Guilty, Early-morning Craving (CAGE)-C. Data were analysed by descriptive statistics, and relatio... more Guilty, Early-morning Craving (CAGE)-C. Data were analysed by descriptive statistics, and relationships were tested with a statistical significance level of 0.05, using SPSS (version 16.0). Results: Motivational dialogues with 779 parents were conducted by 43 staff members, and 11% of the parents were screened positive for risky alcohol behaviour. Drinking alcohol 4 days a week or more and drinking alcohol outside mealtimes were main risk factors. Parents' gender was the strongest predictor of screening positive and OR was 6.8 for men (CI 4.03-11.74) compared to women, p < 0.0001. An OR of 1.2 for parents' age (CI 1.02-1.42) indicates the risk of screening positive increases with age, p = 0.027. Conclusions: Brief intervention using CAGE-C and MI has proven successful in mapping parents' alcohol consumption patterns and in identifying parents with risky alcohol consumption habits. Health staff is able to manage health promotion and prevention when having the right competences and when being supervised.
Introduction: The accelerated recovery programme (ARP) is becoming com- monplace in surgical spec... more Introduction: The accelerated recovery programme (ARP) is becoming com- monplace in surgical specialties and has also been introduced to hysterec- tomy patients. Diagnostic, prognostic and other clinical indicators are well described. The aim of this article is to relay knowledge about the ARP, through the experiences of the women operated and the staff involved. Material and methods: The study is
The accelerated recovery programme (ARP) is becoming commonplace in surgical specialties and has ... more The accelerated recovery programme (ARP) is becoming commonplace in surgical specialties and has also been introduced to hysterectomy patients. Diagnostic, prognostic and other clinical indicators are well described. The aim of this article is to relay knowledge about the ARP, through the experiences of the women operated and the staff involved. The study is exploratory and descriptive, using qualitative methods. Seventeen women, with good health status, were consecutively selected from August to September 2001. The women were observed and ten were interviewed twice, at discharge and one month following their return home. The staff (n = 15) were interviewed individually and/or participated in focus group interviews before (February 2001) and following (November 2001) the introduction of the ARP. The women experienced little difficulty with the ARP. They defined themselves as being good girls but expressed that when the hospital's ARP had expired the attention from the staff decl...
Women's experiences with short admission in abdominal hysterectomy and their patterns of behaviou... more Women's experiences with short admission in abdominal hysterectomy and their patterns of behaviour The aim of this study was to describe how women experienced short admission in abdominal hysterectomy and to describe patterns of behaviours in short admission. A Short admission is now widely used in Denmark in relation to hysterectomy and involves one to two postoperative days. The diagnostic, prognostic and clinical indicators are well described in the literature. Documentation however, is sparse regarding the experiences of the women involved. This article presents and discusses the women's own experiences and the impact of the short admission. The results are part of a lager evaluation of women and staff experiences overall. The design is exploratory and descriptive. Ten women who underwent a hysterectomy were selected consecutively from August 2001 and were followed from their initial examination to 1 month following hospital discharge. Data were collected by individual interviews. To grasp a complex reality and patterns of behaviour a typical-type methodology were used. As a result three types of women were identified: (i) The intervening type, (ii) the cooperative type and (iii) the unsure type. The women considered dialogue with the staff to be essential in short admissions. Women in this study who described emotional reactions considered it important that staff do not refrain from speaking about sensitive subjects. In conclusion the importance of dialogue creates new demands for the staff, as somatic care in this context has changed to be more oriented towards information and follow-up. The women in this study did not have any physical side effects but reported some psychological areas of importance. An outpatient clinic staffed by nurses could cover the needs of the woman.
