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Williams, Annette. "Job stress, job satisfaction and intent to leave employment among maternal-child health nurses." Huntington, WV : [Marshall University Libraries], 2003. http://www.marshall.edu/etd/descript.asp?ref=262.
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Graziano, Doreen A. "Maternal-child nurses' knowledge about elective abortion effects their attitudes toward patient undergoing an elective abortion /." Staten Island, N.Y. : [s.n.], 1988. http://library.wagner.edu/theses/nursing/1988/thesis_nur_1988_grazi_mater.pdf.
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Finn, Christine Kay. "Forensic nurses' experience of receiving child abuse disclosures /." Connect to full text via ProQuest. Limited to UCD Anschutz Medical Campus, 2008.
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Thesis (Ph.D. in Nursing) -- University of Colorado Denver, 2008.Typescript. Includes bibliographical references (leaves 122-135). Free to UCD Anschutz Medical Campus. Online version available via ProQuest Digital Dissertations;
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Raines, Deborah A. "An analysis of the values influencing neonatal nurses' perceptions and behaviors in selected ethical dilemmas." VCU Scholars Compass, 1992. http://scholarscompass.vcu.edu/etd/3612.
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The purpose of this research was to identify the values influencing the nurse's perception and choice of behavior in a hypothetical clinical situation. The theoretical framework was Rokeach's (1973) Theory on the Nature of Human Values and Value Systems. A descriptive study using a mailed survey was conducted on a random sample of 331 members of the National Association of Neonatal Nurses. Data on individual nurses' values, perception of information and behavioral choices were collected with an investigator developed questionnaire, consisting of a values scale (alpha =.82) and an information scale and choice alternatives related to three hypothetical vignettes: a low birthweight infant (alpha =.75), an infant with trisomy-13 (alpha =.70) and a chronically ill infant (alpha =.68).
Results of this study indicate that (1) nurses identified a hierarchy of values related to their practice; "doing right" (x = 6.1), beneficence (x = 5.4), and justice (x = 4.8), (2) information related to the infant was consistently most important; however, in uncertain situations, rules or external protocols had an increased influence on the behavioral choice process, (3) the behavioral choice option with the greatest agreement was different for each situation, and a consistently negative association between the options within each vignette indicates that nurses have clearly defined choice preferences, (4) model testing revealed a consistent relationship among the variable of justice and protocol, doing right and infant characteristics, and infant characteristics and the choice options across the three vignettes (p <.05).
The major findings include the identification of the value dimension, "doing right" and a lack of congruence between the values the nurse identifies as important and the actions the individual implements in practice. The phenomenon of "doing right" is a combination of items originally hypothesized to measure nurse autonomy, family autonomy and beneficence. The convergence of these items results in an unique dimension that represents the nurse's internally directed motivation or sense of duty to the infant/family unit. The lack of congruence between the identified values and the behaviors implemented in practice represents the sense of frustration and feeling of powerlessness experienced by nurses (n = 97) as they balance the role of professional and the role of employee.
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Ratliff, Jeremy. "Pediatric ICU Nurses' Suggestions forImproving End-of-Life Care." BYU ScholarsArchive, 2016. https://scholarsarchive.byu.edu/etd/6438.
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Of the 34,000 children who die annually, over 28,000 are four years old or younger. Nurses working in pediatric intensive care units (PICU) provide end of life (EOL) care before, during, and after death of these children. The purpose of this study was to determine thesuggestions PICU nurses have for improving EOL care for dying pediatric patients and their families. A sample of 1047 PICU nurses, who were members of the American Association of Critical-Care Nurses (AACN), were sent a 70-item questionnaire. One open ended item asked nurses to offer a suggestion for improving EOL care for dying PICU patients. Responses were received from 235 of the 474 (49.6%) nurses who returned the questionnaire. Eight themes were identified: (1) providing a better environment; (2) physician honesty about prognosis; (3) having a plan for dying; (4) ending futile care; (5) physicians on "same page;" (6)having more staff; (7) receiving more EOL education; and, (8) providing better pain control. Patient centered principles begin with creating an environment that allows the dying process to be centered on the family while fostering dignity. Fostering dignity includes providing an environment that is conducive to supporting quality EOL care. The importance of providing privacy and an appropriate place for the patient and family to feel more comfortable during the dying process was suggested. The need for better communication between providers and families, ending suffering, and having enough staff to support a "good death," were also high priorities. PICU nurses overwhelmingly suggested that the environment in which health care workers monitor, care for, and support patients and families during death is thegreatest area for improvement. Unit design teams need to assure that care areas for dying pediatric children are created to accommodate a dignified and peaceful passing to improve pediatric End-of-Life Care.
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Taylor, Keith L. "A workshop for the emergency department nurses at Arkansas Children's Hospital on the sudden unexpected death of a child." Theological Research Exchange Network (TREN), 1992. http://www.tren.com.
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Patrylo, Jessica. "Examining Predictors of Attitudes and Knowledge of Registered Nurses and Nursing Students in Tennessee toward Pregnant and Perinatal Women with a Substance Use Disorder." Digital Commons @ East Tennessee State University, 2021. https://dc.etsu.edu/etd/3951.
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Substance use disorders (SUDs) among pregnant and perinatal women continue to be a national public health crisis. Furthermore, nursing students and perinatal nurses have historically negative and punitive attitudes toward this vulnerable population of women. As nurses are primary care providers for pregnant and perinatal women, this is troublesome as perinatal patients express feeling stigmatized by nurses whom they should be able to trust. This contributes to the reluctance of women to seek needed medical and prenatal care. Tennessee was the first state to criminalize drug use in pregnancy and has higher neonatal abstinence syndrome (NAS) rates, which were more than 2 times the national average in 2017. The purpose of this descriptive cross-sectional non-experimental study was to examine how formal SUD nursing education, personal experiences, and participant characteristics predict attitudes and knowledge of nursing students and practicing perinatal nurses in Tennessee toward pregnant and perinatal women with an SUD. The sample consisted of 262 nursing students and 99 perinatal nurses across the west, middle, and eastern regions of Tennessee. A linear multiple regression showed that having a personal experience with a close friend with an SUD was predictive of improved knowledge scores of pregnant and perinatal SUDs. Independent samples t-tests were non-significant between formal SUD nursing education and attitudes and knowledge. Additionally, non-significant findings were seen between having a personal experience with a family member with an SUD and attitudes and knowledge. The findings suggest that Tennessee nursing education efforts were not influential in positively affecting attitudes and knowledge scores toward pregnant and perinatal women with an SUD. Future studies focused on exploring various educational interventions to promote knowledge, improve attitudes, and empathy in nursing populations toward pregnant and perinatal women with an SUD are warranted.
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Lake, Sharon W. "Barriers to Effective Pain Management in Preterm and Critically Ill Neonates." UKnowledge, 2013. http://uknowledge.uky.edu/nursing_etds/7.
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The purpose of this dissertation is to explore potential barriers nurses experience in providing effective pain management for preterm and critically ill infants in neonatal intensive care units (NICUs). The specific aims of the study conducted are to examine (a) NICU caregivers’ knowledge about pain, (b) scales used to evaluate pain in infants, (c) NICU nurses’ documented pain practices, and (d) bias in treating pain of certain types of infants.
This dissertation is comprised of three manuscripts. The first manuscript is an integrated review of the literature describing caregiver knowledge, barriers, and bias in the management of pain in neonates. The second manuscript is a systematic review of multidimensional pain scales developed for use in preterm and critically ill infants. The final manuscript reports a descriptive exploratory study designed to examine nurses’ knowledge of pain, knowledge of intensity and appropriate management of procedural pain, bias in treating pain of certain types of infants, and documented pain management practices.
Over the past 25 years, caregiver knowledge of pain in preterm and critically ill infants has advanced from beliefs that neonates do not feel pain, to the knowledge that preterm infants experience more pain than term infants, older children, and adults. Nine multidimensional pain scales with varying levels of reliability and validity have been developed, yet a gold standard for pain assessment in preterm and critically ill neonates has not emerged. In this study, baccalaureate prepared nurses (BSN) and nurses with higher total years of nursing experience had better knowledge of pain in this population than associate degree nurses (ADN). However, pain management was inconsistent, resulting in pain that was untreated as often as 80% of the time. Nurses reported that physician practice was the primary obstacle to providing effective pain management. Additional concerns included knowledge deficits of nurses and physicians, lack of communication and teamwork, and rushed care. Nurses reported biases in managing pain and were less likely to invest time and energy treating the pain of infants experiencing neonatal abstinence syndrome.
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Leppälä, Satu. "“Then, it doesn’t matter where they come from” : Cultural Competence and its Construction among Public Health Nurses and Students in Maternal and Child Health Clinics in the Province of Eastern Finland." Thesis, Uppsala universitet, Internationell mödra- och barnhälsovård (IMCH), 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-255979.
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BACKGROUND Public Health Nurses (PHNs) in the Province of Eastern Finland are facing a new situation when the families attending maternal and child health (MCH) services represent increasingly diverting cultural backgrounds. Cultural competency is a part of PHNs’ qualification demands in Finland, however little is known on the phenomenon in the study area at the moment. AIM This study aims to describe how cultural competence is understood and constructed among PHNs and PHN students working and training in the MCH clinics in the Province of Eastern Finland. METHODS Qualitative design was employed. Data were collected in five semi-structured individual interviews and two focus group discussions conducted in Finnish by author. Data were audio-recorder, transcribed and analysed through qualitative content analysis (QCA). Translation to English took place during the QCA process. The total number of participants was 15. FINDINGS The participants perceived culture as a multi-dimensional phenomenon, and that specific skills are needed when meeting clients from different cultures. Cultural competence in this sample refers to a four-staged process which is highly affected by social processes and interaction between the PHNs, students, clients and other stakeholders in MCH care and community. CONCLUSION This study can serve as an explanatory material to fill the knowledge-gap between the previously published theoretical studies on cultural competence and the grass-root level MCH work. The findings represent perceptions and experiences of highly educated, native Finnish sample working in a relatively rural province, and thus their transferability should be viewed with criticism.
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Breit, Elyse. "Education for Pediatric Oncology Nurses on Fertility Preservation of Pediatric Oncology Patients." Honors in the Major Thesis, University of Central Florida, 2014. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/1578.
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Although the survival rate of childhood cancer is high, nearly two thirds of these survivors experience negative long-term secondary side effects from cancer treatments. Infertility is one such side effect that can have a prominent impact on quality of life as the patient ages. It is important for nurses working with pediatric oncology patients to provide the patient and family with education about risk for infertility and fertility preservation (FP) in order to allow families to make decisions about FP before cancer treatment starts. However, pediatric
oncology nurses report being uneducated about FP guidelines and are hesitant to broach this subject with families. The purpose of this HIM thesis is to review nurse perceived barriers
related to educating patients and their families about the risk for infertility following cancer treatments and FP and to make recommendations for improving communication between nurses and families about FP. A search was performed using CINAHL, PreCINAHL, PsychINFO, PsychARTICLES, and Medline databases and examined peer-reviewed quantitative and
qualitative research studies. Key terms used in the database searches were ped' OR child', onco' OR cancer', fert', and nurs'. Findings indicated that there were many barriers for
pediatric oncology nurses, which inhibited the discussion of FP with patients and families such as lack of knowledge and resources, provider attitudes toward FP, and patient factors. Based on the findings, the researcher identified several interventions to aid pediatric oncology nurses in overcoming these barriers to FP discussion.B.S.N.
Bachelors
Nursing
Nursing
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Årstrand, Frida, and Marie Östlind. "Sjuksköterskors erfarenheter av barn som misstänks fara illa eller som far illa. : En litteraturbaserad studie." Thesis, Högskolan Väst, Avdelningen för omvårdnad - grundnivå, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-13559.
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Background: Child maltreatment has since 1979 been a punishable crime according to Swedish law but is still occurring in society today. All sorts of physical, psychological, sexual violence, neglect and exploitation of an individual under 18 years old was qualified as child maltreatment. Previous research has found an insecurity among nurses when they met children exposed to maltreatment. Nurses can encounter these children and are obligated through duty to notify and report when they suspect child maltreatment. Aim: The aim of this study was to illustrate nurses´ experiences of suspected child maltreatment or child maltreatment. Method: A literature review was conducted with a qualitative approach. Ten qualitative studies from Cinahl and Pubmed was reviewed for quality assurance and analyzed by Friberg's five-step analysis. Result: The analyze of the study resulted in three themes and eight subthemes. The first theme, Complex meetings, was about experiences in being a professional and challenges in the meeting. The second theme, Complicated assignments, described how nurse's experienced to assess the child's situation, to make a report and the cooperation with authorities. The third and last theme, Inhibitory and promotional activities, exposed the nurse's view on receiving support and education and the support for children and parents. Conclusion: Nurses experienced that it was important to be available and to build a relation with the child so the child could feel safe to tell about the mistreatment. It has also been shown that the nurse experienced complex emotions in the meeting with both the child and the parents and that it was not always clear to the nurse when to report child maltreatment. There was a need for more information and education for the nurse within the topic of child maltreatment. Also, the nurse experienced a need for better cooperation with the authorities that oversees cases of child maltreatment.Att komma i kontakt med barn som far illa är något som alla sjuksköterskor kan komma att göra. Detta är en litteraturbaserad studie med analys av kvalitativa artiklar som visar att det utifrån flera perspektiv är både svårt och komplext. Denna studies resultat visar att sjuksköterskor upplever att det finns både viktiga och svåra delar i mötet och att det kan vara svårt att vara professionell, även om det eftersträvas. Det upplevs som att det finns faktorer som både kan underlätta och försvåra en bedömning och likaså som påverkar om sjuksköterskan utfärdar en anmälan. Att göra en anmälan har en känslomässig påverkan på sjuksköterskan och samverkan med myndigheter upplevs som svår och bristande. Sjuksköterskan har erfarenheter av att stödet är otillräckligt och upplever att de vill ha mer support från både kollegor och professionellt stöd. För att kunna känna sig mer trygga inför dessa situationer önskar de få mer utbildning kring barn som far illa. Sjuksköterskan ser också att det finns ett stödbehov hos familjerna och barnen. Att kunna ge stöd upplevs viktigt men ibland svårt om familjen inte vill ta emot det eller när åtgärder riskerade att bryta barnets förtroende för sjuksköterskan. Verksamheter och supportgrupper upplevs vara ett bra stöd och att samarbete med skola kan underlätta för barnet.
