Facilitating nursing students’ acquisition of knowledge about the public health perspective in nursing: Experiences from a pilot project

Knowledge about public health and public health work is important for meeting current and future health challenges. A group of nursing students in a cohort participated in a practicum programme pertaining to the study of the academic subject ‘Nursing and Society’. The municipality’s public healthcare services were the learning arena. The purpose of this pilot project was to explore whether participation in the municipality’s public healthcare services is a pedagogical approach that enhances nursing students’ acquisition of knowledge about the public health perspective in nursing. Combined methods were used in the evaluation. Data were collected through focus-group interviews and questionna…

Sustainability in Nursing Education

This chapter, Sustainability in nursing education, Ashild Slettebo argues how sustainability can be integrated into nursing training and education. A key here is for the students to be able to develop a comprehensive perspective on nursing. The chapter uses different definitions of sustainability, linked to an account of responsibilities of nurses. It has a useful discussion of practical examples on how nursing education can have a wider impact in universities, in terms of sustainability.

Additional file 2 of Content and comprehensiveness in the nursing documentation for residents in long-term dementia care: a retrospective chart review

Additional file 2.

Use of interprofessional simulation-based learning to develop perioperative nursing students' self-efficacy in responding to acute situations

Abstract Self-efficacy is an essential concept regarding academic performance and persistence in higher education. Research indicates that interprofessional simulation-based learning influences participants’ self-efficacy and points to a need for more research on self-efficacy and its development. This study describes perioperative nursing students’ experiences with how interprofessional simulation-based learning contributes to self-efficacy in communication, interdisciplinary collaboration, and prioritising tasks in acute situations. Six qualitative focus group interviews were conducted with thirty-four perioperative nursing students from four universities and university colleges in Norway…

Evaluation of ethical reflections in community healthcare: a mixed-methods study.

Background: Ethical reflections over care practices are important. In order to be able to perform such reflections, healthcare professionals must learn to think critically about their care practice. Aim: The aim of this study was to evaluate whether an introduction to and practice in ethical reflections in community healthcare have consequences for the healthcare personnel’s practice. Research design: A mixed-methods design was adopted with five focus group interviews and an electronic questionnaire based on results from the interviews. Participants and research context: A total of 29 community healthcare personnel with experience in ethical reflections participated in the interviews. The e…

Improving quality in clinical placement studies in nursing homes (QUALinCLINstud):the study protocol of a participatory mixed methods multiple case study design

IntroductionImproved quality in clinical supervision and assessment of student nurses in nursing home clinical placements is vitally important to effective recruitment and preparation for this healthcare sector. Knowledge regarding supervision and assessment practices within these settings is limited. Also, knowledge of evolving e-learning tools on the quality and effectiveness of these educational practices seems to be absent.Methods and analysisThe aim of the “Improving quality in clinical placement studies in nursing homes” (QUALinCLINstud) study is to develop and evaluate how a web-based programme can optimise supervision, assessment and learning during nursing home placements. The stud…

Digital recording as a teaching and learning method in the skills laboratory.

Aim and objectives To obtain information on how nursing students react to, think about and learn from digital recording as a learning and teaching method over time. Background Based on the teaching and learning philosophy of the university college, we used digital recording as a tool in our daily sessions in skills laboratory. However, most of the studies referred to in the background review had a duration of from only a few hours to a number of days. We found it valuable to design a study with a duration of two academic semesters. Design A descriptive and interpretative design was used. Method First-year bachelor-level students at the department of nursing participated in the study. Data c…

Improving the Use of Simulation in Nursing Education: Protocol for a Realist Review

BackgroundNursing education has evolved in line with societal needs, and simulation-based learning (SBL) is increasingly being used to bridge the gap between practice and education. Previous literature reviews have demonstrated the effectiveness of using SBL in nursing education. However, there is a need to explore how and why it works to expand the theoretical foundation of SBL.ObjectiveThis review aims to understand how, why, and in what circumstances the use of simulation affects learning as part of the bachelor’s program in nursing.MethodsA realist review will be conducted in accordance with the realist template for a systematic review. In particular, we will identify and explore the un…

Conflicting rationales: leader's experienced ethical challenges in community health care for older people.

BACKGROUND Ethical challenges arise in all types of care, and leaders need to be aware of how to resolve these challenges. Healthcare systems tend to be organised around medical conditions, and the patient is often faced with a series of uncoordinated visits to multiple specialties. Ideally, care should be organised around the patient's needs. AIM The purpose of this article was to highlight some ethical challenges perceived by leaders with responsibility for management and service distribution, finance and ensuring quality of community health services for older people. METHOD This study had a qualitative design with a qualitative content analysis of one focus group with six leaders that me…

Customising clinical studies for the new nursing generation

Nursing education in the Nordic countries follows the European Union directive requirements, and clinical studies for nursing students in the Nordic countries have many similarities. Now a new generation of students with different needs and characteristics is entering the nursing profession. The faculty, teachers and nurses will face challenges in meeting this new generation’s needs. The primary aim of this discussion paper is to explore and compare the current clinical studies in the five Nordic countries. The secondary aim is to find means to address the future challenges with a focus on the new generation. The idea of Objective Structured Clinical Reflection creates the possibility to d…

Fostering dignity in the care of nursing home residents through slow caring

Background: Physical impairment and dependency on others may be a threat to dignity. Research questions: The purpose of this study was to explore dignity as a core concept in caring, and how healthcare personnel focus on and foster dignity in nursing home residents. Research design: This study has a hermeneutic design. Participants and research context: In all, 40 healthcare personnel from six nursing homes in Scandinavia participated in focus group interviews in this study. Ethical considerations: This study has been evaluated and approved by the Regional Ethical Committees and the Social Science Data Services in the respective Scandinavian countries. Findings: Two main themes emerged: dig…

Nursing students' perceptions of a video-based serious game's educational value: A pilot study.

