboards in the doctors’ office, and in the ward, in the enactment of handover. Through analysis of the data I explore some of the entanglements and ontologies of handover and the multiple things of healthcare: patients, information, equipment, activities, texts, ideas, diseases, staff, diagnoses, illnesses, floating texts, responsibility, a plan, a family. The doing of handover is framed theoretically through the empirical philosophy of Mol’s identification of multiple ontologies in clinical practice (Mol, 2002). Each chapter is prefaced by a poem, each of which has relevant socio-material elements embedded in it. The significance of the findings of the research for both patient care and clinical education and learning is surfaced.
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Dinwiddie, Lisa Taylor 1951. "A COMPARISON OF NURSE-PATIENT PERCEPTIONS OF PATIENTS' SURGICAL INTENSIVE CARE UNIT ORIENTATION NEEDS." Thesis, The University of Arizona, 1986. http://hdl.handle.net/10150/275535.
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Barth, Elaine. "The effect of preoperative instruction time on anxiety levels in surgical patients." Virtual Press, 1996. http://liblink.bsu.edu/uhtbin/catkey/1020144.
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Preoperative instruction has been documented to benefit patients. With recent health care changes, most patients are now admitted to the hospital on the day of surgery. The optimal time for preoperative instruction requires re-examination. This study evaluated differences in anxiety levels of patients who received structured preoperative instruction prior to hospital admission and patients who received unstructured preoperative instruction after admission on the day of surgery.Roy's Adaptation Model guided this study. The state scale of the State-Trait Anxiety Inventory (STAI) measured anxiety in a convenience sample (n=40) admitted for same-day surgery. Participants in one group received structured preoperative instruction 1-7 days prior to surgery. Participants in a second group received unstructured preoperative instruction on the day of surgery. All participants completed the STAI 1-7 days before surgeryand on the morning of surgery. Paired t-tests on difference scores showed no significant difference in anxiety between the groups.School of Nursing
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Purdue, Jeannetta A. "The effects of two methods of preoperative instruction : traditional and traditional plus nurse teaching-coaching on anxiety in two groups of surgical patients." Virtual Press, 1992. http://liblink.bsu.edu/uhtbin/catkey/834512.
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Patient education has become more important in decreasing patient anxiety about surgery. The purpose of this study was to examine the effects of two methods of teaching instruction on 2 groups of surgical patients (25 in each group): traditional (film and interview) and traditional plus nurse teaching-coaching on anxiety scores on two groups of surgical patients. Sister Callista Roy's Adaptation Model (1984) was the conceptual framework for this study.The research questions are a) "Are there significant differences between preoperative and postoperative scores on State Anxiety between two groups of surgical patients using two methods of preoperative instruction: traditional preoperative teaching and traditional preoperative teaching plus nurse teaching-coaching interventions" and b) "Are there significant differences in pre- and postanxiety scores of men and women?"State anxiety was measured by Form Y-1 of the State-Trait Anxiety Inventory by Speilberger, Gorsuch, & Lushene (1983). The nurse teaching-coaching intervention was performed in a 30 minute session that focused on content covered in the traditional preoperative teaching. Procedures for the protection of human subjects were followed.Findings of this study showed that no significant differences between pre- and post- anxiety scores for two groups of surgical patients, regardless of the method of instruction. There was, however, a significant difference between pre- and post- scores for two groups of surgical patients in regards to men and women. Women had greater levels of anxiety before surgery and greater decreases postoperatively than did men.Conclusions indicated that further research is needed to demonstrate the effectiveness of the nurse teaching-coaching intervention on decreasing anxiety levels of surgical patients. The nurse teaching-coaching intervention warrants strong consideration for further study and use in nursing practice in assisting in recovering from surgery.School of Nursing
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Shackelford, Judy Ann. "A comparison of an individually tailored and a standardized asthma self-management education program." St. Louis, Mo. : University of Missouri--St. Louis, 2007. http://etd.umsl.edu/r2461.
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White, Jennifer A. "Improving Patient Satisfaction after Primary Total Knee Arthroplasty Using Nurse Practitioner-Driven Preoperative Education." Otterbein University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=otbn1429888933.
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Alvarez, Elizabeth A. "Effects of Template Implementation and Education on Bedside Reporting Frequency, Safety Alerts, and Nurse/Patient Satisfaction." Thesis, McKendree University, 2019. http://pqdtopen.proquest.com/#viewpdf?dispub=13860735.
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Effective communication ensures patient safety and quality care. Shift report is multi-faceted, and if not conducted in a consistent manner, can be a source of errors. Implementing bedside report places focus on the patient’s values and needs and meets Quality and Safety Education for Nurses (QSEN) competencies, including patient-centered care. Bedside reporting with an established template improves patient safety, as well as nurse and patient satisfaction. The investigator expected that by implementing nurse and patient education while establishing a bedside reporting template, there would be an increase in nurse and patient satisfaction, improved bedside reporting frequency, and a decrease in patient safety alerts.
This advanced scholarly project was conducted at a Midwest hospital including approximately 160 nurses in various departments. A nonrandomized control pretest and posttest assessed nurse satisfaction with bedside report frequency. The requirements of the reporting template were established by the Council for Nursing Excellence (CFNE). Education on the template included nurse training and patient brochures before implementation. Additional assessments examined patient satisfaction scores and safety alerts. Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores provided details on patient satisfaction, while Iris alerts offered information on patient safety as it related to communication or a lack thereof.
HCAHPS scores revealed inconsistencies throughout the various units while Iris alerts provided minor quantities of data. Nurse survey results demonstrated a decrease in nurse satisfaction with the new template, as well as a reduction in the verification of report; however, there were improvements in satisfaction for all other areas examined including the frequency of report while including the patient, sufficiency of report, the ease of including the patient in report, as well as the belief that information is not lost during the reporting process.
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Kritikos, Vicky. "INNOVATIVE ASTHMA MANAGEMENT BY COMMUNITY PHARMACISTS IN AUSTRALIA." University of Sydney, 2007. http://hdl.handle.net/2123/2064.
