المؤلفون: Dahlborg, Elisabeth, Boman, Åse, Eriksson, Henrik, Tengelin, Ellinor, 1982

المصدر: Scandinavian Journal of Caring Sciences. 38(1):177-184

مصطلحات موضوعية: caring science, critical discourse analysis nursing, discourse analysis, research methods, social construction

الوصف: Aim: The aim of this article was to introduce Fairclough's critical discourse analysis (CDA) in caring and nursing science, to provide a guide on how to perform such an analysis, and to describe the wider context of discourse epistemology. Design: The article is designed as a methodological paper, including (a) epistemological roots of discourse analysis, (b) an overview of discourse analytical research within caring and nursing science which points out an increased trend, and (c) a guide to conducting a CDA. Analysis: It is important that discourse analysis is available and accessible to nursing and caring researchers. Through the process of encircling discourses, valuable insight is given into fields that otherwise would be lost or would not be available. Conclusion: Our summary stance is that discourse analysis as it is presented in this article is strongly advisable for use in nursing and caring sciences.

وصف الملف: print

الوصول الحر: https://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-49040Test
https://doi.org/10.1111/scs.13194Test

المؤلفون: Dahlborg, Elisabeth, 1974, Boman, Åse, 1957, Eriksson, Henrik, 1967, Tengelin, Ellinor, 1982

المصدر: Scandinavian Journal of Caring Sciences. 38:177-184

مصطلحات موضوعية: caring science, critical discourse analysis nursing, discourse analysis, research methods, social construction, Vårdvetenskap, Nursing science

الوصف: AimThe aim of this article was to introduce Fairclough's critical discourse analysis (CDA) in caring and nursing science, to provide a guide on how to perform such an analysis, and to describe the wider context of discourse epistemology.DesignThe article is designed as a methodological paper, including (a) epistemological roots of discourse analysis, (b) an overview of discourse analytical research within caring and nursing science which points out an increased trend, and (c) a guide to conducting a CDA.AnalysisIt is important that discourse analysis is available and accessible to nursing and caring researchers. Through the process of encircling discourses, valuable insight is given into fields that otherwise would be lost or would not be available.ConclusionOur summary stance is that discourse analysis as it is presented in this article is strongly advisable for use in nursing and caring sciences.

وصف الملف: electronic

الوصول الحر: https://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-20612Test
https://doi.org/10.1111/scs.13194Test
https://hv.diva-portal.org/smash/get/diva2:1789743/FULLTEXT01.pdfTest

المؤلفون: Johnsson, Anette, Wagman, Petra, Boman, Åse, Pennbrant, Sandra

المصدر: Health Expectations. 22(6):1304-1313

مصطلحات موضوعية: care relationship, ethnography, nurses, older patient, relative, triad encounter

الوصف: Background When patients, relatives and nurses meet, they form a triad that can ensure a good care relationship. However, hospital environments are often stressful and limited time can negatively affect the care relationship, thus decreasing patient satisfaction.Objective To explain the care relationship in triad encounters between patients, relatives and nurses at a department of medicine for older people.Design A qualitative explorative study with an ethnographic approach guided by a sociocultural perspective.Method Participatory observations and informal field conversations with patients, relatives and nurses were carried out from October 2015-September 2016 and analysed together with field notes using ethnographic analysis.Result The result identifies a process where patients, relatives and nurses use different strategies for navigating before, during and after a triad encounter. The process is based on the following categories: orienting in time and space, contributing to a care relationship and forming a new point of view.Conclusion The result indicates that nurses, who are aware of the process and understand how to navigate between the different perspectives in triad encounters, can acknowledge both the patient's and relatives? stories, thus facilitating their ability to understand the information provided, ensure a quality care relationship and strengthen the patient's position in the health-care setting, therefore making the mission to establish a care relationship possible.

وصف الملف: print

الوصول الحر: https://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-46490Test
https://doi.org/10.1111/hex.12971Test

المؤلفون: Dahlborg, Elisabeth, Tengelin, Ellinor, Aasen, Elin, Strunck, Jeanne, Boman, Åse, Ottesen, Aase Marie, Dahl, Berit Misund, Helberget, Lindis Kathrine, Lassen, Inger

المصدر: International Journal of Health Governance, 2020, Vol. 26, Issue 1, pp. 51-64.