Abstract Background Despite an increasing number of serious games (SGs) in nursing education, few evaluation studies specifically address their educational value in terms of face, content, and construct validity. Objectives To assess nursing students' perceptions of a video-based SG in terms of face, content, and construct validity. In addition, the study assessed perceptions of usability, individual factors, and preferences regarding future use. Design A pilot study was conducted. Setting and Participants An SG prototype was implemented as part of two simulation courses in nursing education: one for home health care and one for hospital medical-surgical wards. The SG aimed to teach clinica…

Triage assessment of registered nurses in the emergency department

Standardised triage systems have been implemented in emergency departments (EDs) to improve the efficacy of assessment strategies as performed by registered nurses (RNs). However, the exact effect the standardised triage systems have on the decision-making process remains unclear.Aim: To evaluate decision making in the triage setting before and after implementation of the Medical Emergency Triage and Treatment System Adult in one hospital's ED.Methods: A descriptive intervention design with a quantitative approach. A total of 655 patients before and 413 patients after the intervention were included. A questionnaire was used to evaluate how the RNs assessed the patients before intervention w…

sj-pdf-1-njn-10.1177_20571585211029857 - Supplemental material for Nursing students’ professional identity development: An integrative review

Supplemental material, sj-pdf-1-njn-10.1177_20571585211029857 for Nursing students’ professional identity development: An integrative review by Grete Vabo, Åshild Slettebø and Mariann Fossum in Nordic Journal of Nursing Research

Professional thinking in Individual Plan processes

This article explores the kind of critical and reflective thinking taht influences the social and health care professionals in the Individual Plan process. An inter-professional group of six healthcare and social researchers collected the data, which consisted of indepth interviews with 12 service providers who were the clients´ coordinators and one day centre leader. By focusing on reflective thinking in a critical perspective, it is concluded that coordinators are guided by different philosophical and theoretical perspectives in this process; a mixture of reasoning strategies, caring as a relational concept and a mixture of philosophical frameworks. To improve critical thinking in Individ…

Critical issues for employees in inter-municipal health care services: a multiple case study

Abstract Background Traditional, hierarchical government structures have recently been challenged by increased complexity, fragmented services and heavy public demand. When healthcare services become fragmented and decentralised, they require redesign. Inter-municipal cooperation is a strategy to deal with current challenges and future demographic changes. Few studies exist that can help us conceptualize challenges regarding employment in this context and inform managers in the involved municipalities. This study aims to identify critical issues for employees in inter-municipal health care services and to elaborate on how and why these issues are experienced. Methods A multiple qualitative …

Experiences of a non-clinical set of adolescents and young adults living with persistent pain:a qualitative metasynthesis

PurposeAround 15%–30% of adolescents and young adults (AYAs) experience persistent or chronic pain. The purpose of this study was to synthesise evidence from qualitative primary studies on how AYAs in a non-clinical population experience living with persistent pain.MethodA qualitative metasynthesis guided by Sandelowski and Barroso’s guidelines was used. The databases Medline, Embase, Cinahl, PsycINFO, Mednar and ProQuest were searched for studies from 1 January 2005 to 15 February 2021. Inclusion criteria were AYAs aged 13–24 years with first-hand experience of living with persistent, recurrent or episodic non-clinical pain in any body site. Pain associated with a medical diagnosis, malign…

'Like a prison without bars' : dementia and experiences of dignity

Author's version of an article in the journal: Nursing Ethics. Also available from the publisher at: http://dx.doi.org/10.1177/0969733013484484 The aim of this article is to investigate how life in Norwegian nursing homes may affect experiences of dignity among persons with dementia. The study had a qualitative design and used a phenomenological and hermeneutic approach. Participant observation in two nursing home units was combined with qualitative interviews with five residents living in these units. The study took place between March and December 2010. The residents feel that their freedom is restricted, and they describe feelings of homesickness. They also experience that they are not b…

Practice-based learning and innovation in nursing homes

Purpose This paper aims to investigate the conditions under which learning and innovation occur within nursing homes by focusing on how the dynamics of the distribution and transformation of ideas and knowledge may be viewed as a prerequisite for innovation in both formal, planned learning situations and informal, everyday practices. Design/methodology/approach Data was produced via fieldwork, which included participant observations, conversations and research interviews with staff and managers at a Norwegian nursing home. The paper is inspired by situated learning theories and communities of practice, as the social context emerges as the site where learning and innovation are cultivated. …

Dignity, Dependence, and Relational Autonomy for Older People Living in Nursing Homes

Dignity is a core concept in nursing care. In earlier theories on dignity, close links have been drawn between dignity and autonomy, and autonomy has been closely related to independence. These traditional understandings of dignity and autonomy may be challenged when an individual moves into a nursing home. Our findings show that negative views about dependence, institutional frames and structures in the nursing home, and the attitudes and actions of healthcare personnel may diminish independence and lead to a lack of autonomy. Each of these areas can be experienced as a serious threat to the residents' dignity. Findings are interpreted and discussed in the light of a theory of relational a…

Validity of a questionnaire developed to measure the impact of a high‐fidelity simulation intervention: A feasibility study