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Doctor of PhilosophyExcerpt Chapter 2 - A review of the literature has revealed that asthma management practices in the Australian community are currently suboptimal resulting in significant morbidity and mortality. In adolescent asthma there are added challenges, with problems of self-image, denial and non-adherence to therapy where self-management skills assume a greater importance (Forero et al 1996, Price 1996, Brook and Tepper 1997, Buston and Wood 2000, Kyngäs et al 2000). In rural and remote areas in Australia, asthma management practices have been shown to be poorer and mortality rates from asthma are considerably higher compared to metropolitan areas (AIHW ACAM 2005, AIHW 2006). Limited access and chronic shortages of specialist services in rural areas are shifting the burden more and more towards the primary sector (AIHW 2006). It becomes paramount that people with asthma in rural settings become involved in self-management of their asthma and that community based health care providers be more proactive in facilitating these self-management behaviours by appropriate education and counselling. Health promotion activities, which are a broad range of activities including health education, have been acknowledged as having the potential to improve the health status of rural populations (National Rural Health Alliance 2002). Community pharmacy settings have been shown to be effective sites for the delivery of health promotion, screening and education programs (Anderson 2000, Elliott et al 2002, Cote et al 2003, Hourihan et al 2003, Watson et al 2003, Boyle et al 2004, Goode et al 2004, Paluck et al 2004, Sunderland et al 2004, Chambers et al 2005, Saini et al 2006). In the case of asthma, outreach programs have been shown to have beneficial effects in terms of reducing hospital admissions and emergency visits and improved asthma outcomes (Greineder et al 1995, Stout et al 1998, Kelly et al 2000, Legorreta et al 2000, Lin et al 2004). We proposed to extend the role of the community pharmacist beyond the traditional realm of the “pharmacy” into the community in rural Australia with the first asthma outreach programs designed for community pharmacy. The outreach programs were designed to include two health promotion strategies, the first targeting adolescents in high schools and the second targeting the general community. The project aimed firstly, to assess the feasibility of using community pharmacists to deliver two asthma outreach programs, one targeting adolescents and one for the wider community in a rural area and secondly, to assess the programs’ impact on adolescent asthma knowledge and requests for information at the community pharmacy. Excerpt Chapter 3 - Patient education is one of the six critical elements to successful long-term asthma management included in international and national asthma management guidelines, which have emphasised education as a process underpinning the understanding associated with appropriate medication use, the need for regular review, and self-management on the part of the person with asthma (Boulet et al 1999, National Asthma Council 2002, National Asthma Education and Prevention Program 2002, British Thoracic Society 2003, NHLBI/WHO 2005). The ongoing process of asthma education is considered necessary for helping people with asthma gain the knowledge, skills, confidence and motivation to control their own asthma. Since most health care professionals are key providers of asthma education, their knowledge of asthma and asthma management practices often needs to be updated through continuing education. This is to ensure that the education provided to the patient conforms to best practice guidelines. Moreover, health care professionals need to tailor this education to the patients’ needs and determine if the education provided results in an improvement in asthma knowledge. A review of the literature has revealed that a number of questionnaires have been developed that assess the asthma knowledge of parents of children with asthma (Parcel et al 1980, Fitzclarence and Henry 1990, Brook et al 1993, Moosa and Henley 1997, Ho et al 2003), adults with asthma (Wigal et al 1993, Allen and Jones 1998, Allen et al 2000, Bertolotti et al 2001), children with asthma (Parcel et al 1980, Wade et al 1997), or the general public (Grant et al 1999). However, the existing asthma knowledge questionnaires have several limitations. The only validated asthma knowledge questionnaire was developed in 1990 and hence, out of date with current asthma management guidelines (Fitzclarence and Henry 1990). The shortcomings of the other knowledge questionnaires relate to the lack of evidence of the validity (Wade et al 1997, Grant et al 1999, Bertolotti et al 2001), being outdated 81 with current concepts of asthma (Parcel et al 1980) or having been tested on small or inadequately characterised subject samples e.g. subject samples consisting of mainly middle class and well educated parents (Brook et al 1993, Wigal et al 1993, Moosa and Henley 1997, Allen and Jones 1998, Allen et al 2000, Ho et al 2003). Furthermore, most of the published asthma knowledge questionnaires have been designed to assess the asthma knowledge of the consumer (i.e. a lay person with asthma or a parent/carer of a person with asthma). There is no questionnaire specifically developed to assess the asthma knowledge of health care professionals, who are key providers of asthma education. It is hence important to have a reliable and validated instrument to be able to assess education needs and to measure the impact of training programs on asthma knowledge of health care professionals as well. An asthma knowledge questionnaire for health care professionals might also be used to gauge how successful dissemination and implementation of guidelines have been. Excerpt Chapter 4 - Asthma self-management education for adults that includes information about asthma and self-management, self-monitoring, a written action plan and regular medical review has been shown to be effective in improving asthma outcomes (Gibson et al 1999). These interventions have been delivered mostly in a hospital setting and have utilised individual and/or group formats. Fewer interventions have been delivered in a primary care setting, usually by qualified practice nurses and/or general practitioners or asthma educators and, to date, their success has not been established (Fay et al 2002, Gibson et al 2003). Community pharmacy provides a strategic venue for the provision of patient education about asthma. Traditionally, patient education provided by community pharmacists has been individualised. However, group education has been shown to be as effective as individualised education with the added benefits of being simpler, more cost effective and better received by patients and educators (Wilson et al 1993, Wilson 1997). While small group education has been shown to improve asthma outcomes (Snyder et al 1987, Bailey et al 1990, Wilson et al 1993, Yoon et al 1993, Allen et al 1995, Kotses et al 1995, Berg et al 1997, de Oliveira et al 1999, Marabini et al 2002), to date, no small-group asthma education provided by pharmacists in the community pharmacy setting has been implemented and evaluated.
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Michel, Brenda Rhodes Dent. "Registered nurse diabetes educators and preconception counseling for the female with diabetes." Normal, Ill. Illinois State University, 2004. http://wwwlib.umi.com/cr/ilstu/fullcit?p3172880.
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Thesis (Ed. D.)--Illinois State University, 2004.Title from title page screen, viewed November 17, 2005. Dissertation Committee: Dent Rhodes (chair), Kenneth Jerich, Cheri Toledo, Denise Charron-Prochownik. Includes bibliographical references (leaves 96-105) and abstract. Also available in print.
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Gotin, Jacques. "Education thérapeutique du patient asthmatique bilingue français-créole en Guadeloupe : Quels outils, quel impact ?" Thesis, Antilles-Guyane, 2015. http://www.theses.fr/2015AGUY0827/document.
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Cette étude a pour missions essentielles de comprendre et d’expliquer comment le passage d’une langue à une autre voire le mélange des deux codes langagiers qui se côtoient au sein de la population de la Guadeloupe, département français d’outre-mer, le français et le créole, peuvent, dans le cadre des échanges médicaux éducatifs, influencer la compréhension des mécanismes de la maladie par le patient, son acceptation et sa gestion.La justification de cette étude tient du constat que la prévalence de cette maladie chronique en Guadeloupe, l’asthme bronchique, est relativement importante, que la prise en charge reste perfectible malgré les recommandations de bonnes pratiques édictées par les sociétés savantes, et que certains patients ont du mal à comprendre les termes utilisés en français par leur médecin lors de l’annonce du diagnostic, ainsi que par les éducateurs chargés de leur apporter les outils de bonne gestion de cette maladie, ce qui n’est pas sans incidents en termes de morbidité et de mortalité.L’auteur décompose sa recherche autour de cinq grands thèmes :- La description du territoire d’étude, sur le plan géographico-climatique, historico-économique, sanitaire et social, la naissance d’une ère culturelle nouvelle générant une langue partagée par plus de 95% de la population et transmise au sein des familles et dans la communauté.- La présentation de l’éducation thérapeutique, démarche considérée par la communauté scientifique comme essentielle pour améliorer la prise en charge du patient et l’autogestion de la maladie, les plans gouvernementaux successifs traitant de cette matière.- L’état des connaissances sur l’asthme bronchique en France, dans le monde et en Guadeloupe plus particulièrement.- L’impact de la langue créole dans le processus de compréhension de la maladie à travers la relation soignant-soigné, et ses conséquences chez les natifs bilingues en termes d’acquisitions des outils d’autogestion en comparaison à l’utilisation du français.