الوصول الحر: http://www.emeraldinsight.com/doi/10.1108/IJHG-04-2020-0041Test

المؤلفون: Johnsson, Anette, Wagman, Petra, Boman, Åse, Pennbrant, Sandra

المصدر: Journal of Clinical Nursing. 27(7-8):e1651-e1659

مصطلحات موضوعية: communication content, ethnography, nurses, older patient, person-centred care, relative, sociocultural perspective

الوصف: AIMS AND OBJECTIVES: To explore and describe the content of the communication exchanges between nurses, patients and their relatives in a department of medicine for older people in western Sweden.BACKGROUND: Information, messages and knowledge are constantly being communicated between nurses, older patients and relatives in the healthcare sector. The quality of communication between them has a major influence on patient outcomes. A prerequisite for good care to be given and received is that there is mutual understanding between the parties involved.DESIGN: An ethnographic study was informed by a sociocultural perspective.METHOD: Data were collected through 40 participatory observations of meetings between nurses and older patients and/or relatives which covered 135 hr of nurse-patient-relative interaction, field notes, 40 field conversations with 24 nurses and 40 field conversations with patients (n = 40) and relatives (n = 26). Five semi-structured interviews were conducted with nurses. An ethnographic analysis was performed.RESULTS: The analysis identified three categories of content of the communication exchanges: medical content focusing on the patient's medical condition, personal content focusing on the patient's life story and explanatory content focusing on the patient's health and nursing needs. The content is influenced by the situation and context.CONCLUSIONS: Nurses would benefit from more awareness and understanding of the importance of the communication content and of the value of asking the didactic questions (how, when, what and why) to improve the patients' and relatives' understanding of the information exchanges and to increase patient safety.RELEVANCE TO CLINICAL PRACTICE: Nurses can use the communication content to create conditions enabling them to obtain a holistic view of the patient's life history and to develop an appropriate person-centred care plan.

وصف الملف: electronic

الوصول الحر: https://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-39434Test
https://hj.diva-portal.org/smash/get/diva2:1210468/FULLTEXT01.pdfTest

المؤلفون: Johnsson, Anette, Boman, Åse, Wagman, Petra, Pennbrant, Sandra

المصدر: Journal of Clinical Nursing. 27(7-8):e1640-e1650

مصطلحات موضوعية: communication, ethnography, nurses’ voices, older patient, relative, sociocultural perspective

الوصف: AIMS AND OBJECTIVES: To describe how nurses communicate with older patients and their relatives in a department of medicine for older people in western Sweden.BACKGROUND: Communication is an essential tool for nurses when working with older patients and their relatives, but often patients and relatives experience shortcomings in the communication exchanges. They may not receive information or are not treated in a professional way. Good communication can facilitate the development of a positive meeting and improve the patient's health outcome.DESIGN: An ethnographic design informed by the sociocultural perspective was applied.METHODS: Forty participatory observations were conducted and analysed during the period October 2015-September 2016. The observations covered 135 hours of nurse-patient-relative interaction. Field notes were taken, and 40 informal field conversations with nurses and 40 with patients and relatives were carried out. Semistructured follow-up interviews were conducted with five nurses.RESULTS: In the result, it was found that nurses communicate with four different voices: a medical voice described as being incomplete, task-oriented and with a disease perspective; a nursing voice described as being confirmatory, process-oriented and with a holistic perspective; a pedagogical voice described as being contextualised, comprehension-oriented and with a learning perspective; and a power voice described as being distancing and excluding. The voices can be seen as context-dependent communication approaches. When nurses switch between the voices, this indicates a shift in the orientation or situation.CONCLUSION: The results indicate that if nurses successfully combine the voices, while limiting the use of the power voice, the communication exchanges can become a more positive experience for all parties involved and a good nurse-patient-relative communication exchange can be achieved.RELEVANCE TO CLINICAL PRACTICE: Working for improved communication between nurses, patients and relatives is crucial for establishing a positive nurse-patient-relative relationship, which is a basis for improving patient care and healthcare outcomes.

وصف الملف: electronic

الوصول الحر: https://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-39542Test
https://hj.diva-portal.org/smash/get/diva2:1210484/FULLTEXT01.pdfTest

المؤلفون: Johnsson, Anette, Boman, Åse, Wagman, Petra, Pennbrant, Sandra

المصدر: BMC Nursing. 20(1)

مصطلحات موضوعية: Abduction, Care encounters, Ethnography, Goffman’s interactional perspective, Interplay, Social interaction, Thematic analysis

الوصف: Background: Social interactions between registered nurses, older patients and their relatives are essential and play a central role in developing a successful care relationship in healthcare encounters. How nurses interact with patients affects the patient's well-being. Limited time and demands for efficiency influence the encounter and complaints from patients and relatives often concern social interactions. Therefore, the aim of this study was to explore the social interaction in encounters between registered nurses, older patients and their relatives at a department of medicine for older people.Methods: The study has an ethnographic approach including participatory observations (n = 21) and informal field conversations (n = 63), followed by a thematic analysis with an abductive approach reflecting Goffman's interactional perspective.Result: The result revealed a pattern where the participants manoeuvred between interplay and context. By manoeuvring, they defined roles but also created a common social situation. Nurses led the conversation; patients followed and described their health problems, while relatives captured the moment to receive and provide information. Finally, nurses summarised the encounter using ritual language, patients expressed gratitude through verbal and non-verbal expressions, while relatives verbally confirmed the agreements.Conclusion: The social interaction between registered nurses, older patients and relatives was shaped by a pattern where the participants manoeuvred between interplay and context. When all participants assume responsibility for the social interaction, they become active and listen to each other. The approach adopted by nurses is crucial, thus training in communication and social interaction skills are important. When the asymmetry due to imbalance, is reduced, less misunderstanding and a satisfactory care relationship can be achieved.

