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  • 1.
    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)
  • 2.
    Forsberg, Anna
    et al.
    Department of Health Sciences, Lund University, Sweden ; Department of Transplantation and Cardiology, Skåne University Hospital, Sweden.
    Karlsson, Veronika
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande. Department of Anaesthesia and Intensive Care, Sahlgrenska University Hospital, Sweden.
    Cavallini, Josefin
    The Transplant Centre, Sahlgrenska University Hospital, Sweden.
    Lennerling, Annette
    The Transplant Centre, Sahlgrenska University Hospital, Sweden ; The Sahlgrenska Academy Institute of Health and Care Sciences, University of Gothenburg, Sweden.
    The meaning of social adaptation after solid organ transplantation2016Inngår i: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 36, nr 2, s. 62-67Artikkel, forskningsoversikt (Fagfellevurdert)
    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.

  • 3.
    Forsberg, Anna
    et al.
    Lund University, Lund, Sweden / Skåne University Hospital, Lund, Sweden.
    Lennerling, Anette
    Sahlgrenska University Hospital, Gothenburg, Sweden / University of Gothenburg, Göteborg, Sweden.
    Fridh, Isabell
    University of Gothenburg, Göteborg, Sweden / University of Borås, Borås, Sweden.
    Karlsson, Veronika
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Nilsson, Madeleine
    Sahlgrenska University Hospital, Gothenburg, Sweden.
    Understanding the Perceived Threat of the Risk of Graft Rejections: A Middle-Range Theory2015Inngår i: Global Qualitative Nursing Research, ISSN 2333-3936, Vol. 2, artikkel-id 2333393614563829Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 4.
    Karlsson, Veronika
    et al.
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Bergbom, Ingegerd
    University of Gothenburg, Sweden.
    ICU Professionals’ Experiences of Caring for Conscious Patients Receiving MVT2015Inngår i: Western Journal of Nursing Research, ISSN 0193-9459, E-ISSN 1552-8456, Vol. 37, nr 3, s. 360-375Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 5.
    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)
  • 6.
    Karlsson, Veronika
    et al.
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande. Department of Anesthesia and Intensive Care, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Bergbom, Ingegerd
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Ringdal, Mona
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Jonsson, Annikki
    School of Health Science, Borås University College, Borås, Sweden.
    After discharge home: a qualitative analysis of older ICU patients' experiences and care needs2016Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 30, nr 4, s. 749-756Artikkel i tidsskrift (Fagfellevurdert)
  • 7.
    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)
  • 8.
    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)
  • 9.
    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)
  • 10.
    Karlsson, Veronika
    et al.
    Department of Intensive Care Unit, SkaS, Skaraborgs sjukhus Skövde, Sweden / Sahlgrenska Academy, Göteborg University, Institute of Health and Care Sciences, Sweden .
    Lindahl, Berit
    Sahlgrenska Academy, Göteborg University, Institute of Health and Care Sciences, Sweden / Borås University College, School of Health Science, Sweden.
    Bergbom, Ingegerd
    Department of Intensive Care Unit, SkaS, Skaraborgs sjukhus Skövde, Sweden.
    Patients' statements and experiences concerning receiving mechanical ventilation: A Prospective Video-Recorded Study2012Inngår i: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800, Vol. 19, nr 3, s. 247-258Artikkel i tidsskrift (Fagfellevurdert)
  • 11.
    Söderberg, Annika
    et al.
    Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, University of Gothenburg, Sweden ; Department of Physiotherapy, Skaraborg Hospital, Skövde, Sweden.
    Karlsson, Veronika
    Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering. Högskolan i Skövde, Institutionen för hälsovetenskaper.
    Fagevik Olsén, Monika
    Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, University of Gothenburg, Sweden.
    Thelandersson, Anneli
    Section for Research and Education, Kungälv Hospital, Sweden.
    Johansson, Anita
    Research and Development Centre, Skaraborg Hospital, Skövde, Sweden.
    Patient as active partner – clue to successful early mobilization in intensive care2023Inngår i: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040Artikkel i tidsskrift (Fagfellevurdert)
    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. 

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