- La formulation de propositions de contextualisation didactique, tant en termes de formation des professionnels de santé par la préconisation de l’utilisation de la langue créole, par l’adaptation des outils psychopédagogiques au contexte local, que d’encouragement du patient à utiliser sa langue maternelle dans l’expression de ses ressentis.La recherche montre que la langue créole, utilisée autant au cours de la consultation par le médecin traitant et par le malade que pendant les séances d’éducation thérapeutique par les éducateurs et le public, influence les indicateurs de gestion de cette maladie.En conclusion, l’auteur défend l’hypothèse selon laquelle l’utilisation de la langue créole dans les échanges médicaux éducatifs chez les adolescents asthmatiques bilingues français-créole favoriserait la compréhension des mécanismes de la maladie asthmatique, la prise de conscience de sa gravité et la nécessité de se soigner pour éviter les complications, corollaire d’une bonne qualité de vieIn Guadeloupe, a French Overseas Territory, the population uses French and Creole linguistic codes. The main goals of this thesis are to understand and to explain how a better use of French and Creole, within the framework of educational medical exchanges, can improve the understanding of the mechanisms of the disease by the patient, its acceptance and its management.The bronchial asthma is a chronic disease, which affects an important part of the Guadeloupian population. In spite of the recommendations promulgated by the medical scholars, the care of the patients can be improved in Guadeloupe. Certain patients have difficulty understanding the terms used in French by their doctor during the announcement of the diagnosis, as well as by the educators in charge of bringing them the tools of good management of this disease what is not without incidents in terms of morbidity and mortality.The author elaborates his research around five main themes:- The thorough description of the space studied in this thesis; the geography of the land, the history of the population, the impact of the economic; the presentation of the social and health care infrastructures; and furthermore the birth of a new cultural era generating a language shared by more than 95 % of the population and passed on within families and communities.- The presentation of the therapeutic education, the approach considered by the scientific community as essential to improve the management of the patient and the self-management of the disease, the successive governmental plans dealing with this subject.- The state of the knowledge on the bronchial asthma in France, in the world and in Guadeloupe more particularly.- The impact of the Creole language in the process of understanding of the disease within the healthcare relationships and its consequences at the bilingual natives in terms of acquisitions of the tools of self-management in comparison to the use of French.- The formulation of proposals of didactic contextualization regarding the training of the healthcare professionals; the recommendation to the healthcare workers to use the Creole language; the adaptation of the psycho-pedagogical tools to the local context; the encouragement to the patients to use their native language in the expression of their feelings.- Researches show that the Creole language used during the consultation by the regular doctor, but also during the educational sessions therapeutics by the educators influence the indicators of management of this disease. In conclusion, the author defends the hypothesis according to which, the use of the Creole language in the educational medical exchanges at the bilingual asthmatic teenagers French-Creole would favor the understanding of the mechanisms of the asthmatic disease, the awareness of its gravity and the necessity of looking after oneself to avoid the complications, corollary of a good quality of life
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Navaratnam, Prakash. "Predictors of the prescribing of asthma pharmacotherapy in the ambulatory patient population of the United States." Columbus, Ohio : Ohio State University, 2007. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1171582748.
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Strömberg, Anna. "Caring for patients with chronic heart failure : with focus on patient education and nurse-led heart failure clinics /." Linköping : Univ, 2001. http://www.bibl.liu.se/liupubl/disp/disp2001/med708s.pdf.
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Höggren, Christina, and Hampus Johansson. "Preoperativa omvårdnadsinterventioner vid elektiv kirurgi för ökad delaktighet hos patienten." Thesis, Sophiahemmet Högskola, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-3636.
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Bakgrund År 2018 utfördes 754 310 kirurgiska ingrepp på personer över 20 år, inom slutenvården i Sverige. För många patienter är kirurgiska ingrepp sammankopplat med en känsla av oro. Studier har visat att 60–80 procent av kirurgiska patienter är oroliga. Att som sjuksköterska lindra patientens oro inför ett kirurgiskt ingrepp samt skapa delaktighet kräver tid, kunskap och engagemang. Syfte Syftet var att belysa omvårdnadsinterventioner som kan ge patienten ökad delaktighet preoperativt. Metod En litteraturöversikt där sökningar efter vetenskapliga artiklar gjordes i databaserna PubMed och CINAHL. Arton vetenskapliga artiklar valdes ut och granskades med hjälp av integrerad analys samt kvalitetsgranskades och sorterades i teman efter vad de kom fram till. Resultat Resultaten i de inkluderade vetenskapliga artiklarna visade på vikten av tydlig och individanpassad information samt individanpassat bemötande av sjuksköterskorna preoperativt för att skapa delaktighet samt minska oron. De patienter som erhöll adekvat och tydlig information och där sjuksköterskan anammat personcentrerad omvårdnad genom individanpassat bemötande och kommunikation hjälpte patienterna att känna sig väl förberedda inför det kirurgiska ingreppet. Slutsats Individanpassat bemötande och individanpassad information till patienterna preoperativt är de omvårdnadsinterventioner som, resultatet i denna litteraturöversikt, visar på som mest effektiva ur patientens perspektiv. Att som sjuksköterska skapa en relation med patienten utifrån patientberättelsen och där identifiera patientens omvårdnadsbehov gällande grad och innehåll av information inför det kirurgiska ingreppet kan vara nyckeln till ökad delaktighet.Background In 2018, 754 310 surgical procedures were performed on patients over 20 years old in the inpatient care in Sweden. For many patients, surgical procedures are associated with a feeling of anxiety. Studies have shown that 60-80 per cent of surgical patients suffer from anxiety. As a nurse, relieving the patients ́ anxiety prior to a surgical procedure and increasing patient participation requires time, knowledge and commitment. Aim The aim was to highlight nursing interventions that may encourage increased patient participation in preoperative care. Method A literature review where searches for scientific articles were made in PubMed and CINAHL. Eighteen scientific articles were selected and reviewed using an integrated analysis, examination of quality and then sorted by themes according to their findings. Result The results of the included scientific articles showed the importance of clear information and a person-centred approach from the nurses preoperatively to create participation and reduce anxiety. Patients who held adequate and clear information as well as when the nurse had a person-centred approach in both treatment and communication, entailed that the patients felt well prepared for the surgical procedure. Conclusion A person-centred approach and clear information to patients preoperatively are the nursing interventions shown to be most effective from the patient's perspective. This is the result of this literature review. As a nurse, establishing a relationship with the patient based on the patient's story and identifying the patient's need for care regarding the degree and content of information given prior to the surgical procedure, may be the key to increased patient participation.
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Clarkson, Cheryl Diane. "The development of caring within a vocational nursing education program." Virtual Press, 1994. http://liblink.bsu.edu/uhtbin/catkey/902468.
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Caring has been linked with the practice of nursing throughout history. As modern nursing strives to establish itself as a profession of caring, the need to identify the basic components of caring and how caring components are learned or transmitted has evolved. The purpose of this study was to determine if caring attitudes and behaviors were learned during the vocational educational process.Madeline Leininger's theory of caring provided the theoretical framework for this study. A comparative descriptive research design was employed. The Caring Ability Inventory (Nkongho, 1990) was used to assess a baseline for student caring and to determine any changes in the caring ability over time. The Nursing Clinical Teacher Effectiveness Inventory (Knox & Mogan, 1985) was used to establish student and faculty perceptions of caring attitudes and behaviors in the nursing faculty. A curriculum survey designed by Slevin and Harter (1987) was used to examine the nursing curriculum for various aspects of caring. Demographic data sheets were completed by students and faculty.Descriptive and multivariant statistics were used to analyze the data. The sample consisted of basic and advanced level nursing students (N = 142) and full time nursing faculty (N = 12) in a midwestern vocational nursing program. The results indicated that caring behaviors were not significantly changed during the program Faculty rated utilization of caring behaviors higher than did the students, particularly behaviors related to student evaluation. Faculty had difficulty identifying caring theory, caring concepts, and methods of teaching caring to students. The conclusion was that faculty lacked sufficient information about caring to effectively utilize the concept in curriculum presentation.School of Nursing
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Åhlander, Sofia, and Johanna Westerberg. "Med andras ögon : Hur pedagogik gestaltar sig i omvårdnad." Thesis, Högskolan i Halmstad, Akademin för hälsa och välfärd, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-28301.
