hkr.sePublications
Change search
Link to record
Permanent link

Direct link
BETA
Samarasinghe, Kerstin
Alternative names
Publications (10 of 15) Show all publications
Pieris, L., Sigera, P. C., De Silva, A. P., Munasinghe, S., Rashan, A., Athapattu, P. L., . . . Haniffa, R. (2018). Experiences of ICU survivors in a low middle income country- a multicenter study.. BMC Anesthesiology, 18(1), Article ID 30.
Open this publication in new window or tab >>Experiences of ICU survivors in a low middle income country- a multicenter study.
Show others...
2018 (English)In: BMC Anesthesiology, ISSN 1471-2253, E-ISSN 1471-2253, Vol. 18, no 1, article id 30Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Stressful patient experiences during the intensive care unit (ICU) stay is associated with reduced satisfaction in High Income Countries (HICs) but has not been explored in Lower and Middle Income Countries (LMICs). This study describes the recalled experiences, stress and satisfaction as perceived by survivors of ICUs in a LMIC.

METHODS: This follow-up study was carried out in 32 state ICUs in Sri Lanka between July and December 2015.ICU survivors' experiences, stress factors encountered and level of satisfaction were collected 30 days after ICU discharge by a telephone questionnaire adapted from Granja and Wright.

RESULTS: Of 1665 eligible ICU survivors, 23.3% died after ICU discharge, 49.1% were uncontactable and 438 (26.3%) patients were included in the study. Whilst 78.1% (n = 349) of patients remembered their admission to the hospital, only 42.3% (n = 189) could recall their admission to the ICU. The most frequently reported stressful experiences were: being bedridden (34.2%), pain (34.0%), general discomfort (31.7%), daily needle punctures (32.9%), family worries (33.6%), fear of dying and uncertainty in the future (25.8%). The majority of patients (376, 84.12%) found the atmosphere of the ICU to be friendly and calm. Overall, the patients found the level of health care received in the ICU to be "very satisfactory" (93.8%, n = 411) with none of the survivors stating they were either "dissatisfied" or "very dissatisfied".

CONCLUSION: In common with HIC, survivors were very satisfied with their ICU care. In contrast to HIC settings, specific ICU experiences were frequently not recalled, but those remembered were reported as relatively stress-free. Stressful experiences, in common with HIC, were most frequently related to uncertainty about the future, dependency, family, and economic concerns.

Keywords
Critical care, ICU experience, Low middle income countries, Stressors
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hkr:diva-17941 (URN)10.1186/s12871-018-0494-8 (DOI)000428224400001 ()29562877 (PubMedID)
Available from: 2018-03-26 Created: 2018-03-26 Last updated: 2018-04-12Bibliographically approved
Jayathilake, S., Jayasuriya-Illesinghe, V., Perera, R., Molligoda, H. & Samarasinghe, K. (2016). "Competent, but not allowed to blossom": midwifery-trained registered nurses’ perceptions oftheir service: a qualitative study in Sri Lanka. Journal of Asian Midwives, 3(2), 39-54
Open this publication in new window or tab >>"Competent, but not allowed to blossom": midwifery-trained registered nurses’ perceptions oftheir service: a qualitative study in Sri Lanka
Show others...
2016 (English)In: Journal of Asian Midwives, ISSN 2409-2290, Vol. 3, no 2, p. 39-54Article in journal (Refereed) Published
Abstract [en]

Objective: To explore midwifery-trained registered nurses’ perceptions of their own profession as maternity care providers and how they identify their role, tasks, and responsibilities within a multi-professional team.

Design: An exploratory qualitative study using focus group discussions and qualitative content analysis.

Setting: Three selected tertiary care hospitals in the Capital Province in Sri Lanka.

Participants: Twenty-two midwifery-trained RNs working in intra-partum and postpartum units.

Findings: The overriding theme of the analysis was identified as ‘competent but not allowed to blossom fully in their practice’, based on two main categories: ‘provision of competent care’ and ‘working with disappointments’. Each main category had four subcategories: ‘acting with compassion’, ‘cooperation in emergencies’, ‘exceeding one’s boundaries’, ‘taking full responsibility’ and ‘deprived of utilizing special knowledge and skills’, ‘role confusion with other professional groups’, ‘lack of professional identity’, and ‘not being appreciated by others’, respectively.