وصف الملف: print

الوصول الحر: https://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-55124Test
https://doi.org/10.1186/s12912-021-00754-5Test

المؤلفون: Boman, Åse, 1957, Dahlborg, Elisabeth, 1974, Eriksson, Henrik, 1967, Tengelin, Ellinor, 1982

المصدر: Nursing Inquiry. 28(3)

مصطلحات موضوعية: cancer, discourse analysis, governmentality, information, nursing, patient, Vårdvetenskap, Nursing science

الوصف: The aim of this study was to analyse how the patient is constructed and socially positioned in Swedish patient information. Corpus-assisted critical discourse analysis methodology was utilised on a sample of 56 online patient information texts about cancer containing a total of 126,711 words. The findings show an overarching discourse of informed consent guided by specific features to produce a patient norm that we name “the reasonable patient”, who is receptive to arguments, emotionally restrained and makes decisions based on information. Through the discourse of informed consent, the norm of the reasonable patient emerges, apparently to even out the imbalance of power between patient and professional, but in reality, more likely to construct a patient who is easily controlled and managed. When the self-responsibility towards health is incorporated into the everyday domestic spaces via digital health technologies, the ideas and concepts of the patient role need to be reconsidered based on these new conditions. We conclude that it is important for nursing researchers to broaden the research on patients to include the relationship of power created through language. This study demonstrates both methodological and empirical possibilities to do so

وصف الملف: electronic

الوصول الحر: https://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-45936Test
https://doi.org/10.1111/nin.12401Test
https://miun.diva-portal.org/smash/get/diva2:1692047/FULLTEXT01.pdfTest

المؤلفون: Boman, Åse, 1957, Bohlin, Margareta, 1970, Eklöf, Mats, 1953, Forsander, Gun, 1951, Törner, Marianne, 1953

المصدر: Qualitative Health Research. 25(1):5-15

مصطلحات موضوعية: Applied Psychology, Tillämpad psykologi, Pediatrics, Pediatrik, Endocrinology and Diabetes, Endokrinologi och diabetes, adolescents / youth, at-risk, children, diabetes, health behavior, health care, phenomenography

الوصف: Adolescents with type 1 diabetes (T1DM) need stable self-care routines for good metabolic control to minimizefuture cardiovascular health complications. These routines are demanding, and might be particularly challenging in underprivileged groups. The aim of this study was to gain in-depth knowledge on the experience of adolescents with T1DM and a non-Swedish background regarding factors that might influence their ability to take care of themselves;in particular, factors that might influence diabetes management routines, their social situation, and the support they receive from caregivers. We interviewed 12 adolescents with T1DM and minority backgrounds. The results indicatedresources and constraints in the adolescents’ social context and in the health care organization. The adolescents developed conceptions that helped to explain and excuse their self-care failures, and their successes. These findings highlight the importance of integrating T1DM as part of the individual’s personal prerequisites. We discuss implications for the organization of diabetes care for adolescents.

وصف الملف: electronic

الوصول الحر: https://gup.ub.gu.se/publication/202257Test

المؤلفون: Aasen, Elin, Dahl, Berit Misund, Ottesen, Aase Marie, Strunck, Jeanne, Erikson, Henrik, Dahlborg, Elisabeth, Boman, Åse, Vestgarden, Lisbeth Alnes, Tengelin, Ellinor

المصدر: Aasen , E , Dahl , B M , Ottesen , A M , Strunck , J , Erikson , H , Dahlborg , E , Boman , Å , Vestgarden , L A & Tengelin , E 2023 , ' Scandinavian online cancer information as expressions of governmentality : a comparative qualitative study ' , Advances in Nursing Science , vol. 46 , no. 3 , pp. 293-305 . https://doi.org/10.1097/ANS.0000000000000436Test

مصطلحات موضوعية: Scandinavia, biopolitics, cancer, discourse, governmentality, involvement, nursing, online information, patient, person-centeredness

الوصف: We compared online distributed information provided to patients with cancer in Scandinavian countries through the lens of governmentality. A secondary comparative qualitative analysis was conducted. Discourses in online patient information showed differences in governmentality techniques across the countries: Norway used a paternalist approach, Denmark an educative approach, and Sweden an individualistic approach and expected the patients to make the “right” decisions. Online information for patients with cancer in Denmark and Norway showed high professional and health care system involvement, whereas in Sweden, there was high patient involvement. There was almost no use of the person-centered approach among the online discourses.

العلاقة: https://vbn.aau.dk/da/publications/bdd5e2ad-b643-4fdc-b6f6-67d35a3a147aTest

الإتاحة: https://doi.org/10.1097/ANS.0000000000000436Test
https://vbn.aau.dk/da/publications/bdd5e2ad-b643-4fdc-b6f6-67d35a3a147aTest
http://www.scopus.com/inward/record.url?scp=85164580647&partnerID=8YFLogxKTest