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Människan som är i behov av vårdande inom omvårdnad behöver pedagogiskt lärande i form av stöd från sjuksköterskan inför de frågor och utmaningar de ställs inför. Hur pedagogiskt lärande utformas i olika vårdsituationer är ännu inte tillräckligt vetenskapligt utforskat, vilket gör att det är viktigt att kartlägga problematiken kring bristen på pedagogiskt lärande i omvårdnad. Syftet var att identifiera vad pedagogiskt lärande är inom omvårdnad. Metoden som använts är en litteraturstudie med 8 vetenskapliga artiklar som lades till grund för resultatet. Resultatet visade sex olika underteman; pedagogiska brister, pedagogisk innovation, sjuksköterskan, patientens livsvärld, pedagogisk ömsesidighet samt pedagogisk omvårdnad och som bildade huvudtemat ”Med andras ögon”. Pedagogik är en av de viktigaste huvudaspekterna inom omvårdnad för att kunna bedriva en god vård till patienten. För att kunna integrera pedagogik som en del i vårdprocessens alla steg behövs mer utbildning, kunskap och forskning inom pedagogik och lärande för hur unika omvårdnadssituationer för den unika patienten ska kunna tillämpas.Human beings who are in need of caring in nursing requires pedagogical learning in the form of support from the nurse facing the issues and challenges they are receiving. How pedagogical learning is designed in different care situations is not yet sufficiently scientifically explored, making it important to map the problem of the lack of pedagogical learning in nursing. The aim was to identify what pedagogical learning is in nursing. The method is a literature review of 8 scientific articles that formed the basis for the result. The results showed six different sub-themes; pedagogical flaws, pedagogical innovation, the nurse, the patient's life-world, pedagogical mutuality and pedagogical care and who formed the main theme "With the eyes of others”. Pedagogic is one of the most important key aspects in nursing in order to initiate a proper care to the patient. In order to integrate pedagogy as part of the care process, more training, knowledge and research in pedagogy is needed and learning how unique nursing situations for the unique patient should be applied.
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Smith, Sheree Margaret Stewart. "A critical analysis of the relationship between health promoting behaviours, an individual's health risk, asthma severity and control, and patient centred asthma education in the emergency department." Queensland University of Technology, 2006. http://eprints.qut.edu.au/16921/.
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Asthma affects over 2.2 million people in Australia. Asthma morbidity is increasing while mortality is decreasing. People with asthma experience shortness of breath as their airways narrow and become inflamed. After an episode of acute asthma many patients experience a relapse requiring further emergency department care. Numerous studies have been undertaken to identify the determinants of asthma morbidity and these studies have primarily used asthma oriented and co-morbidity scales such as anxiety and depression indices. Other studies in this area have indicated psychosocial factors such as coping, asthma attitudes and beliefs that may be linked to people with asthma who are non-compliant or adherent to treatment. Currently, there is no research available that has examined the link between general health promoting behaviours, an individual’s risk behaviour assessment and a brief asthma education encounter that is patient-centred. This study provides a description of the health promoting and risk taking behaviours of people who attend the emergency department with acute asthma. Secondly, it examines the effectiveness of patient-centred education compared with standard education. One hundred and forty-six people with acute asthma who attended the emergency departments of the Princess Alexandra and Mater Adult Public Hospitals were enrolled in this study. Participants self-reported health promoting and risk taking behaviours by completing the questionnaire that contained the Health Promoting Lifestyle Profile (HPLPII) and the Health Risk Appraisal (HRA) instruments. The Hospital Anxiety and Depression Scale (HADS) was also incorporated into the questionnaire to ascertain levels of anxiety and depression in this acute asthma group of people. The asthma education curriculum had the same topics for both the standard education and the patient-centred groups. However, the patient-centred group were able to prioritise the order of the topics according to their identified need. Secondly, the patient-centred group were asked two questions to ascertain the most important issue and asthma issue for them at that point in time. Both groups of participants were educated using the Asthma Foundation Leaflet “Asthma - Basic Facts” during the individual education session. There were 56% females and 44% males with a mean age (+SD) of 34 (13.8) years with 70.3% reported year 12 or above education and 49% of participants earned less that $20,000. Nearly half of the participants were admitted to a hospital ward following emergency department assessment and care. A large proportion of the participants had either moderate or severe asthma. The health behaviour findings from this study suggest people with acute asthma follow preventive health recommendations and safety guidelines more so than the wider community. However, they did not self-initiate home based health actions such as breast self-examination. At the time of attendance to the emergency department with acute asthma there were no statistical difference between the patient-centred education and standard format education groups for age, gender, education, income, asthma control and previous emergency department attendances. The patient-centred education group had fewer re-attendances in the four months after the education intervention when compared with prior emergency department attendances than the control group (p=0.057; p=0.486). In conclusion, people with acute asthma report undertaking a number of preventive health behaviours and actions according to national guidelines and safety recommendations. They report a lack of self-initiated home based health behaviours. Further research is required to investigate the impact on the National Asthma Council’s recommendations of the importance of asthma action plans on people who follow preventive health guidelines and who lack self-initiative abilities. In terms of asthma education, patient-centred education when compared to standard format education may be useful in reducing further emergency department attendances for acute asthma. More research is required to identify other key education issues for people with acute asthma.
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Hansson, Lina, and Louise Remlén. "www.patientundervisning.ssk - En litteraturstudie om vilka faktorer som påverkar sjuksköterskans roll i patientundervisningen och hur Internet kan integreras i undervisningen." Thesis, Malmö högskola, Fakulteten för hälsa och samhälle (HS), 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-27050.
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Dagens patient står idag inför svåra val av behandlingar och vård. Det är därför viktigt att patienten ges möjlighet att hantera det dagliga livets krav och att sjuksköterskan stödjer och stärker patientens kontroll över sjukdom och behandling. Patientundervisning är av central betydelse och bör integreras i den dagliga omvårdnaden av patienten och dennes anhöriga. Föreliggande studie syftar därför till att studera de faktorer som påverkar sjuksköterskans roll i patientundervisningen och hur Internet kan integreras i undervisningen. Teoretisk ram för arbetet är Hildegard Peplaus terapeutiska interpersonella process. För att besvara frågeställningarna har en litteraturstudie genomförts, vilket har medfört en kritisk granskning och sammanvägning av resultat från tio vetenskapliga artiklar. Resultatet visar på att sjuksköterskan inte alltid har den kunskap som behövs för att bedriva bra patientundervisning och att mer utbildning krävs för att kunna genomföra undervisningen på bästa tänkbara sätt. Med dagens tekniska utveckling kan Internet med sin lättillgängliga information fungera som ett ypperligt hjälpmedel vid patientundervisning.Todays patients face difficulties in choosing between methods of treatment and care. Therefore it is very important that nurses give the patient an opportunity to handle their daily life and support them in their choises. Patient education is of central importance and should be integrated in the daily care of patients and their relatives. This literature review aims to investigate the factors that influence the nurse role in patient education and in what way Internet can be used. Peplau’s theory of Interpersonal relations underlie this study. The sudy is based on the results of ten scientific publications. The results indicate that nurses not always have enough knowledge to provide good patient education. More education is needed in the nursing education programme. With todays technical evolution Internet can function as an excellent tool in patient education.
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Carlsson, Wincrantz Pernilla, and Josefin Wahlberg. "Sexuality - a sensitive issue." Thesis, Malmö högskola, Fakulteten för hälsa och samhälle (HS), 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-24398.
