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Wallin, V., Mattsson, E., Omerov, P. & Klarare, A. (2022). Caring for patients with eating deficiencies in palliative care—Registered nurses' experiences: A qualitative study. Journal of Clinical Nursing, 31(21-22), 3165-3177
Open this publication in new window or tab >>Caring for patients with eating deficiencies in palliative care—Registered nurses' experiences: A qualitative study
2022 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 31, no 21-22, p. 3165-3177Article in journal (Refereed) Published
Abstract [en]

AIMS AND OBJECTIVES: The aim was to explore RNs' experiences of caring for patients with eating deficiencies in palliative care.

BACKGROUND: Food and mealtimes are fundamental aspects for wellbeing and social interactions. The worldwide trajectory of ageing populations may result in increased need for palliative care. Everyday life with chronic life limiting illness and eating deficiencies is challenging for patients and families. RNs are key care providers at end-of-life.

DESIGN: A qualitative study with an inductive approach was used.

METHODS: Nineteen experienced RNs in palliative care were interviewed through telephone; interviews were audio recorded and transcribed verbatim. Inductive qualitative content analysis was performed, and the COREQ checklist was used to guide proceedings.

RESULTS: The overarching theme, Supporting persons with eating deficiencies in-between palliative care and end-of-life care, is represented by three sub-themes: Easy to stick with doing, Just being, without doing, is hard and Letting go. Near end-of-life, eating symbolized social belonging and quality of life for RNs, whereas for patients and families, eating symbolized life. RNs tried practical solutions, however, not always according to patients' and families' preferences.

CONCLUSIONS: RNs were well prepared to tackle physical inconveniences and provide support, however, less prepared to encounter existential, psychological and social issues in relation to eating deficiencies. Although RNs stated that human beings stop eating when they are about to die, letting nature run its' course and facilitating patients' transition to end-of-life care was challenging.

RELEVANCE TO CLINICAL PRACTICE: Food and mealtimes represent fundamental aspects of human life and denote central parts in RNs clinical practice in palliative care. The findings can inspire development of a comprehensive palliative care approach to support patients and families. Structured reflection in relation to clinical practice may support and encourage RNs, caring for patients with eating deficiencies, in mastering both doing and being.

Keywords
Caring, Eating problems, End-of-life, Families, Mealtime, Nursing, Nutrition, Palliative care, Patients
National Category
Nursing
Identifiers
urn:nbn:se:esh:diva-9295 (URN)10.1111/jocn.16149 (DOI)000723896300001 ()34850477 (PubMedID)
Available from: 2021-12-07 Created: 2021-12-07 Last updated: 2023-02-16Bibliographically approved
Omerov, P. & Bullington, J. (2022). Nursing Care of the Suicidal Patient (1ed.). In: Maurizio Pompili (Ed.), Suicide Risk Assessment and Prevention: (pp. 1-29). Cham: Springer Nature
Open this publication in new window or tab >>Nursing Care of the Suicidal Patient
2022 (English)In: Suicide Risk Assessment and Prevention / [ed] Maurizio Pompili, Cham: Springer Nature, 2022, 1, p. 1-29Chapter in book (Other academic)
Abstract [en]

Suicide risk assessment needs to be a crisis intervention explored together with the person in care. The crisis intervention needs to start at the first encounter with healthcare and should be salient in all ensuing encounters and actions taken during the care. A caring approach which involves qualities like being welcoming, nonjudgmental, open-minded, and respectful can alleviate suffering and is crucial for assessment and forthcoming care, while an uncaring approach may cause the person to hide his or her needs, flee in affect, or refrain from seeking help during forthcoming suicide crises. Despite this, the competence required to connect and listen to another person is all too often neglected in hospital-based suicide prevention.

Nurses have an important role to play in suicide risk prevention, since they frequently encounter patients in suicidal crises. Furthermore, nurses’ competence involves both the biomedical and philosophical perspective on the person’s health and care which is needed for assessment and care. Recommendations for care stress the interpersonal relationships with the person’s narrative as essential. However, components often described as person-centered care, such as establishing a therapeutic relationship, showing trust and respect, facilitating communication, getting to know the person, sharing power and responsibility, and empowering the person, require systematic education, training, and implementation. This chapter provides examples on how communication skills and rapport can be developed and applied in acts of care. The chapter also describes an approach for suicide prevention and crisis intervention that synthesizes teachings from caring science with contemporary suicide prevention.