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Begum, Tiasha, and Valeria Nyström. "Sjuksköterskans erfarenheter av barnmisshandel." Thesis, Högskolan i Gävle, Avdelningen för hälso- och vårdvetenskap, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-25990.
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Bakgrund: Anmälningarna av barnmisshandel har ökat på sistone och hälsovårdspersonal har som plikt att anmäla vid misstanke av barnmisshandel till Socialtjänsten. Det finns många riskfaktorer relaterade till om ett barn kommer att bli misshandlade eller inte, både kring förövarna men även riskfaktorer kring barnet. Statistisk sett är majoriteten av förövarna föräldrarna till barnet. Syfte: Att beskriva sjuksköterskans erfarenheter av barnmisshandel inom Hälso- och Sjukvården samt vidare beskriva en metodologisk ansats valda artiklar använt sig av. Metod: Beskrivande litteraturstudie utifrån nio kvalitativa och tre kvantitativa artiklar där medverkande sjuksköterskor haft erfarenhet av barn som utsatts misshandel. Resultat: Det framkom att sjuksköterskans erfarenhet av sin egna förmåga, känslor, stöd och omgivning påverkar hur och om anmälningen av barnmisshandel genomförs. Trots att sjuksköterskor i studierna var medvetna om anmälningsplikten var det en del sjuksköterskor som inte anmälde vid misstanke om barnmisshandel. Sjuksköterskorna erfors även av många olika känslor när de var inblandad i barnmisshandelsfall, samt att samtliga sjuksköterskor i studien erfor att de saknade kunskap av barnmisshandel och många önskade att de haft mer stöd när det kom till våld mot barn. Slutsats: Erfarenheten av barnmisshandelsfall tog hårt på sjuksköterskorna till den grad att vissa ignorerade tecknen och undvek att anmäla till Socialtjänsten. Sjuksköterskorna erfor att de behövde mer stöd från en erfaren kollega men även att de behövde mer kunskap och erfarenhet.Background: Reports of child abuse have increased recently and healthcare staff are obligated by law to report any possible suspicion of child maltreatment to the Social Services. There are a lot of risk factors involved concerning whether a child will be abused or not, factors related to the perpetrators but also factors related to the child itself. Statistically the majority of perpetrators are the child's own parents. Aim: To describe the registered nurses experiences of child abuse within healthcare and also to describe one methodological aspect of the articles that this study is based upon. Method: A descriptive literature review based on nine qualitative and three quantitative articles, where the participating registered nurses have experience of children that have been abused. Results: It was found that the nurse’s own personal experiences, based upon their own feelings, the support they received and the actual environment affects how and indeed if child abuse will be reported. Although the registered nurses were aware that they are obliged to report all cases, some nurses failed to report child abuse to the Social Services. The nurses experienced a variety of emotions that arose when they were involved in child abuse cases. All nurses in this study experienced that they lacked knowledge concerning child abuse also a lot of nurses wished that they had had more support during child abuse cases. Conclusion: The experience of child abuse cases severely affected the nurses even to the extent that some ignored the signs and failed to report to the Social Services. The registered nurses experienced a need for more support from an experienced colleague and wanted to attain more knowledge and experience themselves.
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Sawyer, Susan S. "Factors Affecting the School Nurse's Role in Effectively Managing the Child with Asthma: A Dissertation." Diss., eScholarship@UMMS, 2002. http://escholarship.umassmed.edu/gsn_diss/6/.
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Thesis (Ph. D.)--University of Massachusetts Worcester and University of Massachusetts Amherst, 2002.Title from opening page (viewed Oct. 10, 2007). "February 2002, Collaborative PhD in Nursing Program, Worcester and Amherst." Includes bibliographical references (p. 86-97).
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Velez, Vanessa. "Implementing Child Maltreatment Prevention into the Clinical Setting: an On-Line Learning Tutorial for Advanced Practice Nurses." Diss., The University of Arizona, 2015. http://hdl.handle.net/10150/556563.
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Child maltreatment in the pediatric population is becoming more prevalent in today’s society and is being seen more frequently in the primary care setting. Universal prevention of child maltreatment plays a significant role in nursing practice. The American Academy of Pediatrics set forth guidance for pediatricians to practice when assessing a pediatric patient for maltreatment; however, such guidance is not available for advanced practice nurses and little to no training is provided in the clinical setting. In order to accurately identify the child who is a suspected victim of maltreatment, advanced practice nurses must possess the ability to assess, evaluate, refer, investigate, and provide appropriate outcomes for the child and his/her families. The purpose of this Doctor of Nursing (DNP) project was to create an on-line learning tutorial for advanced practice nurses regarding the prevention of child maltreatment in the clinical setting. The goal of the on-line learning tutorial was to address the crucial role advanced practice nurses have in the prevention of child maltreatment and promote the well-being and safety of children. This project used a quasi-experimental, one-group, pre-test/post-test design to determine the effectiveness of an on-line learning tutorial related to child maltreatment. The pre-test and post-test would determine the inferences on the effect of the intervention by examining the differences in the pre- and post-test results. This study provided significant evidence demonstrating that an on-line learning tutorial on the implementation of child maltreatment prevention in the clinical setting was an effective means for increasing knowledge of nurse practitioner graduate students on child maltreatment. The results demonstrated a significant increase in the test scores of the participants after viewing the on-line learning tutorial, indicating the tutorial was effective.
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Fjeld, Benedicte, and Victoria Ekberg. "Ett svårt beslut : Sjuksköterskors erfarenheter av att anmäla när barn misstänks fara illa." Thesis, Högskolan Väst, Avdelningen för omvårdnad - grundnivå, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-12313.
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Background Child maltreatment has increased over the past years. There is no direct relation-ship between child maltreatment and the actual living condition of the children. All children should be protected against all types of physical, mental and sexual abuse. It is of great im-portance that nurses have knowledge of how to report when they suspected child maltreatment. Aim The aim was to describe nurses´ experiences of reporting when child maltreatment is sus-pected. Methods A method to contribute to evidence-based nursing with ground in analysis of qualita-tive research was performed. In this study nine qualitative articles were analyzed. Results From the analysis three main themes were identified; a difficult task, need of support and create a holistic view of children. Seven subthemes were identified; manage their own lack of knowledge, uncertainty and fear, trust their judgment and courage to act,protection of children's safety and well-being, support from colleagues and management, interact with child protection services, strengthen trust with related parents of the child and environment affecting children.Conclusion Conclusions that can be deduced from this study are to highlight the need for support and knowledge of how a report is conducted. Consequences to not report child maltreat-ment is described in this study as well as which benefits a report of child maltreatment may give for both children and close relatives.
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Staflin, Emma, and Jennie Lundkvist. "Nurses’ counseling to mothers to prevent mother to child transmission of HIV through breastfeeding : A qualitative study." Thesis, Linköpings universitet, Omvårdnad, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-76743.
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Introduction: HIV is a serious problem in Namibia, 13.1% of the adult population is HIV-positive or is a carrier of AIDS. This is one of the highest numbers in the world. HIV is passed from mother to child during pregnancy, during labour or through breast milk. 18.8 % of the pregnant mothers in Namibia who is in contact with the maternity welfare have HIV. Aim: The aim of the study was to describe nurses’ counseling to mothers to prevent mother to child transmission of HIV through breastfeeding. Method: Eight nurses working with PMTCT of HIV were interviewed in Namibia. The interviews were transcribed and a content analysis was made. 18 sub-categories and seven categories were found. Findings: It is important that nurses provide individual counseling, are supportive and motivate the mothers. Poverty is an obstacle for the mothers, stigmatization occurs and cultural differences can have influence on the mothers. It is also important that nurses are updated in counseling and PMTCT. Conclusion: Nurses should provide mothers with the correct information in a pedagogical way. Nurses need to be aware of obstacles for the mothers and their families to be able to meet their different demands. Men are not involved in PMTCT-counseling and nurses think that partner involvement would benefit PMTCT of HIV.
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Tweedlie, Julie. "The experiences of student nurses (adult field) who encounter child abuse or neglect whilst on their first community placement : an interpretive phenomenological study." Thesis, Northumbria University, 2016. http://nrl.northumbria.ac.uk/36213/.
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The prevention and appropriate professional response to children at risk of or experiencing child abuse and neglect has been identified as a national priority within the United Kingdom. Nurses (adult field) are likely to come into contact with children during their professional career and need to have the skills to detect and refer children who they suspect are suffering or at risk of suffering significant harm. However, there remains a dearth of evidence examining how nursing students (adult field) are prepared and supported and what their experiences are when they encounter child abuse or neglect in the clinical area. Therefore, the intentions of this study were: Research aim: To explore the experiences of student nurses (adult field) when they encounter what they perceive to be child abuse or neglect during their first community placement. Research questions: · How do student nurses (adult field) interpret, respond and learn from their experiences of encountering perceived child abuse or neglect during their first community placement? · How well are student nurses (adult field) prepared for encountering abuse and neglect? · How can they be better supported? Hermeneutic phenomenology was employed to guide the research design and processes, including data collection and analysis. The data were collected using narrative-style in-depth interviews from a purposeful self-selected sample of nine first-year nursing students (adult field) who perceived they had encountered child abuse or neglect during a community placement. Ethical approval was gained from the University ethics committee. Mezirow’s theory of transformational learning was used as a framework for analysis. Three overarching themes were identified: 1) Encountering disorienting events, 2) Reflecting on responses, assumptions and pre-conceptions and finally 3) An expanded worldview. The first theme reflected the student nurses’ initial thoughts as they encountered actual or perceived situations involving child abuse or neglect as well as deprivation. The second theme encompassed the student nurses’ initial feelings and responses to the experiences they encountered. This included feelings such as shock, anger, frustration and fear. Finally, the third theme outlined how the students reflect upon their practice experience, developing professional and personal insights. This is conceptualised as a transformational learning episode. The students’ journeys were idiosyncratic with variations in educational growth and transformation. The findings of this study suggest that student nurses (adult field) who encountered perceived child abuse or neglect during their first community placement felt unprepared for these encounters and would have welcomed the opportunity to reflect on their experiences when they returned to university. This has implications for the BSc Nursing studies (adult field) in considering the preparation and support of student nurses before, during and after their first community placement.
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Jonsson, Viktoria, and Åsa Lans. "Sjuksköterskans möte med barn med smärta inom primärvården : en empirisk studie." Thesis, University of Skövde, School of Life Sciences, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-1153.
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Sjuksköterskans huvudsakliga uppgift är att förebygga smärta och att planera sitt arbete kring barnet så att de utsätts för minsta möjliga smärta. Faktorer som påverkar sjuksköterskan i detta är erfarenhet och personlighet.
Syftet med studien var att beskriva hur sjuksköterskor bemöter och hanterar barn med smärta inom primärvård. Den metod som valts för denna studie är en kvalitativ innehållsanalys. Resultaten i studien grundar sig på tio intervjuundersökningar utförda på sjuksköterskor inom primärvård. Resultaten visade hur sjuksköterskan inom primärvård bemöter och hanterar barn med smärta. Sjuksköterskans roll är viktig och betydelsefull vid mötet med barn med smärta. För att uppnå optimal omvårdnad är det viktigt att sjuksköterskan själv har ett lugn och ett professionellt förhållningssätt. Grundläggande är även att sjuksköterskan tar barnets smärta på allvar och lyssnar på barnet.
Sammanfattningsvis har studien visat hur sjuksköterskan inom primärvård idag bemöter barn med smärta samt vilken smärtlindring och vilka smärtlindringsmetoder som används.
The primary task for the nurse is to prevent pain and organize the work around the child and in that way expose the child for minimum amount of pain. Personality and experience are factors that influence the nurse in this task.
The purpose of the study was to describe the way nurses receive and handle children in pain in the primary health care. The authors found the chosen method adequate and useful. The result is based on ten interviews performed with nurses working in the primary health care. The result shows in which way nurses in primary health care receives and handles children in pain. The occupational role the nurse has is both important and significant in the meeting with children in pain. To achieve optimal care it is of great importance that the nurse has composure by herself and a professional way of working. It is also fundamental that the nurse take the child’s pain seriously and listen to the child.
Summarized the study shows in which way the nurse in primary health care nowadays receives children in pain, which alleviation of pain and methods that are in use.
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Davidsson, Kajsa, and Elisa Torstensson. "Nurses' experiences of working with Prevention of Mother-to-Child transmission of HIV : A minor field study in the Rufiji district of Tanzania." Thesis, Högskolan i Borås, Akademin för vård, arbetsliv och välfärd, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-14637.
