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Publications (10 of 14) Show all publications
Ek, K., Browall, M., Eriksson, M. & Eriksson, I. (2018). Healthcare providers’ experiences of assessing and performing oral care in older adults. International Journal of Older People Nursing, 13(2), Article ID e12189.
Open this publication in new window or tab >>Healthcare providers’ experiences of assessing and performing oral care in older adults
2018 (English)In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 13, no 2, article id e12189Article in journal (Refereed) Published
Keywords
ethics, experiences, focus-group interviews, healthcare providers, older adults, oral health
National Category
Clinical Medicine Dentistry Geriatrics Health Sciences Nursing
Research subject
Wellbeing in long-term health problems (WeLHP)
Identifiers
urn:nbn:se:his:diva-15030 (URN)10.1111/opn.12189 (DOI)000434118100011 ()29512291 (PubMedID)2-s2.0-85043302693 (Scopus ID)
Available from: 2018-04-11 Created: 2018-04-11 Last updated: 2018-08-30Bibliographically approved
Melin-Johansson, C., Österlind, J., Henoch, I., Ek, K., Bergh, I., Hagelin, C. L. & Browall, M. (2018). Undergraduate nursing students' transformational learning during clinical training. International Journal of Palliative Nursing, 24(4), 184-192
Open this publication in new window or tab >>Undergraduate nursing students' transformational learning during clinical training
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2018 (English)In: International Journal of Palliative Nursing, ISSN 1357-6321, E-ISSN 2052-286X, Vol. 24, no 4, p. 184-192Article in journal (Refereed) Published
Abstract [en]

Background: Undergraduate nursing students encounter patients at the end of life during their clinical training. They need to confront dying and death under supportive circumstances in order to be prepared for similar situations in their future career.

Aim: To explore undergraduate nursing students' descriptions of caring situations with patients at the end of life during supervised clinical training.

Methods: A qualitative study using the critical incident technique was chosen. A total of 85 students wrote a short text about their experiences of caring for patients at the end of life during their clinical training. These critical incident reports were then analysed using deductive and inductive content analysis.

Findings: The theme 'students' transformational learning towards becoming a professional nurse during clinical training' summarises how students relate to patients and relatives, interpret the transition from life to death, feel when caring for a dead body and learn end-of-life caring actions from their supervisors.

Implications: As a preparation for their future profession, students undergoing clinical training need to confront death and dying while supported by trained supervisors and must learn how to communicate about end-of-life issues and cope with emotional stress and grief.

Keywords
Palliative, End-of-life, Nursing education, Clinical training, Learning approach
National Category
Nursing
Research subject
Wellbeing in long-term health problems (WeLHP)
Identifiers
urn:nbn:se:his:diva-15172 (URN)10.12968/ijpn.2018.24.4.184 (DOI)000430497200006 ()29703111 (PubMedID)2-s2.0-85046256440 (Scopus ID)
Available from: 2018-05-25 Created: 2018-05-25 Last updated: 2018-08-30Bibliographically approved
Henoch, I., Melin-Johansson, C., Bergh, I., Strang, S., Ek, K., Hammarlund, K., . . . Browall, M. (2017). Undergraduate nursing students' attitudes and preparedness toward caring for dying persons: A longitudinal study. Nurse Education in Practice, 26, 12-20, Article ID S1471-5953(17)30384-0.
Open this publication in new window or tab >>Undergraduate nursing students' attitudes and preparedness toward caring for dying persons: A longitudinal study
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2017 (English)In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 26, p. 12-20, article id S1471-5953(17)30384-0Article in journal (Refereed) Published
Abstract [en]

Nursing education needs to prepare students for care of dying patients. The aim of this study was to describe the development of nursing students' attitudes toward caring for dying patients and their perceived preparedness to perform end-of-life care. A longitudinal study was performed with 117 nursing students at six universities in Sweden. The students completed the Frommelt Attitude Toward Care of the Dying Scale (FATCOD) questionnaire at the beginning of first and second year, and at the end of third year of education. After education, the students completed questions about how prepared they felt by to perform end-of-life care. The total FATCOD increased from 126 to 132 during education. Five weeks' theoretical palliative care education significantly predicted positive changes in attitudes toward caring for dying patients. Students with five weeks' theoretical palliative care training felt more prepared and supported by the education to care for a dying patient than students with shorter education. A minority felt prepared to take care of a dead body or meet relatives.