Place, publisher, year, edition, pages
Cham: Springer Nature, 2022 Edition: 1
Keywords
Mental health nursing, Caring, Suicide prevention, Communication, Person-centered care
National Category
Nursing
Identifiers
urn:nbn:se:esh:diva-10125 (URN)10.1007/978-3-030-41319-4_65-1 (DOI)978-3-030-41319-4 (ISBN)978-3-030-41319-4 (ISBN)
Available from: 2023-03-10 Created: 2023-03-10 Last updated: 2024-02-09Bibliographically approved
Wallin, V., Omerov, P., Mattsson, E. & Klarare, A. (2022). Patienters erfarenheter av mat och måltider vid kronisk livsbegränsande sjukdom: En litteraturöversikt med mixade metoder. In: : . Paper presented at Palliativ vård - det gäller livet, 7:e nationella konferensen i palliativ vård, Göteborg 5-7 september 2022.
Open this publication in new window or tab >>Patienters erfarenheter av mat och måltider vid kronisk livsbegränsande sjukdom: En litteraturöversikt med mixade metoder
2022 (Swedish)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [sv]

Bakgrund: Mat är ett måste för överlevad, men mat har även viktig roll för att vi ska må bra och känna delaktighet i vardagen. Med allt längre livslängd, lever allt fler människor med kronisk livs begränsandesjukdom, vilket innebär att ökade behov av vård och stöd relaterat till mat och måltider. Att leva med kronisk livsbegränsande sjukdom, innebär att någon gång under sjukdomsförloppet förändras matvanor jämfört med hur det var innan sjukdomen. Oavsett diagnos upplever många ätsvårigheter då aptit förändras och matintag blir mindre. Eftersom mat och måltider har en central roll i vardagen, medför ätsvårigheter oro för patienter och närstående.

Syfte: Att beskriva och syntetisera patienters erfarenheter av mat och måltider vid kronisk livsbegränsande sjukdom.

Metod: En systematisk mixed-method review genomfördes, med sökningar i Academic Search Complete, CINAHL, Nursing and Allied Health Database, PsycINFO, PubMed, Soc Index och Web of Science Core Collection, från januari 2000 - mars 2019. Av 3151 identifierade artiklar inkluderades 24 för syntetisering med en data baserad convergent design. Vid innehållsanalys kodades text som svarade mot syftet med beskrivande ord, t ex, fysiska hinder, oro, existentiellt. Två forskare arbetade parallellt och blindat vid inklusion, kvalitetsbedömning av artiklar (CASP, 2021) och innehållsanalys. Data jämfördes och tematiserades utifrån likheter och mönster (Sandelowski & Leeman, 2012). Alla steg och beslut diskuterades i forskargruppen för konsensus.

Resultat: Patienters erfarenheter av mat och måltider vid vid kronisk livsbegränsande sjukdom innebar fysiska, psykologiska, sociala och existentiella aspekter av lidande, hälsa och välbefinnande. Fyra teman identifierades: • Förståelse för hämmad aptit – det kanske är bäst att låta naturen ha sin gång. • Mat och måltider framkallar obehag – minskad glädje, nya strategier. • Kamp med mat och måltider – äta för att behaga samt skjuta upp döden. • Mat och måltider som omsorg och kärlek – flankerat av social frånkoppling.

Betydelse: Översikten kan bidra till ökad förståelse för patienternas situation och behov av stöd. Dess fokus kan utgöra grund för interventionsstudier avseende existentiell oro kring mat och måltider, samt en start för utveckling av kliniska riktlinjer för vård vid kronisk livsbegränsande sjukdom.

National Category
Nursing
Identifiers
urn:nbn:se:esh:diva-9808 (URN)
Conference
Palliativ vård - det gäller livet, 7:e nationella konferensen i palliativ vård, Göteborg 5-7 september 2022
Note

Felaktig titel i konferensbok: "Patienters erfarenheter av mat och måltider vid kronisk livsbegränsande sjukdom: En systematisk översikt av mixade metoder"

Available from: 2022-10-05 Created: 2022-10-05 Last updated: 2023-02-22Bibliographically approved
Wallin, V., Omerov, P., Mattsson, E. & Klarare, A. (2021). Experiences of food and mealtime from the perspective of patients with chronic life-limiting disease: a mixed-method systematic review. Journal of Advanced Nursing, 77(11), 4400-4413
Open this publication in new window or tab >>Experiences of food and mealtime from the perspective of patients with chronic life-limiting disease: a mixed-method systematic review
2021 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 77, no 11, p. 4400-4413Article, review/survey (Refereed) Published
Abstract [en]

Aim: To describe and synthesise experiences of food and mealtimes from the perspective of patients with chronic life-limiting disease.