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This study is a Minor Field Study and is funded by the Swedish International Development Cooperation Agency (SIDA). At the end of 2016 there were 1.4 million people living with HIV in Tanzania; That same year approximately 55.000 people were newly infected with the disease. The most frequent route of infection is through mother to child transmission (MTCT). The risk of transmission can be reduced with the help of medication and other strategies, called prevention of mother-to-child-transmission (PMTCT) of HIV. Tanzania is working actively with these prevention programs, however the rates of MTCT still remains high in the country. Due to their profession, nurses play a significant role in these prevention programs. They have an important role in educating the patients and encouraging a healthier lifestyle. Therefore, it is important to investigate nurses' experiences of working with PMTCT of HIV to gain knowledge and valuable information of their experiences. The aim of the study is to investigate local nurses' experiences of working with PMTCT of HIV in the Rufiji area in Tanzania. The data of the study have been collected through individual interviews with six nurses using a semi-structured guide with open questions. The nurses' experiences of working with PMTCT of HIV covers three key areas. First, they work actively with motivating the mothers in several significant areas, such as motivating the mothers to take a voluntary HIV-test and bringing their partners to undertake the HIV-test. Second, the nurses described the importance of counseling the mothers and their partners. One part in counseling is to get the mother's mind ready to receive the result of the HIV-test. Third, the nurses experienced stigma as something they all had to be aware of and meet in their everyday work life. Stigma from the community and relatives is one reason for poor adherence from the mothers to the PMTCT program.
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Hedlund, Petra. "Sjuksköterskors upplevelser av att anmäla eller inte anmäla när de misstänker att barn utsätts för barnmisshandel : en kvalitativ intervjustudie." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-175284.
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Sammanfattning Syftet var att inom sluten barnsjukvård undersöka sjuksköterskors erfarenhet, kunskap och upplevelse av ansvar och skyldigheter vid misstanke om att barn de vårdat utsatts för barnmisshandel. Begreppet barnmisshandel innefattade i denna studie att en vuxen person utsatt barnet för fysiskt- eller psykiskt våld, sexuella övergrepp, kränkningar eller försummelse att tillgodose barnets grundläggande behov. Designen var beskrivande med kvalitativ ansats. Sex sjuksköterskor valdes ut och intervjuades med halvstrukturerade frågor. Intervjuerna spelades in och transkriberades ordagrant. Svaren analyserades med kvalitativ innehållsanalys. I resultatet framkom fyra kategorier: stöd, anmälningsplikt och ansvar, egna känslor och värderingar samt kunskap och erfarenhet. Dessa kategorier hade flera underkategorier och några var, söka stöd hos kollegor, anmälningsplikt, dilemma och erfarenhet. Alla intervjuade önskade stöd av kollegor och läkare om de övervägde att anmäla att barn de vårdade utsatts för barnmisshandel. Vissa var av åsikten att det var läkaren som hade anmälningsplikt. Sjuksköterskor upplevde behov av stöd och kunskap för att kunna fullgöra sin anmälningsplikt. Slutsats: Det är nödvändigt med fortbildning för sjuksköterskor inom barnsjukvård för att de ska därmed ska kunna anmäla när de misstänker att ett barn är utsatt för barnmisshandel. Riktlinjer finns på sjuhuset och avdelningen, men få sjuksköterskor känner till att de finns. Därför är det av vikt att riktlinjerna uppmärksammas så att sjuksköterskorna blir medvetna om dem och dess innehåll.Abstract The purpose was to within inpatient pediatric care examine nurses' perception and experience of the responsibilities and obligations on suspicion that the children they cared for were victims of child abuse. In this thesis, the term child abuse includes an adult that exposes a child to physical or psychological violence, sexual assault, abuse or neglects to meet the child's basic needs. The design was descriptive with a qualitative approach. Six nurses were selected and interviewed with semi-structured questions. The interviews were recorded and then transcribed verbatim. The answers were analyzed using qualitative content analysis. In the result, four main categories were identified: support, obligation to report, perception and values as well as knowledge and experience. These categories were divided into several subcategories which included support from colleagues, obligation to report, dilemma and experience. All respondents wanted the support of colleagues and doctors if they were to consider reporting the children they cared for as victims of child abuse. Some were also of the opinion that it was the doctor who was obliged to report these suspicions. Nurses were in need of support and knowledge in order to carry out their obligation to report these incidents. Conclusion: It is necessary that nurses in pediatric care are provided with in-service training in order for them to be able to report suspicions of child abuse. Guidelines are available in the hospital and the unit, but the nurses did not know about them. Therefore it is necessary that all the nurses become aware of these guidelines and their contents.
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Nyman, Linda, and Caroline Skogh. "Tecken på barnmisshandel samt sjuksköterskans upplevelser i samband med identifiering av barnmisshandel - en litteraturstudie." Thesis, University of Gävle, Department of Caring Sciences and Sociology, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-377.
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Syftet med denna litteraturstudie var att beskriva vilka tecken en sjuksköterska bör vara vaksam på för att kunna identifiera barnmisshandel. Författarna hade även som syfte att beskriva hur sjuksköterskan upplever identifieringen av misshandlade barn. Litteratursökning gjordes i Medline via PubMed samt manuellt. Totalt valdes 20 artiklar till resultatet. Av resultatet i litteraturstudien framkom att misshandlade barn i stor utsträckning uppvisar både fysiska och psykiska tecken. De vanligaste fysiska tecknen var enligt föreliggande studie multipla blåmärken och frakturer. Psykiska tecken kunde yttra sig i att barnet uppvisar samarbets- och koncentrationssvårigheter samt att det genom kroppsspråket uppvisar rädsla, aggressivitet och passivitet. Avvikelser i familjens beteende kunde göra sjuksköterskan uppmärksam på att något inte står rätt till. Detta kunde yttra sig i att familjen beskriver tillvaron som bättre än vad den är. Brister i interaktionen mellan barn och föräldrar förekom i form av att barnet på olika sätt förtrycks och inte tillåts vara ett barn. Vanligt förekommande var också att föräldrarnas beskrivning av händelsen inte stämmer överens med barnets skador.
Genom föreliggande studie framkom ett flertal socioekonomiska riskfaktorer för barnmisshandel, till exempel kort utbildning, arbetslöshet och finansiella problem. Vad det avsåg sjuksköterskans upplevelser i mötet med barn som misshandlats visar studien att svårigheter förekommer i form av osäkerhet kring anmälan och identifiering, grundat på brister i utbildning och kunskap. Vid identifiering av barnmisshandel använde sig sjuksköterskan av sin erfarenhet och sina färdigheter inom observation och interaktion.
The purpose of this literature review was to describe which signs that should draw the nurse’s attention in order for her to be able to identify child abuse. The writer’s second purpose was to describe how the nurse experiences the identification of an abused child. Literature search was done in Medline via PubMed as well as manually. In total a number of 20 articles were chosen. Through the literature review it appeared that abused children prove to have both physical and mental signs. The most common physical signs were multiple bruises and fractures. Mentally, child abuse could express itself through the child showing lack of cooperation and concentration as well as showing fear, aggression and passivity. Deviations in the behaviour of the family could make the nurse observant. This could express itself through the family describing their situation as much better than it is. Failure in interaction between children and parents could occur through oppressing actions and not allowing the child to act their age. Commonly occurring was also that there is an inconsistency between the history of the event and the injury. A number of socio-economic risk factors for child abuse did appear, for example low education, unemployment and financial difficulties. As it regards the nurse’s experiences in meeting abused children the study showed that difficulties may occur in forms of uncertainty surrounding reporting and identification, based on lack of education and knowledge. When identifying child abuse the nurse was using her experiences and her skills through observation and interaction.
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Johansson, Marina, and Vilma Karlsson. "Föräldrars upplevelse av sjuksköterskans stödjande insatser när ett barn vårdas på sjukhus : en litteraturöversikt." Thesis, Sophiahemmet Högskola, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-3891.
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Bakgrund När ett barn vårdas på sjukhus drabbas hela familjen. Föräldrarna är ständigt närvarande påsjukhuset och många upplever känslor av stress och oro. Situationen kan upplevas utmanande avföräldrarna, de ska både stödja barnen och hantera sina egna känslor. Föräldrarna kan upplevabehov av stöd från sjuksköterskorna. Genom att belysa hur föräldrarna upplever stödet kansjuksköterskan anpassa de stödjande insatserna och främja föräldrarnas mående undersjukhusvistelsen. Syfte Syftet var att belysa föräldrars upplevelse av sjuksköterskans stödjande insatser när ett barnvårdas på sjukhus. Metod Studiens design var en litteraturöversikt som omfattar vetenskapliga artiklar. Data inhämtades viasystematiska databassökningar i PubMed och CINAHL samt via manuella sökningar. Bådekvalitativa och kvantitativa artiklar som var publicerade mellan år 2010 och 2020 inkluderades.Artiklarna kvalitetsgranskades och resultatet baseras på 15 artiklar som slutligen valdes ut ochanalyserades enligt en integrerad analysmetod. Resultat Resultatet utgjordes av sex kategorier som visade föräldrars upplevelse av sjuksköterskansstödjande insatser när ett barn vårdas på sjukhus. Dessa kategorier var upplevelse av emotionellsupport, information, kommunikation, delaktighet, upplevelse av kontinuitet och sjuksköterskansförhållningssätt som betydelsefulla stödjande insatser. Resultatet visade tre huvudfynd i form avinformation och emotionell support från sjuksköterskan samt delaktighet i barnets vård. Slutsats Slutsatsen blev att föräldrar upplevde ett behov av stödjande insatser från sjuksköterskor närderas barn vårdades på sjukhus. Behovet av stöd skiljde sig åt mellan föräldrar, både vad detgäller hur mycket stöd de behövde, vilken stödjande insats de värderade mest samt i vilken gradde upplevde att sjuksköterskorna tillgodosåg deras behov. Resultatet kan utgöra ett underlag förvidare forskning i ämnet, vilket är nödvändigt för att sjuksköterskor på bästa sätt ska kunnaanpassa de stödjande insatserna och främja måendet hos föräldrarna.Background When a child is cared for in the hospital, the whole family gets affected. The parents are constantly present at the hospital with many experienced feelings such as stress and anxiety. The situation can be challenging for the parents, since they both need to support the child and deal with their own emotions. The parents may then experience a need for support from the nurses. By highlighting how the parents experience the support, the nurses can adapt their supportive efforts and encourage the parents' well-being during the hospitalization. Aim This study aims to highlight parents ´experience of the nurse´s supportive efforts when a child is hospitalized. Method The design of the study was a literature review that included scientific articles. Data was collected through systematic database searches in PubMed and CINAHL as well as through manual searches. Both qualitative and quantitative articles were included. The articles were quality reviewed and the 15 articles that were finally selected, were then analyzed according to anintegrated analysis method. Results The results consisted of six categories that showed how parents experience nurse’s supportive efforts when their child is hospitalized. The categories of the study showed that parents of hospitalized children experienced emotional support, information, communication, participation, the experience of continuity, and the nurse's attitude as important supportive efforts. The results showed three major findings which were information and emotional support from nurses as wellas participation in the child’s care. Conclusions The conclusion was that parents experienced a need for supportive efforts from nurses when their children were hospitalized. The need for support differed between parents, both in terms of how much support they needed, the supportive effort they valued most, and to what extent they felt that the nurses met their needs. The results can form a foundation for further research in the subject, where it is required for nurses to be able to adapt the supportive efforts in the best wayand encourage parents’ well-being.
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Michalski, Karol. "Implementation of children book in maternal care for children’s healthier lifestyle : Implementation process and the Swedish nurses experiences of Saga Sagor ‘’Fiffiga kroppen och finurliga knoppen’’." Thesis, Uppsala universitet, Institutionen för kvinnors och barns hälsa, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-448514.
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Background In a world where the development of technology is fast and is continually creating new challenges for human health, there is a need to find an uncomplicated method to educate people to prevent different diseases and increase the level of physical activity. In Sweden, there is a book (Saga Sagor FKFK) that children receive during their 5-year health control visit in order to improve physical activity level. There is a long history of using books for educational purposes and has been shown to increase knowledge. Aim To describe the creation and implementation process in the case of Saga Sagor FKFK and to identify potential improvements for future similar projects. To describe how the book was experienced by child healthcare nurses and adoption of the book. Methods This is a descriptive study, which includes two semi-structured interviews and 574 answers from a survey of nurses working within child health care. Results The implementation of the book is divided into 11 steps that describes process of implementation. Nurses confirmed that they would need extra material and training about healthy lifestyles in order to improve the quality of child health care visits. The results indicate that 99% of nurses have a positive experience in working with the book and are using it during the 5-year health care visits. Conclusions In conclusion, Saga Sagor FKFK is a popular tool among nurses and facilitates their work during child health care visits. Thus, more material is needed in order to make the work with the book easier.
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Astbury, Ruth A. "What processes will support effective shared decision making when health visitors and parent are planning to improve the wellbeing of babies and children within the context of the Getting It Right For Every Child (GIRFEC) policy framework?" Thesis, University of Stirling, 2014. http://hdl.handle.net/1893/22356.
