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Hart A. What influences specialist palliative care nurses working in a community setting to engage with research? Br J Community Nurs 2024; 29:177-183. [PMID: 38564438 DOI: 10.12968/bjcn.2024.29.4.177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/04/2024]
Abstract
AIMS The aim of this research was to understand what influences specialist palliative care nurses working in a community setting to engage with research. METHODS Qualitative research using interviews with community based clinical nurse specialists (CNS). FINDINGS A total of five themes were identified: research negativity and enthusiasm, clinical focus, audits, organisational support and keeping up to date. CONCLUSION Except for audit activity, CNS do not view the research pillar as an integral part of their clinical role. Previous research education may not give the CNS the breadth of research skills that they require. The advance professional apprenticeship may resolve these education issues. Managers and organisations need to prioritise EBP skills; supporting nurses with both education and EBP mentors to develop these skills. Nurses require ongoing time to engage with research activity and use these skills to improve both their own clinical practice and those who use them as a research resource.
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Affiliation(s)
- Annette Hart
- Clinical Nurse Specialist Lecturer; North London Hospice, London
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Larsson M, Sundler AJ, Blomberg K, Bisholt B. The clinical learning environment during clinical practice in postgraduate district nursing students' education: A cross-sectional study. Nurs Open 2022; 10:879-888. [PMID: 36062832 PMCID: PMC9834198 DOI: 10.1002/nop2.1356] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2022] [Revised: 08/18/2022] [Accepted: 08/22/2022] [Indexed: 01/16/2023] Open
Abstract
AIM To describe and compare the clinical learning environment in community-based home care and primary health care in postgraduate district nursing students' education. DESIGN Cross-sectional study design. METHODS A convenience sample of postgraduate district nursing students was derived from five Swedish universities in 2016 and 2017. RESULTS The postgraduate district nursing students were generally satisfied with the clinical learning environment in their clinical placement. In clinical placement, several factors affected the students' opportunities to learn, such as sufficiently meaningful learning situations with multidimensional content. A working environment that imposed psychosocial strain and high levels of stress among the staff negatively affected the students' learning. To further improve their learning from clinical practices, the students need preceptors who have the skills and competence required to support more advanced reflections and critical thinking on caring situations.
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Affiliation(s)
| | - Annelie J. Sundler
- Faculty of Caring Science, Work Life and Social WelfareUniversity of BoråsBoråsSweden
| | - Karin Blomberg
- Faculty of Medicine and Health, School of Health SciencesÖrebro UniversityÖrebroSweden
| | - Birgitta Bisholt
- Institution of Health SciencesRed Cross UniversityStockholmSweden
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Anskär E, Falk M, Sverker A. 'But there are so many referrals which are totally … only generating work and irritation': a qualitative study of physicians' and nurses' experiences of work tasks in primary care in Sweden. Scand J Prim Health Care 2022; 40:350-359. [PMID: 36325757 PMCID: PMC9848232 DOI: 10.1080/02813432.2022.2139447] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVE This study explored the perceptions of physicians and nurses in Swedish primary care regarding the legitimacy of their work tasks and the use of their professional competence. DESIGN AND SETTING This qualitative study was based on manifest content analysis. Data were collected with individual semi-structured interviews of physicians and nurses at publicly managed primary care centres in the Region Östergötland, Sweden. To include both large and small primary care centres, we applied strategic sampling. Among 15 primary care centres invited, nine agreed to participate, including four urban, two suburban, and three rural centres. SUBJECTS The study included 11 physicians and 13 nurses from nine primary care centres. MAIN OUTCOME MEASURES AND RESULTS The physicians and nurses perceived several of their work tasks as illegitimate. In addition, they experienced work-related difficulties, due to resource shortages, challenging electronic data systems, work inefficiencies, and that there were insufficient cooperation with, and problems drawing the line between, primary care and hospital care responsibilities. However, most found that their individual expertise was appropriately used, overall. CONCLUSIONS Strained work situations and illegitimate work tasks may inflate discontentment and lead to negative work stress. Nevertheless, the staff felt that competence was used appropriately in the tasks considered legitimate.Key PointsPhysicians and nurses in primary care in Sweden described several work tasks as illegitimate.Physicians and nurses described problems with heavy workloads, resource shortages, electronic data-system challenges, inefficiencies and with cooperation and drawing the line between primary care and hospital care.Overall, physicians and nurses believed their individual expertise was used appropriately.To uphold sustainable working conditions and thoughtful use of staff competence, organisational measures, such as redistributing staff from hospital to primary care were proposed.
