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Sandgren, Anna
Publications (6 of 6) Show all publications
Dalteg, T., Benzein, E., Sandgren, A., Fridlund, B. & Malm, D. (2014). Managing uncertainty in couples living with atrial fibrillation. Journal of Cardiovascular Nursing, 29(3), E1-E10
Open this publication in new window or tab >>Managing uncertainty in couples living with atrial fibrillation
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2014 (English)In: Journal of Cardiovascular Nursing, ISSN 0889-4655, E-ISSN 1550-5049, Vol. 29, no 3, p. E1-E10Article in journal (Refereed) Published
Abstract [en]

Background: Living with a chronic disease such as atrial fibrillation (AF) not only affects the patient but also has implications for the partner. There is a lack of research on couples living with AF and, in particular, how they experience and deal with the disease.

Objective: The aim of this study was to explore couples’ main concerns when one of the spouses is afflicted with AF and how they continually handle it within their partner relationship.

Methods: Classical grounded theory was used throughout the study for data collection and analysis. Interviews were conducted with 12 couples (patient and partner together). There were follow-up interviews with 2 patients and 2 partners separately.

Results: Couples living with AF experience uncertainty as a common main concern. This uncertainty was fundamentally rooted in not knowing the cause of AF and apprehension about AF episodes. Couples managed this uncertainty by either explicitly sharing concerns related to AF or through implicitly sharing their concerns. Explicit sharing incorporated strategies of mutual collaboration and finding resemblance, whereas implicit sharing incorporated strategies of keeping distance and tacit understanding. Time since diagnosis and time being symptom-free were factors influencing afflicted couples’ shifting between implicit and explicit sharing.

Conclusions: Atrial fibrillation affects the partner relationship by bringing uncertainty into couples’ daily lives. Even though this study shares similarities with previous studies on couples living with chronic disease, it contributes to the existing knowledge by presenting a set of strategies used by couples in managing uncertainty when living with AF.

Keywords
atrial fibrillation, couples, grounded theory, qualitative research, uncertainty
National Category
Cardiac and Cardiovascular Systems Nursing
Identifiers
urn:nbn:se:hj:diva-23464 (URN)10.1097/JCN.0b013e3182a180da (DOI)000337681400001 ()24108265 (PubMedID)2-s2.0-84899480539 (Scopus ID)
Available from: 2014-02-12 Created: 2014-02-12 Last updated: 2017-12-06Bibliographically approved
Malm, D. & Sandgren, A. (2014). Regaining normalcy in relatives of patients with a pacemaker. Open Journal of Nursing, 4(3), 139-149
Open this publication in new window or tab >>Regaining normalcy in relatives of patients with a pacemaker
2014 (English)In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 4, no 3, p. 139-149Article in journal (Refereed) Published
Abstract [en]

Patients with chronic diseases, such as those with pacemakers, have shown that they have a worsened well-being, which means an increased interest in investigating how relatives of patients with pacemakers experience their situations and how the disease affects their life situations. The aim of this study was to explore the main concerns for the relatives of patients with a pacemaker and how they resolve these issues. A classic grounded theory was used throughout the study for data collection and analysis. Interviews were conducted with ten participants. Striving for normalcy emerged as the main concern for relatives of patients with a pacemaker and was handled through a process of regaining normalcy where the relatives strive to find a way to live as normal as possible. Regaining normalcy is done through developing trust, dwindling and finally life stabilizing, in which they are either holding back or new normalizing. Distinguishing signs are constantly done during the process to quickly notice possible symptoms of the patient. Increased knowledge and understanding of how the relatives of patients with a pacemaker regain normalcy can be used as a guide in order to support and inform the patient as well as their relatives in conjunction with implantation occasions but also in connection with recurring and lifelong follow-up occasions.

Keywords
grounded theory, interviews, pacemaker, relatives
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-23604 (URN)10.4236/ojn.2014.43018 (DOI)
Available from: 2014-03-13 Created: 2014-03-13 Last updated: 2018-07-04Bibliographically approved
Sandgren, A. (2012). Deciphering unwritten rules. The Grounded Theory Review, 11(2)
Open this publication in new window or tab >>Deciphering unwritten rules
2012 (English)In: The Grounded Theory Review, ISSN 1556-1542, E-ISSN 1556-1550, Vol. 11, no 2Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to develop a classic grounded theory of patients, relatives and nurses in palliative cancer care. Data from three earlier studies conducted in palliative care were analyzed. “Deciphering unwritten rules” emerged as the pattern of behavior through which patients, relatives and nurses are dealing with the uncertainty of how to act and behave in palliative cancer care. Deciphering means finding out what the rules mean and trying to interpret them and this can be done consciously or unnoticed. Deciphering unwritten rules involves the strategies figuring out, deliberating, maneuvering and evaluating. This theory demonstrates the complexities of palliative care and the importance of knowledge, counseling and resources for all involved.

