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Söderberg, A., Karlsson, V., Fagevik Olsén, M., Thelandersson, A. & Johansson, A. (2023). Patient as active partner – clue to successful early mobilization in intensive care. Physiotherapy Theory and Practice
Åpne denne publikasjonen i ny fane eller vindu >>Patient as active partner – clue to successful early mobilization in intensive care
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2023 (engelsk)Inngår i: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040Artikkel i tidsskrift (Fagfellevurdert) Epub ahead of print
Abstract [en]

Background: The evidence for the benefits of early mobilization in intensive care is growing. Early mobilization differs from most other interventions in intensive care since the patient’s participation is requested. What kind of challenges this entails for the intensive care clinicians, and what is crucial in successful early mobilization from their perspective, is sparsely explored and was therefore the purpose of this study. Methods: Semi-structured interviews were held with 17 intensive care clinicians, seven nurses, five assistant nurses and five physiotherapists. The interviews were analyzed with a phenomenographic methodology. Findings: Four descriptive categories emerged: 1) Taking responsibility; 2) Taking the patient’s perspective; 3) Time or not time to mobilize; and 4) The “know-how” of early mobilization. Early mobilization was perceived as an important and crucial part of intensive care. It includes positioning and sensory stimulation, which could be used to re-orientate the patient and prevent delirium. The patients’ experiences were considered individual with a mix of strong emotions. Despite the stated significance of early mobilization, different conceptions were expressed about the right time, some of them based on concerns for the patient, and some due to safety concerns. In the optimal active mobilization to upright positions there was an emphasis on careful preparation and patient involvement, including negotiation and active participation. Conclusions: The importance of early mobilization is indisputable. Successful early mobilization is achieved by applying a person-centered approach, involving the patient as an active partner. Early mobilization comprises positioning and sensory stimulation and should be included in the daily planning of patient care. 

sted, utgiver, år, opplag, sider
Taylor & Francis Group, 2023
Emneord
Barriers, clinician, early mobilization, intensive care, person-centredness
HSV kategori
Forskningsprogram
Välbefinnande vid långvariga hälsoproblem (WeLHP)
Identifikatorer
urn:nbn:se:his:diva-23086 (URN)10.1080/09593985.2023.2239891 (DOI)001036439900001 ()37489585 (PubMedID)2-s2.0-85165670360 (Scopus ID)
Merknad

CC BY NC-ND 4.0

© 2023 The Author(s). Published with license by Taylor & Francis Group, LLC.

Published online: 25 Jul 2023

Taylor & Francis Group an informa business

CONTACT Annika Söderberg annika.soderberg@gu.se Department of Health and Rehabilitation/Physiotherapy, Institute of Neuroscience and Physiology University of Gothenburg, Sahlgrenska Academy, Gothenburg, SE 405 30, Sweden

The work was supported by the Skaraborg Research and Development Council, Skövde, Sweden [VGFOUSKB- 932496]; Research Fund at Skaraborg Hospital, Skövde, Sweden [VGSKAS-981105]; Skaraborg Institute [15/1028].

Tilgjengelig fra: 2023-08-10 Laget: 2023-08-10 Sist oppdatert: 2023-10-10bibliografisk kontrollert
Karlsson, V., Bergbom, I., Ringdal, M. & Jonsson, A. (2016). After discharge home: a qualitative analysis of older ICU patients' experiences and care needs. Scandinavian Journal of Caring Sciences, 30(4), 749-756
Åpne denne publikasjonen i ny fane eller vindu >>After discharge home: a qualitative analysis of older ICU patients' experiences and care needs
2016 (engelsk)Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 30, nr 4, s. 749-756Artikkel i tidsskrift (Fagfellevurdert) Published
sted, utgiver, år, opplag, sider
Wiley-Blackwell, 2016
HSV kategori
Forskningsprogram
Medicin
Identifikatorer
urn:nbn:se:his:diva-11666 (URN)10.1111/scs.12301 (DOI)000389453000013 ()26662180 (PubMedID)2-s2.0-84949883907 (Scopus ID)
Tilgjengelig fra: 2015-11-06 Laget: 2015-11-06 Sist oppdatert: 2019-11-13bibliografisk kontrollert
Forsberg, A., Karlsson, V., Cavallini, J. & Lennerling, A. (2016). The meaning of social adaptation after solid organ transplantation. Nordic journal of nursing research, 36(2), 62-67
Åpne denne publikasjonen i ny fane eller vindu >>The meaning of social adaptation after solid organ transplantation
2016 (engelsk)Inngår i: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 36, nr 2, s. 62-67Artikkel, forskningsoversikt (Fagfellevurdert) Published
Abstract [en]

