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  • 1.
    Ahlzen, Rolf
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Illness as unhomelike being-in-the-world?: Phenomenology and medical practice2011In: Medicine, Health care and Philosophy, ISSN 1386-7423, E-ISSN 1572-8633, Vol. 14, no 3, p. 323-331Article in journal (Refereed)
    Abstract [en]

    Scientific medicine has been successful by ways of an ever more detailed understanding and mastering of bodily functions and dysfunctions. Biomedical research promises new triumphs, but discontent with medical practice is all around. Since several decades this has been acknowledged and discussed. The philosophical traditions of phenomenology and hermeneutics have been proposed as promising ways to approach medical practice, by ways of a richer understanding of the meaning structures of health and illness. In 2000, Swedish philosopher Fredrik Svenaeus published a book where he proposes that the phenomenological hermeneutics of Martin Heidegger and also the reflections on health and illness of Hans-Georg Gadamer offer important ways to approach the nature of medicine. In particular, Svenaeus argues that the goal of medicine is to promote and restore health, and that health ought to be seen as "homelike being-in-the-world". Unhealth, illness, consequently should be understood as a situation where a person's "being-in-the-world" in characterized by that lack of the rhythm, balance and "tune" of everyday living that characterizes not "being at home". In this article, Svenaeus' position is briefly outlined. Questions are raised whether "unhomelikeness" is to be seen as a metaphor, and, if so, if it is a fruitful such. Furthermore, I discuss whether or not a discourse on health and illness in these terms may be misleading in a situation where the ontological presuppositions of Heidegger are lost out of sight and the popular understanding of health psychology predominates. I also approach the question whether Svenaeus' assumptions may inadvertently lead us to an unjustifiably broad understanding of the tasks of medicine. It is finally concluded that Svenaeus phenomenological and hermeneutical approach is both interesting and promising. There are, however, several questions that ought to be pursued further, and the step from philosophical analysis to everyday clinical discourse may be unexpectedly long and risky.

  • 2. Asmussen, L.
    et al.
    Nyren, Andersson M.
    Kane, Bridget
    Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Karlstad Business School (from 2013).
    The Experience of Healthcare Workers Following the Implementation of an IT-System in a Home for the Aged2017In: Irish Journal of Medical Science, ISSN 0021-1265, E-ISSN 1863-4362, Vol. 186, no Suppl.4, p. S161-S161Article in journal (Refereed)
    Abstract [en]

    We report on how health personnel at a home for the aged wereaffected by the introduction of an IT-system to help when nursedocumentation of patient activity and condition. The design of ITsystems for documentation by care-givers in healthcare is topicalbecause of the challenges posed by the need for high levels of safety,confidentiality and ethical responsibility. Health care staff work underextreme time-pressure including emergency situations. It is criticallyimportant to have IT-systems that are easy to use: to find informationand make records.This qualitative study utilises observation and interviews to gaindeep understanding. Observation data guide the interviews. Interviewswith nurses (10) and an IT analyst (1) are reported.Lack of time is a contributing factor as to why health personnel donot have a positive attitude to the use of IT documentation systems.Nurses feel that the lack of time does not afford them the opportunityto learn properly about the IT-system, and many of the staff haveworked with paper for over 20 years. It is also seen as a problem thatthere are many steps (clicks) before one can make a note or findinformation. One of the advantages reported with using IT-systems isthat all information is at one site. Everything is safety copied andconfidentiality is easier to secure.Using IT documentation systems facilitates the use of careplansthat are individualized for patient needs, instead treating all patientswith a particular disease, e.g. dementia, in the same way

  • 3.
    Holm, Marie-Louise
    Linköpings universitet, Tema Genus.
    Fleshing out the self: Reimagining intersexed and trans embodied lives through (auto)biographical accounts of the past2017Doctoral thesis, monograph (Other academic)
    Abstract [en]

    This thesis explores how current ways of imagining possibilities for intersexed and trans embodied lives within medical contexts might be informed by and reimagined through the historical lived experiences of intersexed and trans individuals as they have been articulated in autobiographical accounts.

