Kristina Rosengren

Need for Preparedness: Nurses' Experiences of Competence in Home Health Care

Home health care faces challenges that could affect job satisfaction and quality of care. The aim of the study was to describe nurses’ experiences of competence in home health care. The study sample comprised of interviews with six nurses and was analyzed using manifest qualitative content analysis. The category “Being prepared” and subcategories “Importance of leadership strategies,” “Training promotes safety and independence,” and “Co-operation for professional development” were identified. Organizing and planning continuous learning activities at a managerial level, such as collaborations with a focus on supervision and sense of coherence (SOC) training, could develop patient safety within home health care. The results demonstrate that professionally competent nurses working in home health care environments contribute to safe working practices to meet quality care outcomes.

More Benefits Than Problems A Study Regarding Patients’ Experiences With a PICC-Line During Cancer Treatment

Chemotherapy often requires a central venous access such as a peripherally inserted central catheter (PICC-line). The purpose of this study is to describe patients’ experiences with the PICC-line during curative oncological treatment. A quantitative cross-sectional study including 36 questionnaires (response rate 97%) comprising 14 questions was used. The results are presented in four dimensions: information, discomfort, anxiety, and restrictions in daily life. Patients are generally satisfied with their PICC-lines compared with peripheral pinpricks; however, some restrictions regarding dressings, movement, and hygiene routines were reported. Moreover, patients described anxiety using the PICC-line regarding lack of functionality and risk of infection. Therefore, patients need information based on everyday life situations, and nurses’ information skills may significantly increase patient safety and patient satisfaction during curative oncological treatment.

Every Second Counts Women’s Experience of Living With ALS in the End-of-Life Situations

Amyotrophic lateral sclerosis (ALS) is a progressive disease that affects patients with a loss of speech and mobility. The aim of this study was to describe patients’ experiences of living with ALS in the end-of-life situations. A manifest content analysis was chosen for analysis narratives from four biographies by women who had ALS. The categories Suffering, Meaningfulness, and Experiences of a Limited life were identified as describing patients’ understanding of living with ALS. Nurses need to be trained in communication skills to maintain human dignity for patients who lost their speech regarding an intellect in shape. There is a need for information among family members about severe diseases, such as ALS, to improve high quality of care and well-being for all involved. Home health care has to invite and facilitate patients’ and relatives’ participation regarding the end-of-care processes to improve a sense of coherence to handle everyday life situation in the future.

Dare to Ask Children As Relatives! A Qualitative Study About Female Teenagers’ Experiences of Losing a Parent to Cancer

Nurses must pay attention to teenager altered lives when a parent receives treatment for cancer. The aim of this study was to describe female teenagers’ experiences of losing a parent to cancer. Blogs written by girls (13-19 years) were utilized and analyzed from a qualitative perspective. Four categories were highlighted from the analysis: sadness, fear, anger, and comfort. Blogs served as a tool for gathering strength for teenagers in their difficult circumstances. The results show that female teenagers need information and support through their parent’s end-of-life care to be able to move on after the traumatic experience. Support needs to be in line with the children’s individual needs.

An improvement project within urological care

PURPOSE The purpose of this paper is to describe staff experiences in an on-going improvement project regarding patients with ureteral stones. DESIGN/METHODOLOGY/APPROACH A qualitative descriptive study based on eight group interviews and 48 narratives, was performed. Data were analysed using qualitative content analysis. Trustworthiness was ensured by using a well-documented improvement process method during six months. FINDINGS The results formed three categories: an absent comprehensive view; complexity; and vulnerability within the organisation. A holistic perspective regarding urological care at the micro-, meso- and macro-levels is needed to improve planning and caring processes. RESEARCH LIMITATIONS/IMPLICATIONS This study includes one team (six members, different health professionals) within the same urology department. PRACTICAL IMPLICATIONS Results show that staff need information, such as guidelines and support throughout the improvement work to deliver high-quality care. Moreover, there is a need for evidence-based guidelines at national level to support improvement work. SOCIAL IMPLICATIONS Healthcare staff need to pay attention to all team member needs to improve urological care. Organisational and managerial aspect are needed to support clear and common goals regarding healthcare improvement work. ORIGINALITY/VALUE Urological improvement projects, generally, are lacking, which is why this study is important to improve nephrolithiasis patient care.

