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  • 1.
    Blom, Helen
    et al.
    Department of Intensive Care Unit, Skaraborg Hospital, Skövde, Sweden.
    Gustavsson, Christina
    Department of Intensive Care Unit, Skaraborg Hospital, Skövde, Sweden.
    Johansson Sundler, Annelie
    Högskolan i Skövde, Institutionen för vård och natur.
    Participation and support in intensive care as experienced by close relatives of patients: A phenomenological study2013Inngår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 29, nr 1, s. 1-8Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim: The aim of this study was to explore participation and support as experienced by close relatives of patients at an intensive care unit (ICU).

    Method: This study used the phenomenological approach as developed by Dahlberg et al. (2008) as a method for reflective lifeworld research. Seven close relatives of critically ill patients cared for at an ICU were interviewed. The data were analysed with a focus on meanings.

    Results: Being allowed to participate in the care of critically ill patients at an ICU is impor-tant for close relatives to the patients. Their experiences can be described as having four constituents: participation in the care of and being close to the patient; confidence in the care the patient receives; support needed for involvement in caregiving; and vulnerability.

    Conclusion: Participation with and support from health-care professionals are important for the relatives’ well-being and their ability to contribute to the patients’ care. Health-care profes-sionals, especially critical care nurses, need to create an atmosphere that invites relatives to participate in the care provided at an ICU.

  • 2.
    Forsberg, Anna
    et al.
    Department of Health Sciences at Lund University, Lund, Sweden / Skåne University Hospital, Department of Transplantation and Cardiology, Sweden.
    Flodén, Anne
    School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Lennerling, Annette
    The Transplant Center, Sahlgrenska University Hospital, Gothenburg, Sweden / Institute of Health and Care Sciences, University of Gothenburg, Sweden.
    Karlsson, Veronika
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Nilsson, Madeleine
    Queen Silvia’s Children Hospital, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Fridh, Isabell
    Institute of Health and Care Sciences, University of Gothenburg,Sweden / School of Health Sciences, University of Borås, Sweden.
    The core of after death care in relation to organ donation: A grounded theory study2014Inngår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 30, nr 5, s. 275-282Artikkel i tidsskrift (Fagfellevurdert)
  • 3.
    Karlsson, Veronika
    et al.
    Institute of Health and Care Sciences at The Sahlgrenska Academy, University of Gothenburg, Sweden / Intensive Care Unit, Skaraborgs sjukhus Skövde, Sweden.
    Bergbom, Ingegerd
    Institute of Health and Care Sciences at The Sahlgrenska Academy, University of Gothenburg, Sweden.
    Forsberg, Anna
    Institute of Health and Care Sciences at The Sahlgrenska Academy, University of Gothenburg, Sweden / Department of Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden .
    The lived experiences of adult intensive care patients who were conscious during mechanical ventilation: A phenomenological-hermeneutic study2012Inngår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 28, nr 1, s. 6-15Artikkel i tidsskrift (Fagfellevurdert)
  • 4.
    Karlsson, Veronika
    et al.
    Department of Intensive Care Unit, Skaraborgs sjukhus, Kärnsjukhuset, Skövde, Sweden.
    Forsberg, Anna
    The Sahlgrenska Academy, Göteborg University, Institute of Health and Care Sciences, Sweden.
    Health is yearning — Experiences of being conscious during ventilator treatment in a critical care unit2008Inngår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 24, nr 1, s. 41-50Artikkel i tidsskrift (Fagfellevurdert)
  • 5.
    Karlsson, Veronika
    et al.
    Institute of Health and Care Sciences at Sahlgrenska Academy, University of Gothenburg, Sweden / Department of Intensive Care Unit, Skaraborgs sjukhus Skövde, Sweden.
    Forsberg, Anna
    Institute of Health and Care Sciences at Sahlgrenska Academy, University of Gothenburg, Sweden / Department of Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Bergbom, Ingegerd
    Institute of Health and Care Sciences at Sahlgrenska Academy, University of Gothenburg, Sweden.
    Communication when patients are conscious during respirator treatment — A hermeneutic observation study2012Inngår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 28, nr 4, s. 197-207Artikkel i tidsskrift (Fagfellevurdert)
  • 6.
    Karlsson, Veronika
    et al.
    Skaraborg Hospital Intensive Care Unit, Skövde, Sweden / The Sahlgrenska Academy at University of Gothenburg, Sweden.
    Forsberg, Anna
    The Sahlgrenska Academy at University of Gothenburg, Sweden.
    Bergbom, Ingegerd
    The Sahlgrenska Academy at University of Gothenburg, Sweden.
    Relatives' experiences of visiting a conscious, mechanically ventilated patient — A hermeneutic study2010Inngår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 26, nr 2, s. 91-100Artikkel i tidsskrift (Fagfellevurdert)
  • 7.
    Klopper, Hester
    et al.
    Department of Nursing Education, North-West University, South Africa / Faculty of Nursing, North-West University, South Africa.
    Andersson, Helena
    Högskolan i Skövde, Institutionen för vård och natur.
    Minkkinen, Maria
    Högskolan i Skövde, Institutionen för vård och natur.
    Ohlsson, Cecilia
    Högskolan i Skövde, Institutionen för vård och natur.
    Sjöström, Björn
    Högskolan i Skövde, Institutionen för vård och natur.
    Strategies in assessing post operative pain: A South African study2005Inngår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 22, nr 1, s. 12-21Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The purpose of this validation study was to describe strategies used in postoperative pain assessment among a group of nurses in South Africa. A mixed qualitative and quantitative study was conducted in a 950-bed academic hospital complex. Surgical nurses (n = 12) carried out pain assessments of postoperative patients (n = 36) in pain. Data were collected using detailed interviews and pain intensity was estimated on a visual analogue scale (VAS, 0–10 cm). Nurses used four categories of criteria (a) how the patient looks, (b) what the patient says, (c) the patient's way of talking, and (d) experience of similar circumstances and drew on their past experiences in five different ways: (a) some patients report lower pain intensity than expected, (b) a typology of patients, (c) a focus on listening to patients, (d) what to look for, and (e) what to do for patients were identified.