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Affiliation(s)
- Eva Anskär
- Department of Health, Medicine and Caring Sciences, Primary Health Care Center Cityhälsan Centrum, Linköping University, Linköping, Sweden
- CONTACT Eva Anskär Department of Health, Medicine and Caring Sciences, Primary Health Care Center Cityhälsan Centrum, Linköping University, Gamla Lasarettsgatan 18, Norrköping, SE 60239, Sweden
| | - Magnus Falk
- Department of Health, Medicine and Caring Sciences, Kärna Primary Health Care Center, Linköping University, Linköping, Sweden
| | - Annette Sverker
- Department of Activity and Health, Linköping University, Linköping, Sweden
- Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden
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Lourdes GP, Ainhoa MM, Benito-Aracil L, Solà-Pola M, Pla I Consuegra M. "Spanish Palliative Care Nurses' Degree of Acceptance of a Proposal for Nursing Competencies in Palliative Care". J Palliat Care 2022; 37:419-433. [PMID: 34918570 DOI: 10.1177/08258597211047367] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Background: In Spain, palliative care (PC) nursing is not a recognized specialization and PC nurses do not receive systematic specialized academic training in PC. To ensure the quality of PC in Spain, the Spanish Association of Palliative Care Nursing has been working since 2011 to design a model of competencies for PC nurses. Objective: Verify whether a sample of Spanish PC nurses accepts the proposed model of PC nursing competencies describing their work. Methods: Descriptive cross-sectional observational study based on an ad-hoc questionnaire about 98 proposed competencies, which participants rated for whether they belong to the purview of PC nurses and for their degree of concordance with their own practice and their degree of importance in PC nursing. Competencies receiving approval by more than 75% of participants for the three dimensions were considered to have been accepted by consensus. Mixed logistical models were developed to study the association between demographic variables and the responses. Results: Sixty-two out of 98 proposed competencies were accepted by more than 75% of participants. We therefore considered these competencies to have been accepted by consensus. Thirty-six proposed competencies failed to meet the threshold of 75% acceptance. For competencies that were accepted overall, participants with more than 10 years of experience in PC and participants with specialized training in PC were more likely to report that these competencies were part of the purview of PC nursing. Participants age >50 were less likely to report that competencies related to research concorded with their practice. Participants accepted the importance of all 98 proposed competencies. Conclusion: The variables of experience, training and age had a statistically significant relationship with the acceptance or rejection of the proposed competencies on the basis of purview and concordance. Further research is necessary to understand more fully these relationships to eventually arrive at a consensus model for the competencies of PC nurses.
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Affiliation(s)
- Guanter-Peris Lourdes
- School of Nursing, Faculty of Medicine and Health Sciences, University of Barcelona, s/n Feixa LLarga. Pavelló de Govern 3a planta, 08907, L'Hospitalet de Llobregat, Barcelona, Spain
- Catalan Institute of Oncology (ICO), Hospital Duran i Reynals. Avinguda de la Gran Via de l'Hospitalet,199-203, 08908, L'Hospitalet de Llobregat, Barcelona, Spain
| | - Molins-Mesalles Ainhoa
- Subdirectorate General for Planning and Professional Development. Healh Departament of Generalitat de Catalunya, Spain
| | - Llúcia Benito-Aracil
- School of Nursing, Faculty of Medicine and Health Sciences, University of Barcelona, s/n Feixa LLarga. Pavelló de Govern 3a planta, 08907, L'Hospitalet de Llobregat, Barcelona, Spain
| | - Montserrat Solà-Pola
- School of Nursing, Faculty of Medicine and Health Sciences, University of Barcelona, s/n Feixa LLarga. Pavelló de Govern 3a planta, 08907, L'Hospitalet de Llobregat, Barcelona, Spain
| | - Margarida Pla I Consuegra
- School of Nursing, Faculty of Medicine and Health Sciences, University of Barcelona, s/n Feixa LLarga. Pavelló de Govern 3a planta, 08907, L'Hospitalet de Llobregat, Barcelona, Spain
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Öhlén J, Bramstång A, Lundin Gurné F, Pihlgren A, Thonander M, Kirkevold M. Complexities in Studying and Practicing Nursing-A Theoretical Elaboration Based on Reflections by Nurses and Nursing Students. ANS Adv Nurs Sci 2021; 44:368-383. [PMID: 34267048 DOI: 10.1097/ans.0000000000000379] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
The aim of this study was to explore nursing students' and clinically active nurses' experiential ideas about nursing to provide a foundation for a critical reflection on the complexities involved in studying and practicing nursing. Using a participatory approach, 9 experiential ideas about nursing as a subject, nursing practice, and being a nurse were identified and reflected upon with a total of 238 participants. This was followed by a theoretical analysis in relation to the clinical gaze in nursing and epistemology, which ends in an argument for a rediscovery of the broader Aristotelian view of knowledge in nursing education and practice.