Objective: To perform a meta-analysis assessing the effects of self-care management interventions... more Objective: To perform a meta-analysis assessing the effects of self-care management interventions in improving glycaemic control in type 2 diabetes by analysing the impact of different study characteristics on the effect size. Methods: A literature search in eight scientific databases up to November 2007 included original studies of randomised controlled trials involving adult patients diagnosed with type 2 diabetes and evaluating a self-care management intervention. Results: The 47 included studies yielded 7677 participants. The analysis showed a 0.36% (95% CI 0.21-0.51) improvement in glycaemic control in people who received self-care management treatment. In the univariate meta-regression sample size (effect size 0.42%, p = 0.007) and follow-up period (effect size 0.49%, p = 0.017) were identified to have significant effect on the effect size in favour of small studies and short follow-up. For type of intervention and duration of intervention there was a non-significant effect on effect size in favour of educational techniques and short interventions. Conclusion: In type 2 diabetes, there are improvements in glycaemic control in people who receive selfcare management treatment with a small advantage to intervention with an educational approach. Practice implications: Further research on frequency and duration of intervention may provide useful information to identify the most effective regime. ß
We investigated mothers&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; ... more We investigated mothers&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; and children&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s assessments of body weight and their expectations about perceived body size in relation to overweight of the children. We performed a case-control study of 111 cases of overweight children and 149 controls of non-overweight children (mean age 8.1 years) and their mothers. All were examined and interviewed about their assessment of body weight and their perception of a normal, attractive and acceptable body size. Case children were less able than control children to correctly assess their own body weight (p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.001), as were mothers of overweight children (MOC) to assess their children&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s body weight (p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.001). The majority of mothers from both groups wished their children to have a normal body size, but 18% of MOC wished their children to have an overweight body size (p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.013). The majority of case children, control children and mothers found a normal body size for boys and girls to be the most attractive and socially acceptable, but more MOC found overweight among boys to be the most attractive (p = 0.006). Overweight children and their mothers show increased uncertainty in the assessment of overweight and obesity, but the perception of a normal, attractive and socially acceptable body size is not distorted.
We investigated mothers&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; ... more We investigated mothers&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; possession and display of action competence to counteract or prevent overweight and eventual obesity in their children. Action competence is defined as a personal resource where the most important aspect is the individual&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s wish to take action and to believe in its benefit. It unfolds within the room for action as experienced by the individual due to action obstacles and action potentials. In a case-control study, mothers of 111 overweight children (MOC) were compared with mothers of 149 non-overweight children (MNC). They underwent a semistructured interview about action competence, lifestyle, and their 7- to 9-year-old children. Compared to MNC, MOC considered it more important to change habits, both for themselves (p = 0.003) and their children (p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.001). MOC were more motivated to change habits (p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.001), assessed their action competence to be higher (p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.001), and felt to a greater extent that they supported their children to achieve an appropriate weight (p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.001) compared with MNC. No difference was found between MOC and MNC in the assessment of their own room for action and their children&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s room for action. Self-assessed room for action was not limited for either MOC or MNC, and MOC even assessed their action competence to be greater.
ABSTRACT The aim was to review the existing qualitative research literature on the perspectives o... more ABSTRACT The aim was to review the existing qualitative research literature on the perspectives of the spouse, sons and daughters on life in a family where the male partner/father has prostate cancer. PubMed and CINAHL were searched using the MESH words: prostatic neoplasm, spouse, family, adult children, son, daughter and qualitative research. The search was limited from December 1960 to January 2008. The search returned 560 papers; only six qualitative research papers were relevant and included in the study. The main results of the perspectives of spouses, daughters and sons are presented in relation to the following four stages: diagnosis, pretreatment decision-making, awaiting treatment and treatment/post-treatment. The studies reviewed indicate that the spouse, sons and daughters were all markedly affected by the man&#39;s serious diagnosis. Some studies highlights the methodological problem of non-independent informants: in a couple or focus group interview, the different individuals interviewed will always be influenced by the statements or presence of others, or the couple will act as a system and their individual views cannot be identified. This paper concludes that there is a lack of European research through all stages of the illness. In order to learn about the individual, perspective studies should only include either the spouse or the son or daughter as informants. Further research on all stages of the illness is needed. The studies should have a longitudinal design.
ABSTRACT The aim of the study was to investigate the daily life experiences of sons and daughters... more ABSTRACT The aim of the study was to investigate the daily life experiences of sons and daughters following the father&#39;s prostate cancer diagnosis. This paper is part one describing the sons experience of life. Research in this field to date has predominantly focused on the father&#39;s experiences in coping with the disease, and there is a lack of research on the adult children&#39;s experiences following the father&#39;s cancer diagnosis. The study assumes a phenomenological–hermeneutic approach, using Ricoeur&#39;s theories of narratives and text interpretation. The informants were six sons of men diagnosed with incurable prostate cancer. All participants were interviewed 3 and 10 months after the father was informed of the cancer diagnosis. Data analysis was done in three stages according to Ricoeur: naïve reading, followed by a structured analysis, and concluded with critical interpretation and discussion. Results showed in the experience of worry and dilemma after the father&#39;s diagnosis, the son gradually adapted to the new life situation. The adaptation was conscious/unconscious and could be characterized as a personal transition. It is concluded that nurses need to include the son more in the care for the parents.
