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Larsson, Helena
Publications (2 of 2) Show all publications
Larsson, H., Edberg, A.-K., Bolmsjö, I. & Rämgård, M. (2019). Contrasts in older persons' experiences and significant others' perceptions of existential loneliness. Nursing Ethics, 26(6), 1623-1637
Open this publication in new window or tab >>Contrasts in older persons' experiences and significant others' perceptions of existential loneliness
2019 (English)In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 26, no 6, p. 1623-1637Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: As frail older people might have difficulties in expressing themselves, their needs are often interpreted by others, for example, by significant others, whose information health care staff often have to rely on. This, in turn, can put health care staff in ethically difficult situations, where they have to choose between alternative courses of action. One aspect that might be especially difficult to express is that of existential loneliness. We have only sparse knowledge about whether, and in what way, the views of frail older persons and their significant others concerning existential loneliness are in concordance.

OBJECTIVE: To contrast frail older (>75) persons' experiences with their significant others' perceptions of existential loneliness.

METHODS: A case study design was chosen for this study. Individual interviews with frail older persons (n = 15) and interviews with their significant others (n = 19), as well as field notes, served as a basis for the study. A thematic analysis was used to interpret data. Ethical considerations: This study was conducted in accordance with the principles of research ethics.

FINDINGS: The findings showed three themes: (1) Meaningless waiting in contrast to lack of activities, (2) Longing for a deeper connectedness in contrast to not participating in a social environment and (3) Restricted freedom in contrast to given up on life.

DISCUSSION: Knowledge about the tensions between older persons' and their significant others' views of existential loneliness could be of use as a basis for ethical reflections on the care of older people and in the encounter with their significant others.

CONCLUSION: It is of importance that health care professionals listen to both the frail older person and their significant other(s) and be aware of whose voice that the care given is based on, in order to provide care that is beneficial and not to the detriment of the older person.

Keywords
Case study, existential loneliness, frail older person, significant other, thematic analysis
National Category
Nursing
Identifiers
urn:nbn:se:hkr:diva-19080 (URN)10.1177/0969733018774828 (DOI)000484692700005 ()29772961 (PubMedID)
Available from: 2019-02-19 Created: 2019-02-19 Last updated: 2019-10-15Bibliographically approved
Larsson, H. & Blomqvist, K. (2015). From a diagnostic and particular approach to a person-centred approach: a development project. Journal of Clinical Nursing, 24(3-4), 465-474
Open this publication in new window or tab >>From a diagnostic and particular approach to a person-centred approach: a development project
2015 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 24, no 3-4, p. 465-474Article in journal (Refereed) Published
Abstract [en]

Aims and objectives

To investigate changes over time in an interdisciplinary group that was engaged in development work regarding pain and pain assessment.

Background

The outcomes of nursing research do not always find their way to the daily care of patients. This is evident within, for instance, physical rehabilitation, where relieving patients' pain is a major challenge. To gain new understanding, develop and change, registered nurses have a great part in engaging their staff.

Design

A qualitative study using a participatory action research approach was used, and a hermeneutic analysis was conducted.

Methods

A group of three registered nurses, two assistant nurses and a physiotherapist took part in focus group sessions. This group was followed with seven repeated sessions during a period of five months from January 2010 until June 2010. A hermeneutic analysis was used.

Results

The participants changed their attitudes towards the patient in pain, their own caring role and the team's role towards a more person-centred care.

Conclusions

Participation and reflection were key aspects as means to transfer knowledge into action and establish change. The participants came to the sessions, shared actively their experiences and expressed pride in the work they accomplished. This can be seen as an expression of a need to share and a joy to be working together in a person-oriented development area. In addition, the approach seemed to contribute to increased job satisfaction.

Relevance to clinical practice

The participants expressed that their work resulted in a changed approach to pain and pain assessment in their daily practice at the ward. The participants were actively engaged in enhancing their work with pain and pain assessment in their own daily practice and in implementing research-based knowledge.

Keywords
development care, focus groups, hermeneutics, pain, participatory action research, person-centred, teamwork
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hkr:diva-12304 (URN)10.1111/jocn.12628 (DOI)000350348600015 ()24814250 (PubMedID)
Note

Article first published online: 9 MAY 2014

Available from: 2014-07-01 Created: 2014-07-01 Last updated: 2017-12-05Bibliographically approved
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