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Sexualitet är en del av att vara människa och berör själva meningen med livet. Den finns med oss i alla åldrar och livssituationer. Vid sjukdom och behandling påverkas sexualiteten på olika sätt och det är därför viktigt att allmänsjuksköterskan uppmärksammar och berör patientens sexualitet i omvårdnadsarbetet. Trots vetskapen om detta väljer många sjuksköterskor att borste från patientens sexualitet, vilket kan orsaka mycket onödigt lidande för patienten. Sexuell dysfunktion kan även vara det enda tecknet på allvarlig sjukdom och det är därför av stor vikt att sjusköterskan införlivar sexualiteten i omvårdnadsarbetet. Syftet med litteraturstudien var att undersöka allmänsjuksköterskans förhållningssätt kring sexualitet i mötet med patienter i olika åldrar. Studien genomfördes som en litteraturstudie där elva vetenskapliga artiklar samlades in och granskades. Både kvalitativa och kvantitativa artiklar inkluderades i studien. Resultatet visade att det fanns ett antal faktorer som påverkade sjuksköterskans förhållningssätt till patientens sexualitet. Många av deltagarna i studierna var medvetna om att det låg inom deras ansvarsområde att uppmärksamma och beröra patientens sexualitet i omvårdnadsarbetet, men få gjorde det. Av de hinder som identifierades, var brist på sexologisk kunskap och utbildning det mest framträdande hindret bland såväl sjuksköterskor som sjuksköterskestudenter.Sexuality is integral to every person and affects the individual in all developmen-tal stages. Sexuality is affected by both illness and treatments, which is a reason why nurses ought to incorporate sexuality into nursing practice. Despite being aware of the importance of patients’ sexuality, many nurses choose not to address the issue, which could possibly cause the patient unnecessary suffering as sexual dysfunction can be the only symptom indicating severe illness. The aim of this study was to explore nurses’ attitude towards patients’ sexuality throughout life. The study was conducted as a literature review based on eleven scientific articles. Qualitative as well as quantitative articles were included in the study. Results showed that there are a number of barriers that affect nurses’ attitudes towards patients’ sexuality. The majority of all informants were well aware that addressing patients’ sexuality formed part of their duties as nurses, however, only a small number of nurses actually did address the issue. The most prominent barrier iden-tified by both nurses and nursing student was their self-reported lack of education in sexology.
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Grimslätt, Cristina, and Emma Gustafsson. "Delaktighet i vården : Patienters och sjuksköterskors upplevelser." Thesis, Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-14369.
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Hur patienter och sjuksköterskor upplever delaktighet i vården är en viktig aspekt för att kunna vidareutveckla och främja patientens delaktighet i vården. Syftet med studien var att undersöka upplevelser av patientens delaktighet ur ett patient- och sjuksköterskeperspektiv. Studien genomfördes som en systematisk litteraturstudie och grundar sig på 14 vetenskapliga artiklar. Resultaten visade att patienters upplevelser av patientdelaktighet innefattade att bli sedd och respekterad som en egen individ. Ett inbjudande klimat där sjuksköterskan var lyhörd och där relationen mellan parterna var jämlik upplevdes viktigt. Sjuksköterskor upplevde att det var viktigt med ett empatiskt förhållningssätt där etablerandet av en fungerande relation var grundläggande. Detta innebar ett respektfullt bemötande där patienter uppmuntrades och värdesattes. En bra kommunikation och ett givande och tagande mellan båda parter samt individanpassad och tillräcklig information var viktigt. Både patienter och sjuksköterskor upplevde att det fanns hinder för delaktighet vilka bland annat var tidsbrist, brist på kontinuitet och begränsade val. Det är viktigt att lyfta patientens delaktighet i sjuksköterskeutbildningen. I vårdverksamheten kan daglig reflektion vara ett sätt för sjuksköterskor att bibehålla medvetenhet om vikten av patientens delaktighet. Det vore önskvärt med vidare forskning som förklarar varför det finns brister i patientens delaktighet och vinsterna med patientens delaktighet.How patients and nurses experience participation in care is an important aspect to advance and improve the patient’s participation in care. The aim with the study was to investigate experiences of the patient’s participation from a patient and nurse perspective. The study was performed as a systematic literature study and is based on 14 scientific articles. The results showed that patients’ experiences of patient participation included to be seen and respected as an own individual. An inviting environment where the nurse was sensitive and where the relation was equal between the parts was experienced as important. Nurses experienced that it was important to have an empathic approach where establishing of a functional relation was essential. This meant a respectful manner where patients were encouraged and recognized. A good communication, a giving and taking between the parts and individual and adequate information was important. Both patients and nurses experienced lack of time, lack of continuity and limited choices as hindrances for participation. It is important to raise patient participation in nurse education. Daily reflection in nursing care can be one way for nurses to maintain awareness of the importance of patient participation. It would be desirable with further research which can explain why there are shortages with patient participation and the benefits with patient participation.
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Eriksson, Viktor, and Rasmuz Zachlund. "Sjuksköterskors attityder inom somatisk vård gentemot personer med psykisk ohälsa : En integrativ litteraturöversikt." Thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ, Avd. för omvårdnad, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-43988.
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Bakgrund: Forskningen idag visar att psykisk ohälsa ökar globalt. I samhället kan vi se en stigmatiserande och diskriminerande attityd gentemot personer med psykisk ohälsa. Det framgår att denna patientgrupp har ett större behov av vård men att de känner sig orättvist bemötta och behandlade inom hälso- och sjukvården. Syfte: Litteraturöversikten ämnar beskriva attityder hos sjuksköterskor inom somatisk vård gentemot personer med psykisk ohälsa. Metod: Litteraturöversikten har en integrativ metod vilket innebär att både kvalitativa (9) och kvantitativa artiklar (2) har använts för resultatet. Artiklarna är tagna från databaserna MEDLINE, CINAHL och PsycINFO. Alla artiklar har genomsökts för att svara på litteraturstudiens syfte och har kvalitetsgranskats enligt riktlinjer för Hälsohögskolan i Jönköping. Resultat: Efter analys framkom tre teman: Att ha en dömande attityd mot patienten, Undvikande attityder och Empatiska attityder. Slutsats: Diskriminerande och positiva attityder kan hittas hos sjuksköterskor. Däremellan fanns sjuksköterskor som bortprioriterar att vårda patienter med psykisk ohälsa relaterat till yttre och inre omständigheter såsom ansvarsuppfattning, vårdkultur, brist på tillgångar, maktlöshet, hopplöshet. Utbildning och erfarenhet kan enligt litteraturöversiktens resultat ge positiva attityder hos sjuksköterskan under rätt förutsättningar men samhällets syn på personer med psykisk ohälsa verkar vara en stark faktor som påverkar sjuksköterskors attityd. Sjuksköterskans attityd mot personer med psykisk ohälsa korrelerade med samhället hen levde i.Background: Today's research shows that mental illness is increasing globally. In society, we can see a stigmatizing and discriminatory attitude towards people with mental illness. It appears that this patient group has a greater need for care, but that they feel unfairly treated and cared for in the health and medical care. Aim: The literature review aims to describe attitudes of nurses in somatic care towards people with mental illness. Method: This literature review has an integrative method which means that the result is based on both qualitative (9) and quantitative articles (2) from databases MEDLINE, CINAHL and PsycINFO. All articles have been read thoroughly to correlate to the studys’ aim and their quality has been assessed with guidelines from the School of Health and Welfare in Jönköping. Result: Three main themes emerged: Having a judgmental attitude towards the patient, avoiding attitudes and empathetic attitudes. Conclusion: Discriminatory and positive attitudes can be found in nurses. In between, there are nurses who prioritize caring for patients with mental illness related to external and internal circumstances such as perception of responsibility, care culture, lack of assets, powerlessness and hopelessness. Education and experience can, according to the results of the literature review, give positive attitudes to the nurse under the right conditions, but society's view of persons with mental illness seems to be a strong factor that influences nurses' attitude. The nurse's attitude towards people with mental illness correlated with society lived in.
