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  • 51.
    Athlin, Elsy
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Petzäll, Kerstin
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Hedelin, Birgitta
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Hov, R
    Högskolen i Hedmark, Norge.
    Lederes faglige ansvar - utfordringer og muligheter2011Conference paper (Other academic)
  • 52.
    Athlin, Elsy
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Söderhamn, O.
    Klinisk slutexamination - en försöksverksamhet mellan fyra lärosäten2006Report (Refereed)
  • 53. Bjurbrant Birgersson, A-M
    et al.
    Hammar, V
    Widerfors, G
    Hallberg, I L
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Elderly womens feelings about being urinary incontinent, using napkins and being helped by nurses to change napkins1993In: Journal of Clinical Nursing 2:165-171, 1993Article in journal (Refereed)
  • 54. Bjuresäter, K
    et al.
    Larsson, Maria
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Nordström, Gun
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Feeding methods, side effects and health related quality of life in patients with home enteral tube feeding2008Conference paper (Refereed)
  • 55. Bjuresäter, K.
    et al.
    Nordström, G.
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Cooperation in the trajectory of care concerning patients in need for home enteral nutrition2005Conference paper (Refereed)
  • 56.
    Bjuresäter, Kaisa
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Larsson, Maria
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Patients’ experiences of home enteral tube feeding (HETF): a qualitative study2015In: Journal of research in nursing, ISSN 1744-9871, Vol. 20, no 7, p. 552-565Article in journal (Refereed)
  • 57.
    Bjuresäter, Kaisa
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Larsson, Maria
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Patients’ perspectives of treatment with Home Enteral Tube Feeding (HETF)2011In: Clinical Nutrition Supplements, 2011Conference paper (Refereed)
  • 58.
    Bjuresäter, Kaisa
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Larsson, Maria
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Struggling in an inescapable life situation: being a close relative of a person dependent on home enteral tube feeding2012In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 21, no 7-8, p. 1051-1059Article in journal (Refereed)
    Abstract [en]

    Aim. To explore what it means to be a close relative of a person dependent on home enteral tube feeding (HETF) and how they can manage this situation. Background. Previous studies have shown that the situation of close relatives in home care in general can be burdensome and difficult. Research is scarce about experiences of close relatives when patients are treated with HETF. Design. A qualitative design was used, in accordance with grounded theory ( GT). Methods. Twelve close relatives were interviewed twice, using open- ended questions. Five were relatives of patients supported by home care services or advanced home care teams. Using the GT method, sampling, data collection and data analysis were carried out simultaneously. Results. One core category, ` Struggling in an inescapable life situation' and eight categories were found. The situation led to involuntary changes in the lives of the close relatives, something they could do little about. Their lives had become completely upturned and restricted by the HETF. Togetherness and pleasure was lost and they felt lonely. The relatives faced a new role of being informal caregivers and they had to adjust their daily life accordingly. They felt forced to take on a heavy responsibility for which they lacked support. The close relatives struggled to manage and to make the best of their new situation. Conclusions. This study highlighted the demands and vulnerability which is embedded in the role of being a close relative of a patient with HETF. It also pointed out their need for comprehensive support from the health care system.

  • 59.
    Bjuresäter, Kaisa
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Larsson, Maria
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Nordström, Gun
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Patients Living with Home Enteral Tube Feeding: Side effects, health-related quality of life and nutritional care2014In: Clinical Nursing Studies, ISSN 2324-7940, Vol. 2, no 3, p. 64-75Article in journal (Refereed)
    Abstract [en]

    The aim of the study was to examine patients’ perceptions of side effects, health-related quality of life (HRQL), generalhealth, and nutritional care among patients receiving home enteral tube feeding (HETF) at two occasions after dischargefrom hospital. Three questionnaires, one study-specific, the Short Form 12 (SF-12) and the Health Index (HI), were sent topatients with HETF (n=62) twice, two weeks after discharge from hospital and two months later. Forty patients respondedtwo weeks after discharge and out of these 29 patients also responded after two months. Data were collected in centralSweden from March 2006 to January 2010. Side effects were common at both points of data collection (70% of thepatients after two weeks and 72% after two month). Patients using bolus feeding reported significantly fewer side effectsthan patients using intermittent feeding. HRQL and HI scores for the total group were low at both points of data collection.The bolus feeding group reported significantly higher physical HRQL and emotional HI than the intermittent feedinggroup did. Most patients were satisfied with the information and support they received from the health care team. Thisstudy has revealed that patients treated with HETF experienced side effects limiting their daily life to a great extent.Differences in HRQL related to feeding methods were found. Individualized support and regular controls are needed inorder to meet patient needs. Bolus feeding may be a suitable feeding method to improve well-being.