To evaluate the validity and responsiveness of a questionnaire developed to measure the impact of a high-fidelity simulation intervention.A pre- and postintervention design.In August 2017, 107 participants completed a questionnaire measuring knowledge and perceived self-confidence pre- and postintervention. Validity of the questionnaire was determined by expert reviews, individual interviews and estimates of the changes in knowledge and perceived self-confidence. The changes were estimated by the differences between paired proportions of participants. The responsiveness of the ordered categorical item scores on self-confidence was evaluated by the measure of systematic group change and indi…

Maintaining dignity in vulnerability: A qualitative study of the residents' perspective on dignity in nursing homes

Postprint tilgjengelig 20.03.17. Background Older people, living in nursing homes, are exposed to diverse situations, which may be associated with loss of dignity. To help them maintain their dignity, it is important to explore, how dignity is preserved in such context. Views of dignity and factors influencing dignity have been studied from both the residents’ and the care providers’ perspective. However, most of these studies pertain to experiences in the dying or the illness context. Knowledge is scarce about how older people experience their dignity within their everyday lives in nursing homes. Aim To illuminate the meaning of maintaining dignity from the perspective of older people livi…

Enablers of the successful implementation of simulation exercises: a qualitative study among nurse teachers in undergraduate nursing education

Abstract Background Simulation exercises are increasingly being used as a teaching method in the field of undergraduate nursing education. Thus, the present study sought to identify, describe and discuss enablers of the successful implementation of simulation exercises in undergraduate nursing education. Methods This study had a qualitative descriptive design and involved individual interviews conducted between November and December 2018 with six nurse teachers from three different university campuses in Norway. The transcribed interviews were analysed by means of a qualitative thematic analysis. Results The majority of the interviewees wanted to offer more simulation exercises as part of t…

sj-pdf-2-njn-10.1177_20571585211029857 - Supplemental material for Nursing students’ professional identity development: An integrative review

Supplemental material, sj-pdf-2-njn-10.1177_20571585211029857 for Nursing students’ professional identity development: An integrative review by Grete Vabo, Åshild Slettebø and Mariann Fossum in Nordic Journal of Nursing Research

Dignity and existential concerns among nursing homes residents from the perspective of their relatives

Aims and objectives: The aim of this cross-country Scandinavian study was to explore how residents in nursing homes experience that their dignity is promoted and attended to. This is one part of the Scandinavian project in which we interviewed residents, relatives and staff members. Background: The main subject concerns the dignity of residents of nursing homes for older people. This article brings forward results from interviews of relatives on how they experience that the dignity is met, promoted and attended to for their next of kin. Design: The study was qualitative with a hermeneutic approach. Methods: Qualitative research interviews of 28 relatives of residents at six participating nu…

Nursing Students’ Learning about Person-centred Dementia Care in a Nursing Home : A Qualitative Study

It is unclear to what extent nursing students are able to apply person-centred care in practice, despite a mixture of educational support approaches. The aim of this study was to explore nursing students’ experiences of learning about person-centred dementia care after they participated in an adopted education programme in a nursing home. The education programme presented the main concepts of person-centred care. A qualitative explorative design was chosen where 32 bachelor-level nursing students participated in seven focus groups. The study is reported according to the COREQ checklist. Qualitative thematic content analysis revealed two main themes: care culture in the nursing home as joyf…

Teachers’ experiences of adolescents’ pain in everyday life: a qualitative study

Objectives More adolescents report pain now than previously. In Norway, episodic pain problems have been reported by 60% of children and adolescents aged 8–18 years, with 21% reporting duration of pain of more than 3 months. Since adolescents spend much time at school, the attitude and behaviour of teachers play important roles regarding the experience of pain felt by adolescents in everyday life. Yet research on how teachers perceive the pain experienced by adolescents in a school setting is limited. We therefore seek to gain insight to teachers’ classroom experiences with (1) adolescent's self-reported pain symptoms; (2) adolescents management of their pain and (3) how to help adolescents…

Developing a Serious Game for Nurse Education.

Future nursing education is challenged to develop innovative and effective programs that align with current changes in health care and to educate nurses with a high level of clinical reasoning skills, evidence-based knowledge, and professional autonomy. Serious games (SGs) are computer-based simulations that combine knowledge and skills development with video game–playing aspects to enable active, experiential, situated, and problem-based learning. In a PhD project, a video-based SG was developed to teach nursing students nursing care for patients with chronic obstructive pulmonary disease in home health care and hospital settings. The current article summarizes the process of the SG devel…

sj-pdf-2-njn-10.1177_20571585211029857 - Supplemental material for Nursing students’ professional identity development: An integrative review

Supplemental material, sj-pdf-2-njn-10.1177_20571585211029857 for Nursing students’ professional identity development: An integrative review by Grete Vabo, Åshild Slettebø and Mariann Fossum in Nordic Journal of Nursing Research

The Dialectical Movement Between Deprivation and Preservation of a Person's Life Space: A Question of Nursing Home Residents' Dignity.

The aim of this study was to answer the question "What do nursing home residents do themselves in order to maintain their dignity?" Twenty-eight residents, 8 men and 20 women, aged 62 to 103 years, from 6 different nursing homes in Scandinavia were interviewed. The results showed that the residents tried to expand their life space, both physical and ontological, in order to experience health and dignity.