    Postmodern, queer, intersex, and trans researchers and activists have criticised existing standards of intersex and trans healthcare for limiting the possibilities for diverse embodied lives by articulating certain forms of embodiment and selfhood as more likely to enable a liveable life than others. This has often been done in a medico-legal context by referring to experiences in the past of the unliveability of corporealities and gendersexed situations that differ from privileged positions. With a point of departure in these critiques, this thesis reopens questions about how intersexed and trans people may be embodied and have relations with others by reflecting upon the period of the first three-quarters of the 20th century, when the present standards of care and diagnostic categories were emerging, but had not yet become established.

    Drawing upon a unique set of historical source material from the archives of the Danish Ministry of Justice and the Medico-Legal Council, intersexed and trans persons’ life stories are rearticulated from their own and medico-legal experts’ accounts written in relation to applications for change of legal gendersex status and medical transition. In this way, the process is traced through which these life stories have been repeatedly rearticulated in order to become a usable basis for diagnosis and decision-making. At the same time, the stories are unfolded once more in a rearticulation focusing on their complexity and diversity.

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  • 4.
    Kane, Bridget
    et al.
    Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Karlstad Business School (from 2013).
    Luz, Saturnino
    Univ Edinburgh, Edinburgh, Midlothian, Scotland.
    Trust, Ethics and Access: Challenges in studying the work of Multidisciplinary Medical Teams2017In: 2017 IEEE 30Th International Symposium On Computer-Based Medical Systems (CBMS) / [ed] Bamidis, PD; Konstantinidis, ST; Rodrigues, PP, New York: IEEE, 2017, p. 527-528Chapter in book (Refereed)
    Abstract [en]

    This paper highlights the challenges for researchers when undertaking research on multidisciplinary medical teams (MDTs) in real-world healthcare settings, and suggests ways in which these challenges may be addressed.

  • 5.
    Lindwall, Lillemor
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Boussaid, Lena
    School of Health, Care and Social Welfare, Mälardalen University.
    Kulzer, Sonja
    School of Health, Care and Social Welfare, Mälardalen University, Västerås.
    Wigerblad, Åse
    School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna.
    Patient dignity in psychiatric nursing practice2012In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 19, no 7, p. 569-576Article in journal (Refereed)
    Abstract [en]

    Professional nurses have an ethical responsibility to protect and preserve the patients' dignity. The aim of this study was to describe how nurses experienced incidents relating to patients' dignity in a psychiatric nursing practice. A hermeneutic approach was used and data were collected using the critical incident technique. Data included 77 written critical incidents, which were interpreted by using a hermeneutic text interpretation. The findings show preserved dignity – caregivers have the courage to be present, and offended dignity – caregivers create powerlessness taken away by the patient. These findings show that patients' dignity in a psychiatric nursing practice can be preserved when caregivers act on their ethical responsibility. When patients' dignity is offended, the caregiver has become an inner value conflict, something they have been a part of against their own will.

  • 6. Männimägi, Karen
    Möten med patienten under den perioperativa vårdprocessen: Operationssjuksköterskans perspektiv2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: Operating theatre nurses have limited opportunities to meet the patient and studies focuses mainly on the intraoperative care. Operating theatre nurse meets the patient briefly just before the surgery together with other members of the surgical team. Aim: The aim of the study was to describe operating theatre nurse´s experiences of meeting with the patient during the perioperative nursing process.Method: The study was a qualitative interview study. In total six interviews with operating theatre nurses with at least three years of professional experience and were working at a hospital in central Sweden. The data was analysed through a content analysis. Results: The analysis revealed three categories with associated subcategories that described the operating theatre nurses´ meeting with the patient in the perioperative care: To establish a first contactto make themselves known, to create a care relationship, making the patient involved in care; To ensure patient care – to prevent patient exposure to injuries, having the opportunity to evaluate the implemented care measures; To preserve patient privacy – wanting to do good. Conclusion: In the meeting with the patient a care relationship is created, which makes the patient involved in the care and the operating theatre nurse is given the opportunity to plan, to implement and to evaluate the implemented care measures, which contributes to the development of the patient´s care and the operating theatre nurse´s competence.

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