Conclusion: Midwifery-trained RNs conveyed a deep sense of disappointment regarding their profession as maternity care providers in Sri Lanka. Midwifery-trained RNs’ perceptions of their high proficiency are incongruent with their low sense of identity and belongingness within the multi-professional hospital-based maternity care team. This phenomenon warrants further study, considering its implications for team work and patient safety.

Keywords
Maternity care; South Asia; team work; midwifery practice, role confusion
National Category
Nursing
Identifiers
urn:nbn:se:hkr:diva-16952 (URN)
Available from: 2017-06-22 Created: 2017-06-22 Last updated: 2017-06-22Bibliographically approved
Abrahamsson, A. & Samarasinghe, K. (2013). Open pre-schools at integrated health services: a program theory. International Journal for Integrated Care, 13, e014
Open this publication in new window or tab >>Open pre-schools at integrated health services: a program theory
2013 (English)In: International Journal for Integrated Care, ISSN 1568-4156, Vol. 13, p. e014-Article in journal (Refereed) Published
Abstract [en]

Introduction: Family centres in Sweden are integrated services that reach all prospective parents and parents with children up to their sixth year, because of the co-location of the health service with the social service and the open pre-school. The personnel on the multi-professional site work together to meet the needs of the target group. The article explores a program theory focused on the open pre-schools at family centres.

Method: A multi-case design is used and the sample consists of open pre-schools at six family centres. The hypothesis is based on previous research and evaluation data. It guides the data collection which is collected and analysed stepwise. Both parents and personnel are interviewed individually and in groups at each centre.

Findings: The hypothesis was expanded to a program theory. The compliance of the professionals was the most significant element that explained why the open access service facilitated positive parenting. The professionals act in a compliant manner to meet the needs of the children and parents as well as in creating good conditions for social networking and learning amongst the parents.

Conclusion: The compliance of the professionals in this program theory of open pre-schools at family centres can be a standard in integrated and open access services, whereas the organisation form can vary. The best way of increasing the number of integrative services is to support and encourage professionals that prefer to work in a compliant manner.

Keywords
integrated family centres, family support, program theory, parent empowerment, child health, multi-site design, professional compliance
National Category
Social Sciences Medical and Health Sciences
Identifiers
urn:nbn:se:hkr:diva-11052 (URN)23882164 (PubMedID)
Available from: 2013-09-12 Created: 2013-09-03 Last updated: 2014-01-29Bibliographically approved
Samarasinghe, K. (2012). Att leva i kulturell transition: ofrivilligt invandrade familjers välbefinnande. In: Eva Benzein, Margaretha Hagberg, Britt-Inger Saveman (Ed.), Att möta familjer inom vård och omsorg: (pp. 115-127). Lund: Studentlitteratur
Open this publication in new window or tab >>Att leva i kulturell transition: ofrivilligt invandrade familjers välbefinnande
2012 (Swedish)In: Att möta familjer inom vård och omsorg / [ed] Eva Benzein, Margaretha Hagberg, Britt-Inger Saveman, Lund: Studentlitteratur, 2012, p. 115-127Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur, 2012
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hkr:diva-11578 (URN)978-91-44-07266-1 (ISBN)
Available from: 2014-01-03 Created: 2014-01-03 Last updated: 2015-06-24Bibliographically approved
Samarasinghe, K., Arvidsson, B., Abrahamsson, A. & Fridlund, B. (2012). The promotion of family wellness for refugee families in cultural transition: a phenomenographic study. Journal of Nursing Education and Practice, 2(4), 92-104
Open this publication in new window or tab >>The promotion of family wellness for refugee families in cultural transition: a phenomenographic study
2012 (English)In: Journal of Nursing Education and Practice, ISSN 1925-4040, E-ISSN 1925-4059, Vol. 2, no 4, p. 92-104Article in journal (Refereed) Published
Abstract [en]

Objective: To illustrate how nurses can promote family wellness and facilitate acculturation for involuntary migrant families as conceptualized by bilingual interpreters and cultural mediators with own past refugee experience.  Due to the nature of involuntary migration and accompanying acculturation, refugee families face a complex transition, exposing them to vulnerability in cohesion and family function. Involuntary migrant health needs are largely managed within the Primary Health Care sector where Primary Health Care Nurses (PHCN) play an important role. Additionally, bilingual interpreters and cultural mediators with personal experience of being refugees and subsequent acculturation play a critical role in bridging the language and cultural gap between migrant families and PHCNs.