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Two key policy documents are having an impact on health visiting practice in Scotland: Getting It Right for Every Child (GIRFEC) (2013), which seeks to promote all children’s wellbeing, and The Healthcare Quality Strategy for NHS Scotland (2010) which promotes person-centred care. ‘Shared decision making’ is integral to ‘person-centred care’; however no research studies to date have linked shared decision making with health visitor practice. This thesis reports on a descriptive, qualitative research study, which was conducted in two health board areas in Scotland, in order to explore the processes that support effective shared decision making in health visiting practice within the context of implementing GIRFEC. The design was in three phases and used Elwyn’s Framework, of ‘Choice, Options and Decision Talk’ as a structure (2012). Phase 1 consisted of audio recordings of 2 x health visitor: parent encounters when decisions were being made; Phase 2 consisted of semi-structured interviews with 9 x health visitors and 9 x parents who had made decisions within the last 6 months; Phase 3 involved 3 x focus groups reviewing the findings to date and reflecting on current issues when implementing GIRFEC. The framework method was used for analysis and two additional themes were identified: ‘Issues’ and ‘Relationships’. The health visitors demonstrated that they built up trusting relationships with parents; however there was lack of understanding and application of decision making theory which supports analysis, and an outcome focused approach to person-centred planning. This thesis identifies areas for health visitor practice development.
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Helldin, Boman Josefine, and Sofie König. "Hur sjuksköterskan kan inge och bevara hopp hos föräldrar vars barn vårdas på sjukhus på grund av allvarlig sjukdom : en litteraturöversikt." Thesis, Sophiahemmet Högskola, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-3502.
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Bakgrund Hopp innebär att vi fortfarande tror på en potentiell framtid. När ett barn drabbas av en allvarlig sjukdom orsakar sjukdomen ofta att känslor pendlar mellan hopp och hopplöshet inför de komplikationer som uppstår under sjukdomens gång. För att sjuksköterskan ska kunna ge god omvårdnad krävs familjefokuserad omvårdnad vid mötet med familjerna. Sjuksköterskan kan använda sig av föräldrarnas kunskap för att få en så bra relation till barnet som möjligt, samtidigt som föräldrarna behöver vägledas av sjuksköterskan. Syfte Syftet var att beskriva hur sjuksköterskan kan inge och bevara hopp hos föräldrar vars barn vårdas på sjukhus på grund av allvarlig sjukdom. Metod Denna litteraturöversikt baserades på 15 vetenskapliga artiklar. Databassökningen genomfördes i databaserna PubMed och CINAHL, där både kvalitativa och kvantitativa studier inkluderades. De inkluderade artiklarna kvalitetsgranskades enligt Sophiahemmets bedömningsmall och analyserades med stöd av Kristenssons (2014) Integrerade analys. Resultat Fyra kategorier skapades; Sjuksköterskans behov av kunskap om hoppets betydelse för föräldrar, Sjuksköterskans samtalande, Stödjande och trygghetsskapande funktion, Anpassad information och utbildning samt Användning av strategier. Resultatet utvisar att hopp alltid finns närvarande hos föräldrarna - även om hoppet ibland upplevdes svårare att hålla fast vid. Föräldrarnas hopp består huvudsakligen av en förlitan om barnets tillfrisknande, och en önskan om att barnet skulle undgå allt för många negativa vårdupplevelser. Resultatet beskriver även att sjuksköterskan, beroende på föräldrarnas behov, kan ge anpassad information genom individualiserad utbildning och stöd. Slutsats Sammanfattningsvis visar resultatet att sjuksköterskan med hjälp av ett helhetsperspektiv och förmedlandet av olika hanteringsstrategier kan förbättra familjens välbefinnande och öka föräldrars känsla av hopp. Sjuksköterskan kan genom samtal, undervisning och anpassad information inge och bevara hopp till föräldrar vars barn vårdas på grund av allvarlig sjukdom utan att för den delen förmedla en felaktig bild av barnets prognos.Background Hope means that we believe in a potential future. When a child is suffering from a critical illness the illness often triggers fluctuating feelings between hope and hopelessness due to complications during the treatment-process. Nurses ability to provide good nursing in the meeting with families requires family-focused care. The nurse can use parents' knowledge to develop the best possible relationship with the child meanwhile guiding the parents through the treatment process. Aim The aim was to describe how the nurse can inspire and maintain hope within parents whose child is treated in a hospital due to critical illness. Method This literature review was based on 15 research articles. A database search was conducted through CINAHL and PubMed, from which both qualitative and quantitative studies were included. The articles were later quality-assessed in accordance to Sophiahemmet’s matrix and analyzed through Kristensson’s (2014) Integrated analysis. Results Four categories were created; The nurse's need of knowledge about the meaning of hope to parents, The nurse´s conversational-, supportive- and comforting function, Adapted information and education and The use of strategies. The result shows that parental hope is constantly present, although it occasionally can be difficult to retain. Parental hope consists of a reliance in the child's recovery while hoping that the child won’t suffer through too many negative experiences. The result also describes how the nurse can provide customized information through individualized education and support. Conclusions In summary, the result shows that the nurse, through a holistic perspective and the use of different coping strategies, can improve the family's wellbeing and sense of hope. Through conversations, education and adapted information, the nurse can inspire and maintain hope within parents whose children are treated due to critical illness without conveying an unrealistic image of the child's prognosis.
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Blacker, Caroline, and Jeanette Simonsson. "Att anmäla när ett barn far illa : en litteraturöversikt kring sjuksköterskors upplevelser av anmälningsprocessen och påverkande faktorer." Thesis, Sophiahemmet Högskola, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-4129.
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Bakgrund Barn som far illa är ett globalt folkhälsoproblem där mörkertalet är stort. All form av våld leder till livslånga konsekvenser för barn som utsätts, och de berättar sällan självmant om levnadsförhållanden när dessa är annat än goda. Vilket gör att sjuksköterskors professionella ansvar är betydelsefullt i mötet med utsatta barn. En av sjuksköterskans kärnkompetenser är personcentrerad vård där ett helhetsperspektiv kring barnet bör beaktas, då ett ansvar att identifiera och en skyldighet att anmäla vid misstanke om att barn far illa föreligger. Syfte Syftet var att beskriva sjuksköterskors upplevelser av faktorer som inverkar på beslutet att orosanmäla vid misstanke eller vetskap av att ett barn far illa. Metod Föreliggande litteraturöversikt har genomförts med 17 inkluderade studier av både kvalitativ och kvantitativ studiedesign. Datainsamlingen genomfördes i databaserna Public MEDLINE och Cumulative Index to Nursing and Allied Health Literature. Studierna kvalitetsgranskades därefter utifrån Sophiahemmet Högskola bedömningsunderlag, på vilken en integrerad analys användes för bearbetning av resultatet. Resultat Litteraturöversiktens resultat beskrevs utifrån tre huvudkategorier: sjuksköterskans kunskap och perception av barn som far illa, sjuksköterskans erfarenhet av anmälningsprocessen samt sjuksköterskans arbetsmiljö. Med tillhörande subkategorier beskrev dessa sjuksköterskans upplevelser av faktorer som inverkade på beslutet huruvida sjuksköterskan genomförde en orosanmälan eller ej. Slutsats Sjuksköterskors erfarenhet, personliga inställning till området samt rådande lagstiftning i respektive land var faktorer som inverkade vid processen kring orosanmälningar. Resultatet visade behov av stöd och hjälp i processen som rör handhavandet kring barn som far illa. Vidden av detta globala folkhälsoproblem bör uppmärksammas då en utebliven orosanmälan bidrog till ytterligare lidande för det redan utsatta barnet. Flertalet sjuksköterskor saknade kunskap i det medföljande juridiska ansvar en orosanmälan kräver, vilket uppmärksammade behovet av adekvat utbildning och uppdaterad klinisk färdighetsträning.Background Child maltreatment is a global public health problem where the hidden statistics are extensive. All forms of violence lead to lifelong consequences for children who are exposed, and they rarely disclose their living conditions as these are anything but good. This means that nurses' professional responsibilities are important in meeting with vulnerable children. One of the nurse's core competencies is person-centered care, where a holistic perspective on the child should be considered, as there is a responsibility to identify and an obligation to report in the event of suspicion that a child is being harmed. Aim The aim was to describe nurses' experiences of factors that influence the decision of mandatory reporting to suspected or confirmed child maltreatment. Method The literature review has been conducted with 17 included studies of both qualitative and quantitative study design. The data collection was conducted in the databases Public MEDLINE and Cumulative Index to Nursing and Allied Health Literature. The studies were then quality-examined based on Sophiahemmet University's assessment data, on which an integrated analysis was used to process the results. Results The results of the literature review are described based on three main categories: the nurse's knowledge and perception of child maltreatment, the nurse's experience of the registration process, and the nurse's working environment. With associated subcategories, these describe the nurse's experience of factors that may influence the decision whether the nurse makes a report on child maltreatment or not. Conclusions Nurses' experience, personal attitude to the field, and prevailing legislation in each country are factors that influence the process of reporting regarding concerns about child maltreatment. The results showed the need for support and help in the process of dealing with child maltreatment. The extent of this global public health problem should be noted, as a failure to report contributes to further suffering for the already vulnerable child. Most nurses lacked knowledge of the legal responsibilities required to report a concern of child maltreatment, which drew attention to the need for adequate education and up-to-date clinical skills training.
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Sofia, Lindström, and Lundquist Jonna. "Vårdpersonals erfarenheter av att vårda barn i palliativt skede : En litteraturstudie." Thesis, Umeå universitet, Institutionen för omvårdnad, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-133321.
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Bakgrund Varje år är ca 1,2 miljoner barn i världen i behov av palliativ vård. Barn har fler tillstånd än vuxna som kan komma att kräva den här typen av vård. De centrala arbetsuppgifterna för vårdpersonal som arbetar med palliativ vård av barn är att skapa förutsättningar för god livskvalitet och lindra lidandet, samt skapa förutsättningar för att involvera familjemedlemmar i vården. Syfte Syftet med litteraturstudien är att beskriva vårdpersonals erfarenheter av att vårda barn i palliativt skede. Metod En litteraturstudie som inkluderade åtta vetenskapliga artiklar av kvalitativ ansats sammanställdes. Sökningarna genomfördes i följande databaser: Cinahl, PubMed och Scopus. Granskning, analys och sammanställning av artiklarnas resultat genomfördes enligt modell av Friberg. Resultat Analysen resulterade i följande tre huvudkategorier; att sträva efter god omvårdnad, att stöta på organisatoriska hinder och att uppleva emotionella prövningar. Slutsats Vårdpersonal strävar efter god omvårdnad genom att involvera och skapa goda relationer till barn och familjer. Organisatoriska hinder påverkar vården negativt och försvårar vårdpersonals möjligheter att arbeta personcentrerat. Det är viktigt att vårdpersonal ges förutsättningar att arbeta enligt ett personcentrerat förhållningssätt då det kan generera i ökad vårdkvalitet.
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Karlsson, Cecilia, and Åsa Strandberg. "Att möta familjer med prematurfödda barn i barnhälsovården : en kvalitativ studie av barnhälsovårdssjuksköterskors erfarenheter." Thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap (HV), 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-90051.
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Bakgrund: Barnhälsovårdens uppdrag är att arbeta hälsofrämjande och förebyggande med alla barn och deras familjer. Att bli förälder till ett prematurfött barn har i studier visat sig ha långtgående effekter på familjen. Krisreaktioner som stress, ångest och oro är vanliga hos föräldrarna. I takt med att fler barn som föds för tidigt överlever, förändras kraven på barnhälsovårdssjuksköterskorna och familjernas behov av insatser från barnhälsovården. Syfte: Syftet med studien var att beskriva barnhälsovårdssjuksköterskors erfarenheter av att möta familjer med prematurfödda barn inom barnhälsovården. Metod: Kvalitativ metod med induktiv ansats. Semistrukturerade intervjuer med åtta barnhälsovårdssjuksköterskor. Data analyserades genom kvalitativ innehållsanalys. Resultat: Resultatet visar att barnhälsovårdssjuksköterskorna värdesätter tidigare yrkeserfarenhet och kunnighet i mötet med familjerna. Oavsett erfarenhet, var de i behov av och värdesatte kontinuerlig fortbildning. Möten med familjer i kris gjorde barnhälsovårdssjuksköterskorna osäkra eftersom de saknade formell utbildning kring sådana samtal. Barnhälsovårdssjuksköterskorna arbetar familjefokuserat och anpassar barnhälsovårdens program efter barnets och familjens behov. Utgångspunkten var barnets hälsa snarare än dess prematuritet. Barnhälsovårdssjuksköterskorna framhöll att tidig kontakt med familjen stärkte den kommande relationen. Slutsats: Barnhälsovårdssjuksköterskorna är i behov av kontinuerlig fortbildning samt utbildning i hur man möter en familj i kris. Genom att arbeta familjefokuserat, stöttar de familjerna till en fungerande vardag och att se det friska hos barnet. Tidig kontakt med familjen främjar relationen mellan dem och barnhälsovårdssjuksköterskorna. Få studier är gjorda där barnhälsovårdssjuksköterskors erfarenheter beskrivs, vilket motiverar nyttan med studien.Background: Primary child health care offer health support and promotion to all families. Studies have shown that the birth of a premature child has long-term effects on the family. Stress reactions such as worrying and anxiety were common with the parents. Improved survival rates in premature children therefore create new demands on primary child health care nurses and the support families need from the primary child health care. Aim: The aim of this study was to describe primary health care nurses’ experiences of meeting families with premature children in a primary child health care context. Method: Qualitative research design with inductive approach. Semistructured interviews with eight primary child health care nurses. Data was analysed with qualitative content analysis. Results: The result implies that the nurses value professional experience and knowledge. Regardless of work life experience, all nurses requested further training. Meeting families with traumatic experiences, made the nurses insecure since they lacked formal training in dealing with such situations. The nurses applied family-centered care to all meetings with the families, adapting the child health care program to the needs of the child and its family. Health rather than conditions related to the prematurity was the center of attention. The nurses agreed that meeting the families at an early stage was imperative to building their forthcoming relationship. Conclusion: The nurses need further professional knowledge and as well as training in how to respond to a family crisis. By applying family-centered care to all families, the nurses give families support in day-to-day life and promote child health. Early connection between nurses and families boosts their relationship. Research into primary child health care nurses’ experiences is limited which motivates this study’s relevance.