  • 60.
    Bjuresäter, Kaisa
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Larsson, Maria
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Nordström, Gun
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Cooperation in the care for patients with home enteral tube feeding throughout the care trajectory: from nurses' perspectives2008In: Journal of Clinical Nursing (2008) 17, 3021-3029Article in journal (Refereed)
  • 61.
    Bjuresäter, Kaisa
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Larsson, Maria
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Nordström, Gun
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Cooperation in the care for patients with home enteral tube feeding throughout the care trajectory: nurses' perspectives2008In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 17, no 22, p. 3021-3029Article in journal (Refereed)
  • 62.
    Björkström, Monica E.
    et al.
    Karlstad University, Division for Health and Caring Sciences.
    Athlin, Elys E.
    Karlstad University, Division for Health and Caring Sciences.
    Johansson, Inger S.
    Karlstad University, Division for Health and Caring Sciences.
    Nurses' development of professional self - from being a nursing student in a baccalaureate programme to an experienced nurse2008In: Journal of clinical studies, ISSN 1365-2702, Vol. 17, p. 1380-1391Article in journal (Other academic)
  • 63.
    Björkström, Monica
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013).
    Johansson, Inger
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    An attempt to improve nurses' interest in and use of research in clinical practice by means of network support to facilitator nurses2014In: Journal of Nursing Education and Practice, ISSN 1925-4040, E-ISSN 1925-4059, Vol. 4, no 3, p. 58-68Article in journal (Refereed)
    Abstract [en]

    Background: Scientific knowledge is expected to be used in clinical practice to ensure that patients are given evidence-based nursing care. Therefore, in order to improve nurses’ research utilisation in clinical practice a network had been provided for nurses especially interested in nursing development in eleven wards. These nurses were expected to take on the role of key person (facilitator) for nursing development in clinical practice.Aim: The study was aimed at describing nurses’ interest in nursing research, how network support to ‘facilitator nurses’ could improve development in patient care based on evidence, and what hindering factors for such development could be.Methods: One and a half years after onset of the project a follow-up study was conducted with a questionnaire answered by 75 (64%) nurses, and group interviews with nine facilitators and eleven head nurses.Findings: The nurses’ interest in research utilisation was in general high and in eight wards development work had started. The facilitator nurses had mostly worked without involving their colleagues. Hindering factors for nursing development were related to time, EBP knowledge, involvement and the interest of head nurses and colleagues. Education, work place, previous participation in research projects, and participation in the network impacted positively on nurses’ attitudes to and interest in research.Conclusion and implication for clinical practice: Providing networks to ‘facilitator nurses’ in the ward could be useful for developing nursing care based on research findings. However, support from nurse leaders, involvement of the whole nursing staff, and training in research utilisation are important factors for success.

  • 64. Björkström, Monica
    et al.
    Johansson, Inger
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Hamrin, KF
    Swedish nursing students' attitudes to and awareness of research and development within nursing2003In: Journal of Advanced Nursing, 41 (4), 393-402, 2003Article in journal (Refereed)
  • 65.
    Blomberg, Birgitta
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Förekomst av grupphandledning i omvårdnad, tillgång på handledare samt möjlighet för vårdpersonal att delta i handledningsgrupper2000Conference paper (Other (popular science, discussion, etc.))
  • 66.
    Borch, Ellen
    et al.
    Hogskolan Dalarna, Dept Hlth & Social Sci, S-79188 Falun, Sweden.;Cty Hosp Dalama, Dept Gen Surg & Med, Falun, Sweden.
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Hov, Reidun
    Hedmark Univ Coll, Fac Hlth Studies, Elverum, Norway.
    Duppils, Gill Sorensen
    Hogskolan Dalarna, Dept Hlth & Social Sci, S-79188 Falun, Sweden.;Cty Hosp Dalama, Dept Gen Surg & Med, Falun, Sweden.
    Group supervision to strengthen nurses in their preceptor role in the bachelor nursing education: Perceptions before and after participation2013In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 13, no 2, p. 101-105Article in journal (Refereed)
    Abstract [en]

