Patient safety culture in home care settings in Sweden: a cross-sectional survey among home care professionals.

Background: The connection between a weak patient safety culture and adverse patient events is well known, but although most long-term care is provided outside of hospitals, the focus of patient safety culture is most commonly on inpatient care. In Sweden, more than a third of people who receive care at home have been affected by adverse events, with the majority judged to be preventable. The aim of this study was to investigate the patient safety culture among care professionals working in care at home with older people.

Seeking lifestyle counselling at primary health care centres: a cross-sectional study in the Swedish population.

Background: Millions of people follow an unhealthy lifestyle in terms of tobacco consumption, hazardous use of alcohol, poor eating habits, and insufficient physical activity. Healthy lifestyles can to a large extent prevent and/or delay progression of non-communicable diseases. Factors influencing persons health-seeking behaviour regarding unhealthy lifestyles are of importance for sustainable health-promotive and disease-preventive work in primary health care.

District nurses' perspectives on health-promotive and disease-preventive work at primary health care centres: A qualitative study.

Background: Health promotion and disease prevention are of utmost importance for sustainable health care and primary health care. District nurses play a key role in primary health care centres, where they meet people suffering from, and/or having risk factors for, non-communicable diseases.

Aim: The study aim was to describe district nurses' perspectives on their health-promotive/disease-preventive work at primary health care centres.

Barriers for Inter-Organisational Collaboration: What Matters for an Integrated Care Programme?

Introduction: Inter-organisational collaboration is challenging but essential in managing the complex and comprehensive needs of frail older people. Therefore, there is a need to investigate the influence of different barriers to inter-organisational collaboration when implementing an integrated care programme. The aim of this study was to investigate both inpatient and outpatient staff views on the factors they deemed to be influential to inter-organisational collaboration for an integrated care programme.

Perceptions of providing safe care for frail older people at home: A qualitative study based on focus group interviews with home care staff.

Background: Providing safe care is a core competence in healthcare. The concept usually refers to hospitals but, consistent with the increasing importance of integrated care, the provision of safe care needs to be extended to the context of home care, and more research is needed concerning home healthcare providers' perspectives in this context.

Aim: The aim of this study was to describe care providers' perceptions of providing safe care for frail older persons living at home.

A sense of being rejected: Patients' lived experiences of cancelled knee or hip replacement surgery.

Background: Growing care queues, reduced access to care and cancelled surgery are realities for some patients being treated with total hip or knee replacement surgery in Sweden. Most of the patients on the waiting lists have experienced pain and limited motion for a varying period of time, with a negative effect on their everyday lives. Overbooked surgical schedules are already contributing to the lengthy waiting times, but, with the addition of cancellations, longer waiting times will increase still further and may affect patients' well-being.

What constitutes feeling safe at home? A qualitative interview study with frail older people receiving home care.

Aim: To highlight experiences of what constitutes feeling safe at home among frail older people receiving home care.

Design: Qualitative descriptive study.

Methods: The sample consists of 12 individual recorded interviews with frail older people in their homes.

Striving to be in close proximity to the patient: An interpretive descriptive study of nursing practice from the perspectives of clinically experienced registered nurses.

This paper explores essential characteristics of current nursing practice from the perspectives of clinically experienced registered nurses in various fields of health care in Sweden. Nursing practice has been the subject of much debate in the past and because of its complexity as well as continuous changes in society it is important to continue the debate. A qualitative study, including 16 group interviews with altogether 74 participants, was conducted.

Comprehensive geriatric assessment of frail older people: ideals and reality.

We explored different professionals' views on and experiences of comprehensive geriatric assessment (CGA) of frail older people. Forty-six professionals working in hospitals, primary care, or municipal health and social care participated in 10 focus groups. Professional groups comprised of occupational therapists, physiotherapists, nurses, physicians, and social workers.

Fathers' experiences of being in change during pregnancy and early parenthood in a context of intimate partner violence.

Objective: Intimate partner violence (IPV) is a large public health problem with far-reaching consequences for those involved. The aim of this study was to explore fathers' experiences of change during pregnancy and early parenthood in the context of IPV.

Methods: The methodological approach in this interview study was hermeneutics, based on a lifeworld perspective.

Combining garden therapy and supported employment - a method for preparing women on long-term sick leave for working life.

Women are overrepresented among the group people suffering from long-term illness. In addition to their illness, suffering long-term sick leave leads to economical restraints as well social distress. There are gaps in our understanding of the challenges these women face.

The meaning of learning to live with medically unexplained symptoms as narrated by patients in primary care: a phenomenological-hermeneutic study.