ABSTRACT The aim of this article is to describe the attitude to a change of nursing home residenc... more ABSTRACT The aim of this article is to describe the attitude to a change of nursing home residences into private flats and the use of services by elderly persons before and after a major intervention (in 1986) in the service-delivery organization in the Danish Municipality of Skaevinge. In this intervention, the rooms of a nursing home were converted into health care centre flats. Former nursing home residents were again living in private flats. Their pensions, which formerly paid for their upkeep in the nursing home, were now paid directly to them. The study is based on cross-sectional consumer health surveys. A total of 155 elderly persons participated in ‘before and after’ interviews which took place in 1985 and 1987. During the first survey, 52&amp;percnt; of the elderly persons were positive towards conversion of the nursing home; in the second survey, this figure rose to 76&amp;percnt;. There was a significant increase in provision of home help from 10 to 37&amp;percnt;, home nursing from 11 to 30&amp;percnt; and health advice in general. Due to the integration of the former nursing home staff with the home care area, staff now work as interdisciplinary teams both inside and outside the new health care centre.
Participating in a community of practice (CoP) is essential for final year nursing students. The ... more Participating in a community of practice (CoP) is essential for final year nursing students. The article describes the opportunities of student nurses to participate as members of a CoP, and how these opportunities were exploited. Ten students in their final clinical practice were included. Empirical data were generated through participant observation and individual interviews, focusing on the participants’ interaction with the staff and were analysed within a phenomenological-hermeneutic framework.The results showed that the students were to a greater or lesser extent participatory in the CoP, depending on what both the students and the members of the staff did to make participation possible.The conclusion is that the students’ participation is strengthened by the students and nurses showing interest in getting to know each other professionally and socially and by the students having the opportunity to contribute their knowledge. There must be an awareness of the unfortunate consequence of formalisation of learning in practice which can create a distancing learning space in the informal learning landscape by drawing students out of active participation in community of practice.Depending on the extent to which these aspects are present, participation can become an essential factor in the clinical phase of nursing education.
s u m m a r y Aim: To explore newly qualified nurses' (NQN) interaction with members of community... more s u m m a r y Aim: To explore newly qualified nurses' (NQN) interaction with members of community of practice (CoP) and how it affects their participation in the CoP. Background: The entry of NQNs into the health care service is problematic which can result in NQNs leaving the profession within the first years of their career. Studies indicate that interaction between NQNs and their colleagues has an important influence of the way in which the NQNs experience their participation in the community of practice. Methodology: Nine NQNs participated in the study. The data collection took place six months after graduating and the data were generated by participant observation and individual interview. The data were analysed inspired by Ricoeur's interpretation theory. Results: Most of the participants expressed satisfaction in their job. They were employed in CoPs characterised by dialogue and with interest in NQNs as a professional as well as a private person. Participants who expressed some dissatisfaction in their job situation were employed in CoPs with less dialogue and with less interest in NQN. Uncertainty about their own capacity and less professional discussions results in NQNs repeatedly asking for specific answer to their questions. Conclusion: Mutual social and professional interest and acceptance increased NQNs' experience of being valued members of the CoP. Higher levels of dialogue and cohesion within the CoP corresponded with more active participation by NQNs and gave them a greater sense of security. Relevance for Clinical Practice NQNs' participation in a COP is influenced by the extent to which they are included in both professional and social interactions and afforded the opportunity to contribute with knowledge and experience from their nursing studies. Furthermore, the study indicates that NQNs' experience of social cohesion within the community appears to increase their professional performance.
Background and purpose: Despite advances in the understanding of Huntington's disease (HD), treat... more Background and purpose: Despite advances in the understanding of Huntington's disease (HD), treatment remains symptomatic. Multidisciplinary rehabilitation, however, appears to impact disease progression. Here we show the feasibility, safety and efficacy of a 9-month multidisciplinary rehabilitation programme in a small cohort of patients with early-to-middle-stage HD. Methods: Twenty patients with HD were assigned to two groups, equally matched for cognitive and motor scores. One group received the intervention, whilst the other served as control. The Unified-Huntington's-Disease-Rating-Scale-Total-Motor-Score was the primary outcome measure. Neurocognitive/psychological tests, body composition, postural stability, strength and quality of life assessments were secondary outcome measures. Results: The intervention reduced motor and postural stability deterioration, with minor improvements in depression, cognition and quality of life. Significant gains were observed for fat-free mass and strength.