    Background: A collaborative project was carried out at four bachelor nursing colleges in Sweden and Norway, to support preceptors in the clinical fields by means of group supervision. The aim of this study was to investigate the preceptors' views on their own ability and satisfaction in the role before and after taking part in group supervision during one year and to describe their perception of the supervision model used. Method: Forty-five preceptors participated in the study. Baseline and endpoint questionnaires were used for data collection. Results: Before taking part in group supervision most preceptors expressed that they were content with their ability and knowledge with regards to the preceptor role. Despite this most of them considered that the participation had increased their ability to supervise students, and more than half of them considered that it also had promoted to their personal development. At the end of the project a majority of them had positive experiences of group supervision. Most of the structure and climate factors in the supervision model were considered important and almost all were highly realised. Conclusion: The study showed that group supervision could be a valuable tool to provide support to clinical preceptors in bachelor nursing education. (C) 2012 Elsevier Ltd. All rights reserved.

  • 67. Engström, B.
    et al.
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Axelsson, K.
    Sandman, P.O.
    Mätning av omvårdnadskvalitet - bearbetning och utprövning av Rush Medicus Process Instrument1992In: Vård i Norden, 3/4; 45-49, 1992Article in journal (Refereed)
  • 68. Foss, J
    et al.
    Kvigne, K
    Wilde-Larsson, Bodil
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Collaboration model of best practice2011Conference paper (Refereed)
  • 69.
    Foss, Jette Elsborg
    et al.
    Hedmark Univ Coll, Norway.
    Kvigne, Kari
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Wilde-Larsson, Bodil
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Athlin, Elsy
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    A model (CMBP) for collaboration between university college and nursing practice to promote research utilization in students' clinical placements: A pilot study2014In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 14, no 4, p. 396-402Article in journal (Refereed)
    Abstract [en]

    Background: A collaborative project was initiated in Norway between a university college and a hospital in order to improve RNs' and nursing students' research utilization in clinical placements. This paper describes the model (CMBP) that was developed, its first application, and evaluation. Aim: The evaluation aimed at describing nurses' and students' experiences of the CMBP related to collaboration, facilitation, learning, and impact on nursing care. Methods: Thirty-eight students from the second and third year of nursing education, and four nurses answered questionnaires with closed and open ended questions. In addition two of the nurses wrote diaries. Data were subjected to qualitative and quantitative analysis. Findings: Almost all participants reported that collaboration between nursing college and nursing practice had been beneficial. Most students and all nurses reported about valuable learning, increased understanding of research utilization, and improved quality of nursing care. Both students and RNs recommended the CMBP to be used in all clinical placements to support academic learning and increase research utilization in clinical practice. Conclusion: Despite study limitations the findings indicate that the CMBP has a potential to be a useful model for teaching RNs' and students EBP. However, further refinement of the model is needed, followed by a more comprehensive implementation and evaluation. (C) 2013 Elsevier Ltd. All rights reserved.

  • 70. From, I.
    et al.
    Johansson, Inger
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Elderly people's opinion on health and ill-health in community care2007In: Journal of Clinical NursingArticle in journal (Refereed)
  • 71.
    From, Ingrid
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Johansson, Inger
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Experiences of health and well-being - a question of adjustment and compensation: the views of elderly people dependent on community care2007In: JOurnal of Older People Nursing, 2, 1- 10Article in journal (Refereed)
  • 72.
    From, Ingrid
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Johansson, Inger
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Experiences of health and well-being, a question of adjustment and compensation: views of older people dependent on community care2007In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 2, no 4, p. 278-287Article in journal (Refereed)
    Abstract [en]

    Most studies concerning older people’s health and well-being have focused on their ill health, disease and complaints and have mainly been conducted with a quantitative design. Hence, there is still a need for qualitative studies in which these peoples’ own views on health and well-being are shown, especially when they are dependent on health care in a community setting. A qualitative approach was used in the study reported here and aimed at obtaining a deeper understanding of older peoples’ own views about their health and well-being. Interviews were carried out on two occasions with 19 older people living in their own homes and in sheltered accommodation. The data were analysed using content analysis. The findings suggested that the possibility to feel healthy was dependent both on the older person’s own ability to adjust or compensate to their situation, and on how their caregivers, relatives and friends could compensate for the obstacles the older person faced. The subcategories that captured the informants’ experiences of health and ill health were described as positive and negative poles of autonomy, togetherness, tranquillity and security in daily life. The significance of the caregivers was clearly evident. Their competence, commitment and treatment were prerequisites for the older person’s ability to experience health in spite of being dependent on care.

