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  • 1.
    Nilsson, Kerstin
    et al.
    Högskolan i Skövde, Institutionen för vård och natur. University of Gothenburg.
    Campbell, Ann-Mari
    Malmö University.
    Pilhammar Andersson, Ewa
    University of Gothenburg.
    Night nursing: staff's working experiences2008Inngår i: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 7, artikkel-id 13Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background

    Although the duties and working conditions of registered, and enrolled nurses have previously been described from different perspectives, they have not been examined from the night nursing aspect. The aim of the study was to describe the night nursing staff’s working experiences.

    Methods

    The design of the study is qualitative and descriptive. Interviews were conducted with 10 registered and 10 enrolled nurses working as night staff at a Swedish University Hospital. The interview guide was thematic and concerned the content of their tasks, as well as the working conditions that constitute night nursing. In addition, the interviews were transcribed verbatim and analyzed using content analysis.

    Results

    The night duties have to be performed under difficult conditions that include working silently in dimmed lighting, and making decisions when fatigue threatens. According to the night staff, its main goals are to provide the patients with rest and simultaneously ensure qualified care. Furthermore, the night nursing staff must prepare the ward for the daytime activities.

    Conclusions

    The most important point is the team work, which developed between the registered and enrolled nurses and how necessary this team work is when working at night. In order for nurses working at night to be fully appreciated, the communication between day and night staff in health care organizations needs to be developed. Furthermore, it is important to give the night staff opportunities to use its whole field of competence.

     

  • 2.
    Nilsson, Kerstin
    et al.
    Högskolan i Skövde, Institutionen för vård och natur.
    Warrén-Stomberg, Margareta
    Högskolan i Skövde, Institutionen för vård och natur.
    Nursing students motivation toward their studies: a survey study2008Inngår i: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 7, artikkel-id 6Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background

    This study focuses on Swedish nursing students' motivation toward their studies during their three year academic studies. Earlier studies show the importance of motivation for study commitment and result. The aim was to analyze nursing students' estimation of their degree of motivation during different semester during their education and to identify reasons for the degree of motivation.

    Methods

    A questionnaire asking for scoring motivation and what influenced the degree of motivation was distributed to students enrolled in a nursing programme. 315 students who studied at different semesters participated. Analyzes were made by statistical calculation and content analysis.

    Results

    The mean motivation score over all semesters was 6.3 (ranked between 0–10) and differed significantly during the semesters with a tendency to lower score during the 5th semester. Students (73/315) with motivation score <4 reported explanations such as negative opinion about the organisation of the programme, attitude towards the studies, life situation and degree of difficulty/demand on studies. Students (234/315) with motivation score >6 reported positive opinions to becoming a nurse (125/234), organization of the programme and attitude to the studies. The mean score value for the motivation ranking differed significantly between male (5.8) and female (6.8) students.

    Conclusion

    Conclusions to be drawn are that nursing students mainly grade their motivation positive distributed different throughout their entire education. The main motivation factor was becoming a nurse. This study result highlights the need of understanding the students' situation and their need of tutorial support.

  • 3.
    Rosén, Helena I.
    et al.
    Högskolan i Skövde, Institutionen för vård och natur.
    Bergh, Ingrid H. E.
    Högskolan i Skövde, Institutionen för vård och natur.
    Lundman, Berit M.
    Högskolan i Skövde, Institutionen för vård och natur.
    Mårtensson, Lena B.
    Högskolan i Skövde, Institutionen för vård och natur.
    Patients' experiences and perceived causes of persisting discomfort following day surgery2010Inngår i: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 9, s. artikelnummer 16-Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: The aim of this study was to describe patients’ experiences and perceived causes of persisting discomfort following day surgery. Earlier research has mainly covered symptoms and signs during a recovery period of up to one month, and not dealt with patients’ perceptions of what causes persisting, longer-term discomfort. Methods: This study is a part from a study carried out during the period May 2006 to May 2007 with a total of 298 day surgery patients. Answers were completed by 118 patients at 48 hours, 110 at seven days and 46 at three months to one open-ended question related to discomfort after day surgery constructed as follows: If you are stillexperiencing discomfort related to the surgery, what is the reason, in your opinion? Data was processed, quantitatively and qualitatively. Descriptive, inferential, correlation and content analyses were performed. Results: The results suggest that patients suffer from remaining discomfort e.g. pain and wound problem, with effects on daily life following day surgery up to three months. Among patients’ perceptions of factors leading to discomfort may be wrongful or suboptimal treatment, type of surgery or insufficient access to provider/information. Conclusions: The results have important implications for preventing and managing discomfort at home followingday surgery, and for nursing interventions to help patients handle the recovery period better.

