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  • 1.
    Andershed, Birgitta
    et al.
    Örebro University ; Ersta Sköndal University.
    Werkander Harstäde, Carina
    Karolinska Institute ; Gotland University College.
    Next of kin's feelings of guilt and shame in end-of-life care2007In: Contemporary Nurse: health care across the lifespan, ISSN 1037-6178, E-ISSN 1839-3535, Vol. 27, no 1, p. 61-72Article in journal (Refereed)
    Abstract [en]

    In this study the aim was to explore and describe next of kin’s feelings of guilt and shame in end-of-life care via secondary analysis of 47 qualitative interviews. In the analysis categories and subcategories emerged which conveyed how the next of kin experienced guilt; not having done or talked enough, being absent at important events or making errors of judgement. Categories conveying feelings of shame were situations where the next of kin felt inferior, was ashamed on behalf of the dying person and when family conflicts became apparent. Receiving help and support in order to make the remaining period as pleasant as possible can facilitate the next of kin’s sense of having fulfilled their duties and responsibilities and therein reduce feelings of guilt and shame. It is apparent that these feelings should be taken into account and the next of kin should receive support to increase their well-being during the remaining time in end-of-life care and the grieving period.

  • 2.
    Lindberg, Terese
    et al.
    Blekinge Institute of Technology.
    Andersson, Oscar
    Blekinge Institute of Technology.
    Palm, Molina
    Blekinge Institute of Technology.
    Fagerström, Cecilia
    Blekinge Institute of Technology.
    A systematic review and meta-analysis of dressings used for wound healing: the efficiency of honey compared to silver on burns2015In: Contemporary Nurse: health care across the lifespan, ISSN 1037-6178, E-ISSN 1839-3535, Vol. 51, no 2-3, p. 121-134Article in journal (Refereed)
    Abstract [en]

    Background: Honey has the antibacterial effect of silver without the toxic effect of silver on the skin. Even so, silver is the dominant antibacterial dressing used in wound healing.

    Objectives: To evaluate the healing effects of honey dressings compared to silver dressings for acute or chronic wounds. Design: A systematic review with meta-analysis.

    Method: The search, conducted in seven databases, resulted in six randomised controlled trial studies from South Asia focusing on antibacterial properties and healing times of honey and silver.

    Result: Honey was more efficacious for wound healing than silver, as measured in the number of days needed for wounds to heal (pooled risk difference -20, 95% CI -0.29 to -0.11, p < .001). Honey turned out to have more antibacterial qualities than silver.

    Conclusion: All the included studies based on burns showed the unequivocal result that honey had an even more positive effect than silver on wound healing.

  • 3.
    Nilsson, Lina
    et al.
    Linnaeus University, Faculty of Technology, Department of Informatics.
    Fagerström, Cecilia
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Blekinge County Council.
    Decision-makers and mediators in a home healthcare digitisation process: nurses' experiences of implementation and use of a decision support system2018In: Contemporary Nurse: health care across the lifespan, ISSN 1037-6178, E-ISSN 1839-3535, Vol. 54, no 4-5, p. 511-521Article in journal (Refereed)
    Abstract [en]

    Background: This study focuses on a decision support system (DSS) for home healthcare and the implementation of it.Aim: To describe home healthcare nurses' experiences of the implementation and use of a new DSS, with a focus on how it influences decision making in everyday work practice.Design: A qualitative research design.Methods: Data was collected through three focus group interviews with six home healthcare nurses.The data analysis was drawn from Burnard's method for content analysis.Results: The DSS was experienced as bringing support to decisions, but sometimes incompatible with home healthcare nurses' work practice. Professional understanding and the DSS were sometimes experienced as parallel support systems not assisting work across healthcare organisations.Conclusion: When a DSS is used to transform work of healthcare organisations several aspects should be highlighted. If the organisation does not consider these aspects, nurses may adopt a role as mediator in the implementation process.

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