Nordic Journal of Nursing Research

Nurses should work from health perspective and have profound knowledge of what affects public health. Through dialogue with patients, nurses have an essential role to illustrate patients drinking behavior and illuminate the effects of alcohol on health.

The aim of this study was to illuminate the district nurses experiences of dialogue with patients concerning alcohol.

Eight district nurses were interviewed at experiences of dialogue with patients concerning alcohol.

Three themes were interpreted, as feeling of security in reassuring to know that there had time, have sufficient knowledge and to find a good opportunity to talk about alcohol. Personal values attitude affected the dialogue Patient's responsibility for the dialogue when the patient herself not asked at alcohol was it no conversation or if the patient signaled that they did not want to talk about alcohol ended the dialogue.

The experience of safety in the work situation, personal attitudes towards alcohol affected the district nurse's attitudes and abilities to accomplish dialogue with patients concerning alcohol. It was remarkable that the responsibility for the content of the dialogue in several occasions was submitted to patients. The district nurses want guidelines and procedures for working with alcohol issues.

Previous research has investigated and compared patients' experiences of different examinations of colon like colography, coloscopy and Computer Tomography- Colography — CTC.

To describe how the patients experienced Computer Tomography — CTC-examination.

Data was obtained from interviews with seventeen patients, analyzed with qualitative content analysis.

The result showed that the patient's experiences of CTC are depending of both nurse's encounter and patient's expectations and experiences from previous treatment sessions. Patients felt safe when radiology nurse showed sensitivity, sense of humor and gave optimal oral information, and when they had positive experiences from similar examinations. The lacks of information, along with the preparations for the examination, were the main reasons why the patients felt discomfort. Patients could accept the discomfort of the examination because they knew that it was important to find out what caused their problems. Results from this study can help the radiology nurse to individualize their approach to patient care in upcoming encounters by knowing what it is that affects the individual patient's experiences of CTC.

The main aim was to investigate whether relational continuity influences clinical outcomes related to childbirth and the women's experiences of the care. A subsequent aim was to test the psychometric properties of the Relational Continuity Scale (RCS), which was developed for this study.

In Norway, maternity care is organized at two bureaucratic levels, with the risk that the care may be experienced as fragmented rather than based on a trusting relationship and continuity.

Six student midwives provided relational continuity of care to 58 women throughout pregnancy, birth, and the postnatal period.

A control group received standard care. The women in both groups responded to a questionnaire (Relational Continuity Scale, RCS) assessing their experiences of the care. Clinical outcome data were collected from the women's patient records.

No significant differences between the study group and the control group in terms of clinical outcomes were disclosed. Regarding relational continuity (RCS), the study group was more likely to feel cared for during pregnancy and the postnatal period. They reported better continuity of care, and were more satisfied with the total care during the childbearing process. However, they reported less preparedness for leaving the hospital, and stated less confidence in motherhood.

Relational continuity of care by student midwives did not influence clinical outcomes related to childbirth. However, women receiving this model of care experienced better care during pregnancy and the postnatal period, and reported more positive experiences with the total care during the childbearing process.

In Sweden, assistant nurses are the group of professionals who have a great deal of contact with older, dying persons in nursing homes. They have substantial experience in this area. It is therefore important that their voices are heard about their experience of how they identify that an older person is dying.

The purpose was to describe assistant nurses' experiences of signs of dying among older people in nursing homes.

A qualitative manifest content analysis was used. Four interviews were performed with eight experienced assistant nurses, individually or in groups, from two nursing homes.

The result is characterized by the assistant nurses' descriptions of both subtle and manifest signs that an older person is dying. The analysis led to two categories: “the older person expresses insight” and “the older person's body changes”. The first of these mainly involved observations of psychosocial changes, while the second mainly contained observations of bodily changes.

The clinical experiences as the assistant nurses achieve give valuable incitements for creating good palliative care. The assistant nurses must be seen as a significant part of the care team. They should be offered continuous education and support regarding palliative care in order to develop their skills and practical knowledge.

