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  • 1.
    Berglund, Mia
    et al.
    University of Skövde, School of Life Sciences.
    Sjögren, Reet
    School of Health Care and Social Welfare, Mälardalen University, Västerås/Eskilstuna, Sweden.
    Ekebergh, Margaretha
    Department of Health and Caring Sciences, Linnéuniversitetet, Växjö, Sweden.
    Reflect and learn together - when two supervisors interact in the learning support process of nurse education2012In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 20, no 2, p. 152-158Article in journal (Refereed)
    Abstract [en]

    Aim  To describe the importance of supervisors working together in supporting the learning process of nurse students through reflective caring science supervision.

    Background  A supervision model has been developed in order to meet the need for interweaving theory and practice. The model is characterized by learning reflection in caring science. A unique aspect of the present project was that the student groups were led by a teacher and a nurse.

    Method  Data were collected through interviews with the supervisors. The analysis was performed with a phenomenological approach.

    Results  The results showed that theory and practice can be made more tangible and interwoven by using two supervisors in a dual supervision. The essential structure is built on the constituents ‘Reflection as Learning Support’, ‘Interweaving Caring Science with the Patient’s Narrative’, ‘The Student as a Learning Subject’ and ‘The Learning Environment of Supervision’.

    Conclusion  The study concludes that supervision in pairs provides unique possibilities for interweaving and developing theory and practice.

    Implications for nursing management  The supervision model offers unique opportunities for cooperation, for the development of theory and practice and for the development of the professional roll of nurses and teachers.

  • 2.
    Blomberg, Karin
    et al.
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Isaksson, Ann-Kristin
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Allvin, Renée
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden / Clinical Skills Centre, Örebro University Hospital, Örebro, Sweden.
    Bisholt, Birgitta
    Department of Nursing, Karlstad University, Karlstad, Sweden.
    Ewertsson, Mona
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Kullén Engström, Agneta
    School of Health, University of Borås, Borås, Sweden.
    Ohlsson, Ulla
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Sundler, Annelie Johansson
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Gustafsson, Margareta
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Work stress among newly graduated nurses in relation to workplace and clinical group supervision2016In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 24, no 1, p. 80-87Article in journal (Refereed)
  • 3.
    Fagerström, Lisbeth
    University of Skövde, School of Life Sciences. Buskerud University College, Drammen, Norway / Lovisenberg Deaconale, University College, Oslo, Norway.
    Evidence-based human resource management: a study of nurse leaders' resource allocation2009In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 17, no 4, p. 415-425Article in journal (Refereed)
    Abstract [en]

    Aims The aims were to illustrate how the RAFAELA system can be used to facilitate evidence-based human resource management.

    Background The theoretical framework of the RAFAELA system is based on a holistic view of humankind and a view of leadership founded on human resource management.

    Methods Nine wards from three central hospitals in Finland participated in the study. The data, stemming from 2006–2007, were taken from the critical indicators (ward-related and nursing intensity information) for national benchmarking used in the RAFAELA system. The data were analysed descriptively.

    Results The daily nursing resources per classified patient ratio is a more specific method of measurement than the nurse-to-patient ratio. For four wards, the nursing intensity per nurse surpassed the optimal level 34% to 62.2% of days. Resource allocation was clearly improved in that a better balance between patients' care needs and available nursing resources was maintained.

    Conclusions The RAFAELA system provides a rational, systematic and objective foundation for evidence-based human resource management.

    Implications for nursing management Data from a systematic use of the RAFAELA system offer objective facts and motives for evidence-based decision making in human resource management, and will therefore enhance the nurse leaders' evidence and scientific based way of working.

  • 4.
    Frilund, Marianne
    et al.
    Yrkeshögskolan Novia University of Applied Sciences, Vaasa, Finland.
    Fagerström, Lisbeth
    University of Skövde, School of Life Sciences.
    Managing the optimal workload by the PAONCIL method: a challange for nursing leadership in care of older people2009In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 17, no 4, p. 426-434Article in journal (Refereed)
    Abstract [en]

    Aim The aim of the study was to test the ability of the professional assessment of optimal nursing care intensity level (PAONCIL)-method to establish the optimal nursing intensity (NI) per care giver within the care of older people by testing whether the method's prerequisites for hospital settings can be fulfilled within the care of older people as well.

    Background The PAONCIL method is included in the RAFAELA system as a method for calculating personnel resources based on NI.

    Method The PAONCIL assessments were collected through questionnaires (n = 3512). The data was analysed by simple linear regression analysis.

    Results It can be stated that the prerequisites for the PAONCIL method were fulfilled and that the optimal NI-level could be determined on seven participating units.

    Discussion It can be stated that the RAFAELA system is a useful system for measuring NI within the care of older people, but additional research is needed, especially within the home care setting.

    Conclusion Although an instrument never provides a complete overview of the patient's care needs and need satisfaction, it provides information about the daily situation as well as gives guidelines for long-term strategic planning.

  • 5.
    Furåker, Carina
    et al.
    Göteborg University.
    Hellström Muhli, Ulla
    University of Skövde, School of Life Sciences.
    Walldal, Elvi
    Göteborg University.
    Quality of care in relation to a critical pathway from the staff's perspective2004In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 12, no 5, p. 309-316Article in journal (Refereed)
  • 6.
    Nilsson, Kerstin
    et al.
    University of Skövde, School of Life Sciences.
    Sätterlund Larsson, Ullabeth
    Institute of Health Care Pedagogics, Sahlgrenska Acad. at Goteborg Univ., Faculty of Health Care Sciences, Göteborg, Sweden.
    Conceptions of gender: a study of female and male head nurses’ statements2005In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 13, no 2, p. 179-186Article in journal (Refereed)
    Abstract [en]

    Background Gender can be seen as a construction in which history, culture and social relation are central. Thus, the construction remains strong can be explained by the fact that the existing conceptions about gender are continually passed on. It is not known how conceptions about gender in the context of Swedish health care are expressed by head nurses or what significance the conceptions have for their leadership.

    Aim To study head nurses' statements about their conceptions of gender and what significance these conceptions have in carrying out their work.

    Methods Thematic interviews were held with 36 head nurses, and the contents of the transcribed interviews were analysed.

    Results The results showed conceptions about men's direct and women's roundabout ways of communicating. Statements were also made concerning how men are oriented towards technical matters and women towards relationships, and how men are expected to show what they can do to a greater extent than women. These conceptions have an effect on head nurses in their work, as they are expected to live up to them. As we wished to obtain variation in the respondents' statements about gender, we conducted an interview study. Hence, the transferability of the findings is a question of conceptualization, and the conceptions we recorded cannot be seen as representative for all head nurses. The results imply, however, that greater awareness about conceptions of gender may promote greater equality in women's and men's careers and allow greater freedom to head nurses to do what they themselves feel they should do instead of what they are expected to do.

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