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Biomedical subjects

A Norberg

Publications and source records attributed to A Norberg.

At least 145 records · Page 8Linked to original sources
PubMed1993

Patterns of abuse of the elderly in their own homes as reported by district nurses.

This study aimed at describing patterns of abuse of elderly persons living in their homes as experienced by district nurses in a county of Sweden. 12% of the district nurses (n = 153) reported 30 cases. Those abused were 78.7 years old (mean) and half of them had disturbed memory and mental state and were mostly isolated. The abuser was a relative of the abused person and 64.2 years old (mean). Psychological abuse was the most frequently reported kind of abuse. Along with the abuse the abusers' behaviour was commonly experienced as unpleasant and aggressive and/or combined with family conflicts. The results indicated that abuse is very much a family affair. To guide district nurses in a family-oriented approach is justified by the results. It also seems important further to investigate the pattern of how the different types of abuse occur.

Aged↗
PubMed1993

Application of primary nursing within a team setting in the hospice care of cancer patients.

A qualitative study was conducted to obtain a deeper understanding of the hospice care of terminally ill cancer patients, where care was delivered via a primary nursing system combined with a team setting. Relatives of terminally ill cancer patients (n = 20) and the personnel (n = 8) participated in open-ended interviews. Phenomena relating to the philosophy of primary nursing and the hospice movement (continuity; closeness; accountability 24 h/day; individualized care; satisfied physical, psychological, social, and spiritual needs; and support to relatives) were experienced by the relatives, nurses, and physician as "good care." Most of the phenomena defined as important needs by the relatives and personnel were met when the primary nurse was on duty and the team was intact. Needs that were unmet were mainly a result of lack of continuity. Caring for the terminally ill via primary nursing in a team setting was regarded as two-sided by the nurses. It was seen as stimulating and rewarding, as well as demanding and burdensome. Therefore, the need for support to the nurses involved was deeply stressed.

Aged↗
PubMed1993

Experienced and skilled nurses' narratives of situations where caring action made a difference to the patient.

Forty-five skilled and experienced nurses working at long-term, medical and surgical care clinics narrated 88 caring situations. The aim of the study was to interpret these narratives concerning the nurses' caring actions and the type of situations where they experienced that their caring made a difference to the patient. There were eight types of caring actions that were then condensed into three interaction and intervention approaches; 1) deliberate distanced interaction and intervention with the patient; 2) deliberate providing of prerequisites for interaction and intervention with the patient; and 3) deliberate deep interaction with the patient when intervening. These approaches were used when the nurses dealt with the following three types of caring situations: caring focusing on the nurse-patient relationship, on medical intervention, and on practical problem solving. The first two approaches occurred in situations focusing on acute medical intervention and on practical problem solving. All approaches occurred in situations focusing on the nurse-patient relationship. The finding that experienced and skilled nurses described situations where the depth of their contact with the patient varied can be expressed in the phrase "how I act depends on the situation." The skill to find the right level of involvement seems important.

Adult↗
PubMed1992

Ethical reasoning in nurses' and physicians' stories about care episodes.

Twenty-three registered nurses and nine physicians reported 43 stories about ethically difficult care situations. Themes in nurses' and physicians' stories were described by means of narrative ethical theory. It turned out that nurses and physicians related different kinds of stories. They also seemed to use different kinds of ethical reasoning. This result was interpreted as mainly connected to the fact that the two professions have different tasks to accomplish and are trained in disciplines with different foci; nursing and medicine. The need to find a common frame story covering the two professional stories was stressed.

Adult↗
PubMed1992

Diagnostic reasoning in the care of a vocally disruptive severely demented patient. A case report.