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Affiliation(s)
- Joakim Öhlén
- Institute of Health and Care Sciences, Sahlgrenska Academy (Drs Öhlén and Kirkevold and Mss Bramstång, Lundin Gurné, and Pihlgren), and Centre for Person-Centred Care, the GPCC (Dr Öhlén), University of Gothenburg, Gothenburg, Sweden; Palliative Centre (Dr Öhlén) and Department for Cardiology (Ms Thonander), Sahlgrenska University Hospital, Gothenburg, Sweden; Department for Nursing Science, University of Oslo, Oslo, Norway (Dr Kirkevold); and Department of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway (Dr Kirkevold)
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Lundin Gurné F, Lidén E, Jakobsson Ung E, Kirkevold M, Öhlén J, Jakobsson S. Striving to be in close proximity to the patient: An interpretive descriptive study of nursing practice from the perspectives of clinically experienced registered nurses. Nurs Inq 2020; 28:e12387. [PMID: 33108693 PMCID: PMC8244039 DOI: 10.1111/nin.12387] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2019] [Revised: 09/21/2020] [Accepted: 09/25/2020] [Indexed: 01/14/2023]
Abstract
This paper explores essential characteristics of current nursing practice from the perspectives of clinically experienced registered nurses in various fields of health care in Sweden. Nursing practice has been the subject of much debate in the past and because of its complexity as well as continuous changes in society it is important to continue the debate. A qualitative study, including 16 group interviews with altogether 74 participants, was conducted. Nursing practice was viewed as a multifaceted field. The participants struggled to define nursing but were able to describe it using concrete examples. The analysis, using interpretive description, identified current practice as essentially consisting of: ‘A practice pervaded by comprehensive responsibility’, ‘A practice that recognises a patient's unique needs’, ‘A practice based on multifaceted knowledge’ and ‘A practice that mediates between traditional values and changing demands’. Current nursing practice can be understood as striving to be in close proximity to the patient, but in tension with pervasive requirements and societal changes. Going forward, it is necessary to continue to reflect on and discuss the nature of nursing practice in an interprofessional context. Studies from primary and home care are also needed to broaden the understanding of nursing practice.
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Affiliation(s)
- Frida Lundin Gurné
- Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Eva Lidén
- Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Eva Jakobsson Ung
- Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.,Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden
| | - Marit Kirkevold
- Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.,Institute of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway
| | - Joakim Öhlén
- Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.,Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden.,Palliative Centre, Sahlgrenska University Hospital, Västra Götaland Region, Gothenburg, Sweden
| | - Sofie Jakobsson
- Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
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Sundler AJ, Blomberg K, Bisholt B, Eklund A, Windahl J, Larsson M. Experiences of supervision during clinical education among specialised nursing students in Sweden: A cross-sectional study. NURSE EDUCATION TODAY 2019; 79:20-24. [PMID: 31085423 DOI: 10.1016/j.nedt.2019.05.009] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/02/2018] [Revised: 03/22/2019] [Accepted: 05/06/2019] [Indexed: 06/09/2023]
Abstract
BACKGROUND The importance of the clinical learning environment in nurse education has gained increasing attention over the last decades. However, there is a lack of research on the learning environment, its significance and meaning in specialist nurse education. OBJECTIVE The objectives of the study were to investigate specialised nursing students' experiences of supervision during clinical practice and to compare students who were satisfied with the supervision with those who were dissatisfied with respect to a) organisation of supervision and number of preceptors, as well as time allocated by preceptors for b) supervision, c) reflection, d) discussion of intended learning outcomes, and e) assessments of students' performance by preceptors. DESIGN This study used a cross-sectional design. SAMPLE AND SETTINGS A convenience sample of specialised nursing students was derived from five Swedish universities in the years 2016 and 2017. METHODS Data were collected using a questionnaire. Statistical analyses and a qualitative conventional content analysis were performed. RESULTS While almost all specialised nursing students reported that there had been time for discussion on their performance assessment, almost half of the students reported not getting time for supervision, or time for reflections and discussions on intended learning outcomes with the preceptor. Students reporting having time allocated for supervision by preceptors were found to be more satisfied with supervision. It was described as important that the preceptor(s) acknowledged the students previous work experiences. Even though being a registered nurse, reflections and feedback were described as valuable for the students learning. Several preceptors were described as positive allowing a broader picture and different views regarding working as a specialist nurse. CONCLUSIONS This study indicates that supervision, in terms of discussions and reflections, of specialised nursing students is significant for learning experiences and satisfaction during clinical placement.
