Purpose: The purpose of this study was to test the reliability and validity of an existing patient classification instrument in anaesthetic nursing in a new context.
Background: A patient classification system has to be used by many nurses, so consistency in how it is used is important.
Methods: The study was divided into three parts. The first part was intended to measure interreliability using double assessments of 150 anaesthesia cases. In the second part, the anaesthetic nurses carried out the workload and, in part three, content validity was examined using a questionnaire and meetings.
Results: The result showed good to very good consistency across the board in the nurses' assessments, which also included an overall assessment of the workload (r 0,85). The workload showed the highest mean care level for the indicator preparations/surgical position and the lowest for respiration. The questionnaire replies showed that the nurses were positive about workload, but 43.3 per cent thought that the instrument only described part of their work.
Conclusion: The instrument was shown to be of use in different contexts, but the reliability and validation process should continue so as to increase reliability. Clarifying the progression between the different care levels for each indicator in the instrument can be a way of increasing its usefulness in different services. In terms of clinical work, the measurement of workload has started a valuable process of reflection on anaesthetic nursing that helps to enable the nurses to show what they do and why.
The aim of this study was to investigate nurses' attitudes about care for undocumented refugee children and also to investigate the knowledge among nurses concerning the regulations for this care. The study is quantitative and based on a questionnaire sent to all nurses working in pediatric healthcare and medical care in a medium-sized county in Sweden. The overall response was 91 questionnaires (55.9%). Most of the respondents felt insecure or lacked knowledge of what regulations are valid when undocumented refugee children seek medical care or healthcare. Almost all nurses had a positive attitude toward caring for these children, but they feel they lack knowledge about the regulations regarding their care. To optimize the care situation for these children the regulations should be reviewed and altered to allow the nurse, legally and securely, to care for them.
To suffer from kidney failure requiring dialysis is a major setback on the patient’s life situation. The trend in dialysis care is that the patients should be increasingly involved in their own dialysis treatment. The aim of this study was to illustrate the patients’ experiences of participation in their own dialysis treatment. A qualitative approach was chosen and the study consists of nine narrative interviews with patients in self-care dialysis who had hemodialysis or peritoneal dialysis at two different hospitals. The results are categorized into the areas of safety and freedom. In order to feel safe the patients must have good knowledge of their disease and dialysis treatment. Patients experience freedom when they participate in their own dialysis treatment and may manage their dialysis schedule. The result also shows that the patients perceive themselves to be healthier when they are able to perform their own dialysis. The major challenge for today’s dialysis care is to involve the patients more in their own treatment and to offer them greater flexibility.
The purpose of this study was to examine how patients conceive spinal anesthesia during diagnostic kneearthroscopy. A qualitative design with phenomenographic approach was used and 14 elective day surgery patients were interviewed with semi-structured questions. The outcome resulted in three categories: to perceive various sensitive phenomena, to be exposed and to be noticed. The importance of patient involvement in their care, maintenance of integrity, and to have a working relationship between the patient and staff are some factors that should be lifted in the caring at spinal anesthesia. This study may help healthcare professionals to respond to each patient according to his / her individual needs and thus to ensure good care.
The aim: To conduct a follow up study to measure registered nurses’ time of direct patientcare after implementation of patientfocused care(PFC).
Background: PFC is an organizational model with the objective to increase both patient participation and health care effectiveness. After areconstruction of wards to single bedrooms in a hospital south of Sweden. PFC was implemented to increase time for direct patientcare inorder to better meet patients’ needs.
Method: Time measured observations were conducted. 20 registered nurses were observed in four different wards at a 525-bed hospital insouth of Sweden after implementation of PFC.
Findings: In a workday of 8,5 hrs, registered nurses spend 6,8 hrs (79,8 %) with work related to patients. Time for directcare was 2 hrs(23,8 %) and time for indirect care was 4,8 hrs (56 %). Indirect care consists of categories such as documentation, report and medical round.
Conclusion: In comparison before implementation of PFC, time for patientrelated care increased by 10,8 %. However, time is spent mainlyat patient indirectcare activities. It is important to also focus on a change of culture in the organization to succeed with an implementationof PFC.
Aim and objective: The aim was to describe the nurses’ perception about how to promote hope in critically ill patients, cared for in intensive care units in Indonesia.
Background: The concept of hope and hopelessness has been in focused in nursing from various orientations as a subjective phenomenon in relation to illness experiences. There is a lack of studies examining patterns of how nurses promote hope in critically ill patients in in tensivecare.
Design and Method: Five specialized intensive care nurses from two different intensive care units were interviewed. The interviews were analysed according to a qualitative content analysis.
Results: The patient’s hope is something personal and depends on different factors. These factors can either be a supporting system or an inhibiting factor to the nurse’s illumination of hope. Meaning, if something is very important for the patient (i.e. the family), there can be a radical difference if that person is present and supporting, present and not supporting or even not present at all.
Conclusion: By using interventions including information, communication and religion, the nurses may release hope within the patient. This hope can be cultural and socially bound but it does not avoid the facts of the promotion that can be tailored by the nurses to individual circumstances and possibly used in other wards but also in different countries.