Important challenges for coordination and inter-municipal cooperation in health care services: a Delphi study

Published version of an article in the journal: BMC Health Services Research. Also available from the publisher at: http://dx.doi.org/10.1186/1472-6963-13-451 Open Access Background: Demographical changes have stimulated a coordination reform in the Norwegian health care sector, creating new working practices and extending coordination within and between primary and hospital care, increasing the need for inter-municipal cooperation (IMC). This study aimed to identify challenges to coordination and IMC in the Norwegian health care sector as a basis for further theorizing and managerial advice in this growing area of research and practice. Methods. A Delphi study of consensus development was …

En fenomenologisk inngang til profesjonsetikken : Tillit i praksis - forutsetning eller fortjeneste?

Accepted version of an article from the journal: Nordisk sygeplejeforskning Tema for artikkelen er tilliten i pasient-behandler-relasjonen. Det tas utgangspunkt i profesjonsetikk og profesjonsmoral, og hva dette innebærer, før profesjonsmoralen belyses via et grunnleggende fenomen som tillit. Et sentralt spørsmål er om tillit er en grunnleggende forutsetning mellom mennesker som bare «er» der eller om tillit er en fortjeneste som helsearbeideren har gjort seg fortjent til i egenskap av profesjonstilhørighet. Tillit som grunnfenomen hos Løgstrup og noen kritiske røster til Løgstrups syn på tillit diskuteres. Med utgangspunkt i Grimens tenkning diskuteres nærmere relasjonen og den asymmetri s…

Preserving dignity in end-od-life nursing home care: some ethical challenges.

How school nurses experience and understand everyday pain among adolescents

Abstract Background Pain problems are a rapidly growing health problem found among both children and adolescent, and about 15–30% have reported chronic pain problems. School nurses in Norway meet adolescents with various ailments, including pain. Yet research on how school nurses perceive the pain experienced by adolescents is limited. The aim of the present study was to explore how school nurses explain and experience the everyday pain of adolescents. Method A qualitative study with an explorative design comprising five focus group interviews. Each group consisted of three to five school nurses. Seventeen female school nurses in five junior high schools in Norway, age range 29–65 years par…

Health capital in everyday life of the oldest old living in their own homes

ABSTRACTAs more people experience old age as a time of growth and productivity, more research is needed that explores how they master everyday life. This paper reports on a qualitative study that explored how ten older women age 90 years or more experience and cope with the challenges of everyday life with a salutogenic perspective. The findings suggest that health resources such as positive expectation, reflection and adaptation, function and active contribution, relations and home, contribute to the health capital of women. These health resources were of importance for the women's experience of comprehensibility, manageability and meaningfulness in daily life. Health capital is a meaningf…

Cognitive screening tests as experienced by older hospitalised patients: a qualitative study

Older people admitted to geriatric wards in hospitals are often screened for cognitive impairments. The validity and diagnostic concerns of cognitive screening tests have been subjected to comprehensive research. However, the qualitative knowledge available on how older patients themselves experience these screening tests is limited. The aim of this study is to explore the cognitive screening test experience from the older patients' perspective. Drawing on fieldwork, qualitative interviews were performed with 18 older patients who had completed cognitive screening tests while hospitalised. Data from the interviews were analysed according to a phenomenological approach. The results were supp…

Læringsutbytte, læringsaktiviteter og vurderingsformer

Author's version of an article in the journal: Nordisk sygeplejeforskning. Also available from the publisher at: http://www.idunn.no/ts/nsf/2012/01/art08 The theory of Constructive Alignment (CA) describes how accordance between learning activities, learning outcomes and assessment influence students’ learning. The aim of this study was to evaluate the agreement between learning outcomes, learning activities and assessment in a Philosophy of Science and a Research Method course in a Master Program in Health Sciences. Data were collected by two focus group interviews with respectively four and five students who had attended the courses, and analyzed by a qualitative content analysis. The stu…

Family Caregivers' Experiences in Nursing Homes: Narratives on Human Dignity and Uneasiness

This qualitative study focused on dignity in nursing homes from the perspective of family caregivers. Dignity is a complex concept and central to nursing. Dignity in nursing homes is a challenge, according to research. Family caregivers are frequently involved in their family members’ daily experiences at the nursing home. Twenty-eight family caregivers were included in this Scandinavian cross-country, descriptive, and explorative study. A phenomenological-hermeneutic approach was used to understand the meaning of the narrated text. The interpretations revealed two main themes: “One should treat others as one would like others to treat oneself” and “Uneasiness due to indignity.” Dignity wa…

The importance of leadership in innovation processes in nursing homes: An integrative review

The rapidly growing number of older people with increasingly complex needs places pressure on quality of care and thereby presents a need for innovation in nursing homes. The aim of this review was to provide a comprehensive overview of the current state of evidence for the importance of leadership in innovation processes in nursing homes. A systematic search was conducted. Titles and abstracts were screened for relevance, data from full texts were extracted and reduced and quality appraisal was performed. Content analysis resulted in two categories: organizational factors associated with innovation and leadership characteristics in innovation, constructing the overall theme, ‘leadership: …

Registered nurses' clinical reasoning in home healthcare clinical practice: A think-aloud study with protocol analysis.

