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Biomedical subjects

Rolf Wynn

Publications and source records attributed to Rolf Wynn.

8 recordsLinked to original sources
PubMed2006

[Health-related use of the Internet in the Norwegian population].

BACKGROUND: The use of the Internet for health purposes increases in the Norwegian population, more in some demographic groups than in others. In this questionnaire-based study, we explore the use of the Internet for such purposes. MATERIAL AND METHOD: 1007 Norwegians aged 15 years and older were interviewed by telephone in October 2005. RESULTS: 58% of the respondents in 2005 had used the Internet for health purposes, compared to 31% in 2001. Having visited the GP last year, being female, being young, living in a urban area, and having a white-collar occupation were positively related to the use of the Internet for health purposes. 37% of the respondents considered the Internet to be an important or very important source of health information. 72% considered face-to-face communication with health care personnel to be important or very important. Nearly a quarter of the users (23%) reported that they had felt reassured by health information found on the net, whereas 10 % experienced increased anxiety from the same type of information. CONCLUSIONS: Norwegians' use of the Internet for health purposes continues to grow, but doctors and other health care personnel remain the most important sources of health information in the Norwegian population.

Adult↗
PubMed2006

Coronary bypass surgery patients' experiences with treatment and perioperative care - a qualitative interview-based study.

AIMS: The purpose of this study was to examine how coronary bypass surgery patients experienced their care. BACKGROUND: In many hospitals, including the study hospital, perioperative care is still organized in such a manner that theatre nurses have little contact with patients prior to and after surgery. Little is known about how patients experience this type of perioperative care. METHOD: Nine patients were interviewed approximately a year after their operations. The interviews were qualitative and were analysed by drawing on the phenomenological method. RESULTS: The patients were generally satisfied with the quality of the staff-patient interactions and the information that was given prior to surgery, but some patients expressed a need for a closer postoperative followup by staff directly involved in the surgery. Most patients believed that information and support given by fellow patients was even more important to them than the support and information that was given by staff. CONCLUSIONS: The findings suggest that the quality of care and patients' satisfaction can be further enhanced by implementing principles from the perioperative dialogue model. For instance, by allowing for a postoperative meeting between the patient and a theatre nurse, continuity of care can be further enhanced.

Adaptation, Psychological↗
PubMed2005

Qualities clients wish for in their therapists.

In this qualitative and phenomenological study we interviewed 36 clients following the second session of psychotherapy. We asked the clients about which therapist qualities they felt were important with regard to the therapist-client alliance. A possible change of therapist was also discussed. Behaving in a confidence-inspiring and calm manner were seen as good therapist qualities that could promote the client-therapist alliance. It was seen as important that the therapist was prepared and had a plan for therapy. The clients felt it was vital that therapists were accepting and understanding. The clients also emphasized the importance of the therapist balancing attentive listening with questioning and commenting. Many clients needed two sessions before a good connection was established. A smaller group felt that they achieved a good or very good connection with their therapists immediately, while a minority of patients had not obtained a good connection with their therapists after two sessions. None of the clients wished to change therapist, and clients had few negative comments about the therapists. The findings underline the importance of the nonspecific and interpersonal aspects of therapists' behaviour in the alliance-building process.

Adult↗
PubMed2003

Staff's attitudes to the use of restraint and seclusion in a Norwegian university psychiatric hospital.

A questionnaire-based study examining the experiences and attitudes of staff to restraint and seclusion in a Norwegian university psychiatric hospital demonstrated that a majority of staff believed the interventions were used correctly. Staff at wards with high usage of restraint and seclusion, and male staff, were most critical to how often the interventions were used. Most staff favoured the use of physical restraint, although they believed it was the intervention patients were least favourable to. Highly educated staff were not more critical to the use of restraint and seclusion than other staff. Despite the fact that a majority of staff believed that using restraint and seclusion made patients calmer and did not cause aggression, anxiety or injuries, about 70% had been assaulted by patients in connection with the interventions. Many staff believed the use of restraint and seclusion violated patients' integrity, could harm the provider-patient alliance and could frighten other patients. Violence, self-harm and threats were given as main reasons for the use of restraint. Increased staffing and more attention by level-of-care staff were cited as the most important strategies for reducing the use of restraint and seclusion. There is a need for informing all staff about the negative effects of restraint and seclusion and for training staff in less restrictive ways in dealing with aggressive and violent patients.

Adult↗
PubMed2002

Medicate, restrain or seclude? Strategies for dealing with violent and threatening behaviour in a Norwegian university psychiatric hospital.

The aim of this study was to examine staff strategies for applying emergency procedures with patients who were violent or threatening. The study addressed those situations where verbal intervention, voluntary medication, and other interventions had been tried unsuccessfully and where staff found it necessary to apply emergency procedures in the shape of forced emergency medication (pharmacological restraint), physical restraint, and seclusion. The study was conducted in a 100-bed Norwegian university psychiatric hospital. By retrospectively examining hospital records we found there were 797 episodes of physical restraint, 384 episodes of pharmacological restraint, and 88 episodes of seclusion during a five and a half year period. The preferred emergency procedures varied significantly with patients' sex, age, and diagnoses. Physical restraint was preferred more often with male, younger, and nonpsychotic patients. Pharmacological restraint was preferred more often with female patients and older patients with a nonorganic psychotic disorder. Seclusion was preferred more often with older male patients with an organic psychotic disorder.

Adolescent↗
PubMedDate not supplied

Empathy in general practice consultations: a qualitative analysis.

AIMS: Empathy is an important basis of all provider-patient interaction, including general practice. Little has been known about the details of how general practitioners express empathy to their patients. In the present study, it was a main aim to carry out a detailed qualitative study of actual sequences through which empathy was achieved, by focusing on the form, function, and categorisation of such sequences. METHODS: The study drew on the qualitative method of conversation analysis. Transcriptions of 77 British general-practitioner-patient interactions were analysed in detail in order to identify and characterise sequences in which empathy was achieved. RESULTS: Four types of empathy were identified, described, and analysed: cognitive empathy, affective empathy, sharing empathy, and nurturant empathy. Although sequences involving empathy typically were brief and occurred relatively rarely, the analyses demonstrated that the sequences often concerned matters of great importance to the interactants. CONCLUSIONS: The study underlined the need to focus also on phenomena that occur relatively rarely in consultations. For this purpose, the method of conversation analysis was a useful tool.

Adolescent↗