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Sharp, Lena. "Aspects of nursing care for patients with head and neck cancer receiving radiation therapy." Stockholm, 2006. http://diss.kib.ki.se/2006/91-7140-619-0/.
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Aldrin, Ellinor, and Klara Björkqvist. "Hur kan jag hjälpa dig? : Hur sjukvården kan bistå personer med diabetes typ 2 i deras egenvård." Thesis, Ersta Sköndal högskola, Institutionen för vårdvetenskap, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-3684.
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Bakgrund: Diabetes typ 2 är en kronisk sjukdom som behöver bemötas dagligen. En av hörnstenarna i behandlingen är egenvård som personen själv utför vilket är nödvändigt för att bromsa eller förhindra komplikationer. För att personer med diabetes skall kunna utföra egenvården behövs kunskap om sjukdomen. Hur det är att leva med diabetes är en subjektiv upplevelse och behöver bemötas utifrån det. Människor kan uppleva det mödosamt att bryta vanor och beteenden, det är lätt att falla tillbaka till gamla vanor. Vården har ett ansvar att främja patienters hälsa och välmående och att ge verktyg för att sköta om sin diabetes. Syfte: Syftet med litteraturstudien är att belysa hur sjukvården kan stötta personer med diabetes typ 2 för bättre kontroll av diabetessjukdomen. Metod: Metoden för denna studie har varit litteraturöversikt. Ett utbrett sökande av vetenskapliga artiklar och efterföljande analys samt sammanställning har gjorts. De elva artiklarna som valts ut har varit av både kvalitativ och kvantitativ karaktär. Resultat: Författarna har kommit fram till tre teman. Det första temat är Utbildning och har tre subteman; Egenvårdsutbildning, Personcentrerad utbildning, och Utbildning i grupp. Det andra temat är; Motiverande samtal. Det tredje temat är; Skapa relationer och har tre subteman; Avsätta tid och lyssna, Personligt bemötande och Engagemang. Diskussion: Litteraturöversikten visar på att egenvårdsutbildningar ger viktiga kunskaper så att personer med diabetes tar riktiga beslut och utför egenvård korrekt. Vidare är relationen mellan sjuksköterskan och patienten viktig vilket även styrks av Dorothea Orems egenvårdsteori. Närstående kan också ha en positiv inverkan på egenvården om de är engagerade i den.
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Nathell, Lennart. "Some determinants of sick leave for respiratory disease : occupation, asthma, obesity, smoking, and rehabilitation /." Stockholm, 2002. http://diss.kib.ki.se/2002/91-7349-301-5/.
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Tennis, Margaret D. Rhodes Dent. "Resolving an instructional problem in nursing education through the use of generic instructional design." Normal, Ill. Illinois State University, 1993. http://wwwlib.umi.com/cr/ilstu/fullcit?p9323745.
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Thesis (Ed. D.)--Illinois State University, 1993.Title from title page screen, viewed February 20, 2006. Dissertation Committee: Dent M. Rhodes (chair), Ray Davidson, Donald Kachur, Rebecca Shaw. Includes bibliographical references (leaves 237-246) and abstract. Also available in print.
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Shackelford, Katya A. "Complexities of Participation: Education and Authority in Primary Care Patient-Provider Interactions in the age of the Internet." Scholarship @ Claremont, 2012. http://scholarship.claremont.edu/scripps_theses/72.
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This thesis is about primary care medicine in the United States today. Specifically, I look into primary care providers’ experiences working with patients in the context of the public’s current access to extensive health and medical information online. In this thesis, I discuss and analyze my conversations with physicians, nurse practitioners, and a physicians’ assistant about their objectives in primary care, the challenges they face, and their perceptions of patients’ ability to seek out information on their own. I explore providers’ educational emphasis in primary care consultations, and argue that this focus on education informs their views of patients’ independent research and involvement in care. I further argue that regardless of my informants’ enthusiasm about patient involvement and the merits of patient-education, these providers still hold and express a strong authority over medical knowledge and decisions. Thus in looking at the influence of what could be seen as a democratization of medical knowledge through public access and the Internet, it seems that the limitations of such access are still great in U.S. medical practice.
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Stolic, Snezana. "The impact of preoperative education by a nurse led Acute Pain Service on pain management for cardiac surgical patients." Queensland University of Technology, 2004. http://eprints.qut.edu.au/15918/.
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The aim of this research was to compare the pain experience of cardiac surgical patients who attended the Acute Pain Service (APS) education program with cardiac surgical patients who did not attend the APS. The participants of both groups, pain levels, consumption of total analgesia, anxiety levels, satisfaction with pain management, ratios of self-administered bolus doses and failed attempts on Patient Controlled Analgesia (PCA) device and their length of hospital stay were compared. The findings indicated no statistical significant differences between the two groups being investigated in relation to pain levels, total analgesia consumed, anxiety levels, satisfaction with pain management, total demands and delivery attempts on the PCA and their length of hospital stay. The clinical mplications are significant. The preoperative pain management education program provided by APS clinical nurses for cardiac surgical patients does not have the positive outcomes expected.
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Idczak, Sue Easter. "Nursing Students' Experiences of Being and Presence: A Hermeneutic Approach." Toledo, Ohio : University of Toledo, 2005. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=toledo1115122643.
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Dissertation (Ph.D.)--University of Toledo, 2005.Typescript. "Submitted as partial fulfillment of the requirements for the Doctor of Philosophy Degree in Higher Education." "A dissertation entitled"--at head of title. Title from title page of PDF document. Bibliography: p. 163-174.
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Terkildsen, Sheryl Ramona. "End of life nursing education consortium grant implementation project." CSUSB ScholarWorks, 2002. https://scholarworks.lib.csusb.edu/etd-project/2324.
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This project addressed the continuing education needs of nursing staff and other health care professionals for delivering competent and compassionate palliative or end of life care. The scope of the project included, writing a grant application, training and certification by the end of life Nursing Education Consortium and implementing an education program for staff at the Loma Linda Veterans Affairs medical center.
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Colwell, Kelly L. "Disseminating the Cost of the Empty Chair: Improving Healthcare Access and No-Show Rates Through Age and Disease-Specific Education in the Pediatric Asthma Patient Populations." Youngstown State University / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=ysu1495470628183933.
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Hedblad, Maria, and David Kilström. "Tillsammans skapar vi lärande : Om lärande i grupp hos personer med långvarig sjukdom med utgångspunkt i Dorothea Orems Teori om omvårdnadssystem." Thesis, Ersta Sköndal högskola, Institutionen för vårdvetenskap, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-2022.