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Osman, Naima, and Sara Bolmvik. "Att arbeta med barns skärmanvändning, specialistsjuksköterskors erfarenheter : En intervjustudie." Thesis, Hälsohögskolan, Jönköping University, HHJ, Avd. för omvårdnad, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-48841.
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Background: Children's screen usage has increased in recent years and parents' screen usage has strong association with children's screen usage. When the specialist nurse works based on family-centered nursing, conversations about screen usage can include the whole family. Purpose: To describe specialist nurses' experiences of working with children’s screen usage in Child Health Services. Method: The study was conducted with qualitative design with inductive approach. Totally 11 specialist nurses in Child Health Services were interviewed. Qualitative content analysis according to Graneheim and Lundman (2004) was used to analyze that data material. Results: The analysis of the interview material collected led to two categories, dialogue and reflection and the challenges of screen usage. Within these categories seven subcategories were identified. There was an opportunity to talk about children's screen usage in parental groups and health visits. Specialist nurses described that there were challenges depending on the parents' approaches to screen usage and that the screen competed with children's other activities. Conclusion: This study showed the importance of specialist nurses in child health services bringing up the topic of screen through dialogue and reflection with children and parents. Screen usage was described as a difficult subject and there were challenges in the work.Bakgrund: Barns skärmanvändning har ökat de senaste åren och föräldrars skärmanvändning har starkt samband med barns skärmanvändning. När specialistsjuksköterskan arbetar utifrån familjecentrerad omvårdnad kan samtal om skärmanvändning inkludera hela familjen. Syfte: Att beskriva specialistsjuksköterskors erfarenheter av att arbeta med barns skärmanvändning inom barnhälsovården. Metod: Studien genomfördes med kvalitativ design med induktiv ansats. Totalt intervjuades 11 specialistsjuksköterskor inom barnhälsovården. Kvalitativ innehållsanalys enligt Graneheim och Lundman (2004) användes för att analysera datamaterialet. Resultat: Analysen av det insamlade intervjumaterialet ledde fram till två kategorier, dialog och reflektion samt skärmanvändningens utmaningar. Inom dessa kategorier identifierades sju subkategorier. Det fanns möjlighet att samtala om barns skärmanvändning i föräldragrupper och vid hälsobesök. Specialistsjuksköterskor beskrev att det fanns utmaningar beroende på föräldrars inställningar till skärmanvändning samt att skärmen konkurrerade med barns andra aktiviteter. Slutsats: Denna studie visade vikten av att specialistsjuksköterskor inom barnhälsovården tar upp ämnet skärmanvändning genom dialog och reflektion med barn och föräldrar. Skärmanvändning beskrevs som ett svårt ämne och att det fanns utmaningar i arbetet.
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Haglöf, Ulrica, and Anna Haglöf. "Att vårda akut sjuka barn på en akutmottagning : - Intervjustudie med sjuksköterskor." Thesis, Umeå universitet, Institutionen för omvårdnad, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-122532.
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Syfte: Syftet med studien var att beskriva sjuksköterskors erfarenheter av omhändertagandet av akut sjuka barn på en akutmottagning. Bakgrund: Att ta emot akut sjuka barn är en faktor som orsakar stress för sjuksköterskor som arbetar på akutmottagningar. Det råder brist på specialistutbildade sjuksköterskor med inriktning barn- och ungdom i Sverige. Enligt Nordiskt nätverk för barn och ungas rätt och behov inom hälso- och sjukvård (NOBAB) ska alla barn tas om hand av sjuksköterskor som har erfarenhet av och utbildning i barnomhändertagande. Att beskriva sjuksköterskors erfarenheter i samband med omhändertagandet av akut sjuka barn kan ha betydelse i framtiden då rutiner/riktlinjer, utbildningar, arbetssätt, kompetensstegar utformas och även för att tillgodose sjuksköterskans välbefinnande. Design: En kvalitativ design valdes för att besvara syftet. Metod: Tolv sjuksköterskor från en akutmottagning intervjuades under 2016. Intervjuerna analyserades genom kvalitativ innehållsanalys. Resultat: Sjuksköterskans erfarenheter av att vårda akut sjuka barn på en akutmottagning beskrevs i fyra kategorier: vård av barn är annorlunda mot vård av vuxna, förberett teamarbete med god struktur underlättar, oförberedd och ovan personal försvårar och intresserad och kunnig för att arbeta med barn är fördelaktigt. Slutsats: För att arbeta med akut sjuka barn på en akutmottagning anser sjuksköterskorna att de behöver ta hand om barn regelbundet och få mer utbildning (praktisk och teoretisk) om barn. När sjuksköterskorna arbetar på ett strukturerat sätt underlättar det omhändertagandet av det akut sjuka barnet. Nyckelord: akut, akutmottagning, barn, erfarenheter, kvalitativ, omvårdnad, sjuksköterskor, utbildning
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Aldenhamn, Nathalie, and Wall Christopher Askling. "Att vara sjuk för någon annans skull : En litteraturstudie om att tidigt upptäcka föräldrar med Münchausen Syndrome by Proxy." Thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap (HV), 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-99652.
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Bakgrund: Munchausen syndrome by proxy (MSBP) är en psykisk sjukdom som drabbar föräldrar där barnet/barnen blir offer. Föräldrarna, ofta modern drivs av uppmärksamheten de får av sjukvården. Föräldrarna manipulerar sjukvårdspersonalen då de ofta blir indragna i misshandeln genom diverse behandlingar/ingrepp. Svårigheter med att påvisa misshandeln för allmänsjuksköterskan/sjukvårdspersonalen är svår då det sker i det tysta samt att kunskapen kring MSBP är liten. Vid all misstanke om att ett barn far illa har sjukvårdspersonalen anmälningsplikt och på så sätt kan barnens rättigheter enligt Barnkonventionen skyddas. Syfte: Syftet var att undersöka faktorer som kan leda till tidig upptäckt av förälder med MSBP. Metod: En kvalitativ litteraturstudie baserad på case studies/case reports som innehåller narrativa berättelser som bygger på empiri och induktiv ansats. Litteraturstudien genomfördes utifrån Polit och Becks (2017) niostegsanalys. Resultat: Fyra kategorier framkom. Vanliga symtom hos barnen, vanliga undersökningar av barnen, vanlig behandling av barnen samt beteenden hos barn respektive föräldrar. Slutsats: De faktorer som vårdpersonal ska vara uppmärksamma på är barns beteendeförändringar och förseningar i utvecklingen, föräldrar som för barnets talan, som ej lämnar barnets sida på sjukhuset samt vill ta och lämna in egna provmaterial från sitt barn. En annan faktor är familjer som frekvent söker vård för sitt barn eller varit inlagda trots att ingen sjukdom kunnat diagnostiseras eller bekräftats till följd av de diffusa symtomen som funnit hos barnen. Ytterligare en faktor är familjer som har haft många vårdkontakter och flyttar ofta. För att denna medvetenheten ska finnas behöver kunskap kring Münchausen Syndrome by Proxy spridas.
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Lindh, Annietta, and Cornelia Jogenvik. "Sjuksköterskans upplevelse av att bemöta och hantera situationer där ett barn misstänks bli utsatt för våld i nära relationer : En kvalitativ litteraturöversikt." Thesis, Högskolan i Skövde, Institutionen för hälsovetenskaper, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-19702.
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Bakgrund: I Sverige är barnmisshandel olagligt, ändå förekommer det och skapar förödande konsekvenser för barnen. Sjuksköterskor har en skyldighet att anmäla vid misstanke om barnmisshandel. Trots detta är anmälningsbenägenheten låg. Syfte: Att belysa sjuksköterskans upplevelse av att bemöta och hantera situationer där ett barn misstänks bli utsatt för våld i nära relationer. Metod: En kvalitativ litteraturöversikt baserad på 10 vetenskapliga artiklar. Resultat: I studien framkommer det fyra huvudkategorier som besvarar syftet. Svårt att bemöta föräldrarna, Svårigheter i att anmäla, Osäkerhet i identifiering, bedömning och definition samt Behov av stöd. Huvudfynden som framförs är en upplevd känslomässig påfrestning vilket försvårar arbetet runt fallet och att vara professionell. Även en osäkerhet och okunskap kring hur patientfallen ska hanteras. Slutsats: Den gemensamma upplevelsen var osäkerhet som är ett återkommande begrepp i sjuksköterskans upplevelser. Osäkerheten fanns både i att definiera, identifiera, bedöma samt anmäla. Det framkommer ett behov av bättre stöd från kollegor och tydligare riktlinjer för att stärka sjuksköterskan i att hantera situationen.Background: In Sweden, child abuse is illegal, yet it still occurs and creates devastating consequences for children. Despite nurse’s obligation to report suspected child abuse, there is a low tendency to report. Aim: To shed light on the nurses’experience of responding to and handling situations where a child is suspected of being exposed to violence in close relationships. Method: A qualitative literature review based on 10 scientific articles. Results: In the study, four main categories emerged. Difficult to meet the parents, Difficulties in reporting, Uncertainty in identification, assessment and definition and A need for support. The main findings that are presented are a perceived emotional strain which makes it more difficult to be professional in the situation. Also an uncertainty and ignorance about how patient cases should be handled. Conclusion: The common experience was uncertainty, which is a recurring concept in the nurses’ experiences. The uncertainty existed in defining, identifying, assessing and reporting. There is a need for a better support system including support from colleagues and clearer guidelines that focus on strengthening the nurse’s ability to handle situations of abuse
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Sjövall, Caroline, and Hellsten Katey Bark. "Sjuksköterskors erfarenheter av barns delaktighet i sin vård inom barn och ungdomspsykiatrisk öppenvård : En kvalitativ intervjustudie." Thesis, Malmö universitet, Fakulteten för hälsa och samhälle (HS), 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-42068.
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Bakgrund: Barns delaktighet i sin vård uppmuntras i flera lagar. Forskning visar att sjuksköterskor upplever det som viktigt att barnet är delaktig i sin vård och att delaktigheten måste anpassas efter barnets mognad. Inom psykiatrin har forskning visat att barns delaktighet är svårare att tillgodose. För sjuksköterskor finns det olika vårdmodeller att arbeta efter och även utarbetade delaktighetsmodeller för att synliggöra barns delaktighet. Sjuksköterskors erfarenhet av barns delaktighet inom den svenska öppenvårdspsykiatrin finns det fortfarande behov av att utforska. Syfte: Att belysa sjuksköterskors erfarenheter av barns delaktighet i sin vård inom barn och ungdomspsykiatrisk öppenvård. Metod: Kvalitativ intervjustudie utförd med Stimulated Recall Interview. Totalt 12 stycken sjuksköterskor intervjuades och det transkriberade materialet analyserades med hjälp av innehållsanalys. Resultat: Dataanalysen resulterade i två huvudkategorier: Att anpassa det unika mötet och Att balansera mellan barnet och föräldrarna. Slutsats: Sjuksköterskorna inom barn och ungdomspsykiatrins öppenvård arbetar aktivt för att göra barn delaktiga i sin vård. Detta ansågs som både viktigt och centralt i deras yrkesutövning. De använde sig själva och relationen till barnet som en del i att göra barnet delaktig. Anpassningar i mötet med barnet var en del av det dagliga arbetet. Sjuksköterskor upplevde att de behövde balansera på en fin linje mellan barn och föräldrar. Detta kunde ses som ett etiskt dilemma.Background: Children's participation in their care is encouraged in several laws. Research suggests that nurses experience that it is essential that the child is involved in their care, and that the involvement must be adjusted depending on the maturity of the child. Within child psychiatry, research shows that participation is more difficult to achieve. For nurses there are different care models to work from, and even models of participation to make children's participation visible. Nurses’ experiences of children's participation within the Swedish psychiatric outpatient care, is so far an unexplored area. Method: Qualitative interview study with 12 participants. Implemented through the method Stimulated Recall Interview. The transcribed data was analyzed with content analysis. Purpose: To highlight nurses experiences of children´s participation in their care within child and adolescent psychiatric outpatient clinics. Results: The findings resulted in two main categories: To adapt the unique meeting and To balance between the child and the parents. Conclusions: Nurses at child and adolescent psychiatric outpatient clinics work actively to make children involved in their care. This was experienced as important and central in their professional practice. They used themselves and the relationship with the child as a way to make the child involved. Adaptations in the meeting with the child was part of the daily work. Nurses experienced that they had to balance on a fine line between the children and the parents. This could be seen as an ethical dilemma.
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Ellebrink, Jenny, and Marielle Olofsson. "Specialistsjuksköterskors erfarenheter av familjer med förekomst av nedstämdhet efter förlossning : En intervjustudie vid barnavårdscentraler." Thesis, Umeå universitet, Institutionen för omvårdnad, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-135999.