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Affiliation(s)
- Annelie J Sundler
- Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Sweden
| | - Karin Blomberg
- Faculty of Medicine and Health, School of Health Sciences, Örebro University, Sweden
| | - Birgitta Bisholt
- Faculty of Health, Science and Technology, Department of Health Sciences, Karlstad University, Sweden
| | - Anna Eklund
- Faculty of Health, Science and Technology, Department of Health Sciences, Karlstad University, Sweden
| | - Jenny Windahl
- Faculty of Medicine and Health, School of Health Sciences, Örebro University, Sweden
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Developing the role of Swedish advanced practice nurse (APN) through a blended learning master's program: Consequences of knowledge organisation. Nurse Educ Pract 2018; 28:196-201. [DOI: 10.1016/j.nepr.2017.10.030] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2017] [Revised: 10/17/2017] [Accepted: 10/26/2017] [Indexed: 11/23/2022]
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Andersson B, Lundgren S, Lundén M. Trends that have influenced the Swedish radiography profession over the last four decades. Radiography (Lond) 2017; 23:292-297. [DOI: 10.1016/j.radi.2017.07.012] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2017] [Revised: 07/25/2017] [Accepted: 07/26/2017] [Indexed: 10/19/2022]
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Developing the Job Description for Diabetes Nurse Specialists: A Modified Delphi Approach. Nurs Midwifery Stud 2016. [DOI: 10.5812/nmsjournal.33928] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Goudarzian S, Yamani N, Amini M, Abazari P. Developing the Job Description for Diabetes Nurse Specialists: A Modified Delphi Approach. Nurs Midwifery Stud 2016. [DOI: 10.17795/nmsjournal33928] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Harrington C, Bedford M, Andritschke K, Barrie A, Elfvinge P, Grønhaug S, Mueller-Kagi E, Leenders B, Schrijvers LH. A European curriculum for nurses working in haemophilia. Haemophilia 2015; 22:103-9. [PMID: 26278710 DOI: 10.1111/hae.12785] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/06/2015] [Indexed: 11/30/2022]
Abstract
INTRODUCTION Currently, there is no consensus on education required to develop haemophilia nursing. The aim was to develop a curriculum for haemophilia nurses that could be used as a resource in Europe. This could form a basis for continuous professional development and used in the preparation of specialized educational programmes. METHODS The EAHAD nurses working group set out to describe the skills and knowledge needed for a nurse to work in this specialty. This was considered at two levels: basic requirements and at a more advanced level. The working group acted as a focus group for this project drawing on existing specialist training, national role definitions, competencies and results of the EAHAD Nurses survey (2012). A template was populated with the knowledge base and the skills required. RESULTS Themes were analysed and information generated organized into domains: content of curriculum; learning outcomes, defined in terms of knowledge, skills, behaviour and attitudes; and suggestions for teaching methods. For curriculum content the following domains were identified: Applied biological science; treatment and management of haemophilia and associated disorders; genetic practice; care management of affected carriers and women; the impact of living with bleeding disorders; evidence base and applied research in haemophilia practice; and, the specialist role of the haemophilia nurse. Examples are given for teaching and learning process. CONCLUSION This curriculum is intended for use as a strategic resource to outline education for the haemophilia nurse and contribute to the standardization and benchmarking of haemophilia nursing care and thus to improvement in the quality of patient care.
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Affiliation(s)
| | - C Harrington
- The Katharine Dormandy Haemophilia Centre & Thrombosis Unit, Royal Free London NHS Foundation Trust, London, UK
| | - M Bedford
- Canterbury Christ Church University, Kent, UK
| | - K Andritschke
- Haemophilia Centre Rhine Main, Frankfurt-Moerfelden, Germany
| | - A Barrie
- Haemophilia Centre, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
| | - P Elfvinge
- Coagulation Unit, Karolinska University Hospital, Stockholm, Sweden
| | - S Grønhaug
- Centre for Rare Disorders, Department of Rare Disorders and Disabilities, Oslo University Hospital, Rikshopitalet, Norway
| | - E Mueller-Kagi
- Haemophilia treatment centre, University Children's Hospital, Zurich, Switzerland
| | - B Leenders
- The Children's University Hospital, Brussels, Belgium
| | - L H Schrijvers
- Van Creveldkliniek, University Medical Center Utrecht, Utrecht, the Netherlands
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