PubMed Health⌕ Search

Biomedical subjects

K Segesten

Publications and source records attributed to K Segesten.

33 records · Page 2Linked to original sources
PubMed1995

Creating a Swedish top ten list of scientific nursing journals.

In the present paper preferences for and utilisation of scientific nursing journals were studied. Leading Swedish nurse researchers and American deans of top ranked university schools of nursing were asked to rank their ten most valued journals. Further, all articles with a nurse as the primary author and published in Scandinavian Journal of Caring Sciences, 1989-1993, were analysed for references to nursing journals. Three top ten lists were made based on Swedish preferences, American preferences and the number of times journals appeared on reference lists. A fourth list was based on Swedish preferences and appearances on reference lists.

Choice Behavior↗
PubMed1994

Nurses' experiences of change: a new professional collaboration model and all-R.N. staffing.

Changes in staffing toward a higher number of R.N.'s are common in a number of countries today. This article aims at describing the experiences of a management-induced change from mixed to all-R.N. staffing. All R.N.s in a surgical ward at a Swedish university hospital were interviewed two months after such replacements were completed. The nurses described a period of chaos and conflicts but also of support for the idea and enthusiasm for the future. A more careful planning of the change process is to be recommended.

Hospitals, University↗
PubMed1994

Physical health status in young subjects after colectomy: an application of the Roy model.

The aim of this study was to describe the long-term physical health status after colectomy in 30 young subjects with ulcerative colitis, 11 of whom had ileostomies. The subjects, aged between 14 and 31 years of age, were assessed post-operatively for their physical health status. In assessing physiological adaptation in these subjects four basic needs were the foci: nutrition, elimination, activity and rest, and protection. Adaptation problems related to nutrition, elimination, activity/rest and protection were found in four, 17, 17 and three subjects respectively. Nine out of 30 had pain that influenced their daily life. Six out of 30 subjects had no adaptation problems at all. Nineteen subjects found their health to be 'excellent' or 'good' despite the adaptation problems reported.

Adaptation, Physiological↗
PubMed1994

Experiences of social support among participants in self-help groups related to coronary heart disease.

Self-help groups for coronary heart disease (CHD) patients were initiated by the Swedish National Association for Heart and Lung Patients in co-operation with Halland University College of Caring Science. Professional support was given in the form of a guidebook with health advice to be used at group meetings. The aims of this study were to describe the experiences of social support and the effects of health advice among people suffering from CHD and their next-of-kin participating in self-help groups. A questionnaire was developed containing three scales with questions about social support in connection with group participation and the effects of health advice shared during the programme. The results showed that 84% of participants knew about risk factors; all group members had changed their attitudes in some way concerning their life-style and 65% thought that they had changed their daily life activities as a consequence of the group participation. Most participants had experienced social support, through both support received (82%) and their own ability to provide support (7.1, scale range 0-10). In self-help groups layman support is the most effective kind of support, but the results indicate that health professionals also have an important role to play. In future research and clinical planning of rehabilitation of people with CHD, self-help groups, both from a human and economic point of view are well worth considering.

Aged↗
PubMed1994

Professionalization--theoretical analysis of the implications for nursing practice.

The aim of the present paper is to examine ideas of professionalization, and to explore in what way they might give directions for the development of nursing practice. An examination of the literature on professionalization in social science reveals that the existing ideas of professionalization may be divided into two paradigms, denominated naïve paradigm and cynical paradigm. Both paradigms have been criticized on the grounds of being idealistic and ahistoric. A contemporary view has developed from this criticism, oriented towards the historical and social contexts of professions. The implications for nursing practice of this view brings into focus the development of nursing practice in relation to the public and the tradition of nursing. This view of professionalization contributes to a contemporary view of nursing practice, and an expanded idea of professionalization is discussed.

Humans↗
PubMed1993

Supervision as a focal point in nurse education: an exploratory study of its effects on the needs of student nurses.