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Syfte: Att studera bvc-sjuksköterskors erfarenheter av familjer med förekomst av nedstämdhet efter förlossning. Bakgrund: Nyblivna föräldrar kan drabbas av förlossningsdepression och nedstämdhet efter förlossning. Detta kan störa den viktiga anknytningen till barnet och ge långsiktiga negativa konsekvenser för barnets fortsatta kognitiva och känslomässiga utveckling. Barnhälsovårdens uppdrag är att förebygga ohälsa hos barnet, bedriva hälsofrämjande och föräldrastödjande samtal, samt bidra till hälsosamma relationer inom familjen. Enligt familjefokuserad omvårdnad ses familjen som en enhet och om en familjemedlem drabbas av ohälsa påverkar det hela familjen. Design: En kvalitativ design valdes för studien. Metod: Sju bvc-sjuksköterskor intervjuades våren 2017 och den insamlade datan analyserades med kvalitativ innehållsanalys. Resultat: Bvc- sjuksköterskornas erfarenhet är att föräldrarollen påverkas vid nedstämdhet vilket i sin tur kan påverkar anknytningen till barnet och relationerna inom familjen. Bvc-sjuksköterskornas erfarenheter visar också att det finns fördelar med att involvera hela familjen, men att bvc- sjuksköterskorna inte alltid känner sig trygga i att erbjuda stöd till familjen relaterat till brist på utbildning och erfarenhet. Bvc-sjuksköterskor erfar också att det är en utmanande arbetssituation med nedstämda familjer och att det kan vara svårt att upptäcka dem. Slutsats: Bvc-sjuksköterskors erfarenheter är att hela familjen påverkas vid en nedstämdhet. Det skulle vara betydelsefullt att inom bvc-verksamhet se hela familjen som en enhet eftersom alla i en familj påverkar varandra, men också för att familjemedlemmarnas mående kan vara avgörande för barnets framtida hälsa och utveckling.Aim: To study child health care nurses’ experiences of families with prevalence of depression after childbirth. Background: New parents may suffer from maternity and paternity postpartum depression ranging from mild to severe. This can interfere with the important bonding to the child and give long-term negative consequences for the child's continued cognitive and emotional development. The child health service’s mission is to prevent childhood illness, to promote health and support parents, and contribute to healthy relationships within the family. According to family-centered care, the family is seen as a unit and if one family member suffers from ill health, it affects the whole family. Design: A qualitative design was chosen for the study. Method: Seven child health care nurses were interviewed in spring 2017 and the collected data was analyzed with qualitative content analysis. Findings: The child health care nurses’ experiences show that parental influence is affected by depression, which in turn can affect the relationship with the child and the relationships within the family. The experiences of the child health care nurses also show that there are benefits of involving the whole family, but the child health care nurses do not always feel confident in providing support to the family due to lack of education and experiences. The child health care nurses also experience that working with depressed families is a challenging work situation and that they can be hard to detect. Conclusion: The child health care nurses’ experience is that the whole family is affected at a postpartum depression. It would be beneficial for the child health care nurses to tend to the whole family as a single unit, partly because everyone inside the family affect each other but also because the overall well-being of the family as a whole can be crucial to the child’s future health and progress.
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Granlund, Marie, and Cynthia Kjerr. "Att främja en hälsosam vikt hos överviktiga barn : Barnhälsovårdsjuksköterskans förebyggande och hälsofrämjande insatser." Thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ, Avd. för omvårdnad, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-44163.
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Bakgrund: Inom barnhälsovården (BHV) arbetar specialistsjuksköterskor hälsofrämjande och förebyggande. Tidig uppmärksammad ohälsosam tillväxt kan åtgärdertidigtimplementeras för att förebygga följdsjukdomar som hjärt- och kärlsjukdomar och diabetes. Syftet: Att beskriva hur specialistsjuksköterskor på barnhälsovården arbetar hälsofrämjande, förebyggande och evidensbaserat med familjer där barnet har en övervikt. Metod: En kvalitativ forskningsdesign med induktiv ansats har använts. Individuella intervjuer har genomförts och analyserats med hjälp av en kvalitativ innehållsanalys. Resultat: BHV-sjuksköterskorna upplevde att en längre och regelbunden kontakt med familjen ökar samarbetet och förbättrar relationen. I kontakten med familjen är det viktigt med ett empatiskt bemötande. Det är viktigt att erbjuda familjen kunskap inom kost, rörelse och begränsning av skärmtid för att främja en sund viktutveckling hos barnet. Olika informationsblad om övervikt användes. Fortbildning inom ämnet övervikt och fetma ökar BHV-sjuksköterskans trovärdighet och den evidensbaserad vården. Samverkan med olika instanser och professioner är helt nödvändigt för att kunna erbjuda familjen rätt hjälp. Slutsats:BHV-sjuksköterskans förhållningssätt och kunskap i ämnet ökade familjens motivation. I ett nära samarbete kunde de tillsammans hitta rutiner och verktyg förtillfredsställande tillväxt.Background: In the Child Health Care (CHC), specialist nurses work on health promotion and prevention. Early identification of unhealthy growth can be implemented early to prevent sequelae such as cardiovascular diseases and diabetes. The purpose: To describe how the specialist nurses in the child health care work to promote health and prevention with families whose children are overweight and how the evidence is based on the care they provide. Method:A qualitative research design with an inductive approach has been used. Individual interview has been carried out and analyzed using a qualitative analysis. Result:The CHC-nurse’s experienced that a regular contact with the family improved the cooperation and relationship. In contact with the family, an empathetic approach is important. It is important to offer the family knowledge in diet, physical activity and limited screen-time to promote healthy weight-development. Various information sheets were used. Continuing education in the subject of overweight and obesity increases the CHC-nurse's credibility and evidence-based care. Collaboration with various departments and professions is necessary to offer the family the right help Conclusion: The CHC-nurse's approach and knowledge increased the parents' awareness and motivation. In a close collaboration between the CHC-nurse and the family, they could find good routines that could lead to a satisfactory growth.
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DiPietro, Jessica. "Interventions for Childhood Obesity: Evaluating Technological Applications Targeting Physical Activity Level and Diet." Honors in the Major Thesis, University of Central Florida, 2014. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/1586.
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Overweight and obese children have increased risks for multiple preventable diseases and conditions which can impair their physiological health and significantly increases the overall cost of their healthcare. Free mobile applications and technology for weight loss, dietary tracking, and physical activity may be quite useful for monitoring nutritional intake and exercise to facilitate weight loss. If so, nurses are well positioned to recommend such tools as part of their efforts to prevent childhood obesity and help children and parents better manage childhood obesity when it is present. However, there are no guidelines that nurses can use to determine what applications or technologies are most beneficial to children and their parents. The purpose of this project is to develop such guidelines based on a review of the scientific literature published in the last 5 years. Articles regarding healthy-lifestyle promoting mobile applications and technological approaches to health and fitness interventions were identified by searching articles indexed by CINAHL, Psychinfo, Medline, ERIC, IEEE Xplore, and
Academic Search Premier. Identified articles were assessed using Melnyk’s hierarchy of evidence and organized into tables so that implications for research and suggestions for practice could be made.B.S.N.
Bachelors
Nursing
Nursing
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Sye, Jill. "A fine balance." Click here to access this resource online, 2008. http://hdl.handle.net/10292/387.
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The aim of this study is to analyse the discourses drawn upon by community paediatric nurses in relation to children’s rights to health. The philosophy of Michel Foucault has been used to underpin the analysis of the interviews and exemplars of five experienced community nurses, revealing conflicting power relationships and discourses. Rights are formalised morality and so from a children’s rights perspective, discourses reflect both the moral and ethical positions of the nurses. Children are constructed as developing human beings whose moral status gradually changes and who, through a lack of developmental autonomy, entrust their decision-making to their representatives (parents and caregivers) as their trustees. Rights are correlative with the obligations and duties toward children by both families and society. Society constructs legislative and politically organised structures to govern raising children because children are an intrinsic social concern. Whilst representing society’s interest in children’s rights to health, nurses in the home act as a conduit for multiple governing structures. The nurses in this study construct their “truths” and knowledge about children’s health rights from nursing, medicine, law, education, and social policy. However, the values of individual parents can conflict with universal values for children’s health and wellbeing. Therefore representing society positions nurses as “agents of the state”, a role that potentially holds power over parents and children and leads to the epithet of “the health police”. Within the institution of the family, and in the privacy of the home, there are also mechanisms of power that can resist the mechanisms of the state and its representatives. Therefore the discourse “it takes a village to raise a child” competes with the “my home is my castle” discourse. Nurses negotiate a fine balance between these power relations. Nurses are challenged with using power productively to promote children’s rights whilst respecting the role of parents and families. I argue that children’s rights are central to the moral and ethical work of nurses but that such work is often obscured and invisible. I propose that children’s community nurses are excellent at negotiating networking and connecting at a micro level, but need to create a more sophisticated and cohesive entity at a macro level to become fully political children’s rights advocates.
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Bergman, Susanne, and Linnea Särén. "Att inkludera föräldrar i det akuta omhändertagandet av ett skadat/sjukt barn : Sjuksköterskors erfarenheter." Thesis, Umeå universitet, Institutionen för omvårdnad, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-183952.
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Bakgrund: Det akuta omhändertagandet av barn inom akutsjukvården baseras på en systematisk genomgång av anamnes, symtom och vitalparametrar. Det uppstår möte mellan barnet, föräldrar och vårdpersonal, en situation som kan ha uppstått utan förvarning och livet förändras plötsligt för hela familjen. Barnet är i en utsatt position i vården och föräldrarna spelar en väsentlig roll. Motiv: Det finns brister vid inkluderandet av föräldrar som skapar hinder i det akuta omhändertagandet. Denna studie blir betydelsefull för att få en vägledning i hur sjuksköterskor kan utveckla sitt arbets- och förhållningssätt för att öka tryggheten hos föräldrarna, som leder till att omhändertagandet av barnet optimeras. Syfte: Att beskriva sjuksköterskors erfarenhet av att inkludera föräldrar i det akuta omhändertagandet av ett skadat/sjukt barn. Metod: Individuella semistrukturerade intervjuer genomfördes med sjuksköterskor som arbetar på en akutmottagning för barn 0-18 år. Insamlat forskningsmaterial analyserades med kvalitativ innehållsanalys. Resultat: Analysen resulterade i tre kategorier: “Att skapa en relation mellan sjuksköterska och familjen”, “Att se föräldrarna som en resurs i det akuta omhändertagandet”, “Att uppleva utmaningar i mötet med familjen”. Konklusion: Föräldrarna ses som en resurs i vårdmötet, men detta är någonting som bör bedömas individuellt i vilken utsträckning medverkan av föräldrar är möjlig i omvårdnaden av barnet. En tydlig kommunikation med föräldrar lägger grunden för trygghet och samarbete i omhändertagandet, medan brister i struktur kring omhändertagande av familjen leder till oklara roller mellan föräldrar och sjuksköterskan som kan försvåra bedömning och behandling av barnet. En avvägning bör göras mellan barnets rätt till inflytande över sin egna vård, samt inkluderandet av föräldrarna. Det är en komplex utmaning för sjuksköterskan inom pediatrisk akutsjukvård, men av stor betydelse att fortsätta utveckla för framtiden, i syfte att främja en hel familjs hälsa.Background: Emergency care of children is based on a systematic review of anamnesis, symptoms and vital signs. A meeting occurs between the child, parents and healthcare professionals, a situation that may have arisen without warning and suddenly life changing for the family. The child is in an exposed position in the emergency care, where the parents have an essential role. Motive: There are shortcomings in inclusion of parents that create barriers in the emergency care. This study will be important for guidance in how to develop nurses' approach and work towards families that will increase their feeling of safety and optimized care of the child. Aim: The aim is to describe nurses’ experiences of including parents in the emergency care of an injured/sick child. Methods: Eight individual semi-structured interviews were conducted, with nurses working at a pediatric emergency care department, for children between 0-18 years. The collected research material was analyzed with qualitative content analysis. Result: The analysis resulted in three categories: "To create a relationship between nurse and family", "To see the parents as a resource in the emergency care", "To experience challenges in meeting the family". Conclusion: Parents are seen as a resource in the meeting of care, but it should be assessed individually to what extent it's possible for parents to be included in emergency care of the child. Clear communication with parents is fundamental for feeling of safety and cooperation, while lack of structure leads to unclear roles between parents and nurses, which may complicate assessment and treatment of the child. There should be a balance between the child's right to influence his/her own care and including parents. It's a complex challenge for nurses but important to continue developing in order to promote health of the whole family.
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Karlsson, Helena. "Barnhälsovårdsjuksköterskors erfarenheter av att arbeta med barns språkutveckling." Thesis, Högskolan i Skövde, Institutionen för hälsa och lärande, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-13647.
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Bakgrund: Barns grundläggande språkkunskaper utvecklas under förskoleåldern (2-6år) och de befinner sig under denna period i ett språkfönster då språkutvecklingen är inne i en gynnsam fas. Upptäcks barn med språksvårigheter och får rätt insatser under denna period förbättras förutsättningarna för barnets fortsatta språkutveckling. Det är barnhälsovården och BHV-sjuksköterskans ansvar att upptäcka barn med atypisk språkutveckling, detta arbete sker genom upprepade språkbedömningar och språkscreeningar under tiden då barnet deltar i barnhälsovårdens verksamhet (0-6år). Syfte: Syftet med studien var att beskriva BHV-sjuksköterskors erfarenheter av att arbeta med barns språkutveckling inom barnhälsovården. Metod: En induktiv ansats valdes där datamaterialet analyserades med kvalitativ innehållsanalys. Åtta intervjuer genomfördes med BHV-sjuksköterskor. Resultat: Ur analysen av datamaterialet framträdde tre kategorier såsom; upptäcker barn med atypisk språkutveckling, samarbetar med föräldrar och använder evidensbaserat screeningsverktyg med sex tillhörande underkategorier. Konklusion: I studien framkommer att BHV-sjuksköterskorna upplever ett stort ansvar i att upptäcka barn med atypisk språkutveckling. Detta för att barn med språksvårigheter får bättre förutsättningar om insatser startar i tidig ålder. Föräldrar upplevs sakna förståelse för barnets språkutveckling och vilken betydelse språket har för barnet. BHV-sjuksköterskorna försöker skapa kunskap och förståelse för barnets språkutveckling hos föräldrarna då de har en central roll i barnets utveckling.Background: Children's basic language skills develop during the preschool age (2-6 years) and are at this time in a positive progress of language development. If children with language difficulties are detected and gets the right support during this period of time it improves the conditions for the child’s language development. It is the Child health care nurse’s responsibility to identify children with deviant language development. Aim: The aim of the study was to describe Child health care nurses´ experience of working with children´s language development in Child health centre. Method: An inductive approach was chosen where data was analyzed using qualitative content analysis. Eight interviews were conducted with Child health care nurses. Results: Three categories emerged from the analysis; detects children with deviant language development, collaborates with parents and use evidence-based screening instrument with six subcategories included. Conclusion: It emerges from the study that Child health care nurses´ experience a major responsibility to detecting children with deviant language development. This is because children with language difficulties get better prerequisites if insertion starts at early age. Child health care nurses perceive lack of understanding from parents regarding the child´s language development and the importance of language for the child.