Place, publisher, year, edition, pages
Elsevier, 2017
Keywords
Attitudes, FATCOD, Longitudinal, Nurse education, Palliative care education
National Category
Nursing
Research subject
Wellbeing in long-term health problems (WeLHP)
Identifiers
urn:nbn:se:his:diva-14026 (URN)10.1016/j.nepr.2017.06.007 (DOI)000412249800004 ()28648955 (PubMedID)2-s2.0-85021136719 (Scopus ID)
Available from: 2017-08-23 Created: 2017-08-23 Last updated: 2017-11-27Bibliographically approved
Hagelin, C. L., Melin-Johansson, C., Henoch, I., Bergh, I., Ek, K., Hammarlund, K., . . . Browall, M. (2016). Factors influencing attitude toward care of dying patients in first-year nursing students. International Journal of Palliative Nursing, 22(1), 28-36
Open this publication in new window or tab >>Factors influencing attitude toward care of dying patients in first-year nursing students
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2016 (English)In: International Journal of Palliative Nursing, ISSN 1357-6321, E-ISSN 2052-286X, Vol. 22, no 1, p. 28-36Article in journal (Refereed) Published
Abstract [en]

AIM: To describe Swedish first-year undergraduate nursing students' attitudes toward care of dying patients. Possible influences such as age, earlier care experiences, care education, experiences of meeting dying patients and place of birth were investigated.

METHOD: The Frommelt Attitude Toward Care of the Dying Scale (FATCOD) was used in six universities. Descriptive statistics and regression analysis were used.

RESULTS: Some 371 students (67.3%) reported overall positive attitude toward caring for dying patients (total mean FATCOD 119.5, SD 10.6) early in their first semester. Older students, students with both earlier care experience and earlier education, those with experience of meeting a dying person, and students born in Sweden reported the highest scores, a more positive attitude.

CONCLUSION: Age, earlier care experience and education, experiences of meeting a dying person and place of birth seems to affect students' attitudes toward care of the dying and need to be considered among nursing educators.

National Category
Nursing
Research subject
Medical sciences
Identifiers
urn:nbn:se:his:diva-12098 (URN)10.12968/ijpn.2016.22.1.28 (DOI)000389316300006 ()26804954 (PubMedID)2-s2.0-84960500345 (Scopus ID)
Available from: 2016-04-05 Created: 2016-04-05 Last updated: 2017-11-30Bibliographically approved
Österlind, J., Prahl, C., Westin, L., Strang, S., Bergh, I., Henoch, I., . . . Ek, K. (2016). Nursing students' perceptions of caring for dying people, after one year in nursing school. Nurse Education Today, 41, 12-16
Open this publication in new window or tab >>Nursing students' perceptions of caring for dying people, after one year in nursing school
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2016 (English)In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 41, p. 12-16Article in journal (Refereed) Published
Abstract [en]

Aim: To describe Swedish nursing students' perceptions of caring for dying people after the first year of a three year in a nursing programme at three university nursing schools in Sweden. Methods: Interviews (n = 17) were undertaken with nursing students at the end of their first year. A phenomenographic approach was used to design and structure the analysis of the nursing students' perceptions. Results: The analysis resulted in five categories: 1) from abstract to reality, 2) from scary to natural, 3) increased knowledge can give bad conscience, 4) time limits versus fear of end-of-life conversations, and 5) meeting with relatives. Conclusion: Nursing students need to be prepared both theoretically and within practice to encounter death and dying and to care for dying persons. By combining their theoretical knowledge of dying and death with their own encounters of death and dying people in practice, the students can be supported to develop an understanding of dying and death as a natural part of life rather than something frightening. 