The aim of this study was to investigate the meaning of social adaptation among solid organ transplant recipients one year after transplantation. We analysed in-depth interviews from 16 solid organ transplant recipients by means of phenomenological hermeneutics. The informants comprised 11 men and five women with a mean age of 54 years, who had received a kidney, a liver or a heart. We found the organ recipients adjusted their everyday life in order to adapt socially and achieve a normal everyday life. The meaning of social adaptation comprised six main themes revealed by one structural analysis: being restricted, changing habits, re-evaluating one’s body image, redesigning life expectations and life goals, enjoying and expanding the social network and being disappointed in others. We conclude that the core meaning of social adaptation is living a normal life. Social support can be emotional or instrumental and is highly valued when it helps the organ recipient to adapt and achieve normality.

sted, utgiver, år, opplag, sider
Sage Publications, 2016
HSV kategori
Forskningsprogram
Medicin
Identifikatorer
urn:nbn:se:his:diva-11665 (URN)10.1177/0107408315603915 (DOI)
Tilgjengelig fra: 2015-11-06 Laget: 2015-11-06 Sist oppdatert: 2023-09-12bibliografisk kontrollert
Karlsson, V. & Bergbom, I. (2015). ICU Professionals’ Experiences of Caring for Conscious Patients Receiving MVT. Western Journal of Nursing Research, 37(3), 360-375
Åpne denne publikasjonen i ny fane eller vindu >>ICU Professionals’ Experiences of Caring for Conscious Patients Receiving MVT
2015 (engelsk)Inngår i: Western Journal of Nursing Research, ISSN 0193-9459, E-ISSN 1552-8456, Vol. 37, nr 3, s. 360-375Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Over the last decade, caring for patients who are conscious while receiving mechanical ventilator treatment has become common in Scandinavian intensive care units. Therefore, this study aimed to describe anesthetists’, nurses’, and nursing assistants’ experiences of caring for such patients. Nine persons were interviewed. A hermeneutic method inspired by Gadamer’s philosophy was used to interpret and analyze the interview text. Staff members found it distressing to witness and be unable to alleviate suffering, leading to ethical conflicts, feelings of powerlessness, and betrayal of the promises made to the patient. They were frustrated about their inability to understand what the patients were trying to say and often turned to colleagues for help. When caring for conscious patients, it takes time to get to know them and establish communication and a trusting relationship.

sted, utgiver, år, opplag, sider
Sage Publications, 2015
Emneord
hermeneutics, mechanical ventilation, conscious, nurses, relationship
HSV kategori
Forskningsprogram
Medicin
Identifikatorer
urn:nbn:se:his:diva-8887 (URN)10.1177/0193945914523143 (DOI)000349102400006 ()24558056 (PubMedID)2-s2.0-84922183594 (Scopus ID)
Tilgjengelig fra: 2014-02-20 Laget: 2014-02-20 Sist oppdatert: 2017-12-06bibliografisk kontrollert
Forsberg, A., Lennerling, A., Fridh, I., Karlsson, V. & Nilsson, M. (2015). Understanding the Perceived Threat of the Risk of Graft Rejections: A Middle-Range Theory. Global Qualitative Nursing Research, 2, Article ID 2333393614563829.
Åpne denne publikasjonen i ny fane eller vindu >>Understanding the Perceived Threat of the Risk of Graft Rejections: A Middle-Range Theory
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2015 (engelsk)Inngår i: Global Qualitative Nursing Research, ISSN 2333-3936, Vol. 2, artikkel-id 2333393614563829Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

From a clinical viewpoint, graft rejection is one of the greatest threats faced by an organ transplant recipient (OTR). We propose a middle-range theory (MRT) of Perceived Threat of the Risk of Graft Rejection (PTRGR) as a contribution to the practice of transplant nursing. It could also apply to the detection of risky protective behavior, that is, isolation, avoidance, or non-adherence. The proposed MRT covers the following concepts and the relationship between them: transplant care needs, threat reducing interventions, intervening variables, level of PTRGR, protective strategies, and evidence-based practice. Parts of this theory have been empirically tested and support the suggested relationship between some of the concepts. Further tests are needed to strengthen the theoretical links. The conceptual framework might serve as a guide for transplant nurses in their efforts to promote post-transplant health and reduce threat-induced emotions.