    The system of categories described by Sjöström [Sjöström B. Assessing acute postoperative pain. Assessment strategies and quality of clinical experience and professional role. Göteborg: Acta Universitatis Gothoburgensis; 1995] was valid for this sample with an additional category. The different categories seem to be complementary and necessary for assessing pain in others. The findings have implications for professionals who provide care for patients in pain.

  • 8.
    Ringdal, M.
    et al.
    Institute of Health and Care Sciences at Sahlgrenska Academy, University of Gothenburg, Kungälvs Hospital, Sweden.
    Bergbom, I.
    Institute of Health and Care Sciences at Sahlgrenska Academy, University of Gothenburg, Sweden, Professor Emerita, Honorary Doctor at Åbo Academy, Åbo, Finland.
    Nilsson, J.
    Institute of Health and Care Sciences at Sahlgrenska Academy, University of Gothenburg, Sweden.
    Karlsson, Veronika
    Department of Health Science, University West, Trollhättan, Sweden.
    Older patients’ recovery following intensive care: A follow-up study with the RAIN questionnaire2021Inngår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 65, artikkel-id 103038Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim: The aim was to investigate older patient recovery (65 years+) up to two years following discharge from an intensive care unit (ICU) using the Recovery After Intensive Care (RAIN) instrument and to correlate RAIN with the Hospital Anxiety and Depression Scale (HAD).

    Methods: An explorative and descriptive longitudinal design was used. Eighty-two patients answered RAIN and HAD at least twice following discharge. Demographic and clinical data were collected from patient records.