Background: Although research about medically unexplained symptoms (MUS) is extensive, problems still affect a large group of primary care patients. Most research seems to address the topic from a problem-oriented, medical perspective, and there is a lack of research addressing the topic from a perspective viewing the patient as a capable person with potential and resources to manage daily life. The aim of the present study is to describe and interpret the experiences of learning to live with MUS as narrated by patients in primary health-care settings.

Norwegian nurse-midwives' perspectives on the provision of antenatal diabetes care in an outpatient setting: A qualitative study.

Background: There is limited research related to nurse-midwives' accounts of their provision of antenatal diabetes care in hospital outpatient settings. This study explored the perspectives and experiences of eight Norwegian nurse-midwives regarding the provision of the midwifery aspect of an antenatal consultation as part of the diabetes specialist team.

Methods: A qualitative descriptive study was used.

Patient participation in discharge planning conference.

Introduction: There is a need for individualized discharge planning to support frail older persons at hospital discharge. In this context, active participation on their behalf cannot be taken for granted. The aim of this study was to elucidate patient participation in discharge planning conferences, with a focus on frail older persons, supported by the theory of positioning described by Harré & van Langenhove.

Communicating bodily changes: physicians' ways of enabling patient understanding in gastrointestinal cancer consultations.

Objective: To explore how physicians communicatively enable patients' understanding of bodily changes in gastrointestinal cancer care consultations.

Method: Two datasets were used. The first consisted of transcribed video-recorded palliative care consultations with three oncologists and six patients diagnosed with advanced gastrointestinal cancer, in the context of outpatient palliative care.

Women's experiences of important others in a pregnancy dominated by intimate partner violence.

Background: Being exposed to intimate partner violence (IPV) during pregnancy is a difficult and complex situation. Despite this, there are few studies describing women's own needs for help and support.

Aim: The aim of this study is to gain a deeper understanding of women's experiences of important others in relation to changing their life situation in a pregnancy dominated by IPV.

Experts' encounters in antenatal diabetes care: a descriptive study of verbal communication in midwife-led consultations.

Aim. We regard consultations as cocreated communicatively by the parties involved. In this paper on verbal communication in midwife-led consultations, we consequently focus on the actual conversation taking place between the midwife and the pregnant woman with diabetes, especially on those sequences where the pregnant woman initiated a topic of concern in the conversation.

Experiences of being exposed to intimate partner violence during pregnancy.

In this study a phenomenological approach was used in order to enter deeply into the experience of living with violence during pregnancy. The aim of the study was to gain a deeper understanding of women's experiences of being exposed to intimate partner violence (IPV) during pregnancy. The data were collected through in-depth interviews with five Norwegian women; two during pregnancy and three after the birth.

Person-centered care--ready for prime time.

Long-term diseases are today the leading cause of mortality worldwide and are estimated to be the leading cause of disability by 2020. Person-centered care (PCC) has been shown to advance concordance between care provider and patient on treatment plans, improve health outcomes and increase patient satisfaction. Yet, despite these and other documented benefits, there are a variety of significant challenges to putting PCC into clinical practice.

Communication patterns in antenatal diabetes care: an explorative and descriptive study of midwife-led consultations.

Aim: To explore and describe the verbal communication patterns in antenatal consultations between pregnant women with diabetes and their midwives.

Background: Few studies have focused on the efficacy of communication during consultations between midwives and their clients, especially in a high-risk context.

Design: An explorative and descriptive study of antenatal consultations between midwives and their clients at four antenatal diabetes clinics in Norway.

A meta-synthesis describing the relationships between patients, informal caregivers and health professionals in home-care settings.

Aim: The present study describes, through a meta-synthesis, the relationship between patients, informal caregivers and health professionals involved in home care.

Background: Today, many people receive help from health care professionals in their homes with the consequence that, for many health care professionals, their working place is the patients' homes. Research that addresses the dynamics in the caring relationship in home care seems to be rare.

Competing discourses in palliative care.

Background: Palliative care focuses on early identification as well as prevention and alleviation of suffering. Previous studies have established that palliative care is a disciplinary area in a state of transformation due to the involvement of different professional categories and that nursing care in the palliative context is influenced by the dominance of the medical perspective.

Aim: This study aimed to describe palliative care from a nursing perspective prior to the implementation of a palliative care programme.

Ways of talking about illness and prognosis in palliative cancer care consultations--two interactional frames.

Goals Of Work: The purpose of the study was to describe how interaction about changes in illness and prognosis was shaped by participants in outpatient palliative cancer care consultations.

Patients And Methods: The data collection involved six video-recorded consultations at an outpatient oncology unit at a university hospital in Sweden. The interactions were studied by means of discourse analysis.