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Bakgrund: Att leva med långvarig sjukdom innebär förluster för individen och krav på anpassning. En viktig del i sjuksköterskans arbete med att stärka hälsa hos personer i behov av vård är att stötta lärande. En viktig del i lärande är interaktion och delaktighet. Som vårdvetenskaplig utgångspunkt har Dorothea Orems “Teori om omvårdnadssystem” använts och denna teori beskriver interaktionen mellan sjuksköterskan och de personer hon vårdar. Syfte: Syftet var att nå kunskap om hur sjuksköterskan kan arbeta med lärande i grupp hos personer med långvarig sjukdom utifrån Dorothea Orems ”Teori om omvårdnadssystem”. Metod: En litteraturöversikt har genomförts där tio kvantitativa studier har sammanställts genom analys med Dorothea Orems “Teori om omvårdnadssystem” som utgångspunkt. Resultat: Resultatet visar hur de olika programmen i studierna arbetat med lärande i grupp bland personer med långvarig sjukdom, där det framkommer skillnader och likheter i deltagarnas och sjuksköterskans roller. Likheter fanns i programmens fokus på interaktion mellan deltagarna såväl som på sjuksköterskans faciliterande roll. En viktig skillnad fanns i utsträckningen av deltagarnas påverkan på innehållet i gruppträffarna, där vissa program lät deltagarnas behov och intresse styra medan vissa program i förväg hade bestämt innehållet. Diskussion: I resultatdiskussionen argumenteras för att människans egenidentifierade lärandebehov bör styra lärandet. Lärandet bör främja utvecklandet av självstyrning hos personen. Resultatet visar att deltagarna i interaktionen mellan varandra har inneboende resurser som används för att främja individens och andras lärande. I metoddiskussionen uppmärksammas styrkor och svagheter kring val av metod för denna litteraturöversikt.Background: Living with long term illness means losses for the individual and demands for adaptation. An important part of the nurse's work on strengthening the health of people in need of care is to support learning. An important part of learning is interaction and participation. As a nursing-science basis Dorothea Orem’s "Theory of nursing system" has been used and this theory describes the interaction between the nurse and the person she cares for. Aim: The purpose was to gain knowledge about how nurses can work with learning in a group of persons with long-term illness with basis in Dorothea Orem’s "Theory of nursing systems." Method: A literature review was carried out where ten quantitative studies have been compiled through analysis with Dorothea Orem’s "theory of nursing system" as a basis. Results: The results how how the various programs of the studies worked with learning in a group among people with long-term illness, where similarities and differences in the roles of the participants and the nurses emerged. Similarities were found in the programs focus on the interaction between participants as well as on the facilitating role of the nurse. An important difference was revealed in the extent of participants' influence on the content of the group sessions, where some programs let participants' needs and interests guide while some programs previously had determined the content. Discussions: In the discussion of the results it is argued that man's self-identified learning needs should direct learning. Learning should encourage the development of the person’s self-direction. The results show that participants in the interaction between each other have inherent resources used to promote learning among themselves and others. Strengths and weaknesses regarding the chosen method for this literature review are highlighted in the method discussion.
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Wallgren, Andersson Caroline, Katarina Norman, and Malgorzata Stenkvist. "Sjuksköterskans roll i undervisning : Kunskap och insikt kan leda till livsstilsförändring hos patienten." Thesis, Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-24270.
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Ohälsosamma levnadsvanor ökar risken för sjukdom och död. Hjärt- och kärlsjukdomar, cancer och diabetes typ-2 är exempel på sjukdomar som kan undvikas genom en förbättrad livsstil. En viktig roll i sjuksköterskans arbete är att undervisa patienter i hur de kan förändra sin livsstil och ta ansvar för sin egenvård. Syftet med den här studien var att belysa sjuksköterskans roll i patientundervisning med fokus på livsstilsförändring. Studien gjordes i form av en litteraturstudie där grunden för resultatet utgjordes av 11 vetenskapliga artiklar. I resultatet framkom det att sjuksköterskans bedömning av patientens kunskapsbehov var en viktig del av undervisningsprocessen. Faktorer som var av betydelse för undervisningens resultat var information, samt val av lämplig metod och modell. Sjuksköterskans pedagogiska synsätt var en annan faktor som påverkade undervisningen. Studien visar att sjuksköterskan behöver anpassa sin roll utifrån patientens behov. Det har även visat sig att det förekommer brister i sjuksköterskans kompetens vad det gäller pedagogiska och didaktiska kunskaper. Genom att utvidga patientundervisning i sjuksköterskeutbildningen och prioritera den inom sjukvården så finns vinster att göra både ur patientperspektiv och samhällsekonomiskt. Mer vetenskaplig forskning behövs dock inom ämnesområdet om hur tillvägagångssätt vid planering och genomförande av patientundervisning kan förbättras.Unhealthy lifestyle habits increase the risk of illness and death. Cardiovascular disease, cancer and type-2 diabetes are examples of diseases that can be avoided by making positive lifestyle changes. An important part of the nurse's job is to teach patients how they can change their lifestyle and take responsibility for their own self-care. The purpose of this study was to highlight the nurse's role in patient education with a focus on lifestyle changes. The study was done in the form of a literature review in which the basis for the results consisted of 11 scientific articles. The result showed that the nurse's assessment of the patient's need for knowledge was an important part of the teaching process. Factors of importance for the teaching results were information and the selection of appropriate methodology and model. The nurse's pedagogical approach was another factor that influenced their teaching. The study shows that nurses need to adjust their role based on the patient's needs. It has also been found that there are deficiencies in the nurse's competence in terms of pedagogical and didactic skills. By expanding patient education for nursing and prioritize it in health care, there are profits to be made from both a patient perspective and socioeconomically. More scientific research is needed in the subject of how the practices of planning and implementation of patient education can be improved.
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Cederblad, Anna, and Henrik Hägg. "Nurses educating patients and relatives about viral hemorrhagic fever diseases : A qualitative study in Uganda." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-253503.
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Introduction: Recent Ebola epidemic in West Africa have put viral hemorrhagic fever diseases in the spotlight. Uganda has had several outbreaks throughout the years, which have successfully been managed. Nurses’ patient education plays an important role in the work to increase public awareness about viral hemorrhagic fever diseases. Objectives: To assess how nurses at the emergency department educate the patients and relatives about the viral hemorrhagic fever diseases. Methods: An explorative and descriptive qualitative study with qualitative approach have been used. In-depth interviews with 18 open-ended questions have been conducted with nurses in the emergency department. Data was analyzed by qualitative content analysis and analyzed with Peplau’s theory of interpersonal relationship. Results: Through data analysis four categories were developed; Wide variety of educational techniques, Experienced obstacles, How to attain wider audience and Preferable characteristics as an educating nurse. Nurses used many different approaches when educating about viral hemorrhagic fever diseases, often uniquely combined. Lack of time and too unstable patients in the emergency department were seen as the main obstacles to educate. Methods to reach the community and employing a special education-nurse on the ward were suggestions to improve the preventive work against viral hemorrhagic fever diseases. Conclusion: Nurses are aware of the importance of patient education and use the educational methods they believe to be the most effective. However, patients in the emergency department often come in too late and priority should be on preventive measures. Training the nurses in educational techniques and patient education could be a key in decreasing the risk of coming outbreaks.Bakgrund: Den senaste ebolaepidemin i västafrika har gjort att blödarsjukdomar hamnat i rampljuset. Uganda har genom åren drabbats av flera utbrott som framgångrikt hanterats. Sjuksköterskors patientutbildning spelar en viktig roll i arbetet för att öka allmänhetens medvetenhet om blödarsjudkomar. Syfte: Att undersöka hur sjuksköterskor på akutmottagningen utbildar patienter och anhöriga om blödarsjukdomar. Metod: En explorativoch deskriptiv kvalitativ studie med kvalitativ ansats användes. Sjuksköterskor som arbetar på akutmottagningen har djupintervjuats med 18 öppna frågor. Data har analyserats med en kvalitativ innehållsanalys och analyserats utifrån Peplaus ”interpersonal relationship theory”. Resultat: Genom dataanalysen utvecklades fyra kategorier; Stor variation på utbildningstekniker, Upplevda hinder, Hur man ska nå en bredare publik och Önskvärda egenskaper som utbildande sjuksköterska. Sjuksköterskorna använder många olika metoder för utbilda patienter och anhöriga om blödarsjukdomar, ofta i unika kombinationer. Tidsbrist och alltför instabila patienter på akutmottagningen sågs som de största hindren för att utbilda. Metoder för att nå allmänheten och att anställa en speciell utbildningssjuksköterska på avdelningen var några av förslagen för att förbättra det förebyggande arbetet mot blödarsjukdomar. Slutsats: Sjuksköterskorna är medvetna om vikten av patientutbildning och använder de pedagogiska metoder de anser vara mest effektiva. Då patienterna kommer till akutmottagningen är det dock ofta för sent och preventiva åtgärder borde prioriteras. Att öka sjuksköterskornas kunskap i utbildningstekniker och patientutbildning kan vara en viktig del i det preventiva arbetet för att minska risken för kommande utbrott.