Person-centred care: A qualitative study on first line managers’ experiences on its implementation

Person-centred care is an up-and-coming care model for reducing fragmentation in healthcare by using the core component partnership between patients and care providers. Therefore, it is important to develop knowledge of the implementation processes. The overall aim of this qualitative study was to describe managers’ experiences of the implementation of person-centred care. This paper provides an example of how person-centred care was implemented in the medical department of a hospital in the western part of Sweden. The study comprised eight interviews with first-line managers, and the data were analysed using qualitative content analysis. The results formed three categories, structured approach – to be organized; care planning – to be continued and teamwork – to be together, that describe the implementation of person-centred care from philosophy to practice application. Managerial skills of first-line managers are key components to developing a structured approach that improves and develops person-centred care, i.e. work together towards the mutual care plan. Continuous cooperation within and across organizational boundaries is needed (synergy effect) to decrease high working load when person-centred care is implemented to improve quality of care.

Feeling Confident in Using PICC Lines Patients’ Experiences of Living With a PICC Line During Chemotherapy Treatment

Treatments involving chemotherapy require central venous access, such as a Peripherally Inserted Central (PICC) line. The aim of the study was to describe patients’ experiences of living with a PICC line during chemotherapy treatment. The study comprised interviews with 10 patients and was analyzed using manifest qualitative content analysis. The categories The importance of security, The importance of contentedness, and Feeling confident in using the PICC line were identified. To contribute to patient safety and empowerment in health care, nurses must be well trained in PICC line care. Therefore, evidence-based knowledge about central venous access is necessary for patients’ security and contentedness and to improve quality of care and increase patients’ well-being in central venous access care activities in the future.

Nursing Students’ Experiences With Type 2 Diabetes in Jordan: A Qualitative Content Analysis

Prevalence of type 2 diabetes has increased worldwide due to lifestyle factors, such as obesity and inactivity, and nurses have an essential role in supporting healthy life situations. The aim was to describe nursing students’ experiences with type 2 diabetes in Jordan with regard to prevention and nursing care. Interviews with eight nursing students were performed. Data were analyzed using content analysis. One category and two subcategories were generated: managing challenges in daily life to prevent type 2 diabetes and promote patient safety, managing risk factors, and dealing with difficulties. Empowerment and person-centered care are tools to increase patients’ self-care to motivate them to live a healthy lifestyle within the whole family to prevent and decrease illness.

Dare to Care: A Qualitative Content Analysis Regarding Nursing Students’ View on HIV in Vietnam:

In Vietnam, HIV-positive population, as well as the stigmatization of this disease, is increasing, which affects patients and staff, thus requiring improvement. Nurses have a central role in adopting UNAIDS 90-90-90 vision regarding knowledge and treatment without risk. The aim of this study is to describe nursing students’ experiences with HIV in Hanoi, Vietnam. Interviews with seven nursing students were performed. Data were analyzed using content analysis. The results formed one category, dare to care, and three subcategories: being careful, managing fear, and creating trust. This study highlighted the importance of awareness of values (visualize stigmatization) to develop guidelines (built on evidence-based knowledge) to transform knowledge (theoretical, practical) through nursing skills that are performed to manage fear and create trustful care for HIV-positive patients.

Development of an Academic Course in Person-Centred Care for Students in Higher Education: Teachers’ Perspectives

Few studies describe the development of academic courses with interprofessional perspectives. Therefore, the aim of this study was to describe teachers’ experiences with developing an academic course in person-centred care (PCC). Data collection was divided into three parts: (1) written material/documentation describing the process (text and pictures, 16 meetings), (2) SWOT analysis in relation to being a lecturer ( ), and (3) interviews with the lecturers ( ). The data were analysed using mixed methods, descriptive statistics (1) and qualitative content analysis (2-3). The results are presented in three categories (Co-creating a pilot course, Challenges of managing unfamiliar knowledge, and Wanting to understand new educational approach). This study highlights three challenges: (1) unfamiliarity with the field of person-centred care and selected educational activities and teaching skills; (2) unfamiliar colleagues, which delayed partnership efforts; and (3) limited experience working with other lecturers in light of the institute’s structure and routines. However, these challenges served as both barriers and facilitators; the lecturers developed knowledge and experiences from collaborations (educational and/or content skills/knowledge) focusing on resources and skills.