  • 73.
    From, Ingrid
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Johansson, Inger
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    The meaning of good and bad care in the community care: older people's lived experiences2009In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 4, no 3, p. 156-165Article in journal (Refereed)
    Abstract [en]

    In spite of a considerable body of research in the past decades on what does or does not constitute good care for older people, there are still few studies addressing this question in which older people narrate their experiences of being dependent on community care. This study was therefore carried out aiming to explore older people's lived experiences of what good and bad care meant to them, when it was offered by community care services. Nineteen older persons in three Swedish communities participated in the study, which used a phenomenological-hermeneutic approach. Data were collected through unstructured interviews and Colaizzi's framework was utilized in the analysis of the data.The key theme arising from the analysis was that of being encountered as a human being by caregivers who, through the provision of safe and secure care, provide opportunities for living life as usual. When any of these circumstances are lacking, bad care will be the consequence. As the general intention in society is to ensure good quality of care to older people as well as others, the findings in our study should have important implications for providers of community care for older people.

  • 74.
    From, Ingrid
    et al.
    Högskolan Dalarna.
    Johansson, Inger
    Karlstad University, Faculty of Social and Life Sciences.
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Äldre pesoners syn på hälsa, omvårdnad och omsorg inom kommunal vård2003Conference paper (Other (popular science, discussion, etc.))
  • 75.
    Hall-Lord, Marie Louise
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Theander, Kersti
    Karlstad University, Faculty of Health, Science and Technology (starting 2013).
    Athlin, Elsy
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    A clinical supervision model in bachelor nursing education: Purpose, content and evaluation2013In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 13, no 6, p. 506-11Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Collaboration between universities and clinical placements has been highlighted as a weak point of the nursing education. To facilitate a good academic learning environment a clinical supervision model had been developed. The aim of this study was to evaluate to what extent the goals of the model were met after one and a half years of utilisation.

    METHODS: A questionnaire was responded to by 30 head nurses, 12 main preceptors, 193 personal preceptors, and 11 clinical nurse lecturers.

    RESULTS: Most of the participants perceived that the quality criteria in the model were met to a large extent, the students' individual goals were achieved, and the supervision model contributed to fulfilment of goals, and assessment of the students. The nurse lecturers scored highest and the personal preceptors lowest in most of the questions. The conditions stated in the model were not always fulfilled. The deficiencies found were especially related to education level, time for supervision, and support to the personal preceptors.

    CONCLUSIONS: Despite some shortcomings the supervision model was considered by most participants as a valuable tool to be used in an academic nursing education. Improvements of the model in regard to the findings were suggested.

  • 76. Hall-Lord, M-L.
    et al.
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Utvärdering av avtal gällande den verksamhetsförlagda utbildningen i sjuksköterskeprogrammet - med fokus på handledningsmodellen2005Report (Refereed)
  • 77.
    Hedelin, Birgitta
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Petzäll, Kerstin
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Hov, Reidun
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Adgang til sykehuset som forskningsfelt erfaringer fra studien;Avdelingssykepleieres oppfatninger av sin lederrolle i sykehus og sykehjem2009Conference paper (Other (popular science, discussion, etc.))
  • 78.
    Helgesen, Ann K
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Larsson, Maria
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    How do relatives of persons with dementia experience their role in the patient participation process in special care units?2013In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 22, no 11/12, p. 1672-1681Article in journal (Refereed)
    Abstract [en]