Postoperative nausea and vomiting (PONV) and pain are common in neurosurgery patients' and may involve a potential risk of neurological damage. The purpose of this study was to investigate whether a propofol infusion at the end of anaesthesia might decrease patients' postoperative nausea (PON) and shortening time to extubation compared to pure isoflurane anaesthesia.

Randomized controlled clinical trial. In total, 73 ASA class 1–2 patients were randomized to receive either isoflurane- (Group C) or propofol anaesthesia (Group P), who underwent surgery with intracranial procedures with an expected time of anaesthesia of at least 4 hours. The patients' demographic data, intraoperative and postoperative opioid administration, time to extubation, the rate of PON and pain and frequency of doses for PON and pain were recorded and analysed.

Overall time of anaesthesia (324 ± 73 vs 347 ± 11minuter) and time to extubation (16 ± 9 vs 18 ± 11minuter) did not differ significantly between the groups C and P, respectively. The results over time between the groups C and P of PON (VAS md 0, IQR 0–0 vs. md 0, IQR 0–0) and pain scores (md 0–2, IQR 0–4 vs. 0–2, IQR 0–4.25) was not significant.

Propofol infusion at the end of neurosurgery does not seem to reduce PON or extubation times compared to pure isoflurane anaesthesia.

to explore nurses' experiences with pain assessment and pain relieving in patient with dementia.

research shows that patients with dementia are still suffering from unnecessary pain. The reason it may be nurses difficulty to interpret and map patients' pain.

data were collected through three different focus group interviews. A semi — structured interview guide was developed to answer the research question. Data were analyzed by using a content analysis in four steps.

The findings are divided into three sub — categories with a focus on: patients age, comorbiditet and polyfarmasi, routines for pain assessment and pain relieving, and ethical dilemmas in pain relieving in patients with dementia.

Pain assessment and pain relieving in patients with dementia are challenging. Common procedures for pain assessment and individual pain relieving may be good prospects for patients get effective pain relieving. Regular use of pain assessment instruments tailored for the patient group will contribute to effective pain assessment and pain relieving in patients with dementia.

The aim of the study was to illuminate older immigrants' experiences of moving to a residential care facility.

Increased immigration will lead to a future increase in the number of older immigrants in residential care. In order to adjust nursing care to their needs it is important to acquire knowledge of their situation.

Semi-structured interviews with seven immigrants living in residential care in Sweden were analysed using a qualitative manifest content analysis.

Older immigrants' experience of everyday life in residential care facilities was: Trying to adjust to relocation to residential care, Feeling alienated by communication difficulties, and Trying to stay connected by keeping ties to the origin and past, with internal variation seen as subcategories.

Older immigrants, who move into residential care are vulnerable and experience a major transition as they move from a familiar social and cultural environment into a place mainly designed for older Swedes. There is a great risk that they will become alienated and highly dependent on their relatives if not nursing care interventions with specific focus on their needs are developed.

Length of hospitalization is reduced demanding effective and timely interventions from all health professions. In an Interprofessional Clinical Study Unit (ICSU) students have the opportunity to develop inter-professional competencies. Nevertheless some nursing students have commented that staying in an ICSU is an interruption in their final clinical placement with limited learning possibilities.

The aim of the study was to explore nursing students' perceptions of taking part in an ICSU.

The study was qualitative with explorative, descriptive and interpretative aspects. Data were collected among nursing students by focus group interviews.

Nursing students increased knowledge of both own and other professions. Similarly, they realised the importance of interprofessional teamwork. However, they problematized that it was difficult to see the relevance and to integrate the stay at ICSU in their final clinical placement. Moreover, students spent a considerable amount of time on basic nursing tasks during their stay at the ICSU; skills already acquired earlier in their education programme.

Staying in an ICSU improved inter-professional collaboration skills. It is, however, important to stress the importance of basic nursing tasks being the foundation for nursing assessments in the final part of the education.