Place, publisher, year, edition, pages
Elsevier, 2016
Keywords
Death, Dying, End-of-life care, Nursing education, Nursing students, Perceptions
National Category
Nursing
Identifiers
urn:nbn:se:his:diva-12569 (URN)10.1016/j.nedt.2016.03.016 (DOI)000376705500003 ()27138476 (PubMedID)2-s2.0-84962339581 (Scopus ID)
Available from: 2016-06-22 Created: 2016-06-22 Last updated: 2017-11-28Bibliographically approved
Berglund, M. & Ek, K. (2015). Att förstå de didaktiska redskapen i utbildningen (1ed.). In: Mia Berglund & Margaretha Ekebergh (Ed.), Reflektion i lärande och vård: En utmaning för sjuksköterskan (pp. 47-68). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Att förstå de didaktiska redskapen i utbildningen
2015 (Swedish)In: Reflektion i lärande och vård: En utmaning för sjuksköterskan / [ed] Mia Berglund & Margaretha Ekebergh, Lund: Studentlitteratur AB, 2015, 1, p. 47-68Chapter in book (Refereed)
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2015 Edition: 1
National Category
Medical and Health Sciences
Research subject
Medical sciences
Identifiers
urn:nbn:se:his:diva-10704 (URN)9789144088198 (ISBN)
Available from: 2015-02-22 Created: 2015-02-22 Last updated: 2017-11-27Bibliographically approved
Karlsson, C. E., Ernsth Bravell, M., Ek, K. & Bergh, I. (2015). Home healthcare teams' assessments of pain in care recipients living with dementia: a Swedish exploratory study. International Journal of Older People Nursing, 10(3), 190-200
Open this publication in new window or tab >>Home healthcare teams' assessments of pain in care recipients living with dementia: a Swedish exploratory study
2015 (English)In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 10, no 3, p. 190-200Article in journal (Refereed) Published
Place, publisher, year, edition, pages
John Wiley & Sons, 2015
Keywords
dementia, home healthcare, pain assessment
National Category
Nursing
Research subject
Humanities and Social sciences
Identifiers
urn:nbn:se:his:diva-10191 (URN)10.1111/opn.12072 (DOI)000359834100005 ()25399656 (PubMedID)2-s2.0-84939563546 (Scopus ID)
Available from: 2014-11-15 Created: 2014-11-15 Last updated: 2017-12-05Bibliographically approved
Andersson, S., Svanström, R., Ek, K., Rosén, H. & Berglund, M. (2015). 'The challenge to take charge of life with long-term illness': Nurses' experiences of supporting patients' learning with the didactic model. Journal of Clinical Nursing, 24(23-24), 3409-3416
Open this publication in new window or tab >>'The challenge to take charge of life with long-term illness': Nurses' experiences of supporting patients' learning with the didactic model
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2015 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 24, no 23-24, p. 3409-3416Article in journal (Refereed) Published
Place, publisher, year, edition, pages
John Wiley & Sons, 2015
National Category
Nursing
Research subject
Medical sciences
Identifiers
urn:nbn:se:his:diva-11487 (URN)10.1111/jocn.12960 (DOI)000368277900009 ()26331366 (PubMedID)2-s2.0-84976587322 (Scopus ID)
Available from: 2015-09-04 Created: 2015-09-04 Last updated: 2017-12-04Bibliographically approved
Ek, K., Andershed, B., Sahlberg-Blom, E. & Ternestedt, B.-M. (2015). "The unpredictable death" - The last year of life for patients with advanced COPD: Relatives' stories. Palliative & Supportive Care, 13(5), 1213-1222
Open this publication in new window or tab >>"The unpredictable death" - The last year of life for patients with advanced COPD: Relatives' stories
2015 (English)In: Palliative & Supportive Care, ISSN 1478-9515, E-ISSN 1478-9523, Vol. 13, no 5, p. 1213-1222Article in journal (Refereed) Published
Abstract [en]