Methods: The study is descriptive and explorative in design with a phenomenographic approach. Data was collected in Southern Sweden utilizing in-depth interviews with ten bilingual interpreters and cultural mediators originating from the Balkans, Kurdistan, Eritrea and Somalia. A contextual analysis with reference to phenomenography was used in interpreting the data material.

Results: Three separate themes illustrated the meaning of family wellness: a sense of belonging to the new homeland, the maintenance of self-esteem and stable family interrelationships. The analysis demonstrated that the way ex-refugee bilingual interpreters and cultural mediators perceived of how to promote family wellness, fell into three qualitative different conceptions: (1) Promotion of family wellness is the responsibility of the family itself, manifested in its attitude in wanting to adjust to change, (2) Promotion of family wellness is the consideration of those outside the family and is marked by understanding and respectful attitudes, (3) Promotion of family wellness is a societal responsibility to which successful integration is a prerequisite.

Conclusions: The promotion of health of involuntary migrant families in cultural transition is complex due to families, other members of the society and society at large all contributing to family wellness in the process of acculturation. For nurses to facilitate a healthy transition for involuntary migrant families, a holistic approach working with the entire family in a psychosocial way and cooperating with other health care professionals, community authorities and ethnic organizations maybe a future direction in encounters with involuntary migrant families with health problems. Adopting a family system approach will enable nurses to provide culturally and transition-competent quality care by enabling stabilizing interfamily relationships through supportive conversations about changes and its subsequent reactions and possible coping of the family as a unit. Further research in order to enhance health promotion would preferable take on a participatory approach.

Keywords
Refugee, Cultural transition, Family wellness, Heath promotion, Phenomenography
National Category
Nursing
Identifiers
urn:nbn:se:hkr:diva-9619 (URN)10.5430/jnep.v2n4p92 (DOI)
Available from: 2012-08-23 Created: 2012-08-23 Last updated: 2017-12-07Bibliographically approved
Samarasinghe, K. & Hedemalm, A. (2012). Vård av patient med utländsk härkomst som har hjärtsjukdom (2ed.). In: Bengt Fridlund, Dan Malm, Jan Mårtensson (Ed.), Kardiologisk omvårdnad: (pp. 303-322). Lund: Studentlitteratur
Open this publication in new window or tab >>Vård av patient med utländsk härkomst som har hjärtsjukdom
2012 (Swedish)In: Kardiologisk omvårdnad / [ed] Bengt Fridlund, Dan Malm, Jan Mårtensson, Lund: Studentlitteratur, 2012, 2, p. 303-322Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur, 2012 Edition: 2
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hkr:diva-11579 (URN)978-91-44-05499-5 (ISBN)
Available from: 2014-01-03 Created: 2014-01-03 Last updated: 2016-01-18Bibliographically approved
Samarasinghe, K. (2011). A conceptual model facilitating the transition of involuntary migrant families. ISRN Nursing, 824209
Open this publication in new window or tab >>A conceptual model facilitating the transition of involuntary migrant families
2011 (English)In: ISRN Nursing, ISSN 2090-5483, p. 824209-Article in journal (Refereed) Published
Abstract [en]

Refugee families face a complex transition due to the nature of involuntary migration and the process of acculturation. There are several risk factors to the family adaptation process during the transition period, which are sociocontextually environmental dependant. Facilitating a healthy transition for refugee families, therefore, requires the role of nursing to incorporate sociopolitics into the discipline. This paper introduces a sociopolitically oriented and community-driven assessment and intervention model which is based on a family systematic approach. Interventions that aid the families in their acculturation process as well as empowers them to a well-functioning daily life, as per the SARFI model, should be adopted. As such, the future of nursing may provide additional primary health care services for refugee families; this is through a team-led “family nurse” who provides quality care for the family unit in collaboration with other health care professionals and societal authorities.