National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-20353 (URN)
Available from: 2013-01-22 Created: 2013-01-22 Last updated: 2017-12-06Bibliographically approved
Sandgren, A. (2012). Grounded theory. In: Henricson, M. (Ed.), Vetenskaplig teori och metod: Från idé till examination inom omvårdnad (pp. 407-427). Lund: Studentlitteratur
Open this publication in new window or tab >>Grounded theory
2012 (Swedish)In: Vetenskaplig teori och metod: Från idé till examination inom omvårdnad / [ed] Henricson, M., Lund: Studentlitteratur, 2012, p. 407-427Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur, 2012
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-23260 (URN)978-91-44-07135-0 (ISBN)
Available from: 2014-01-24 Created: 2014-01-24 Last updated: 2014-01-27Bibliographically approved
Munck, B., Sandgren, A., Fridlund, B. & Mårtensson, J. (2012). Next-of-kin's conceptions of medical technology in palliative homecare. Journal of Clinical Nursing, 21(13/14), 1868-1877
Open this publication in new window or tab >>Next-of-kin's conceptions of medical technology in palliative homecare
2012 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 21, no 13/14, p. 1868-1877Article in journal (Refereed) Published
Abstract [en]

Aims and objectives.  Describe next-of-kin’s conceptions of medical technology in palliative homecare.

Background.  Next-of-kin to palliative patients are in an exposed position with increasing responsibility. The more involved they are in the care, the greater caregiver burden they describe. Medical technology has become increasingly common in palliative homecare, and previous research suggests that the devices transform the homes to a hospital ward, thus shifting responsibility from the personnel to the next-of-kin.

Design.  An explorative descriptive design with a phenomenographic approach was chosen to describe qualitatively different conceptions of the phenomenon medical technology.

Method.  Interviews with 15 next-of-kin to patients in palliative homecare were analysed in a seven-step process where 10 conceptions emerged in five description categories.

Results.  Medical technology in palliative homecare required next-of-kin’s responsibility in monitoring or providing practical help. It also implied uncertainty among the next-of-kin because of worries about its safety or because of an improper handling. The technology trespassed on daily life because it restricted and affected the private sphere. Medical technology enabled comfort as it implied security and was a prerequisite for the patient to be cared for at home. It also required an adjustment to comprehend and manage the medical technology.

Conclusions.  Medical technology resulted in an increased caregiver burden and uncertainty among the next-of-kin. Although it meant restrictions and affected their social life, they had great confidence in its possibilities.

Relevance to clinical practice.  It is important to limit the amount of personnel and materials in the home to avoid trespassing on the family’s daily life. Medical personnel also have to be sensitive to what next-of-kin have the strength to do and not use them as informal caregivers.

Keywords
medical technology, next-of-kin, nurses, nursing, palliative homecare, phenomenography
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-17022 (URN)10.1111/j.1365-2702.2012.04123.x (DOI)000304821100010 ()22582763 (PubMedID)2-s2.0-84862166949 (Scopus ID)
Available from: 2012-01-09 Created: 2012-01-09 Last updated: 2019-03-07Bibliographically approved
Munck, B., Sandgren, A., Fridlund, B. & Mårtensson, J. (2012). Patients' understanding of medical technology in palliative home care: a qualitative analysis. Journal of Hospice and Palliative Nursing, 14(3), 191-198
Open this publication in new window or tab >>Patients' understanding of medical technology in palliative home care: a qualitative analysis
2012 (English)In: Journal of Hospice and Palliative Nursing, ISSN 1522-2179, E-ISSN 1539-0705, Vol. 14, no 3, p. 191-198Article in journal (Refereed) Published
Abstract [en]

Healthcare reforms and reductions in the number of hospital beds are leading to an increasing amount of medical technology moving from hospitals into home care, affecting the daily lives of patients. The aim of this study was therefore to describe the ways patients understand medical technology in palliative home care. With use of a phenomenographic approach, 15 patients with medical technology were interviewed, and data were analyzed in a 7-step process. Three ways of understanding the phenomenon emerged: a masterful patient, an adjustable patient, and a restricted patient. Masterful patients took control over the medical technology and were mostly independent of assistance from personnel. Adjustable patients accepted and adapted their lives to the medical technology and were satisfied with assistance from the personnel. Restricted patients were reminded daily of the medical technology and dependent on assistance from personnel. Depending on the patients’ health conditions, the support from the personnel, and the impact of medical technology, a transfer between the different ways of understanding occurred with a simultaneous movement between independence and dependence. The patient exhibited various ways of understanding, although one way of understanding was more dominant.

National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-17024 (URN)10.1097/NJH.0b013e3182404b71 (DOI)000302770200004 ()2-s2.0-84859731861 (Scopus ID)
Available from: 2012-01-09 Created: 2012-01-09 Last updated: 2019-03-07Bibliographically approved
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