    Aims and objective To explore the role of relatives in the patient participation process for persons with dementia living in special care units in Norwegian nursing homes, with focus on everyday life. Background Studies exploring the experience of relatives of persons with dementia as to their role in the patient participation process are limited. Design The study had an explorative grounded theory design. Method Data collection was carried out by interviews with twelve close relatives. Simultaneously, data analysis was performed with open, axial and selective coding. Results The relatives' role in the patient participation process was experienced as transitions between different roles to secure the resident's well-being, which was understood as the resident's comfort and dignity. This was the ultimate goal for their participation. The categories 'being a visitor', 'being a spokesperson', 'being a guardian' and 'being a link to the outside world' described the different roles. Different situations and conditions triggered different roles, and the relatives' trust in the personnel was a crucial factor. Conclusions The study has highlighted the great importance of relatives' role in the patient participation process, to secure the well-being of residents living in special care units. Our findings stress the uttermost need for a high degree of competence, interest and commitment among the personnel together with a well functioning, collaborative and cooperative relationship between the personnel and the relatives of persons with dementia. The study raises several important questions that emphasise that more research is needed. Relevance to clinical practice Relatives need to be seen and treated as a resource in the patient participation process in dementia care. More attention should be paid to initiating better cooperation between the personnel and the relatives, as this may have a positive impact both on the residents' and the relatives' well-being.

  • 79.
    Helgesen, Ann Karin
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences. Østfold University College, Norway.
    Ahtlin, Elsy
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Larsson, Maria
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Relatives' participation in everyday care in special care units for persons with dementia2014In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 22, no 4, p. 404-416Article in journal (Refereed)
    Abstract [en]

    Background: Research concerning relatives' participation in the everyday care related to persons living in special care units for persons with dementia is limited.

    Research questions: To examine relatives' participation in their near one's everyday care, the level of burden experienced and important factors for participation, in this special context.

    Design: The study had a cross-sectional design, and data collection was carried out by means of a study-specific questionnaire.

    Participants and context: A total of 233 relatives from 23 different special care units participated.

    Ethical consideration: The study was approved by the Norwegian Social Science Data Services.

    Results: A great majority of relatives reported that they visited weekly and were the resident's spokesperson, but seldom really participated in decisions concerning their everyday care. Participation was seldom reported as a burden.

    Discussion: This study indicated that relatives were able to make a difference to their near one's everyday life and ensure quality of care based on their biographical expertise, intimate knowledge about and emotional bond with the resident. Since knowing the resident is a prerequisite for providing individualised care that is in line with the resident's preferences, information concerning these issues is of utmost importance.

    Conclusion: This study prompts reflection about what it is to be a spokesperson and whether everyday care is neglected in this role. Even though relatives were satisfied with the care provided, half of them perceived their participation as crucial for the resident's well-being. This indicated that relatives were able to offer important extras due to their biographical expertise, intimate knowledge about and emotional bond with the resident. Good routines securing that written information about the residents' life history and preferences is available and used should be implemented in practice.

  • 80. Helgesen, Ann Karin
    et al.
    Larsson, Maria
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    A matter of presence - ‘patient participation’ in everyday activities for persons with dementia living in special care units in nursing homes2012Conference paper (Refereed)
  • 81. Helgesen, Ann Karin
    et al.
    Larsson, Maria
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Athlin, Elsy
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Hvordan erfarer pårørende til personer med demens sin rolle i pasientmedvirkningsprosessen?2013Conference paper (Refereed)
  • 82.
    Helgesen, Ann Karin
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Larsson, Maria
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    ‘Patient participation’ in everyday activities in special care units for persons with dementia in Norwegian nursing homes2010In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 5, no 2, p. 169-178Article in journal (Refereed)
    Abstract [en]

    Aim.  The aim of this study was to explore ‘patient participation’ in everyday activities for persons with dementia living in special care units in nursing homes. Background.  Studies about how ‘patient participation’ appears in the context of special care units for persons with dementia are lacking. Design.  The study has an explorative design. Method.  Grounded theory was chosen. Data collection was carried out by means of open observations and additional conversations with residents and personnel. Simultaneously, data analysis was performed with open, axial and selective coding. Findings.  The findings showed that ‘patient participation’ concerned ‘A matter of presence’ as the core category. The other categories described as ‘presence of personnel’ and ‘presence of residents’, were strongly connected to the core category as well as to each other. Presence of personnel comprised three levels; being there in body, which required physical presence; being there in mind, which required presence with all senses based on knowledge and competence; and being there in morality which was understood as being fully present, as it was based on humanistic values and included the two other levels. Presence of residents comprised ‘ability and wish’ and ‘adaptation’. The presence of the personnel had a huge impact on the ability and will to participate of the residents. Organizational conditions concerning leadership, amount of personnel and routines as well as housing conditions concerning architecture and shared accommodation, could stimulate or hinder ‘patient participation’. Conclusions and implications.  The study highlighted the great impact of the personnel’s presence in body, mind and morality on the participation capacity of the residents. The great importance of the nurse leaders was stressed, as they were responsible for organizational issues and served as role models. Group supervision of the personnel and their leaders would be an implication to propose, as these kinds of reflection groups offer opportunities to reflect on values, actions and routines.

