Biomedical subjects

Barbro Gustafsson

Publications and source records attributed to Barbro Gustafsson.

5 recordsLinked to original sources

PubMed2007

A first-line nurse manager's goal-profile.

AIM: The aim of this case study was to acquire understanding concerning the first-line nurse manager's goal-profile, i.e. prioritization of goals in her work as a first-line nurse manager, through use of an action-theoretic and confirmatory theory. BACKGROUND: The first-line nurse manager's pivotal role regarding quality of care and development in relation to on-going changes in the health care sector is stressed by many researchers and the transition from nurse to manager is described as a demanding challenge for the first-line nurse manager. METHODS: The case study described in this paper concerns a first-line nurse manager in an actual working environment in care of older people. Data collection comprised interviews, observations, a job description and policy documents. A hermeneutic interpretation was used for data analysis. RESULTS: The results showed that the first-line nurse manager had three goals in her goal-profile, in the following order of priority: (i) a nurse goal that she had strongly accepted and in which she had excellent control, (ii) an administrator goal that she had accepted and in which she had control, (iii) a leadership goal that she had not accepted and in which she did not have control. Both the administrator and leadership goals were based on her job description, but the nurse goal was a personally chosen goal based on her own self-relation/goal-fulfillment. CONCLUSION: The first-line nurse manager's prioritized self-identity, based on successful realization of goals in her goal-profile, was decisive in the manifestation of her work. RELEVANCE TO CLINICAL PRACTICE: This study contributes to a new understanding of the first-line nurse manager's self-identity related to work in terms of goal acceptance and goal control of prioritized goals. This action-theoretic approach could be a valuable 'key' for understanding leadership (or lack of leadership) in clinical practice.

Female↗

PubMed2006

Emotions in relation to healthcare encounters affecting self-esteem.

This study identifies emotions in patients with epilepsy as a result of confirming and disconfirming healthcare experiences. A discussion of emotions as a motive for patients' goal-directed actions was a further aim of this study. The critical incident method was used for data collection. Emotions occurring in confirming and disconfirming healthcare encounters were analyzed using the Belief-Desire Theory of Emotions and were categorized as basic, complex, or self-evaluating. Confirming encounters aroused emotions like hope, a feeling of security, joy, relief, and pride, while disconfirming encounters aroused emotions like despair, fear, unrest, resignation, shame, and guilt. The emotions identified in the healthcare encounters were recognized as motives for action. An emotion such as a feeling of security aroused a desire in the patients to strengthen their positive self and motivated them to have a constructive and sympathetic attitude toward the healthcare experience. An emotion such as anger caused patients to strive to maintain their self-respect either by avoiding difficult situations and ignoring the problem (patients with a low self-esteem) or by trying to re-create a positive self-image (patients with a high self-esteem). Healthcare encounters between patient and caregiver considerably affect the patient's emotional status and thereby his or her well-being. The importance of establishing healthcare encounters that evoke positive emotions that strengthen patients' resources must be addressed in future nursing care.

Adaptation, Psychological↗

PubMed2005

Confirming mentorship.

BACKGROUND: Mentorship is related to nurses' success in nursing practice linked to professionalism, nursing quality improvement and self-confidence. AIM: To elucidate mentorship of recently registered nurses' view of themselves with regard to their development of nursing competencies by means of the Sympathy-Acceptance-Understanding-Competence (SAUC) model for confirming mentorship. METHODS: Questionnaires, personal interviews and focus group interviews were used for evaluation 2 years after the completion of a year of mentorship, the subjects being eight nurses. FINDINGS: The study showed that novice nurses evaluated their mentors as confirming, which is understood as a key factor for novice nurses' positively reinforced self-relation (perception of themselves) and self-knowledge linked to improved competencies in nursing practice such as more secure and motivated to nurse (S-phase), increased capacity to verbalize nursing situations (A-phase) and to reflect upon and evaluate patient situations based on patients' unique identities as individuals (U-phase), and improved abilities to support patients' own resources as individuals from a more holistic view and to establish collaboration with other professionals. CONCLUSION: Mentorship enabled novice nurses to nurse in a more reflective and holistic way, and their positively reinforced self-relation may be understood as a crucial ingredient for maintaining quality standards in nursing in the future.

Adult↗

PubMed2003

Nurses' self-relation--becoming theoretically competent: the SAUC model for confirming nursing.

The purpose of this study was to acquire an understanding of how nurses' self-relation (view of themselves as nurses) was influenced in connection with implementation of a nursing theory, the sympathy-acceptance-understanding-competence model for confirming nursing. This model was developed by Gustafsson and Pörn. Twenty-two nurses' written statements evaluating mentoring during the six-month implementation process in elder care, were analyzed hermeneutically with the hypothetic-deductive method. An action-theoretic and confirmatory approach was used for facilitating theoretically specified hypotheses. The nurses increased their ability to describe nursing theoretically and gained a foundation of common nursing values. The results provided an understanding of how nurses' self-relation was strengthened by becoming theoretically competent.

Adult↗

PubMed2002

The influence of confirming and disconfirming healthcare encounters on the self-relation and quality of life of persons with epilepsy.

The nature of epilepsy-related healthcare encounters is important for the self-relation and quality of life of patients with epilepsy. Seventeen positive and 16 negative encounters (critical incident method) were hermeneutically interpreted by an action-theoretic and confirmatory framework. For patients with positive self-assessment (SA), confirming (positive) encounters were intimately related to feelings of partnership and of manageability of their life situation and future. For patients with negative SA, confirming encounters showed that their struggle for human worth had succeeded and their dependence on positive evidence and energy from the healthcare professional was evident. Disconfirming encounters for patients with positive SA were closely linked to experiences of nonchalance and not being taken seriously as resourceful persons, and for patients with negative SA, being objectified as persons without getting any help in their troublesome life situations. The quality of life was especially improved for patients with positive SA by creating and revising life projects, and for patients with negative SA by engaging in social activities. Patients with positive SA and negative SA have different expectations and demands on encounters. This information could be of help in developing programs for encounters based on patients' own evaluation of their self-esteem and their expectations of care and nursing.

Adult↗