In order to investigate the effect of nursing investigations based on diagnostic reasoning and research findings on vocally disruptive behaviour in a severely demented patient a single subject study was set up. The nursing diagnoses described problems that seemed connected with sensory deprivation and care that had not been adapted to the patient's abilities. The vocally disruptive behaviour decreased when the nursing treatment plan was followed. When the caregivers stopped following the care plan the disruptive behaviour increased. Another intervention was made and once again the disruptive behaviour decreased. In conclusion the study showed that nursing diagnoses and orders were not enough. The caregivers must also understand the importance of following the care plan and cope with the emotional reactions evoked by the care. Effective leadership, regular supervision of and support to the caregivers seem necessary.

Aged↗
PubMed1992

The content of the oral daily reports at a long-term ward before and after staff training in integrity promoting care.

This study was based on the assumption that the daily report between different caregivers are of great importance for the quality of the care delivered and that they guide the content of it. The staff of a nursing home ward were given training in integrity promoting care and special training in reporting. After a three months' intervention period effects on patients and staff were evaluated and compared with a control ward. Positive patient outcomes have been reported earlier. The aim of this study was to describe the content of the oral daily reports between staff members in long-term care and investigate whether some changes occurred after training that might have contributed to the positive results for the patients. Another aim was to assess whether the staff regarded the reports as satisfactory. Oral reports were tape-recorded before and after staff training. A content analysis by a scheme based on Henderson's description of components of nursing care and a form analysis based on the nursing process were made. The reports were highly task oriented and the staff often discussed the patients' reaction in vague and general terms. The steps of the nursing process did not seem to be used. The answers to a questionnaire about the staff's satisfaction with the oral reports showed some increasing dissatisfaction and also comments about needs of more collaboration between different groups of personnel. More messages were given per report after the intervention compared to the control ward and the messages with psychosocial content had doubled.(ABSTRACT TRUNCATED AT 250 WORDS)

Communication↗
PubMed1992

Caregivers' experience of providing care for demented persons living at home.

Caregivers providing home-care for demented persons answered a questionnaire concerning what was satisfactory or problematic when providing home-care. They were also asked what needs/wishes they had for themselves and for the demented persons. The findings reflected the impact of a functioning interpersonal relationship between the caregiver and the demented person and his family. The difficulties in handling problematic behaviour, and the necessity to be able to stimulate and provide activities for the demented were also emphasized. Moreover, the caregivers stressed their role as supporters of the patients' families, their need for more and better cooperation with the staff of the psychogeriatric clinic, and their need for training and supervision in how to manage their relationship with the demented person. Hence, it seems urgent to try to practise and evaluate systematic clinical guidance to provide knowledge and systematic supervision about how to manage demented persons in their own social context so that they can stay in their homes.

Adolescent↗
PubMed1991

Chemical detection of natural peptides by specific structures. Isolation of chicken galanin by monitoring for its N-terminal dipeptide, and determination of the amino acid sequence.

We have isolated galanin from chicken intestine by monitoring for the N-terminal glycyltryptophan, which constitutes a conserved part characteristic of the peptide. This monitoring method complements that previously used for C-terminal amide detection and proves chemical monitoring of specific structures to be useful. The isolation allowed determination of the structure, which was found to be unidentical to any of the known galanins. However, N-terminal pentadecapeptide parts are identical, showing this segment to be of special importance. In addition to common substitutions at positions 16, 18, 23, 26 and 29, chicken galanin has phenylalanine at position 28, where all known mammalian galanins have leucine.

Amino Acid Sequence↗
PubMed1991

Wish to transfer to other jobs among long-term care workers.

This study is based on questionnaires that were sent to the homes of health care personnel working in geriatric care (N = 583) and acute care (N = 328). The purpose was to investigate differences between these groups of personnel regarding job assignment, intention to transfer to another job, attitudes towards demented patients, and the experience of burnout. The results showed that more persons working in acute care were self-assigned to their jobs than those working in geriatric care. More persons in geriatric care stated a wish to transfer to another job in the health care field than those in acute care. The personnel who constantly work with demented patients showed the most positive attitudes towards this group of patients. A larger proportion of personnel with high burnout scores wanted to transfer to another job, compared to those with low burnout scores.

Aged↗