  • 83. Helgesen, Ann Karin
    et al.
    Larsson, Maria
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Athlin, Elsy
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Patient participation in everyday life in special care units for persons with dementia.“A matter of precence”.2013Conference paper (Refereed)
  • 84.
    Helgesen, Ann Karin
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Larsson, Maria
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Athlin, Elsy
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Patient participation in special care units for persons with dementia: A losing principle?2014In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 21, no 1, p. 108-118Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to explore the experience of nursing personnel with respect to patient participation in special care units for persons with dementia in nursing homes, with focus on everyday life. The study has an explorative grounded theory design. Eleven nursing personnel were interviewed twice. Patient participation is regarded as being grounded in the idea that being master of one's own life is essential to the dignity and self-esteem of all people. Patient participation was described at different levels as letting the resident make their own decisions, adjusting the choices, making decisions on behalf of the residents and forcing the residents. The educational level and commitment of the nursing personnel and how often they were on duty impacted the level that each person applied, as did the ability of the residents to make decisions, and organizational conditions, such as care culture, leadership and number of personnel.

  • 85.
    Helgesen, Anna Karin
    et al.
    Högskolan i Østfold.
    Larsson, Maria
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Patient participation for persons with dementia living in sheltered accommodation in nursing homes2009Conference paper (Refereed)
  • 86.
    Holmlund, Kerstin
    et al.
    Umeå universitet, Institutionen för omvårdnad.
    Lindgren, Barbro
    Umeå universitet, Institutionen för omvårdnad.
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Systematisk vägledning i omvårdnad som metod för personlig och professionell utveckling under sjuksköterskeutbildningen och i sjuksköterskors yrkesutövning1999Conference paper (Other (popular science, discussion, etc.))
  • 87.
    Holmlund, Kristina
    et al.
    Umea Univ, Dept Nursing, Umea, Sweden..
    Lindgren, Barbro
    Umea Univ, Dept Nursing, Umea, Sweden..
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing. Karlstad Univ, Dept Nursing, S-65188 Karlstad, Sweden..
    Group supervision for nursing students during their clinical placements: its content and meaning2010In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 18, no 6, p. 678-688Article in journal (Refereed)
    Abstract [en]

    Aim To explore what situations students focus on during group supervision sessions, and what this supervision meant to nursing students during their clinical placements. Background Knowledge about clinical supervision of nursing students in groups is scarce concerning what situations the students bring to the sessions. Method Open-ended questionnaires were filled out by students after each session. Qualitative content analysis was performed. Results The content evolved as: being a nursing student, encountering demanding situations and becoming a nurse. The meaning of group supervision was captured in the categories: 'satisfaction of being together in the supervision group', 'new understanding and insights' and 'hesitation and discomfort'. A change of pattern was found over time showing a development among the students from a self-centred focus to a profession-centred focus. Conclusion The value of group supervision as a tool to support nursing students' personal and professional development was emphasized. The students' great need for and lack of support in 'bed-side nursing' was obvious. Implications for nursing management Our findings would be valuable for nurse managers when striving for a good learning environment in clinical placements, as well as for nursing teachers, in their supportive role to both students and preceptors.

  • 88. Hov, R.
    et al.
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Hedelin, Birgitta
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Nurses lived experiences related to nursing care in nursing homes, when questions concerning life-sustaining treatment or not were raised. Accepted,2008In: Scandinavian Journal of Caring SciencesArticle in journal (Refereed)
  • 89. Hov, Reidun
    et al.
    Hedelin, Birgitta
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Being an intensive care nurse related to questions of withoutholding or withdrawing curative treatment2007In: Journal of Clinical Nursing 2007;16:203-211Article in journal (Refereed)
  • 90. Hov, Reidun
    et al.
    Hedelin, Birgitta
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Good nursing care to ICU patients on the edge of life2007In: Intensive & Critical Care Nursing 2007Article in journal (Refereed)
  • 91.
    Hov, Reidun
    et al.
    Högskolan i Hedmark, Elverum.
    Hedelin, Birgitta
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Nursing care for patients on the edge of life in nursing homes: obstacles are overshadowing opportunities2013In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 8, no 1, p. 50-60Article in journal (Refereed)
    Abstract [en]

    Background.  Patients in nursing homes have comprehensive needs for nursing care and medical treatment. Most patients benefit from the treatment, but some are ‘on the edge of life’-in a borderland between living and dying with an unpredictable outcome, and questions are sometimes raised whether to withhold/withdraw curative treatment.