This study reports the results of a 2 year follow up of the effects of experience of supervision on the personal needs of nursing students. Supervision was given during this period on a continual basis as a focal point of nursing education. Students were encouraged to relate critical incidents as starting points for the supervisory process. Students rated the quality of supervision in terms of its perceived effect on their sense of professional identity and on their self-confidence with respect to clinical work. A Swedish version of a standard personality questionnaire, the Edwards Personal Preference Schedule (EPPS), was given at the initiation of supervision and repeated 2 years later on its completion. The results of 48 students are presented. Two hypotheses relating to the global effects of supervision were not confirmed but the hypothesis concerning the effects of supervision to depend on its perceived quality was confirmed. As measured, the effectiveness of supervision was seen in statistically significant correlations between ratings of supervisory quality and changes reflecting an increased need for leadership and a diminished need for subordinance.

Clinical Competence↗
PubMed1993

The effects of professional group supervision of nurses--utilizing the nurse self description form.

All the registered nurses in two orthopaedic wards participated in a four-month period of professional group supervision. The main focus of the supervision was professional identity. The effect was measured by the Nurse Self Description Form, a 21-item paper-and-pencil form for nurses to judge themselves in comparison to other nurses. The nurses answered the form before and after the period of supervision. They increased their total scores significantly. Some single items were influenced more than others. The results argue in favour of group supervision as a useful mean of strengthening the professional identity of nurses.

Adult↗
PubMed1993

Establishing a Swedish instrument measuring hope.

Hope has been identified as an important component for individuals coping with stress in life-threatening situations. The purpose of this study was to establish a Swedish instrument measuring hope. The instrument is based on an American hope scale developed by J.F. Miller to measure hope in adults. The Miller Hope Scale (MHS) is a 40-item 5-point Likert-type scale with a score range of 40-200. The MHS was translated into Swedish and examined in three stages before it was tested on a group of nursing students (n = 120). The test results in the Swedish sample were in accordance with Miller's evaluation of the psychometric properties of the MHS. The mean hope score was 170.4 (SD = 16.52) and the internal alpha coefficient was 0.88. The factor analysis on the Swedish sample resulted in the factors: I. Satisfaction with self, others and life; II. Avoidance of hope threats; III. Ability, capacity to influence the outcome in life.

Adaptation, Psychological↗
PubMed1993

Articles published in Scandinavian Journal of Caring Sciences between 1987 and 1991.

Nursing, occupational therapy and physiotherapy are new as areas of research in the Nordic countries. Scandinavian Journal of Caring Sciences, the first scientific journal based in the Nordic countries for these research areas was established in 1987. In this article the first five volumes of the journal are reviewed. The study revealed a growing number of manuscripts submitted and an increase of pages per volume. Most articles came from nurses in Sweden. However, other disciplines were represented and papers came from all the Nordic countries and also from countries outside Scandinavia. In most articles patients were studied and both quantitative and qualitative approaches were used.

Health Occupations↗
PubMed1993

Patient advocacy--an important part of the daily work of the expert nurse.

Over the past two decades, patient advocacy has been recognized as a part of nursing. For the most part, the issue has been treated by means of theoretical reasoning and case studies. Narratives describing lived experiences of nursing by expert nurses from Sweden were analyzed in this study. The nurses were identified by their superiors as expert nurses, as having a special gift, a "green thumb" for nursing. One third of the narratives concerned patient advocacy situations. The analysis of the narratives showed that the patient advocacy situation is composed of the following elements: a powerless patient, a problem concerning the patient's own will or what is good for him or her, and an adversary. Further, it includes a trigger situation, and a prompt decision and action by the nurse. The nurse acts out of conviction, accepts an additional work load, and takes the risk of being punished.

Adult↗
PubMedDate not supplied

Patient advocacy--an essential part of quality nursing care.

In Sweden, patient advocacy has been the domain of "patient ombudsmen" employed exclusively for handling patient complaints. We were the first nurse researchers in Sweden to address the issue of patient advocacy as a part of nursing practice in three different research projects, based on narratives by nurses.

Child↗