  • 4.
    Wickström Ene, Kerstin
    et al.
    The Sahlgrenska Acedemy at Göteborg University, Institute of Health and Care Sciences, Gothenburg, Sweden / Departments of Anesthesiology and Intensive Care, Sahlgrenska University, Sweden.
    Nordberg, Gunnar
    Departments of Anesthesiology and Intensive Care, Sahlgrenska University, Sweden.
    Sjöström, Björn
    Högskolan i Skövde, Institutionen för vård och natur.
    Bergh, Ingrid
    The Sahlgrenska Acedemy at Göteborg University, Institute of Health and Care Sciences, Gothenburg, Sweden.
    Prediction of postoperative pain after radical prostatectomy2008Inngår i: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 7, nr 14Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: There is a belief that the amount of pain perceived is merely directly proportional to the extent of injury. The intensity of postoperative pain is however influenced by multiple factors aside from the extent of trauma.The purpose of the study was to evaluate the relationship between preoperative factors that have been shown to predict postoperative pain and the self- reports of pain intensity in a population of 155 men undergoing radical prostatectomy (RP), and also to investigate if previous pain score could predict the subsequent pain score.Methods: The correlation between potential pain predictors and the postoperative pain experiences during three postoperative days was tested (Pitmans´ test). By use of a logistic regression analysis the probability that a Visual Analogue Scale (VAS) score at one occasion would exceed 30mm or 70mm was studied, depending on previous VAS score, age, depression and pain treatment method.Results: Age was found to be a predictor of VAS >30mm, with younger patients at higher risk for pain, and preoperative depression predicted VAS >70mm. The probability that VAS would exceed 30mm and 70mm was predicted only by previous VAS value. Day two however, patients with epidural analgesia were at higher risk for experiencing pain than patients with intrathecal or systemic opioid analgesia.Conclusion: The results show that it would be meaningful to identify RP patients at high risk for severe postoperative pain; i.e. younger and/or depressive patients who might benefit from a more aggressive therapy instituted in the very early postoperative period.

     

     

     

     

     

  • 5.
    Wickström-Ene, Kerstin
    et al.
    Sahlgrenska Academy, Gothenburg University, Institution of Health and Care Sciences, Gothenburg, Sweden / Departments of Anaesthesiology and Intensive Care, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Nordberg, Gunnar
    Departments of Anaesthesiology and Intensive Care, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Gaston-johansson, Fannie
    Johns Hopkins University, School of Nursing, Baltimore, MD, United States.
    Sjöström, Björn
    Högskolan i Skövde, Institutionen för vård och natur.
    Pain, psychological distress and health-related quality of life at baseline and 3 months after radical prostatectomy2006Inngår i: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 5, s. Article number 8-Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background

    Inadequate management of postoperative pain is common, and postoperative pain is a risk factor for prolonged pain. In addition to medical and technical factors, psychological factors may also influence the experience of postoperative pain.

    Methods

    Pain was measured postoperatively at 24, 48, and 72 hr in hospital and after 3 months at home in 140 patients undergoing radical prostatectomy (RP). Patients answered questionnaires about anxiety and depression (HAD scale) and health-related quality of life (SF-36) at baseline and 3 months after surgery.

    Results

    In the first 3 postoperative days, mild pain was reported by 45 patients (32%), moderate pain by 64 (45%), and severe pain by 31 (22%) on one or more days. High postoperative pain scores were correlated with length of hospital stay and with high pain scores at home. Forty patients (29%) reported moderate (n = 35) or severe (n = 5) pain after discharge from hospital. Patients who experienced anxiety and depression preoperatively had higher postoperative pain scores and remained anxious and depressed 3 months after surgery. The scores for the physical domains in the SF-36 were decreased, while the mental health scores were increased at 3 months. Anxiety and depression were negatively correlated with all domains of the SF-36.

    Conclusion

    There is a need for nurses to be aware of the psychological status of RP patients and its impact upon patients' experience of postoperative pain and recovery. The ability to identify patients with psychological distress and to target interventions is an important goal for future research.

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