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Ollén, Lindqvist Anna. "Sjuksköterskestudenters empatinivåer." Thesis, Mälardalens högskola, Akademin för hälsa, vård och välfärd, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-38740.
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Forskning har visat att empati är betydelsefullt i sjuksköterske-patient-relationen. Då empatisk förmåga tränas under sjuksköterskeutbildningar är mätning av empatinivåerna av betydelse för utbildningens kvalitet. Syftet med studien var att med hjälp av enkäter och intervju undersöka empatinivåerna på andra terminen, sjätte terminen och hos specialiststudenterna på en svensk sjuksköterskeutbildning. Grundstudenterna i termin sex hade signifikant högre empati än grundstudenterna i termin två och specialiststudenterna. Distriktsjuksköterskestudenter hade signifikant högre empati än anestesi- och intensivvårdssjuksköterskestudenter, medan intensivvårdssjuksköterskestudenter hade signifikant lägre empati än barnmorske- och psykiatristudenter. Specialiststudenterna tyckte empati var det viktigaste i mötet med patienten, följt av professionell hållning, kommunikation, allians och tid. En empatiforskare övervägde stress, erfarenhet och desillusion som möjliga förklaringar till empatiskillnaderna mellan termin två, termin sex och specialiststudenterna, medan skillnader i teknikfokus, identifikationsmöjligheter och interaktion, förmodades vara orsaker till empatiskillnaderna mellan specialistutbildningarna. Studiens styrka var metoden då analysarbetet genomfördes med både kvantitativ och kvalitativ. En svaghet var det låga antalet manliga deltagare. Då stress påverkar empatimätningar, föreslås att i framtida studier undersöka empati under mindre påfrestande förhållanden.
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Grove, Teresa. "Nurses' attitudes toward patients with AIDS examined by hours of AIDS education." PDXScholar, 1990. https://pdxscholar.library.pdx.edu/open_access_etds/4071.
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This study was designed to describe the attitudes of staff nurses toward patients who have Acquired Immunodeficiency Syndrome (AIDS), and to determine if the 1989 Washington State licensing requirement for seven hours of AIDS education was effective in changing the attitudes of these nurses toward AIDS patients. Health care providers' attitudes toward patients with AIDS have been documented as differing from their attitudes toward patients with other debilitating conditions (cancer, diabetes, heart disease) in that they place more blame for getting the disease on those with AIDS, they tend to have some degree of homophobia, and they are sometimes overly cautions in using protective procedures around these patients. The consequence of these attitudes can be seen in the nursing care received by some of these patients: insensitive comments and avoidance behavior by staff.
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Karlsson, Tony, and Monika Nilsson. "Hur sjuksköterskan genom patientundervisning kan främja egenvårdskapacitet hos typ 2 diabetiker/ How the nurse through patient education can support self-care capacity in type 2 diabetes." Thesis, Kristianstad University College, Department of Health Sciences, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-4330.
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Background: Effective treatment of patients with type 2 diabetes needs a good communication between nurse and patient. This creats a good relation and leads to a more effective patient education. Aim: The aim with the literature study was to describe how nurses trough patient education can achieve self-care for patients with diabetes type 2. Methods: Literature studies with both qualitative and quantitative articles were examined. Findings: The articles that were chosen for the results were sorted in the two categories relation and communication. Conclusion: A good communication can win the patient’s trust. This can creat trust which is successful by patient education.
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Blomqvist, Amanda, and Linda Gardhage. "Det som inte har dokumenterats har inte hänt… : En litteraturöversikt från sjuksköterskans perspektiv av omvårdnadsdokumentation." Thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ, Avd. för omvårdnad, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-39816.
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Bakgrund: Årligen drabbas cirka 100 000 patienter i Sverige av vårdskador på grund av otillräcklig dokumentation. Bristande kommunikation mellan vårdpersonal är en av huvudfaktorerna för vårdskador. Med anledning av detta syftar denna litteraturöversikt till att belysa sjuksköterskans erfarenheter och attityder gentemot omvårdnadsdokumentation. Syfte: Syftet var att belysa sjuksköterskans erfarenheter av omvårdnadsdokumentation. Metod: En litteraturöversikt med kvalitativa artiklar och induktiv ansats. Resultat: Tidskrävande och svårhanterligt datasystem med bristfällig utbildning av de nya systemen samt stora krav från samhället gjorde det svårt att dokumentera. Trots att sjuksköterskorna ansåg att det var tidskrävande förstod de vikten av en fullständig dokumentation och patientsäkerheten den ger. Sjuksköterskorna ansåg däremot att bristen på stöd från organisationen försvårade deras möjligheter till en fullständig dokumentation. Slutsats: Mer forskning fokuserad på väsentligheten av ökat stöd vid utbildning när det gäller införandet av ett nytt system eller lära sig det elektroniska dokumentationssystemet från grunden behövs. Att tillåta sjuksköterskor att få mer individanpassad hjälp när det gäller vidareutbildningen, skulle kunna ha en positiv inverka mot en mer professionell och regelrätt dokumentation.Background: Each year approximately 100,000 patients in Sweden suffer from healthcare injuries due to the insufficiency of documentation. Lack of communication between healthcare staff is one of the main factors for healthcare injuries. In view of this, this literature review aims at highlighting the nurse's experiences and attitudes towards nursing documentation. Aim: The aim was to highlight nurses' experiences of nursing documentation. Method: A literature review with qualitative articles and inductive approach. Results: Time consuming and difficult to manage computer systems with inadequate training of the new systems and large demand from the community made it difficult to document. Although the nurses felt that it was time-consuming, they understood the importance of a complete documentation because of the patient safety it provides. Nurses on the other hand, consider that the lack of support from the organization made it difficult for them to complete documentation. Conclusion: More research focusing on the essentials of increased supports when implementation of a new system or learn the electronic health system from scratch is needed. To allow nurses to receive more personalized assistance with regard to further education, could have a positive impact on a more professionally and accurate documentation.
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Raimey, Deirdre D. "NURSE PRACTITIONERS’ UNDERSTANDING OF SEXUAL HEALTH INTERVENTIONS." Case Western Reserve University Doctor of Nursing Practice / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=casednp1491944101518218.
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Sund, Veronica, and Thomas Tornseglare. "Distriktssköterskors metoder och erfarenheter av att motivera patienter som påvisar låg följsamhet till omvårdnadsmässiga insatser." Thesis, Karlstads universitet, Institutionen för hälsovetenskaper, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-65413.
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