Abstract Background The home healthcare context can be unpredictable and complex, and requires registered nurses with a high level of clinical reasoning skills and professional autonomy. Thus, additional knowledge about registered nurses' clinical reasoning performance during patient home care is required. Objectives The aim of this study is to describe the cognitive processes and thinking strategies used by recently graduated registered nurses while caring for patients in home healthcare clinical practice. Design An exploratory qualitative think-aloud design with protocol analysis was used. Settings Home healthcare visits to patients with stroke, diabetes, and chronic obstructive pulmonary…

Dannelse og samskaping av utdanning mellom akademia og sykehjem En kritisk etnografisk studie

Cultivation and co-creation of education between academy and nursing home-a critical ethnography study Collaboration between academy and practicein education is emphasized. In this study, weexplored and described boundary-crossing spaces, when co-creating an adjusted educational program for nursing students in a nursing home in Norway. Our aim was to explore how to learn person-centered dementia care through the participants in a learning community. A critical ethnographic approach and method with observations, field notes, minutes of board, spontaneous meetings, and focus groups particularly with the students were used. Data were analyzed with six-step thematic analysis by Braun and Clarke…

Dignity in relationships and existence in nursing homes’ cultures

Introduction: Expressions of dignity as a clinical phenomenon in nursing homes as expressed by caregivers were investigated. A coherence could be detected between the concepts and phenomena of existence and dignity in relationships and caring culture as a context. A caring culture is interpreted by caregivers as the meaning-making of what is accepted or not in the ward culture. Background: The rationale for the connection between existence and dignity in relationships and caring culture is that suffering is a part of existence, as well as compassion in relieving suffering, and ontological interdependency. Aim: To describe different expressions of dignity in relationships and existence in co…

Nursing students’ professional identity development: An integrative review

The aim of this integrative review was to identify and synthesize current evidence of factors that influence the professional identity development of nursing students in nursing educational programs. Cinahl (EBSCO), Medline, ERIC, Embase, and PsycINFO were searched. Three different appraisal tools and the PRISMA checklist were used. The data from both quantitative and qualitative studies (19 primary studies) were analyzed by applying qualitative content analysis. The analysis revealed two main themes: a caring practice–academic partnership and support in the learning environment. The following seven sub-categories were identified: clinical supervisors, ethical competence, preparation, self…

European Union directives and clinical practice in nursing education in the Nordic countries

Nursing education in countries belonging to the European Union (EU) must follow EU directive requirements. The aim of this opinion paper is to explore and discuss the challenges presented by EU requirements to clinical practice in nursing education. These requirements prescribe that clinical practice must be carried out in a variety of different and specialized areas that provide care in hospital units. This may offer students only a limited range of experience; thus, they may not be fully prepared to care for patients with common diseases, and only have a restricted knowledge about the ongoing development of caring for patients at home. EU directives require that half of a nursing educati…

Interviews with Community Healthcare Registered Nurses in Norway: Examination Practices and Clinical Evaluation Processes

Abstract Aim This study describes the examination practices and clinical evaluation processes that Registered Nurses in Norway perform in the community healthcare sector. Design A qualitative exploratory design. Methods Twenty interviews were conducted with Registered Nurses employed in the community healthcare sector in Norway. The data were analysed using a thematic analysis. Results We found four major themes: (1) evaluations are embedded in nurses’ daily work, (2) significance of a Registered Nurse's clinical competency, (3) different tasks require various roles and (4) access to resources and equipment. Registered Nurses possess several skills in a range of different examination techni…

Forutsetninger for vellykket sosial innovasjon i sykehjem: ledernes perspektiv

Norges forskningsråd: 256647

Learning activities in bachelor nursing education to learn pre- and postoperative nursing care—A scoping review

The aim of this scoping review was to systematically map and summarise the existing literature on learning activities in pre- and postoperative nursing care for undergraduate nursing students. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses–Extension for Scoping Reviews (PRISMA-ScR) and the Johanna Briggs Institute guidelines were applied. Eleven articles were included in the scoping review. The learning activities involved simulation-based learning (including human patient simulation and virtual simulation), web-based learning and case studies. A range of pre- and postoperative content was applied in the learning activities. Students’ knowledge, skills, clinical deci…

Enabling resources in people with dementia: a qualitative study about nurses’ strategies that may support a sense of coherence in people with dementia

Aims and objectives To explore nurses’ strategies that may support the sense of coherence in people with dementia. Background People with dementia are often described as people with no resources, people who need support from family or from healthcare personnel to function in everyday life. Despite the disease, some people still have the resources needed to cope well with parts of their lives and experience coherence. To date, no research has explored any nurses’ strategies that may support the sense of coherence in people with dementia. Design The design of the study is qualitative and exploratory. Methods Data were collected by participant observation and focus group interviews. Sixteen re…

Teaching clinical reasoning and decision-making skills to nursing students: Design, development, and usability evaluation of a serious game

Background\ud \ud Serious games (SGs) are a type of simulation technology that may provide nursing students with the opportunity to practice their clinical reasoning and decision-making skills in a safe and authentic environment. Despite the growing number of SGs developed for healthcare professionals, few SGs are video based or address the domain of home health care.\ud \ud Aims\ud \ud This paper aims to describe the design, development, and usability evaluation of a video based SG for teaching clinical reasoning and decision-making skills to nursing students who care for patients with chronic obstructive pulmonary disease (COPD) in home healthcare settings.\ud \ud Methods\ud \ud A prototy…

Ethical challenges in care for older patients who resist help

Background: Situations where patients resist necessary help can be professionally and ethically challenging for health professionals, and the risk of paternalism, abuse and coercion are present. Research question: The purpose of this study was to examine ethical challenges in situations where the patient resists healthcare. Research design: The method used was clinical application research. Academic staff and clinical co-researchers collaborated in a hermeneutical process to shed light on situations and create a basis for new action. Participants and research context: Four research groups were established. Each group consisted of six to eight clinical co-researchers, all employees with diff…

Family members' satisfaction with care and decision-making in intensive care units and post-stay follow-up needs-a cross-sectional survey study.