Journal of child health care : for professionals working with children in the hospital and community, Jan 17, 2014
The aim was to study how, and to what degree, health-related quality of life (HRQOL), as assessed... more The aim was to study how, and to what degree, health-related quality of life (HRQOL), as assessed by children and their mothers, was related to overweight and obesity among children aged seven to nine years. Mother-child pairs of 149 non-overweight, 95 overweight and 16 obese children participated. We assessed HRQOL by the children's self-report and parent proxy report module of the PedsQL™ 4.0 Generic Core Scales. We found that non-overweight children scored HRQOL slightly higher than overweight ones but significantly higher than did obese children. The same pattern was seen for the mothers' proxy HRQOL score and mothers in general scored higher than the children did. The results indicate that mothers in general were not sufficiently aware of how overweight and obesity affect their children's HRQOL. The psychosocial dimension of HRQOL was the most important aspect for the children. Thus, there is a need for information of mothers/parents about the impact of overweight a...
Over the past 12 years, a strong foundation for family nursing has been built in Denmark, with ra... more Over the past 12 years, a strong foundation for family nursing has been built in Denmark, with rapid growth in the past 3 years. A review of nursing research conducted in Denmark and published between 2002 and 2013 found 15 studies that examined family phenomena. The majority of the studies used descriptive methods with data collected from surveys and interviews involving family members either together or individually. Only five of the studies examined interventions that included families' perspectives about the intervention being evaluated. Several current research projects lead by Danish nurses examine the implementation of family nursing knowledge to clinical settings. Integration of family nursing theory has begun in Denmark in undergraduate and graduate nursing curricula and in May 2013, the Danish Family Nursing Association was officially established. Infrastructure and financial conference support has made it possible to invite Nordic and international colleagues to meet ...
Guilty, Early-morning Craving (CAGE)-C. Data were analysed by descriptive statistics, and relatio... more Guilty, Early-morning Craving (CAGE)-C. Data were analysed by descriptive statistics, and relationships were tested with a statistical significance level of 0.05, using SPSS (version 16.0). Results: Motivational dialogues with 779 parents were conducted by 43 staff members, and 11% of the parents were screened positive for risky alcohol behaviour. Drinking alcohol 4 days a week or more and drinking alcohol outside mealtimes were main risk factors. Parents' gender was the strongest predictor of screening positive and OR was 6.8 for men (CI 4.03-11.74) compared to women, p < 0.0001. An OR of 1.2 for parents' age (CI 1.02-1.42) indicates the risk of screening positive increases with age, p = 0.027. Conclusions: Brief intervention using CAGE-C and MI has proven successful in mapping parents' alcohol consumption patterns and in identifying parents with risky alcohol consumption habits. Health staff is able to manage health promotion and prevention when having the right competences and when being supervised.
Introduction: The accelerated recovery programme (ARP) is becoming com- monplace in surgical spec... more Introduction: The accelerated recovery programme (ARP) is becoming com- monplace in surgical specialties and has also been introduced to hysterec- tomy patients. Diagnostic, prognostic and other clinical indicators are well described. The aim of this article is to relay knowledge about the ARP, through the experiences of the women operated and the staff involved. Material and methods: The study is
The accelerated recovery programme (ARP) is becoming commonplace in surgical specialties and has ... more The accelerated recovery programme (ARP) is becoming commonplace in surgical specialties and has also been introduced to hysterectomy patients. Diagnostic, prognostic and other clinical indicators are well described. The aim of this article is to relay knowledge about the ARP, through the experiences of the women operated and the staff involved. The study is exploratory and descriptive, using qualitative methods. Seventeen women, with good health status, were consecutively selected from August to September 2001. The women were observed and ten were interviewed twice, at discharge and one month following their return home. The staff (n = 15) were interviewed individually and/or participated in focus group interviews before (February 2001) and following (November 2001) the introduction of the ARP. The women experienced little difficulty with the ARP. They defined themselves as being good girls but expressed that when the hospital's ARP had expired the attention from the staff decl...