    Results: Recovery after the ICU was relatively stable and good for older patients at the four data collection points. There was little variation on the RAIN subscales over time. The greatest recovery improvement was found in existential ruminations from 2 to 24 months. A patient that could look forward and those with supportive relatives had the highest scores at all four measurements. Having lower financial situation was correlated to poorer recovery and was significant at 24 months. The RAIN and HAD instruments showed significant correlations, except for the revaluation of life subscale, which is not an aspect in HAD.

    Conclusion: The RAIN instrument shows to be a good measurement for all dimensions of recovery, including existential dimensions, which are not covered by any other instrument.

    Fulltekst (pdf)
    fulltext
  • 9.
    Romare, Charlotte
    et al.
    Blekinge Institute of Technology, Department of Health, Karlskrona, Sweden.
    Anderberg, Peter
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering. Blekinge Institute of Technology, Department of Health, Karlskrona, Sweden.
    Sanmartin Berglund, Johan
    Blekinge Institute of Technology, Department of Health, Karlskrona, Sweden.
    Skär, Lisa
    Blekinge Institute of Technology, Department of Health, Karlskrona, Sweden.
    Burden of care related to monitoring patient vital signs during intensive care; a descriptive retrospective database study2022Inngår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 71, artikkel-id 103213Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: The aim of this study was to describe burden of care related to monitoring patient vital signs of intensive care unit patients in a Swedish hospital. Setting: Data collected by “The Swedish Intensive Care Registry” from one general category II intensive care unit in a Swedish hospital was included in this study. Data from year 2014 to 2020 was analysed comprising a total of 3617 intensive care episodes and 29,165 work shifts. Research methodology: This is a retrospective database study. Descriptive statistics gave an overview of the dataset. To test for differences between variables related to burden of care for “Documentation of monitoring” Mann Whitney U test and Kruskal Wallis test was performed using STATA. Results: “Documentation of monitoring” was reported to generate a prominent burden of care during intensive care. Nearly all patients had continuous monitoring. Comparison for burden of care related to “Documentation of monitoring” for sexes generated no statistically significant difference. Comparison for burden of care related to “Documentation of monitoring” among age groups, diagnose groups and time of day generated statistically significant differences. Conclusion: Monitoring patient vital signs was clearly present during intensive care, hence impacting intensive care nurses’ clinical practice. Further research is endorsed to improve and facilitate monitoring to keep improving patient safety.

    Fulltekst (pdf)
    fulltext
  • 10.
    Sundberg, Fredrika
    et al.
    The Research School of Health and Welfare, The School of Health and Welfare, Jönköping University, Sweden ; Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Sweden.
    Olausson, Sepideh
    Institute of Health and Care Sciences, University of Gothenburg, Sweden.
    Fridh, Isabell
    Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Sweden.
    Lindahl, Berit
    Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Sweden.
    Nursing staff’s experiences of working in an evidence-based designed ICU patient room—An interview study2017Inngår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 43, s. 75-80Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Introduction: It has been known for centuries that environment in healthcare has an impact, but despite this, environment has been overshadowed by technological and medical progress, especially in intensive care. Evidence-based design is a concept concerning integrating knowledge from various research disciplines and its application to healing environments.

    Objective: The aim was to explore the experiences of nursing staff of working in an evidence-based designed ICU patient room.

    Method: Interviews were carried out with eight critical care nurses and five assistant nurses and then subjected to qualitative content analysis.

    Findings: The experience of working in an evidence-based designed intensive care unit patient room was that the room stimulates alertness and promotes wellbeing in the nursing staff, fostering their caring activities but also that the interior design of the medical and technical equipment challenges nursing actions.

    Conclusions: The room explored in this study had been rebuilt in order to create and evaluate a healing environment. This study showed that the new environment had a great impact on the caring staffs’ wellbeing and their caring behaviour. At a time when turnover in nurses is high and sick leave is increasing, these findings show the importance of interior design ofintensive care units.

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