Aim The aim of this study was to explore family members' satisfaction with care and decision-making during the intensive care units stay and their follow-up needs after the patient's discharge or death. Design A cross-sectional survey study was conducted. Methods Family members of patients recently treated in an ICU were participating. The questionnaire contented of background variables, the instrument Family Satisfaction in ICU (FS-ICU 24) and questions about follow-up needs. Descriptive and non-parametric statistics and a multiple linear regression were used in the analysis. Results A total of 123 (47%) relatives returned the questionnaire. Satisfaction with care was higher scored than sa…

Nursing Students Managing Deteriorating Patients: A Systematic Review and Meta-Analysis

Abstract Background The objective was to summarize knowledge and systematically collect and quantify meta-analytical results regarding the effects of high-fidelity simulation in nursing education to improve students' ability to recognize and respond to deteriorating patients. Methods In total, 4048 citations were screened, 40 articles were selected for full-text screening, and 14 articles were included. Six articles were subsequently included in the meta-analysis. Results Knowledge and performance increased after simulation. Four studies reported an increase in self-confidence. Conclusion Findings support that studies with high-quality research designs and improved measurement practices are…

Clinical Application Research through reflection, interpretation and new understanding - a hermeneutic design

The implementation of theoretical knowledge in clinical practice and the implementation of good clinical practice into theory have been of interest in caring science for the last 30 years. The aim of this article was to elaborate and discuss a methodology named clinical application research. The method is grounded in a hermeneutical design inspired by Gadamer's philosophy. The methodology, clinical application research, has been used in a research project A life in dignity and experiences from the researchers forms the bases for the elaboration and discussion. The project was performed in collaboration with residents, family caregivers and healthcare providers at six nursing homes in Scandi…

Nordic College of Caring Sciences in the years to come

The meaning of slow nursing in dementia care.

Research literature in the dementia field lacks examples of ‘best-practices’ demonstrating concretely how it is possible to support the sense of coherence in people with dementia. The purpose of this study was to elucidate the nurses’ views concerning a caring approach that may support the sense of coherence in people with dementia. The data were collected through participant observation and focus group interviews during a four-month period in 2011. Sixteen registered nurses recruited from two Norwegian nursing homes participated in this study. The data were interpreted using a phenomenological-hermeneutical method. Three themes were identified: ‘being in the moment’, ‘doing one thing at a…

The importance of moral sensitivity when including persons with dementia in qualitative research

Author's version of an article in the journal: Nursing Ethics. Also avaliable from the publisher at: httjp://dx.doi.org/10.1177/0969733012455564 The aim of the article is to show the importance of moral sensitivity when including persons with dementia in research. The article presents and discusses ethical challenges encountered when a total of fifteen persons with dementia from two nursing homes and seven proxies were included in a qualitative study. The examples show that ethical challenges may be unpredictable. As researcher you participate with the informants in their daily life and in the interview situation, and it is not possible to plan all that may happen. A procedural proposal to …

Preserving dignity in end-of-life nursing home care: Some ethical challenges

A central task in palliative care is meeting the needs of frail, dying patients in nursing homes. The aim of this study was to investigate how healthcare workers are influenced by and deal with ethical challenges in end-of-life care in nursing homes. The study was inspired by clinical application research. Researchers and clinical staff, as co-researchers, collaborated to shed light on clinical situations and create a basis for new practice. The analysis resulted in the main theme, ‘Dignity in end-of-life nursing home care’, and the sub-categories ‘Challenges regarding life-prolonging treatment’ and ‘Uncertainty regarding clarification conversations’. Our findings indicate that nursing hom…

Nursing students' perceptions of combining hands-on simulation with simulated patients and a serious game in preparing for clinical placement in home healthcare: A qualitative study.

Abstract Background There is a growing demand to provide complex healthcare services in patients' own homes. However, high quality home healthcare clinical placements are often difficult to obtain, and arranging laboratory-based simulations to provide relevant clinical-practical learning experiences for all students is resource intensive. Objectives The aim of this study was to explore nursing students' perceptions of using a blended simulation approach, including hands-on simulation with simulated patients and a video-based serious game, in preparation for their home healthcare clinical placements. Design An exploratory qualitative design using focus group interviews was utilized. Setting …

Dannelse og samskaping av utdanning mellom akademia og sykehjem

Cultivation and co-creation of education between academy and nursing home - a critical ethnography study Collaboration between academy and practice in education is emphasized. In this study, we explored and described boundary-crossing spaces, when co-creating an adjusted educational program for nursing students in a nursing home in Norway. Our aim was to explore how to learn person-centered dementia care through the participants in a learning community. A critical ethnographic approach and method with observations, field n otes, minutes of board, spontaneous meetings, and focus groups particularly with the students were used. Data were analyzed with six-step thematic analysis by Braun and…

Clinical prioritizations and contextual constraints in nursing homes - a qualitative study

Scand J Caring Sci; 2010; 24; 533–540 Clinical prioritizations and contextual constraints in nursing homes - a qualitative study Aim:  The aim of the study was to describe nurses’ and physicians’ experiences of prioritization factors in nursing homes. Background:  What are the experiences of health care personnel when prioritizing treatment and care for elderly residents in nursing homes? Little research has been done in this area, yet with the growing elderly population and limited health care budgets there can be little doubt about its relevance. Method:  The study was conducted through semi-structured interviews with 13 physicians and nurses in six nursing homes. The interviews were anal…

sj-pdf-1-njn-10.1177_20571585211029857 - Supplemental material for Nursing students’ professional identity development: An integrative review

Supplemental material, sj-pdf-1-njn-10.1177_20571585211029857 for Nursing students’ professional identity development: An integrative review by Grete Vabo, Åshild Slettebø and Mariann Fossum in Nordic Journal of Nursing Research

Content and comprehensiveness in the nursing documentation for residents in long-term dementia care: a retrospective chart review.