Women's experiences with short admission in abdominal hysterectomy and their patterns of behaviou... more Women's experiences with short admission in abdominal hysterectomy and their patterns of behaviour The aim of this study was to describe how women experienced short admission in abdominal hysterectomy and to describe patterns of behaviours in short admission. A Short admission is now widely used in Denmark in relation to hysterectomy and involves one to two postoperative days. The diagnostic, prognostic and clinical indicators are well described in the literature. Documentation however, is sparse regarding the experiences of the women involved. This article presents and discusses the women's own experiences and the impact of the short admission. The results are part of a lager evaluation of women and staff experiences overall. The design is exploratory and descriptive. Ten women who underwent a hysterectomy were selected consecutively from August 2001 and were followed from their initial examination to 1 month following hospital discharge. Data were collected by individual interviews. To grasp a complex reality and patterns of behaviour a typical-type methodology were used. As a result three types of women were identified: (i) The intervening type, (ii) the cooperative type and (iii) the unsure type. The women considered dialogue with the staff to be essential in short admissions. Women in this study who described emotional reactions considered it important that staff do not refrain from speaking about sensitive subjects. In conclusion the importance of dialogue creates new demands for the staff, as somatic care in this context has changed to be more oriented towards information and follow-up. The women in this study did not have any physical side effects but reported some psychological areas of importance. An outpatient clinic staffed by nurses could cover the needs of the woman.
Objective: To perform a meta-analysis assessing the effects of self-care management interventions... more Objective: To perform a meta-analysis assessing the effects of self-care management interventions in improving glycaemic control in type 2 diabetes by analysing the impact of different study characteristics on the effect size. Methods: A literature search in eight scientific databases up to November 2007 included original studies of randomised controlled trials involving adult patients diagnosed with type 2 diabetes and evaluating a self-care management intervention. Results: The 47 included studies yielded 7677 participants. The analysis showed a 0.36% (95% CI 0.21-0.51) improvement in glycaemic control in people who received self-care management treatment. In the univariate meta-regression sample size (effect size 0.42%, p = 0.007) and follow-up period (effect size 0.49%, p = 0.017) were identified to have significant effect on the effect size in favour of small studies and short follow-up. For type of intervention and duration of intervention there was a non-significant effect on effect size in favour of educational techniques and short interventions. Conclusion: In type 2 diabetes, there are improvements in glycaemic control in people who receive selfcare management treatment with a small advantage to intervention with an educational approach. Practice implications: Further research on frequency and duration of intervention may provide useful information to identify the most effective regime. ß
We investigated mothers&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; ... more We investigated mothers&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; and children&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s assessments of body weight and their expectations about perceived body size in relation to overweight of the children. We performed a case-control study of 111 cases of overweight children and 149 controls of non-overweight children (mean age 8.1 years) and their mothers. All were examined and interviewed about their assessment of body weight and their perception of a normal, attractive and acceptable body size. Case children were less able than control children to correctly assess their own body weight (p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.001), as were mothers of overweight children (MOC) to assess their children&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s body weight (p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.001). The majority of mothers from both groups wished their children to have a normal body size, but 18% of MOC wished their children to have an overweight body size (p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.013). The majority of case children, control children and mothers found a normal body size for boys and girls to be the most attractive and socially acceptable, but more MOC found overweight among boys to be the most attractive (p = 0.006). Overweight children and their mothers show increased uncertainty in the assessment of overweight and obesity, but the perception of a normal, attractive and socially acceptable body size is not distorted.
We investigated mothers&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; ... more We investigated mothers&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; possession and display of action competence to counteract or prevent overweight and eventual obesity in their children. Action competence is defined as a personal resource where the most important aspect is the individual&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s wish to take action and to believe in its benefit. It unfolds within the room for action as experienced by the individual due to action obstacles and action potentials. In a case-control study, mothers of 111 overweight children (MOC) were compared with mothers of 149 non-overweight children (MNC). They underwent a semistructured interview about action competence, lifestyle, and their 7- to 9-year-old children. Compared to MNC, MOC considered it more important to change habits, both for themselves (p = 0.003) and their children (p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.001). MOC were more motivated to change habits (p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.001), assessed their action competence to be higher (p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.001), and felt to a greater extent that they supported their children to achieve an appropriate weight (p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.001) compared with MNC. No difference was found between MOC and MNC in the assessment of their own room for action and their children&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s room for action. Self-assessed room for action was not limited for either MOC or MNC, and MOC even assessed their action competence to be greater.
