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Nurses’ Experiences of Process-Oriented Supervision—Acquiring New Approaches to Demanding Situations

Open Journal of Nursing 2020年第4期10卷 449-461页

作者： Lotta Carlson Linda Berg margaretha jenholt nolbris Department of Education R & D Sahlgrenska University Molndal Sweden Institute of Health and Care Sciences Sahlgrenska Academy University of Gothenburg Gothenburg Sweden Queen Silvia Children’s Hospital Sahlgrenska University Hospital Gothenburg Sweden

Background: Providing nursing care for patients and relatives requires a great effort from a nurse. It is therefore important for the nurse to have the opportunity to reflect on the caring acts included in process-oriented nursing supervision (PRONS). The overall objective of the nursing supervision is to support the professional development identity, competences, skills and ethics in different situations in nursing care. Aim: To investigate nurses’ experiences of the model of purging, playing and learning (PPL) according to Eriksson theory in a (PRONS) related to strengthen safe care, quality and professional development. Method: A qualitative study with individual interviews and the data was analyzed using qualitative interpretive content analysis. Participants: All eleven registered participated nurses were from southwestern Sweden and worked in different hospital units. Ethical Considerations: The study carried out in accordance with the ethical guidelines laid down in the Helsinki Declaration and according to the recommendations of the regional ethics committee. Findings: Three categories were identified, valuable purging in the process, responsive playing and awareness of learning. The study found that by participating in PRONS the nurses had developed new approaches with different “tools” when difficult situations occurred in daily nursing practice. Conclusion: PRONS with the model PPL has an important role to support nurses in daily nursing practice. The study highlights that there are residual successful effects after PRONS for the nurses in managing care situations that experienced strengthen quality in care and professional development.

关键词： Nursing Process-Oriented Supervision Reflection Qualitative Descriptive Method

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Health, Wellbeing and Self-Esteem: Web-Based Support in Children with Urogenital or Bowel Malformation

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Open Journal of Pediatrics 2016年第1期6卷 82-90页

作者： Agneta Simeonsdotter Svensson margaretha jenholt nolbris Gundela Holmdahl Anna-Lena Hellström Department of Education Communication and Learning University of Gothenburg Gothenburg Sweden Centre for Person-Centred Care (GPCC) University of Gothenburg Gothenburg Sweden Centre for Children’s Right to Health Queen Silvia Children’s Hospital Gothenburg Sweden The Institute of Health and Care Sciences Sahlgrenska Academy University of Gothenburg Gothenburg Sweden Institute of Women and Children’s Health University of Gothenburg Pediatric Urology Section Queen Silvia Children’s Hospital Gothenburg Sweden

Children with urogenital malformation or bowel disturbances are a vulnerable group and are at risk of experiencing ill health. At school they have to face and cope with situations they are unused to and often feel excluded. There is a lack of studies investigating prevention of ill health in this group of children. Objective: The aim of the study was to investigate the health/well-being and self-esteem, before and after a one-year intervention comprising person-centred, web-based learning support, in preschool children born with malformations in the urethra, bladder, genitals and/or bowel. Study design: Nine boys and one girl participated, aged 3 - 7 years (study group) with diagnoses of epispadia, bladder exstrophy, urethra valves and Hirschprung’s disease. Two questionnaires were used, developed to measure index of health/wellbeing and self-esteem in younger children. In the study group, the interviews were repeated after one year. The group was compared with a control group of 20 healthy, age-matched children. Results: Before the intervention, there were no differences in wellbeing (Children condition index) between the study group and the control group. One year after the start of the web-based preschool, wellbeing in the study group had slightly improved, but not significantly compared to before the intervention. No significant difference was found compared to the control group. When measured self-esteem (I think I am) before the intervention, the study group had significantly better self-esteem compared to the control group. One year later, there was a slight improvement in self-esteem, but two children scored worse in the domain Psychological wellbeing. In comparison with the group of healthy children, the self-esteem in the study group was better for total sum (p = 0.0002). Discussion: Wellbeing and self-esteem seem to be good in children aged 3 - 7 years with uro-genital and bowel malformations, according to the findings of this study. This is better than r

关键词： Bladder Person-Centred Care Preschool Children Self-Esteem Urogenital Malformation Web-Based Intervention Wellbeing

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Skype Support for Preschool Children with Long-Term Illness One Year Follow-Up

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Psychology Research 2016年第2期6卷 69-78页

作者： margaretha jenholt nolbris Agneta Simeonsdotter Svensson Anna-Lena Hellstrom The Centre for Person-Centered Care (GPCC) The Institute of Health and Care Sciences Sahlgrenska Academy University of Gothenburg The Centre for Children's Right to Health Queen Silvia Children's Hospital Gothenburg Sweden The Centre for Person-Centered Care (GPCC) Department of Education Communication andLearning University of Gothenburg Gothenburg Sweden The Centre for Person-Centered Care (GPCC) The Institute of Health and Care Sciences Sahlgrenska Academy Institute of Women and Children's Health University of Gothenburg Section of Pediatric Urology Queen Silvia Children's Hospital Gothenburg Sweden

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