Abstract Background Insight into and understanding of content and comprehensiveness in nursing documentation is important to secure continuity and high-quality care planning in long-term dementia care. The accuracy of nursing documentation is vital in areas where residents have difficulties in communicating needs and preferences. This study described the content and comprehensiveness of nursing documentation for residents living with dementia in nursing homes. Methods We used a retrospective chart review to describe content and comprehensiveness in the nursing documentation. Person-centered content related to identity, comfort, inclusion, attachment, and occupation was identified, using an …

Agility activities for children in a municipality in Norway.

The aim of this study was to investigate whether agility activity with dogs can be used to motivate less active children in physical activity and how such activity is experienced by parents and handlers. Data were collected through qualitative interviews with handlers and parents of the participating children. Agility with dogs appeared to motivate less active children to participate in, and endure, demanding physical activity. Joy and bonding with the dog appeared to be key elements in the motivational process. Motivation, initiation, and sustainment of activity over time are beneficial for children.

Perspectives of health personnel on how to preserve and promote the patients' dignity in a rehabilitation context.

Aims and objectives To explore how healthcare personnel comprehend the term dignity and what they do to attend to, preserve and promote the dignity of patients in the rehabilitation context. Background Literature reveals that knowledge exists concerning the nature of dignity. Literature is scant on how health personnel think the reasons may be when patients do not maintain their dignity or how caregivers might improve and strengthen their concern in preserving and promoting the patients' dignity in a rehabilitation context. Design The study was explorative and descriptive, with content analysis of gathered empirical data. Methods Qualitative focus group interviews with representatives from …

Smertekartlegging og smertelindring hos pasienter med demens: Utfordringer og dilemmaer

Published version of an article in the journal: Vård i Norden. Also available from the publisher at: http://www.artikel.nu/Public/Main.aspx Aim: to explore nurses' experiences with pain assessment and pain relieving in patient with dementia. Background: research shows that patients with dementia are still suffering from unnecessary pain. The reason it may be nurses difficulty to interpret and map patients’ pain. Method: data were collected through three different focus group interviews. A semi – structured interview guide was developed to answer the research question. Data were analyzed by using a content analysis in four steps. Findings: The findings are divided into three sub – categories…

Social Innovation Toward a Meaningful Everyday Life for Nursing Home Residents: An Ethnographic Study

Background: The literature shows that innovation, which includes culture change, may be important to create a meaningful everyday life for nursing home residents. However, there is a gap in how social innovation practices may contribute to this. The theoretical discourse for the study is person-centered care.Aim: The main aim was to explore phenomena within social innovation that can contribute to improving nursing home residents’ everyday lives.Design and Method: This study uses an ethnographic design with observations and interviews in two nursing homes in Southern Norway.Findings: The main theme was that social innovation within working practices in nursing homes includes phenomena that …

Barriers to exchanging healthcare information in inter-municipal healthcare services: a qualitative case study

Abstract Background In recent years, inter-municipal cooperation in healthcare services has been an important measure implemented to meet future demographic changes in western countries. This entails an increased focus on communication and information sharing across organisational borders. Technology enables efficient and effective solutions to enhance such cooperation. However, the systems in the healthcare sector tend not to communicate with one another. There is a lack of literature focusing on communication and information sharing in inter-municipal healthcare services. The aim of this article is to investigate both the characteristics of communication and information sharing, and the f…

The Effects of Using High-Fidelity Simulation in Undergraduate Nursing Education: A Multicenter Randomized Controlled Trial with a Process Evaluation

Abstract The overall aim of this study was to examine the effects of a high-fidelity simulation on the knowledge and self-confidence of a total of 177 undergraduate nursing students in recognizing and responding to hypovolemia. A randomized experimental pre- and post-test research design with a process evaluation was employed. A significantly larger proportion of students in the intervention group than in the control group increased the number of correct responses in their knowledge and levels of self-confidence postintervention. As enablers for the successful implementation of the intervention, a need for a safe environment, fidelity, and learning in different roles were identified.

Individualizing Standardized Tests

Author's version of an article in the journal: Qualitative Health Research. Also available from the publisher at: http://dx.doi.org/10.1177/1049732313499073 In assessing geriatric patients' functional status, health care professionals use a number of standardized tests. These tests have defined administration procedures that restrict communication and interaction with patients. In this article, we explore the experiences of occupational therapists and physiotherapists acting as standardized test administrators. Drawing on fieldwork, interviews with physiotherapists and occupational therapists, and observations of test situations on acute geriatric wards, we suggest that the test situation g…

The significance of meaningful and enjoyable activities for nursing home resident’s experiences of dignity.