ABSTRACT The aim was to review the existing qualitative research literature on the perspectives o... more ABSTRACT The aim was to review the existing qualitative research literature on the perspectives of the spouse, sons and daughters on life in a family where the male partner/father has prostate cancer. PubMed and CINAHL were searched using the MESH words: prostatic neoplasm, spouse, family, adult children, son, daughter and qualitative research. The search was limited from December 1960 to January 2008. The search returned 560 papers; only six qualitative research papers were relevant and included in the study. The main results of the perspectives of spouses, daughters and sons are presented in relation to the following four stages: diagnosis, pretreatment decision-making, awaiting treatment and treatment/post-treatment. The studies reviewed indicate that the spouse, sons and daughters were all markedly affected by the man&#39;s serious diagnosis. Some studies highlights the methodological problem of non-independent informants: in a couple or focus group interview, the different individuals interviewed will always be influenced by the statements or presence of others, or the couple will act as a system and their individual views cannot be identified. This paper concludes that there is a lack of European research through all stages of the illness. In order to learn about the individual, perspective studies should only include either the spouse or the son or daughter as informants. Further research on all stages of the illness is needed. The studies should have a longitudinal design.
ABSTRACT The aim of the study was to investigate the daily life experiences of sons and daughters... more ABSTRACT The aim of the study was to investigate the daily life experiences of sons and daughters following the father&#39;s prostate cancer diagnosis. This paper is part one describing the sons experience of life. Research in this field to date has predominantly focused on the father&#39;s experiences in coping with the disease, and there is a lack of research on the adult children&#39;s experiences following the father&#39;s cancer diagnosis. The study assumes a phenomenological–hermeneutic approach, using Ricoeur&#39;s theories of narratives and text interpretation. The informants were six sons of men diagnosed with incurable prostate cancer. All participants were interviewed 3 and 10 months after the father was informed of the cancer diagnosis. Data analysis was done in three stages according to Ricoeur: naïve reading, followed by a structured analysis, and concluded with critical interpretation and discussion. Results showed in the experience of worry and dilemma after the father&#39;s diagnosis, the son gradually adapted to the new life situation. The adaptation was conscious/unconscious and could be characterized as a personal transition. It is concluded that nurses need to include the son more in the care for the parents.
ABSTRACT The aim of this article is to describe the attitude to a change of nursing home residenc... more ABSTRACT The aim of this article is to describe the attitude to a change of nursing home residences into private flats and the use of services by elderly persons before and after a major intervention (in 1986) in the service-delivery organization in the Danish Municipality of Skaevinge. In this intervention, the rooms of a nursing home were converted into health care centre flats. Former nursing home residents were again living in private flats. Their pensions, which formerly paid for their upkeep in the nursing home, were now paid directly to them. The study is based on cross-sectional consumer health surveys. A total of 155 elderly persons participated in ‘before and after’ interviews which took place in 1985 and 1987. During the first survey, 52&amp;percnt; of the elderly persons were positive towards conversion of the nursing home; in the second survey, this figure rose to 76&amp;percnt;. There was a significant increase in provision of home help from 10 to 37&amp;percnt;, home nursing from 11 to 30&amp;percnt; and health advice in general. Due to the integration of the former nursing home staff with the home care area, staff now work as interdisciplinary teams both inside and outside the new health care centre.
Participating in a community of practice (CoP) is essential for final year nursing students. The ... more Participating in a community of practice (CoP) is essential for final year nursing students. The article describes the opportunities of student nurses to participate as members of a CoP, and how these opportunities were exploited. Ten students in their final clinical practice were included. Empirical data were generated through participant observation and individual interviews, focusing on the participants’ interaction with the staff and were analysed within a phenomenological-hermeneutic framework.The results showed that the students were to a greater or lesser extent participatory in the CoP, depending on what both the students and the members of the staff did to make participation possible.The conclusion is that the students’ participation is strengthened by the students and nurses showing interest in getting to know each other professionally and socially and by the students having the opportunity to contribute their knowledge. There must be an awareness of the unfortunate consequence of formalisation of learning in practice which can create a distancing learning space in the informal learning landscape by drawing students out of active participation in community of practice.Depending on the extent to which these aspects are present, participation can become an essential factor in the clinical phase of nursing education.