sted, utgiver, år, opplag, sider
Sage Publications, 2015
Emneord
nursing, transplantation, graft rejection, middle-range theory, organ, transplant recipients, perceived threat
HSV kategori
Forskningsprogram
Medicin
Identifikatorer
urn:nbn:se:his:diva-10639 (URN)10.1177/2333393614563829 (DOI)000436678500002 ()2-s2.0-85059122031 (Scopus ID)
Tilgjengelig fra: 2015-02-10 Laget: 2015-02-10 Sist oppdatert: 2019-09-10bibliografisk kontrollert
Forsberg, A., Flodén, A., Lennerling, A., Karlsson, V., Nilsson, M. & Fridh, I. (2014). The core of after death care in relation to organ donation: A grounded theory study. Intensive & Critical Care Nursing, 30(5), 275-282
Åpne denne publikasjonen i ny fane eller vindu >>The core of after death care in relation to organ donation: A grounded theory study
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2014 (engelsk)Inngår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 30, nr 5, s. 275-282Artikkel i tidsskrift (Fagfellevurdert) Published
sted, utgiver, år, opplag, sider
Elsevier, 2014
Emneord
After death care, Brain death, Grounded theory, Intensive care nurses, Organ donation
HSV kategori
Forskningsprogram
Medicin
Identifikatorer
urn:nbn:se:his:diva-9965 (URN)10.1016/j.iccn.2014.06.002 (DOI)000349930000005 ()25042694 (PubMedID)2-s2.0-84906100608 (Scopus ID)
Tilgjengelig fra: 2014-09-17 Laget: 2014-09-17 Sist oppdatert: 2017-11-27bibliografisk kontrollert
Karlsson, V., Forsberg, A. & Bergbom, I. (2012). Communication when patients are conscious during respirator treatment — A hermeneutic observation study. Intensive & Critical Care Nursing, 28(4), 197-207
Åpne denne publikasjonen i ny fane eller vindu >>Communication when patients are conscious during respirator treatment — A hermeneutic observation study
2012 (engelsk)Inngår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 28, nr 4, s. 197-207Artikkel i tidsskrift (Fagfellevurdert) Published
sted, utgiver, år, opplag, sider
Elsevier, 2012
Emneord
Hermeneutic, Observations, Mechanical ventilation treatment, ICU, Caring, Communication
HSV kategori
Forskningsprogram
Medicin
Identifikatorer
urn:nbn:se:his:diva-9968 (URN)10.1016/j.iccn.2011.12.007 (DOI)22658405 (PubMedID)2-s2.0-84863817314 (Scopus ID)
Tilgjengelig fra: 2014-09-17 Laget: 2014-09-17 Sist oppdatert: 2017-12-05bibliografisk kontrollert
Karlsson, V., Lindahl, B. & Bergbom, I. (2012). Patients' statements and experiences concerning receiving mechanical ventilation: A Prospective Video-Recorded Study. Nursing Inquiry, 19(3), 247-258
Åpne denne publikasjonen i ny fane eller vindu >>Patients' statements and experiences concerning receiving mechanical ventilation: A Prospective Video-Recorded Study
2012 (engelsk)Inngår i: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800, Vol. 19, nr 3, s. 247-258Artikkel i tidsskrift (Fagfellevurdert) Published
sted, utgiver, år, opplag, sider
John Wiley & Sons, 2012
HSV kategori
Forskningsprogram
Medicin
Identifikatorer
urn:nbn:se:his:diva-9967 (URN)10.1111/j.1440-1800.2011.00576.x (DOI)000307387800007 ()22882507 (PubMedID)2-s2.0-84864952285 (Scopus ID)
Tilgjengelig fra: 2014-09-17 Laget: 2014-09-17 Sist oppdatert: 2017-12-05bibliografisk kontrollert
Karlsson, V., Bergbom, I. & Forsberg, A. (2012). The lived experiences of adult intensive care patients who were conscious during mechanical ventilation: A phenomenological-hermeneutic study. Intensive & Critical Care Nursing, 28(1), 6-15
Åpne denne publikasjonen i ny fane eller vindu >>The lived experiences of adult intensive care patients who were conscious during mechanical ventilation: A phenomenological-hermeneutic study
2012 (engelsk)Inngår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 28, nr 1, s. 6-15Artikkel i tidsskrift (Fagfellevurdert) Published
sted, utgiver, år, opplag, sider
Elsevier, 2012
Emneord
Conscious adult patient, Lived experience, Mechanical ventilation, Phenomenological hermeneutic
HSV kategori
Forskningsprogram
Medicin
Identifikatorer
urn:nbn:se:his:diva-9969 (URN)10.1016/j.iccn.2011.11.002 (DOI)22172747 (PubMedID)2-s2.0-84856005432 (Scopus ID)
Tilgjengelig fra: 2014-09-17 Laget: 2014-09-17 Sist oppdatert: 2017-12-05bibliografisk kontrollert
Karlsson, V., Forsberg, A. & Bergbom, I. (2010). Relatives' experiences of visiting a conscious, mechanically ventilated patient — A hermeneutic study. Intensive & Critical Care Nursing, 26(2), 91-100
Åpne denne publikasjonen i ny fane eller vindu >>Relatives' experiences of visiting a conscious, mechanically ventilated patient — A hermeneutic study
2010 (engelsk)Inngår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 26, nr 2, s. 91-100Artikkel i tidsskrift (Fagfellevurdert) Published
sted, utgiver, år, opplag, sider
Elsevier, 2010
HSV kategori
Forskningsprogram
Medicin
Identifikatorer
urn:nbn:se:his:diva-9970 (URN)10.1016/j.iccn.2009.12.001 (DOI)20060719 (PubMedID)2-s2.0-77649186471 (Scopus ID)
Tilgjengelig fra: 2014-09-17 Laget: 2014-09-17 Sist oppdatert: 2017-12-05bibliografisk kontrollert
Organisasjoner
Identifikatorer
ORCID-id: ORCID iD iconorcid.org/0000-0001-9423-9378