Background Living in a nursing home may be challenging to the residents’ experience of dignity. Residents’ perception of how their dignity is respected in everyday care is important. Aim To examine how nursing home residents experience dignity through the provision of activities that foster meaning and joy in their daily life. Method A qualitative design was used and 28 individual semistructured interviews conducted with nursing home residents from six nursing homes in Denmark, Norway and Sweden. The data were analysed with qualitative content analysis. Independent ethical committees in all participating countries granted their approval for the study. Findings The participants highlight two…

The meaning of dignity in nursing home care as seen by relatives

Background: As part of an ongoing Scandinavian project on the dignity of care for older people, this study is based on ‘clinical caring science’ as a scientific discipline. Clinical caring science examines how ground concepts, axioms and theories are expressed in different clinical contexts. Central notions are caring culture, dignity, at-home-ness, the little extra, non-caring cultures versus caring cultures and ethical context – and climate. Aim and assumptions: This study investigates the individual variations of caring cultures in relation to dignity and how it is expressed in caring acts and ethical contexts. Three assumptions are formulated: (1) the caring culture of nursing homes inf…

Family members’ experiences of being cared for by nurses and physicians in Norwegian intensive care units: A phenomenological hermeneutical study

Summary Objectives When patients are admitted to intensive care units, families are affected. This study aimed to illuminate the meaning of being taken care of by nurses and physicians for relatives in Norwegian intensive care units. Research methodology/design Thirteen relatives of critically ill patients treated in intensive care units in southern Norway were interviewed in autumn 2013. Interview data were analysed using a phenomenological hermeneutical method inspired by the philosopher Paul Ricoeur. Results Two main themes emerged: being in a receiving role and being in a participating role. The receiving role implies experiences of informational and supportive care from nurses and phys…

Dignity in nursing homes - Eksistential needs and concerns of the residents from the perspective of their relatives

- Aims and objectives: The aim of this cross-country Scandinavian study was to explore how residents in nursing homes experience that their dignity is promoted and attended to. This is one part of the Scandinavian project in which we interviewed residents, relatives and staff members. Background: The main subject concerns the dignity of residents of nursing homes for older people. This article brings forward results from interviews of relatives on how they experience that the dignity is met, promoted and attended to for their next of kin. Design: The study was qualitative with a hermeneutic approach. Methods: Qualitative research interviews of 28 relatives of residents at six participating …

Tension between freedom and dependence-A challenge for residents who live in nursing homes.

Aims and objectives To present results from interviews of older people living in nursing homes, on how they experience freedom. Background We know that freedom is an existential human matter, and research shows that freedom remains important throughout life. Freedom is also important for older people, but further research is needed to determine how these people experience their freedom. The background for this article was a Scandinavian study that occurred in nursing homes; the purpose of the study was to gain knowledge about whether the residents felt that their dignity was maintained and respected. Design The design was hermeneutic, with qualitative research interviews. Method Twenty-eigh…

A qualitative study of perioperative nursing students' experiences of interprofessional simulation-based learning.

Aim: To explore perioperative nursing students' experiences of interprofessional simulation-based learning to gain a deeper understanding of how this educational tool can be used to support students' learning and enable them to achieve the intended learning outcomes. Background: Despite extensive research, it remains unclear what and how participants learn from interprofessional simulation-based learning. There is a need to specify how interprofessional simulation-based learning should be organised to support and promote learning processes, especially for postgraduate learners. In particular, there seems to be little evidence in the existing literature in the field of educating perioperativ…

How individuals with dementia in nursing homes maintain their dignity through life storytelling - A case study

Aims and objectives: The aim of this article was to present and discuss findings on what individuals with dementia do by themselves to maintain or promote their dignity of identity when they live in a nursing home. Background: The majority of residents living in Norwegian nursing homes suffer from dementia. Individuals who suffer from dementia are particularly vulnerable, and their dignity of identity is at risk. It is therefore of great importance to explore how we can maintain their dignity of identity. Design: The study builds on a phenomenological and hermeneutic design. Methods: The article reports three cases or life stories based on participant observation in two different nursing hom…

Professional competence development through interprofessional simulation-based learning assists perioperative nurses in postgraduation acute clinical practice situations: A qualitative study

To explore recently graduated perioperative nurses' experiences of interprofessional simulation-based learning during postgraduate education and investigate whether and how this learning approach contributed to the development of their professional competence in meeting acute clinical situations.Perioperative nursing requires specialised education that offers professional development to ensure high-quality nursing care and patient safety in acute situations. Interprofessional simulation-based learning exposes students to acute situations in a safe environment without the risk of harming the patient, and it prepares postgraduate nursing students for clinical practice. Despite extensive resea…

Additional file 1 of Content and comprehensiveness in the nursing documentation for residents in long-term dementia care: a retrospective chart review

Additional file 1.

Everyday life in old age: past, present, and future

Aims: To explore how older Norwegian women living at home experience ageing, and how their everyday life has been influenced by their encounters with the challenges of life. Methods: A qualitative design, interviewing ten women age 90 or older, was employed. Results: The overall theme of the findings is how everyday life in old age is influenced by past, present and future. The subcategories focus on (a) changes in daily life, (b) giving an account of life as it is, (c) various perceptions of experienced loss, and finally, (d) thoughts about the future. Conclusions: Older women need the opportunity to reflect upon their past, present and future existence to have a good everyday life in old …

Forutsetninger for vellykket sosial innovasjon i sykehjem: ledernes perspektiv – en kvalitativ intervjustudie

Preconditions for successful social innovation in nursing homes: Managers' perspectives - a qualitative interview studyIn this article, we investigate preconditions for social innovation in institution-based elderly care in Norway and Denmark. The article draws on two semi-structured interviews and one focus-group interview. The interviewees are managers in elderly-care facilities that are known to be proficient with regards to innovation. The analysis point to three principles managers describe as being pertinent to successful social innovation. Firstly, an overall theme across the interviews was that the managers underscored the importance of eagerness and willingness to change as a prere…