s u m m a r y Aim: To explore newly qualified nurses' (NQN) interaction with members of community... more s u m m a r y Aim: To explore newly qualified nurses' (NQN) interaction with members of community of practice (CoP) and how it affects their participation in the CoP. Background: The entry of NQNs into the health care service is problematic which can result in NQNs leaving the profession within the first years of their career. Studies indicate that interaction between NQNs and their colleagues has an important influence of the way in which the NQNs experience their participation in the community of practice. Methodology: Nine NQNs participated in the study. The data collection took place six months after graduating and the data were generated by participant observation and individual interview. The data were analysed inspired by Ricoeur's interpretation theory. Results: Most of the participants expressed satisfaction in their job. They were employed in CoPs characterised by dialogue and with interest in NQNs as a professional as well as a private person. Participants who expressed some dissatisfaction in their job situation were employed in CoPs with less dialogue and with less interest in NQN. Uncertainty about their own capacity and less professional discussions results in NQNs repeatedly asking for specific answer to their questions. Conclusion: Mutual social and professional interest and acceptance increased NQNs' experience of being valued members of the CoP. Higher levels of dialogue and cohesion within the CoP corresponded with more active participation by NQNs and gave them a greater sense of security. Relevance for Clinical Practice NQNs' participation in a COP is influenced by the extent to which they are included in both professional and social interactions and afforded the opportunity to contribute with knowledge and experience from their nursing studies. Furthermore, the study indicates that NQNs' experience of social cohesion within the community appears to increase their professional performance.
Background and purpose: Despite advances in the understanding of Huntington's disease (HD), treat... more Background and purpose: Despite advances in the understanding of Huntington's disease (HD), treatment remains symptomatic. Multidisciplinary rehabilitation, however, appears to impact disease progression. Here we show the feasibility, safety and efficacy of a 9-month multidisciplinary rehabilitation programme in a small cohort of patients with early-to-middle-stage HD. Methods: Twenty patients with HD were assigned to two groups, equally matched for cognitive and motor scores. One group received the intervention, whilst the other served as control. The Unified-Huntington's-Disease-Rating-Scale-Total-Motor-Score was the primary outcome measure. Neurocognitive/psychological tests, body composition, postural stability, strength and quality of life assessments were secondary outcome measures. Results: The intervention reduced motor and postural stability deterioration, with minor improvements in depression, cognition and quality of life. Significant gains were observed for fat-free mass and strength.
Journal of child health care : for professionals working with children in the hospital and community, Jan 17, 2014
The aim was to study how, and to what degree, health-related quality of life (HRQOL), as assessed... more The aim was to study how, and to what degree, health-related quality of life (HRQOL), as assessed by children and their mothers, was related to overweight and obesity among children aged seven to nine years. Mother-child pairs of 149 non-overweight, 95 overweight and 16 obese children participated. We assessed HRQOL by the children's self-report and parent proxy report module of the PedsQL™ 4.0 Generic Core Scales. We found that non-overweight children scored HRQOL slightly higher than overweight ones but significantly higher than did obese children. The same pattern was seen for the mothers' proxy HRQOL score and mothers in general scored higher than the children did. The results indicate that mothers in general were not sufficiently aware of how overweight and obesity affect their children's HRQOL. The psychosocial dimension of HRQOL was the most important aspect for the children. Thus, there is a need for information of mothers/parents about the impact of overweight a...
Over the past 12 years, a strong foundation for family nursing has been built in Denmark, with ra... more Over the past 12 years, a strong foundation for family nursing has been built in Denmark, with rapid growth in the past 3 years. A review of nursing research conducted in Denmark and published between 2002 and 2013 found 15 studies that examined family phenomena. The majority of the studies used descriptive methods with data collected from surveys and interviews involving family members either together or individually. Only five of the studies examined interventions that included families' perspectives about the intervention being evaluated. Several current research projects lead by Danish nurses examine the implementation of family nursing knowledge to clinical settings. Integration of family nursing theory has begun in Denmark in undergraduate and graduate nursing curricula and in May 2013, the Danish Family Nursing Association was officially established. Infrastructure and financial conference support has made it possible to invite Nordic and international colleagues to meet ...
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Papers by Lis Wagner