    Aim.  The aim was to describe nurses’ conceptions of good nursing care, and how this could be carried out for patients on the edge of life in nursing homes.

    Design.  In order to discover variations in the nurses’ understandings a phenomenographic approach was chosen. Phenomenography is concerned with qualitatively different ways of conceiving a phenomenon.

    Methods.  Fourteen nurses from two nursing homes were individually interviewed twice. A phenomenographic analysis was used.

    Results.  The outcome-space included two main categories. The first, ‘good nursing care is to meet patients’ needs for dignity,’ included three description-categories: needs for ‘preparedness’, ‘human relationship’ and ‘bodily comfort and safety’. The second, ‘opportunities were overshadowed by obstacles’ in carrying out nursing care encompassed three description-categories: ‘organisational factors,’‘relational factors’ and ‘personal factors’.

    Conclusions.  This study shows nurses’ conceptions of the importance of good nursing care for comforting patients on the edge of life.

    Implications for practice.  Several obstacles related to resources, communication, cooperation and nurses' professional strength and power need to be overcome if good nursing care can be performed.

  • 92.
    Hov, Reidun
    et al.
    Högskolan i Hedmark, Elverum.
    Hedelin, Birgitta
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Sykepleieres opplevelse av sykepleien till kritiskt og alvorlig syke pasienter ved osikkerhet om kurativ behandling samt behovet for stotte og veiledning2003Conference paper (Other (popular science, discussion, etc.))
  • 93. Ideström, M.
    et al.
    Milsom, I.
    Andersson-Ellström, A.
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Cervical cancer screening: For better or worse....2006In: Cancer Nursing, Vol. 29 (6)Article in journal (Refereed)
  • 94. Jansson, L
    et al.
    Norberg, A
    Sandman, P-O
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Asplund, K
    Interpreting facial expressions in patients in the terminal stage of the Alzheimer disease1993In: Omega 26 (4) 319-334, 1993Article in journal (Refereed)
  • 95.
    Johansson, Inger
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Frykholm, L.
    Bolinder, H.
    Pe- and postoperative occurrence of urinary tract infections among patients with hip fracture. A study within a nursing quality improvement project2000In: Proceedings. WENR conference, 201-204Article in journal (Refereed)
  • 96.
    Johansson, Inger
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Frykholm, L.
    Bolinder, H.
    Larsson, G.
    Intermittent versus indwelling catheters for older patients with hip fractures2002In: Journal of Clinical Nursing, 11, 651-656, 2002Article in journal (Refereed)
  • 97.
    Johansson, Inger
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Björkström, Monica
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Is the humanistic view of the nurse role still alive - in spite of an academic education?2006In: Journal of Advanced Nursing 54(4), 502-510, 2006Article in journal (Refereed)
  • 98.
    Johansson, Inger
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Wilde-Larsson, Bodil
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Larsson, G
    DySSSy i Värmland - exempel på kvalitetssäkringsarbete vid Centralsjukhuset i Karlstad1994In: Ude´n, G. (red). Kvalitetssäkring i omvårdnad - olika perspektiv, Lund: Studentlitteratur , 1994Chapter in book (Refereed)
  • 99. Jonsen, E
    et al.
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Suhr, O
    Familjar amyloidos patienters upplevelse av att vänta på levertransplantation - en fenomenologisk studie1999Conference paper (Other (popular science, discussion, etc.))
  • 100. Jonsén, E
    et al.
    Athlin, Elsy
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Suhr, O
    Familial amyloidotic patientsÕ experience of waiting for a liver transplantation2000In: Journal of Clinical Nursing, 9, 63-70, 2000Article in journal (Refereed)
123 51 - 100 of 130
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