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Pusa, S., Sundin, K. & Isaksson, U. (2021). Evaluation of the implementation process of a Family Systems Nursing approach in home health care: A mixed-methods study. Journal of Family Nursing, 27(3), 235-249
Open this publication in new window or tab >>Evaluation of the implementation process of a Family Systems Nursing approach in home health care: A mixed-methods study
2021 (English)In: Journal of Family Nursing, ISSN 1074-8407, E-ISSN 1552-549X, Vol. 27, no 3, p. 235-249Article in journal (Refereed) Published
National Category
Nursing
Identifiers
urn:nbn:se:esh:diva-8528 (URN)000638966100001 ()33825569 (PubMedID)
Note

Publication status in Doctoral Thesis: Manuscript (preprint)

Title in Doctoral Thesis: Implementation outcomes of a family systems nursing approach in home health care: A mixed-methods study

Available from: 2019-05-06 Created: 2020-12-10 Last updated: 2022-01-03Bibliographically approved
Pusa, S., Hägglund, K., Nilsson, M. & Sundin, K. (2015). District nurses' lived experiences of meeting significant others in advanced home care. Scandinavian Journal of Caring Sciences, 29(1), 93-100
Open this publication in new window or tab >>District nurses' lived experiences of meeting significant others in advanced home care
2015 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 29, no 1, p. 93-100Article in journal (Refereed) Published
Abstract [en]

AIM: The aim of this study was to illuminate the meanings of district nurses' lived experiences of meeting significant others in the home when giving advanced home care to patients.

METHODS: The data was collected through 10 audio-taped narrative focus-group interviews with 36 district nurses and interpreted using a phenomenological hermeneutic approach.

FINDINGS: Three themes emerged. The first theme, Feeling close, consists of three subthemes: Being available, Sharing understanding and Being aware. The second theme, Mediating strength, contains the subthemes Being a resource and Sharing trust. Being emotionally influenced is the third theme and involves the subthemes Experiencing emotional distress and Experiencing emotional gratitude.

CONCLUSION: Meeting significant others as a district nurse in advanced home care means creating and maintaining a trustful relationship with significant others, both on a personal and family level, aiming to illuminate and respond to their needs and desires. The district nurses strive to reach a mutual understanding and co-operate to mediate support. Being a district nurse in advanced home care is both emotionally demanding and emotionally rewarding.

Keywords
Advanced home care, Caring, District nurse, Family, Family nursing, Informal care providers, Palliative care, Phenomenological hermeneutic, Relationships, Significant other
National Category
Nursing
Identifiers
urn:nbn:se:esh:diva-8526 (URN)10.1111/scs.12134 (DOI)000350285500009 ()24684479 (PubMedID)
Available from: 2014-05-12 Created: 2020-12-10 Last updated: 2021-02-05Bibliographically approved
Sundin, K., Pusa, S., Lundstedt, E., Wincent, N., Östlund, U., Bäckström, B., . . . Saveman, B.-I. (2015). What Couples Choose to Focus on During Nurse-led Family Health Conversations When Suffering Stroke. International journal for human caring, 19(2), 22-28
Open this publication in new window or tab >>What Couples Choose to Focus on During Nurse-led Family Health Conversations When Suffering Stroke
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2015 (English)In: International journal for human caring, ISSN 1091-5710, Vol. 19, no 2, p. 22-28Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to illuminate which topics 2 couples, ages younger than 65 years old, where 1 partner has suffered a stroke, choose to focus on when participating in nurse-led family health conversations. Six conversations were audiotaped, transcribed, and analyzed by qualitative content analysis. Three categories emerged illustrating that the couples choose to talk about how they were affected on a personal and family level and, moreover, the importance of support within and outside the family. The altered way of living involved distressed feelings, gratitude, and hopes. This study highlights the importance of nurses viewing the family as a unit.

Keywords
Cerebrovascular disorder, Family health conversations, Family systems nursing, Spouses, Stroke
National Category
Nursing
Identifiers
urn:nbn:se:esh:diva-8530 (URN)10.20467/1091-5710.19.2.22 (DOI)
Available from: 2017-03-02 Created: 2020-12-10 Last updated: 2021-01-14Bibliographically approved
Pusa, S., Persson, C. & Sundin, K. (2012). Significant others' lived experiences following a lung cancer trajectory: From diagnosis through and after the death of a family member. European Journal of Oncology Nursing, 16(1), 34-41
Open this publication in new window or tab >>Significant others' lived experiences following a lung cancer trajectory: From diagnosis through and after the death of a family member
2012 (English)In: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 16, no 1, p. 34-41Article in journal (Refereed) Published
Abstract [en]

PURPOSE: The purpose of this study was to illuminate the meanings of significant others' lived experiences of their situation from diagnosis through and after the death of a family member as a consequence of inoperable lung cancer.

METHODS: The data was collected through narrative interviews from eleven significant others and interpreted using a phenomenological hermeneutic approach. KEYRESULTS: Four themes emerged: being unbalanced, being transitional, being cared for, and moving forward.

CONCLUSION: The significant others' experiences can be viewed as a transition process, beginning with a sense of dislocation in life and continuing through struggling, enduring and conquering the consequences of the altered life situation until finally approaching a point characterized by a sense of stability. Different strategies of adjustment and adaptation to the new living conditions are considered. Furthermore, the results indicate the need to develop a framework for family-centered health care in order to enhance the wellbeing for the significant others both in the anticipatory grief phase and during the bereavement phase.

Keywords
Anticipatory grief, Bereavement, Family-centered care, Lung neoplasm, Palliative care, Phenomenological hermeneutic, Significant others, Survivors, Transition
National Category
Nursing
Identifiers
urn:nbn:se:esh:diva-8527 (URN)10.1016/j.ejon.2011.02.004 (DOI)000299493700005 ()21429795 (PubMedID)
Available from: 2012-01-12 Created: 2020-12-10 Last updated: 2021-02-05Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-8839-5697

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