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Giselsson, Frida, and Alexandra Larsson. "Är råden från Socialstyrelsen avseende spädbarns sovmiljö tillräckliga? : Enkätstudie om BHV-sjuksköterskors rådgivningssituation kring nattsömnen." Thesis, Högskolan i Halmstad, Hälsa och omvårdnad, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-37088.
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Bakgrund: BHV-sjuksköterskan ger råd efter Socialstyrelsens rekommendationer att barn under tre månader sover säkrast i egen säng. Studier visar att många föräldrar väljer att samsova med sina barn. Syfte: Syftet med studien var att undersöka om BHV-sjuksköterskan anseratt Socialstyrelsens råd och rekommendationer angående nattsömnen hos barn under tre månader är tillräckliga samt om och vilka råd som ges om samsovning. Metod: En kvantitativ ansats har använts. En enkät utformades och fylldes i av BHV-sjuksköterskor (n=47) i Nordvästra Skåne. Resultat: Resultatet visade att BHV-sjuksköterskorna ansåg att samsovning är vanligt förekommande och att de ofta ger råd kring hur samsovning kan ske säkrare. Resultatet visade också att BHV-sjuksköterskorna har olika uppfattningar om vad säker samsovning är samt vilka råd de ger. En fjärdedel av BHV-sjuksköterskorna ansåg att råden är otillräckliga. Slutsats: Studien visar att BHV-sjuksköterskor ger råd kring hur samsovning kan ske säkrare trots att detta inte rekommenderas samt att de ger olika råd. Detta ger ett behov av utökade råd och rekommendationer angående barns sovmiljö när det är yngre än tre månader.Background: Nurses at child health service give advice from the Swedish National Board of Health and Welfare that infants under three months should sleep in its own cot. Many parents choose to bed share with their infant. Aim: The aim of the study was to investigate if the nurses at child health services find that the Swedish National Board of Health and Welfare´s advice and recommendations regarding night sleep in infants under three months are sufficient and whether and what advice they give regarding bed sharing. Method:A quantitative approach has been used. A survey was drafted and replied by nurses at child health care service (n=47) in south Sweden. Results: The results show that the nurses consider that bed sharing was common and that they often gave advice on how bed sharing can be safer. The nurses had different perceptions of what safe bed sharing is and what advice they provide. A quarter of the nurses consider the advice to be insufficient. Conclusion:Nurses at child health service give advice on how bed sharing can be safer even though this is not recommended in Sweden and that they provide different advice. This requires extended advice regarding infants sleep environment.
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Rosário, Águeda Maria Barriguinha do. "Cuidar em obstetrícia com qualidade: operacionalização dos registos da consulta de enfermagem." Master's thesis, Universidade de Évora, 2016. http://hdl.handle.net/10174/20630.
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São conhecidos os benefícios da aplicabilidade da Classificação Internacional para a Prática de Enfermagem, nos cuidados de enfermagem. Tivemos como objetivo, otimizar o SClinico na consulta de saúde materna da Maternidade Dr. Francisco Feitinha da Unidade Local de Saúde do Norte Alentejano, EPE. Para diagnóstico da situação foi aplicada uma entrevista que permitiu identificar as necessidades da população. Foram propostas intervenções de diagnóstico frequentes, necessárias para promover a melhoria dos cuidados prestados e a qualidade dos mesmos. Para avaliação da intervenção aplicamos um questionário. Constatou-se que a maioria dos enfermeiros considera os registos eletrónicos de enfermagem importantes e de muita utilidade, para a atividade profissional e constituem uma fonte de informação essencial que permite a comunicação entre os profissionais de saúde garantindo continuidade e qualidade dos cuidados de enfermagem; ABSTRACT:
The benefits of the application of the International Classification for Nursing Practice in nursing care are known. Our purpose was to optimize the Clinical System and Nursing health consultation Maternity Dr. Francisco Feitinha Unit of the North Alentejo Health, EPE. For the diagnosis of the situation, it was applied an interview to identify the needs of the population. It was proposed more frequent diagnosis of interventions necessary to promote the improvement of care and its own quality. For evaluation of the intervention, we applied a questionnaire. Thus, we concluded that most nurses consider important electronic nursing records and that they are very useful for the professional activity. They are seen as an essential source of information and enable communication between health professionals ensuring continuity of quality care.
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Axelsson, Malin, and Therese Ekelöf. "SJUKSKÖTERSKORS ERFARENHETER AV ATT SAMTALA MED UNGA OM VÅLD I NÄRA RELATIONER : EN INTERVJUSTUDIE PÅ UNGDOMSMOTTAGNINGEN." Thesis, Malmö universitet, Fakulteten för hälsa och samhälle (HS), 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-42060.
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Bakgrund: Våld i nära relationer är ett betydande problem för ungdomar som utsätts vad gäller försämrad fysisk och psykisk hälsa och sämre upplevd livskvalitet. Ungdomar berättar sällan om sin utsatthet om de inte blir tillfrågade. Sjuksköterskan på ungdomsmottagningen har i sin roll ett helhetsperspektiv på människan och vana av att rutinmässigt ställa frågor om våld i nära relationer. Trots detta är det endast en mindre del av ungdomarna som berättar om sin utsatthet. Syfte: Syftet var att beskriva sjuksköterskans erfarenheter av att samtala med ungdomar om våld i nära relationer. Metod: Studien är av kvalitativ ansats där semistrukturerade intervjuer genomfördes och resultatet analyserades med induktiv innehållsanalys. Resultat: I resultatet framkommer tre kategorier som beskriver sjuksköterskans erfarenheter. För att möjliggöra för ungdomens berättelse krävs en trygg miljö och en trygg relation i mötet med ungdomen samt organisatoriska aspekter och erfarenhet av att ställa frågor om våld. Bemästra konsten att lyssna innebär att vara mottaglig i samtalet, att lyssna aktivt på det ungdomen säger och vilka signaler som sänds ut samt att reflektera över det egna beteendet i mötet. Balansen i samspelet med ungdomen beskriver svårigheten av att balansera ungdomens vilja och medbestämmande gentemot sjuksköterskans roll och uppdrag för att arbeta mot ungdomens bästa. Slutsats: Att samtala med unga om våld är en komplex uppgift där sjuksköterskan praktiserar en balansgång mellan att dels arbeta utifrån barnets perspektiv, dels genom att inta barnperspektivet utifrån sjuksköterskans uppfattning.Background: Domestic violence and intimate partner violence is a significant problem for adolescents who are exposed in terms of impaired physical and mental health and perceives lower quality of life. Young people rarely disclose their vulnerability if they are not asked. The role of the nurse at the youth clinic includes a holistic perspective on people and the nurse is used to routinely asking questions about domestic violence and violence in intimate relationships. Despite this, only a small proportion of adolescents report their vulnerability. Aim: The aim was to describe the nurses’ experiences of communicating with adolescents about domestic violence and intimate partner violence. Method: The study is of a qualitative approach where semi-structured interviews were conducted, and the results were analysed with inductive content analysis. Results: The results show three categories that describe the nurses’ experiences. To enable adolescents’ story to be told, a safe environment and a secure relationship with the young person are required, as well as organizational aspects and experience of asking questions about violence. Mastering the skill of listening means being receptive in the conversation, listening actively to what the young people are saying and what signals are being sent out, and reflecting on the nurses’ own behaviour in the meeting. The balance in the interaction with adolescent describes the difficulty of balancing the adolescents will and co-determination in relation to the nurses’ role and assignment to work towards the youth's best interests. Conclusion: Talking to young people about violence is a complex task where the nurse practices a balance between working from the child perspective, but also by taking the childs’ perspective based on the nurses’ perception.
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Barlow, Steven Lee. "Nurse Practitioner Barriers to Reporting Child Maltreatment." BYU ScholarsArchive, 2011. https://scholarsarchive.byu.edu/etd/2672.
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Each year approximately 1,000,000 child become the victims of abuse or neglect. The detrimental effects of child maltreatment (CM) have been well documented and create significant problems for the survivors and for society as well. All fifty states have enacted mandatory reporting laws to combat the CM epidemic. As mandated reporters, nurse practitioners and nurse midwives (APRNs) have the opportunity and responsibilities to identify and refer potential victims of CM, in this study a significant percentage choose not to report their suspicions. Respondents to the study survey identified several potential barriers to APRN reporting such as lack of education and training about CM, negative perceptions of child protective services and lack of physical evidence indicating CM occurred.
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RÃgo, Rita Maria Viana. "The father as participant in the breast-feeding: intervention of the nurse during the pregnancy and puerperal period." Universidade Federal do CearÃ, 2008. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=2746.
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nÃo hÃIntroduction. In Western society, traditionally, the pregnancy experience, education and health of children is part of the tasks that in the sexual division of labor, belongs to the woman. Also in the process of breastfeeding the father is not included. Objective. This study aimed to evaluate interventions in educational practices experienced by couples in the process of breastfeeding having the as a participant. Methodological path. For understanding and description of this phenomenon, the father as a participant in the process of breastfeeding, it was decided to go beyond a situational diagnosis. It was done a research-action considering that the intention has always been dedicated to discuss with the participants of this study, about values, concepts and beliefs culturally assimilated by the society in relation to the process of breastfeeding, and intending to reflect the possible shift in paradigms. Participated eight couples with their children, followed for eight and six months of life. Before the birth, took place four meetings, after the birth of the child, each family was visited daily for ten consecutive days, and, on average, were visited at their residences 20 times in the six months of childÂs life. Conclusions. In search of the literature, we found that publications are still incipient and probably actions involving the father in the process of breastfeeding. This experience shows that the father may be an important ally, true partner, is essential to credit and encouraging their participation. They demonstrate satisfaction in providing care to children, especially when they realize that their initiatives and attempts to hit are valued by the partner and by health professionals. It is realized that are shy and isolated the initiatives to include the father, especially in public services, where they are sometimes regarded visits. Recommendations. Facing these results, it is recommended that fathers should be invited to attend meetings and individual consultations of his partner during prenancy and childbirth. Relevance. It is believed that this study will guide motivations to activeness of the nurse to promote the involvement of fathers in the promotion of breastfeeding at the primary level, pre-natal, secondary and tertiary in maternity, continuing in homes of families through domiciliary visits
IntroduÃÃo. Na sociedade ocidental, tradicionalmente, vivenciar a gestaÃÃo, educaÃÃo e saÃde dos filhos faz parte das tarefas que, na divisÃo sexual do trabalho, cabe à mulher. TambÃm no processo da amamentaÃÃo o pai nÃo à incluÃdo. Objetivo. Esta pesquisa teve como objetivo avaliar intervenÃÃes de prÃticas educativas vivenciadas por casais no processo da amamentaÃÃo, tendo o pai como partÃcipe. Caminho metodolÃgico. Para compreensÃo e descriÃÃo desde fenÃmeno, o pai como partÃcipe no processo da amamentaÃÃo, decidiu-se ir alÃm de um diagnÃstico situacional. Realizou-se pesquisa-aÃÃo considerando que a pretensÃo sempre esteve voltada para discutir, juntamente com os participantes deste estudo, acerca de valores, conceitos e crenÃas culturalmente assimilados pela sociedade em relaÃÃo ao processo da amamentaÃÃo, pretendendo refletir na possÃvel mudanÃa de paradigmas. Participaram oito casais com seus filhos, acompanhados durante oito e seis meses de vida. Antes do parto, aconteceram quatro encontros; apÃs o nascimento da crianÃa, cada famÃlia foi visitada diariamente por dez dias consecutivos, sendo que, em mÃdia, foram visitadas em suas residÃncias 20 vezes nos seis meses de vida da crianÃa. ConclusÃes. Na busca da literatura, verificou-se que ainda sÃo incipientes publicaÃÃes e provavelmente aÃÃes que envolvam o pai no processo da amamentaÃÃo. Com esta experiÃncia evidencia-se que o pai pode ser um importante aliado, verdadeiro parceiro, sendo indispensÃvel o crÃdito e o estÃmulo a sua participaÃÃo. Eles demonstram satisfaÃÃo em prestar cuidados aos filhos, principalmente quando percebem que suas iniciativas e tentativas de acerto sÃo valorizadas pela companheira e pelos profissionais de saÃde. VÃ-se que sÃo tÃmidas e isoladas as iniciativas de inclusÃo do pai, principalmente nos serviÃos pÃblicos, em que estes sÃo por vezes considerados visitas. RecomendaÃÃes. Diante destes resultados, recomenda-se que os pais devam ser convidados a participar das reuniÃes e consultas individuais de sua companheira no perÃodo gravÃdico e puerperal. RelevÃncia. Acredita-se que este estudo possa nortear motivaÃÃes no sentido de atuaÃÃo efetiva da enfermeira para promover o envolvimento do pai na promoÃÃo da amamentaÃÃo no nÃvel primÃrio, no prÃ-natal, secundÃrio e terciÃrio nas maternidades, continuando nas residÃncias das famÃlias por meio de visitas domiciliÃrias
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Gesey, Salma, and Ly Nguyen. "Sjuksköterskors erfarenheter vid misstanke att barn far illa." Thesis, Högskolan Väst, Avdelningen för omvårdnad - grundnivå, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-13562.