Objective: The end stage of chronic obstructive pulmonary disease (COPD) is described as prolonged and the symptom burden for patients with COPD is often high. It progresses slowly over several years and can be punctuated by abrupt exacerbations that sometimes end in sudden death or recovery of longer or shorter duration. This makes it difficult to identify the critical junctures in order to prognisticate the progress and time for death. patients with COPD often express a fear that the dying process is going to be difficult. There is a fear that the dyspnea will worsen and lead to death by suffocation. The present article aimed to retrospectively describe the final year of life for patients with advanced COPD with focus on death and dying from the perspective of relatives. Method:Interviews were conducted with relatives of deceased family members who had advanced COPD. In total, 13 interviews were conducted and analyzed by menas of content analysis. Result: All relatives described the patients as having had a peacful death that did not correspond with the worry expressed earlier by both the patients and themselves. during the final week of life, two different patterns in the progress of the illness trajectory emerged: a temporary improvement where death was unexpected and a continued deterioration where death was inevitable. Sigificance and Results: The patients and their realtives lived with uncertainty up until the time of death. Little support for psychosocial and existential needs was avaiable. It is essential for the nurse to create relationship with patients and relatives that enable them to talk about dying and death on their own terms.

Place, publisher, year, edition, pages
Cambridge University Press, 2015
National Category
Nursing
Research subject
Medical sciences
Identifiers
urn:nbn:se:his:diva-10199 (URN)10.1017/S1478951514001151 (DOI)000365663900007 ()25315360 (PubMedID)2-s2.0-84944159938 (Scopus ID)
Available from: 2014-11-18 Created: 2014-11-18 Last updated: 2017-12-05Bibliographically approved
Ek, K., Westin, L., Prahl, C., Österlind, J., Strang, S., Bergh, I., . . . Hammarlund, K. (2014). Death and caring for dying patients: exploring first-year nursing students' descriptive experiences. International Journal of Palliative Nursing, 20(10), 509-515
Open this publication in new window or tab >>Death and caring for dying patients: exploring first-year nursing students' descriptive experiences
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2014 (English)In: International Journal of Palliative Nursing, ISSN 1357-6321, E-ISSN 2052-286X, Vol. 20, no 10, p. 509-515Article in journal (Refereed) Published
Abstract [en]

Aim: To describe first-year nursing student`s expereinces of witnessing death and providing end-of-life care. Methods: This study is a part of a larger longitudial prject. Interviews (n=17) were conducted with nursing students at the end of their fisrt year of education. To analyse the interviews (lived-expereince description), a thematic analysis, "a search for meaning" (Van Manen, 1997) was applied. Result: The results are presented within the framework of four separate themes: (1) The thought of death is more frightening than the actual epereince, (2) Daring to approach the dying patient and offering something of oneself, (3) The expereince of not sufficing in the face of death and (4) being confronted with one`s own feelings. Conclusion: Nursing students require continous support and opportunity to reflect and discuss their experiences about caring for dying patients and confronting death throughout the entirety of their education. In addition, teachers and clinical superviosors need t give support using reflective practice to help students to devlo confidence in their capacity for caring dying patients.

Place, publisher, year, edition, pages
Mark Allen Group, 2014
National Category
Medical and Health Sciences
Research subject
Medical sciences
Identifiers
urn:nbn:se:his:diva-10176 (URN)10.12968/ijpn.2014.20.10.509 (DOI)25350217 (PubMedID)
Projects
Sjuksköterskestudenters erfarenheter av och attityder till att vårda döende personer som grund för utveckling av undervisning i pallaitiv vård
Available from: 2014-11-18 Created: 2014-11-10 Last updated: 2017-12-05Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-9257-5087

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