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Biomedical subjects

Lis Wagner

Publications and source records attributed to Lis Wagner.

4 recordsLinked to original sources
PubMed2005

Women's experiences with short admission in abdominal hysterectomy and their patterns of behaviour.

The aim of this study was to describe how women experienced short admission in abdominal hysterectomy and to describe patterns of behaviours in short admission. A Short admission is now widely used in Denmark in relation to hysterectomy and involves one to two postoperative days. The diagnostic, prognostic and clinical indicators are well described in the literature. Documentation however, is sparse regarding the experiences of the women involved. This article presents and discusses the women's own experiences and the impact of the short admission. The results are part of a lager evaluation of women and staff experiences overall. The design is exploratory and descriptive. Ten women who underwent a hysterectomy were selected consecutively from August 2001 and were followed from their initial examination to 1 month following hospital discharge. Data were collected by individual interviews. To grasp a complex reality and patterns of behaviour a typical-type methodology were used. As a result three types of women were identified: (i) The intervening type, (ii) the cooperative type and (iii) the unsure type. The women considered dialogue with the staff to be essential in short admissions. Women in this study who described emotional reactions considered it important that staff do not refrain from speaking about sensitive subjects. In conclusion the importance of dialogue creates new demands for the staff, as somatic care in this context has changed to be more oriented towards information and follow-up. The women in this study did not have any physical side effects but reported some psychological areas of importance. An outpatient clinic staffed by nurses could cover the needs of the woman.

Adult↗
PubMed2004

Registered Nurses' perceptions of geriatric rehabilitation nursing in three Scandinavian countries.

This study describes Registered Nurses' perceptions of geriatric rehabilitation nursing as well as their experiences of working in the rehabilitation of older patients in Denmark, Finland and Norway. The aim was to gain deeper insights into how Registered Nurses think about geriatric rehabilitation nursing and how their perceptions differ in these countries. The data were collected among 600 Registered Nurses using a structured questionnaire with five background items and 88 geriatric rehabilitation nursing items. The response rate was 65%. Data analysis was with SPSS statistical software. Geriatric rehabilitation nursing was experienced as something that required knowledge and experience, patience and creativity, as well as professional skills. The nurses talked with their patients about their rehabilitation goals, but not all nurses were aware of those goals. Progress in the rehabilitation process was evaluated on a daily basis and results were noted in the patients' records. The nurses motivated patients by giving them positive feedback, by preventing pain, by pausing to share with the patients their joy about progress, and by giving the patients the opportunity to cope with daily activities. The Registered Nurses in Denmark were more team oriented and they set out the goals in the patient's records more often than their colleagues did in Finland and Norway.

Adult↗
PubMed2004

Patient and staff (doctors and nurses) experiences of abdominal hysterectomy in accelerated recovery programme. A qualitative study.

INTRODUCTION: The accelerated recovery programme (ARP) is becoming commonplace in surgical specialties and has also been introduced to hysterectomy patients. Diagnostic, prognostic and other clinical indicators are well described. The aim of this article is to relay knowledge about the ARP, through the experiences of the women operated and the staff involved. MATERIAL AND METHODS: The study is exploratory and descriptive, using qualitative methods. Seventeen women, with good health status, were consecutively selected from August to September 2001. The women were observed and ten were interviewed twice, at discharge and one month following their return home. The staff (n = 15) were interviewed individually and/or participated in focus group interviews before (February 2001) and following (November 2001) the introduction of the ARP. RESULTS: The women experienced little difficulty with the ARP. They defined themselves as being good girls but expressed that when the hospital's ARP had expired the attention from the staff declined. The staff continued to be concerned about whether the women received the information and psychological care they needed but claimed that the ARP proved better for the women than they had expected. CONCLUSION: The ARP did not appear to be a burden for the women involved in the study; however, it did not consider individual needs for psychological care. Future efforts should ensure a thorough introduction of the ARP to new staff as well as illustrative material for purposes of information relay and dialogue between staff and patients/family members. A nursing care ambulatory unit is recommended to support with information for women prior to and following hysterectomy in the ARP.

Adult↗