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Background: The number of children abused in Sweden has increased in last years. All children have the right to live a safe life and receive a good development during their upbringing. It is important that the child's basic needs are met for the child to have a good development. Being a victim of child abuse can lead to enormous consequences in the future for the child's physical and mental health. Aim: This study aimed to illuminate the nurse's experiences in suspected child maltreatment Method: A literature study based on analysis of qualitative studies according to Friberg´s five step model. Results: The results of the studies showed that responding and helping children who live in child abuse was a difficult task for the nurses to perform. The nurses were aware of their obligation to maintain the child's safety. The nurses described the basis of their experience that they encountered personal and work-related obstacles to be able to identify, remedy and report when children were suspected of being abused. The result is presented under three themes. The first theme highlights how nurses are emotionally affected. The second theme is about experiences about collaboration with other authorities. The third theme describes the nurses' need for professional development. Conclusion: The nurses should be able to give the child the right care to ensure the safety of the child and be able to give advice to the child's family. A prerequisite for providing adequate nursing needs nurses have good health science knowledge.Antalet barn som far illa i Sverige ökar. Sjuksköterskor har skyldighet att anmäla vid misstanke om barn som far illa. Forskning visar att barn som far illa väljer att inte berätta för en vuxen eller en professionell person om misshandeln. Forskning visar även att sjuksköterskans beteende kan hindra eller stimulera patientens delaktighet samt att vårdkultur kan bidra till ett vårdlidande. Konsekvensen av att leva med utsatthet som barn kan resultera i fysisk och psykisk ohälsa senare i livet. Resultat av denna litteraturstudie baseras på sammanställning av nio kvalitativa studier. Resultatet visar att sjuksköterskornas emotionella påverkan har sin inflytande på arbetet. Sjuksköterskorna förstår sitt ansvar att reagera och hjälpa det utsatta barnet, för att sjuksköterskorna ska kunna utöva sitt ansvar krävs det en fungerande samverkan med andra verksamheter. Sjuksköterskorna upplever frustration över bristande samverkan med andra vårdenheter och myndigheter. Sjuksköterskorna uttrycker även ett behov av mer kunskap och professionell utveckling samt tydliga rutiner för att kunna upptäcka varningstecken och därefter kunna vidta relevanta åtgärder i syfte att barnets säkerhet säkerställas i god tid. Slutsatsen av detta examensarbete är att sjuksköterskorna stöter på hinder under processen att hjälpa barn och deras familj. För att sjuksköterskorna ska kunna tidigt upptäcka och vidta rätta åtgärder vid misstanke om barn som far illa krävs det förutsättningar för sjuksköterskorna att utveckla sin kunskap, en fungerande samverkan med alla berörda, samt rätt stöd för att bearbeta den emotionella påverkan som uppstår.
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Mathai, Mary. "A study of the knowledge and problem solving ability of the family planning nurse in Mdantsane." Master's thesis, University of Cape Town, 1998. http://hdl.handle.net/11427/26933.
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Women's control over their fertility is vital for both their health and that of their children. Although family planning methods are available at most health facilities in the country, the service does not enable many Black South African women to control their fertility successfully. This inadequacy of the present service is demonstrated, by a high rate of teenage pregnancy and abortion. Based on anecdotal reports, one of the barriers to effective use of contraceptive methods seemed to be the competence and abilities of the providers. This qualitative study was done in clinics in a peri-urban township to explore the knowledge and problem-solving abilities of the nurses providing family planning services. The aim was to use the information so gained to improve family planning services in the area by preparing a set of guidelines for the management of specific clinical problems and making recommendations to service organisers. The study tape-recorded 18 actual nurse-patient interactions to get an idea of the clinical problems faced by the nurses. A consensus panel was used to derive a set of "ideal" answers to the clinical scenarios the nurses faced in the consultations and the nurses' and panels' responses were compared. A focus group discussion with the nurses was then conducted and their opinions and reasons for the differences explored. The results revealed a general malaise affecting the services in this area. There were significant differences in the nurses and panels' handling of the problems especially in the areas of counselling and advice. In addition, the nurses were found to be inappropriate providers of family planning as their scope of practice prevented them from examining patients. They were also unable to rule out pregnancy because there were no pregnancy test kits available in the clinics. The focus group discussions indicated that many of the nurses knew how to handle the problems and what advice to give. They claimed that work and time pressures prevented them from doing this. They also alleged that patients were the problem and never told the truth. Poor communication skills and attitudes towards patients were other barriers identified. Nurses spoke to their patients like children and were often rude. In addition, nurses counselled patients infrequently on the use of methods and the side effects to be expected. Patients were offered a choice of method rarely and health education when given, focused on morality and did not mention issues like safe sex and HIV/ AIDS. The manual of guidelines will only address the problem solving of the nurses. The study therefore concludes by making recommendations to the Directorate of Maternal, Child and Women' s Health to carefully evaluate the use of enrolled nurses as providers with full consideration given to the quality of care that can be provided by them. The resources available and the practices related to supervision and in-service training also need to be reviewed and prioritised. A recommendation is also made to the Provincial Human Resources Directorate to develop policies for improving staff attitudes towards service users and disciplinary procedures for staff who are rude to service users. Recommendations are also made to supervisors to review the present training course and introduce the problem-solving approach and respect for patient autonomy into it. The supervision is also recommended to be facilitative and on-site and the providers must be involved in the solving of problems. The emphasis of the service must change from patient turnover to effective contraceptive use to enable women in this area to have any meaningful control over their fertility.
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Kabamba, Beatrice Mubanga. "An inquiry into the feasibility of integration of the advanced midwifery and neonatology clinical nurse specialist in the district health system: the Zambian experience." Thesis, University of the Western Cape, 2004. http://etd.uwc.ac.za/index.php?module=etd&.
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Research has shown that there is a problem in the delivery of quality care in maternal and child health services in Zambia. The 1996 Zambia demographic and health survey estimated maternal mortality rate as high as 649 per 100,000 live birth, with this reason among others, human resource constraints and low number of supervised antenatal clinics, deliveries and postnatal clinics by skilled personnel as some of the reasons for the high maternal mortality. Selected studies identify the role of a clinical nurse specialist in advanced midwifery and neonatology who has acquired the knowledge and practical skills to bring about the desired impact of quality care in safe mother hood in order to bring down the high maternal mortality rates. In order to achieve this, the government needs to integrate the advanced midwifery and neonatology clinical nurse specialist in the health system. It was the purpose of the study to inquire into the feasibility of integration of the advanced midwifery and neonatology clinical nurse specialist in the Ndola District Health system .
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Gimbler, Berglund Ingalill. "Nurse anaesthetist's interactions and assessment of children's anxiety." Licentiate thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ, Avd. för omvårdnad, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-19527.
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Forty to sixty percent of all children having surgery experience preoperative anxiety. Preoperative anxiety is a risk factor for negative behavioural changes postoperative. It is of importance to find strategies in the interaction with the child to reduce anxiety. The overall aim was to describe CRNA's interaction with the child in relation to anxiety during anaesthesia induction and to describe the translation process of m-YPAS into Swedish and the testing of the psychometric properties in a Swedish context. In paper I an explorative qualitative approach with CIT was used and 32 CRNAs were interviewed. Experiences described were about the organisation which included effect of information, teamwork and time. Other experiences were grouped around interrelations such as, communication, meeting both anxious and calm children and experiences of use of physical restraint. Actions taken to reduce anxiety were optimizing the situation, as acting according to the situation, it could mean altering routines, though always without jeopardizing the safety of the child, preparing ahead and using distraction. Creating interpersonal interaction such as, creating contact, participation and using collaboration with the child, parents and colleagues. In paper II m-YPAS was translated into Swedish using cross cultural back translation. The psychometric properties of m-YPAS were tested in two phases. In phase I 52 children were assessed in real time by two SRNAs and one CRNA using m-YPAS and NAS. In phase II 98 video films of children were assessed by experienced CRNAs in the same way as in phase I. The psychometric properties of m-YPAS were good. Conclusion: In the interaction between CRNAs and the child, being flexible and sensitive to the child, taking the role of the child, and acting according to the need of the child were cornerstones in reducing preoperative anxiety and avoiding use of physical restraint. The m-YPAS can be used as an educational tool to enhance the anaesthetist's ability to interpret the child's anxiety. The m-YPAS is a valid and reliable assessment instrument to examine the efficiency of interventions and compare the result of research between cultures.
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Bolling, Jessica Maria. "BVC-sjuksköterskors upplevelser av arbetet med omsorgssviktande familjer." Thesis, University of Skövde, School of Life Sciences, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-3335.
Full textAbstract:
Many children in Sweden are exposed to maltreatment. Among the purposes of the Child health care (CHC) are to decrease mortality, infirmity and handicaps among mothers and their children, and to decrease hurtful strains for parents and their children. CHC-nurses get critizism for not reporting child maltreatment in high enough numbers to the Social service. The aim of this study was to chart how CHC-nurses finds their work with families suffering from maltreatment. Ten CHC-nurses were interviewed with semistructured interviews. The study has a qualitative approach and the interviews were analysed with the help of content analysis. In the result it appears that CHC-nurses experiences working with families suffering from maltreatment is very emotional. The support from collegues, psychlogists and co-operation with Mother Health Care, pre-school and Social Service is valuable. It’s hard to judge which who are exposed to maltreatment because the definition is unclear. There’s a wish to be able to help more families without needing to report to the Social service. The prevented work by the CHC agains maltreatment should get a more prominent clear position in CHC’s standard program for the entire family.
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Falkebäck, Alice, and Lisa Jensen. "Allt mellan glädje och sorg : Sjuksköterskans erfarenheter av att vårda barn med cancer." Thesis, Högskolan Väst, Avdelningen för omvårdnad - grundnivå, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-15854.
Full textAbstract:
Background Every year around 350 children in Sweden become ill in some form of cancer, which also is the most common cause of death for children up to 14 years. The nurse has an important function in conveying safety and hope to these severely ill children and their families. Caring for children with cancer can be difficult and challenging. Method and Aim A literature study based on qualitative research with the aim of describe the nurse's experiences of caring for children with cancer was performed. Results The result was based on nine qualitative articles that, after analysis according to Friberg, resulted in three main themes; Become a part of the family, Emotional stress and Be professional, built on seven subthemes. The result showed that being a nurse caring for children with cancer was both mentally and physically exhausting. Strong relationships were formed between the nurse, the children and their families, and the nurse provided important support. Caring for children with cancer caused the nurse to experience several different emotions that affected both private life and working life. Emotions had to be handled with the help of support. Conclusion Caring for children with cancer is giving the nurse several strong feelings, both positive and negative. Strong relationships between the nurse, the children and their family can increase these feelings. To as a nurse every day meet these children with cancer is very demanding and support of different kinds are therefore necessary.Varje år insjuknar ca 350 barn i Sverige i någon form av cancer som också är den vanligaste dödsorsaken för barn upp till 14 års ålder. Hjärntumörer och leukemi är de vanligaste cancerformerna hos barn under 10 år. Hos barn över 10 år är lymfom och melanom vanligast. Vanligt förekommande symtom är feber, trötthet och minskad aptit. Cytostatikabehandling, strålbehandling och operation är de behandlingar som används vid barncancer. Sjuksköterskan är omvårdnadsansvarig och har en viktig funktion i att ge stöd samt förmedla trygghet och hopp till barnen. Arbetet med barn med cancer kan vara svårt och utmanande. Syftet med denna litteraturstudie var att belysa sjuksköterskans erfarenheter av att vårda barn med cancer. Metoden som valdes var därför en litteraturstudie med grund i kvalitativ forskning. Resultatet baserades på nio kvalitativa artiklar som efter analys resulterade i tre teman och sju subteman. Första temat Bli en del av familjen beskriver de nära relationer som bildas mellan sjuksköterskan, barnen och deras familjer samt funktioner i att ge stöd åt barn med cancer. Andra temat, Emotionella påfrestningar, handlar om de känslor sjuksköterskan upplever i arbetet, sjuksköterskans upplevelse av att känna sig otillräcklig i omvårdnaden samt hur arbetet påverkar sjuksköterskans privatliv. Tredje temat, Vara professionell beskriver sjuksköterskans svårigheter att hantera känslorna samt sjuksköterskans upplevelse av bland annat stress, press och kunskapskrav. Litteraturstudiens diskussion fokuserade på de starka relationerna, de upplevda känslorna samt sjuksköterskans behov av stöd. Slutsatser som kan dras av denna litteraturstudie är att som sjuksköterska vårda barn med cancer på många sätt är ett krävande arbete och sjuksköterskan påverkas både emotionellt, psykiskt och fysiskt. Stöd är därför nödvändigt. För att vården ska kunna utvecklas och bli än bättre i framtiden finns behov av ytterligare forskning om sjuksköterskans upplevelse av att få stöd samt vilka former av stöd som behövs.