National Category
Nursing
Identifiers
urn:nbn:se:hkr:diva-8823 (URN)10.5402/2011/824209 (DOI)
Available from: 2011-12-13 Created: 2011-12-13Bibliographically approved
Samarasinghe, K. (2010). En hälsosam anpassning: om ofrivilligt invandrade familjers hälsa under omställningen till Sverige och om hälsostödjande familjesamtal. In: Björngren Cuadra, Carin (Ed.), Omvårdnad i mångkulturella rum: frågor om kultur, etik och reflektion (pp. 49-85). Lund: Studentlitteratur
Open this publication in new window or tab >>En hälsosam anpassning: om ofrivilligt invandrade familjers hälsa under omställningen till Sverige och om hälsostödjande familjesamtal
2010 (Swedish)In: Omvårdnad i mångkulturella rum: frågor om kultur, etik och reflektion / [ed] Björngren Cuadra, Carin, Lund: Studentlitteratur , 2010, p. 49-85Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur, 2010
National Category
Nursing
Identifiers
urn:nbn:se:hkr:diva-7007 (URN)978-91-44-05307-3 (ISBN)
Available from: 2010-08-24 Created: 2010-08-21 Last updated: 2011-07-01Bibliographically approved
Samarasinghe, K., Fridlund, B. & Arvidsson, B. (2010). Primary health care nurses' conceptions of involuntarily migrated families health. In: Meleis, Afaf Ibrahim (Ed.), Transitions Theory: middle-range and situation-specific theories in nursing research and practice (pp. 242-249). New York: Springer Pub.
Open this publication in new window or tab >>Primary health care nurses' conceptions of involuntarily migrated families health
2010 (English)In: Transitions Theory: middle-range and situation-specific theories in nursing research and practice / [ed] Meleis, Afaf Ibrahim, New York: Springer Pub. , 2010, p. 242-249Chapter in book (Other academic)
Place, publisher, year, edition, pages
New York: Springer Pub., 2010
National Category
Nursing
Identifiers
urn:nbn:se:hkr:diva-7008 (URN)978-0-8261-0534-9 (ISBN)
Available from: 2010-08-24 Created: 2010-08-21 Last updated: 2010-12-15Bibliographically approved
Samarasinghe, K., Fridlund, B. & Arvidsson, B. (2010). Primary health care nurses' promotion of involuntary migrant families' health. International Nursing Review, 57(2), 224-231
Open this publication in new window or tab >>Primary health care nurses' promotion of involuntary migrant families' health
2010 (English)In: International Nursing Review, ISSN 0020-8132, E-ISSN 1466-7657, Vol. 57, no 2, p. 224-231Article in journal (Refereed) Published
Abstract [en]

Background: Involuntary migrant families in cultural transition face a number of challenges to their health and to family cohesion. Primary health care nurses (PHCNs) therefore play a vital role in the assessment and promotion of their health.

Aim: The aim of this study was to describe the promotion of health in involuntary migrant families in cultural transition as conceptualized by Swedish PHCNs.

Method: Interviews were conducted with 34 strategically chosen PHCNs covering the entire range of the primary health care sector in two municipalities of Southern Sweden. A contextual approach with reference to phenomenography was used in interpreting the data.

Findings: There are three qualitatively different descriptive categories epitomizing the characteristics of the PHCNs' promotion of health: (1) an ethnocentric approach promoting physical health of the individual, (2) an empathic approach promoting mental health of the individual in a family context, and (3) a holistic approach empowering the family to function well in everyday life.

Conclusions: For nurses to promote involuntary migrant families'health in cultural transition, they need to adopt a holistic approach. Such an approach demands that nurses cooperate with other health care professionals and community authorities, and practise family-focused nursing; it also demands skills in intercultural communication paired with cultural self-awareness in interacting with these families. Adequate knowledge regarding these skills should therefore be included in the education of nurses, both at under- and at post-graduate level.

Keywords
Competence, Cultural Transition, Health Promotion, Involuntary Migration, Nursing, Phenomenography, Primary Health Care, Sweden
National Category
Nursing
Identifiers
urn:nbn:se:hkr:diva-7005 (URN)10.1111/j.1466-7657.2009.00790.x (DOI)000277796500015 ()20579158 (PubMedID)
Available from: 2010-08-24 Created: 2010-08-21 Last updated: 2017-12-12Bibliographically approved
Organisations

Search in DiVA

Show all publications