Design: A mixed-method systematic review.

Data sources: The databases Academic Search Complete, CINAHL, Nursing and Allied Health Database, PsycINFO, PubMed, Soc Index and Web of Science Core Collection were searched (January 2000 to March 2019).

Review methods: Out of 3151 identified articles, 24 were included for appraisal and synthesis, using a data based convergent design.

Results: Four themes were derived: 'understanding hampered eating-perhaps it is best to let nature run its course'; 'food and meals evoke distress-reducing joy, testing interim ways'; 'struggling with food and meals-eating to please others and to postpone death'; and 'food and meals as caring and love-flanked by social disconnecting'.

Conclusion: For patients with chronic life-limiting disease, food entailed potential to remain healthy, improve well-being and prolong life. Meanwhile, eating difficulties were experienced as fundamentally affecting social life and interactions; consequently, joy around food and meals was lost.

Keywords
Chronic disease, Eating problems, End-of-life, Nursing, Nutrition, Patient perspectives, Systematic review
National Category
Nursing
Identifiers
urn:nbn:se:esh:diva-8904 (URN)10.1111/jan.14927 (DOI)000661963400001 ()34133759 (PubMedID)
Available from: 2021-06-03 Created: 2021-06-03 Last updated: 2023-11-21Bibliographically approved
Omerov, P., Kneck, Å., Karlsson, L., Cronqvist, A. & Bullington, J. (2020). To Identify and Support Youths Who Struggle with Living-Nurses' Suicide Prevention in Psychiatric Outpatient Care. Issues in Mental Health Nursing, 41(7), 574-583
Open this publication in new window or tab >>To Identify and Support Youths Who Struggle with Living-Nurses' Suicide Prevention in Psychiatric Outpatient Care
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2020 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 41, no 7, p. 574-583Article in journal (Refereed) Published
Abstract [en]

Nurses working in psychiatric care daily encounter youths who are struggling with living. Despite this, nurses' suicide-prevention work is seldom addressed in research or in recommendations for care. The overall aim of this paper is to discuss how nurses, with their caring science perspective, may contribute to suicide prevention. The paper presents how nurses in psychiatric outpatient care may identify and support suicidal youths, according to experts in suicide prevention. The interviews with six experts in suicide prevention resulted in three themes: Engagement necessary but demanding, Acknowledgement of warnings signs and Supportive relationship. The respondents elaborated on how suicide-risk can be assessed. A good rapport with the youths was stressed and the recommended act of care included: to listen openheartedly without interrupting as well as to listen after risk- and protective factors to emphasize or to penetrate. To ask about suicidality as well as to let the person elaborate on what's important for him or her. To endure in the patients' suffering as well as steering the conversations toward hope. The paper also presents warning signs that need to be noticed according to the experts and the literature consensus. Our findings suggest that communication in suicide-prevention is an "art and act" that cannot be reduced to a method or simple guidelines. We argue that the recommended acts of care demand sensitivity and skills and that nurses as well as the domain of caring science may contribute to this competence.

National Category
Nursing
Identifiers
urn:nbn:se:esh:diva-8568 (URN)10.1080/01612840.2019.1705946 (DOI)32286108 (PubMedID)
Available from: 2021-01-14 Created: 2021-01-14 Last updated: 2021-11-12Bibliographically approved
Eckerström, J., Allenius, E., Helleman, M., Flyckt, L., Perseius, K.-I. & Omérov, P. (2019). Brief admission (BA) for patients with emotional instability and self-harm: nurses' perspectives - person-centred care in clinical practice.. International Journal of Qualitative Studies on Health and Well-being, 14(1), 1-13, Article ID 1667133.
Open this publication in new window or tab >>Brief admission (BA) for patients with emotional instability and self-harm: nurses' perspectives - person-centred care in clinical practice.
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2019 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 14, no 1, p. 1-13, article id 1667133Article in journal (Refereed) Published
Abstract [en]

Purpose: Emotional instability and self-harm pose major problems for society and health care. There are effective interventions in outpatient care, but when patients need inpatient care, nurses often struggle meeting their patient's needs. Brief admission (BA) is a newly implemented crisis intervention and novel form of inpatient care. The aim of this study is to describe nurses' experiences working with BA related to patients with emotional instability and self-harm.

Methods: Eight nurses were interviewed according to a semi-structured interview guide. The data was analysed using qualitative content analysis.

Results: Four main categories emerged regarding nurses' experiences with BA: provides security and continuity, fosters caring relationships, shifts focus towards patient's health and empowers the patient. The nurse's role shifted from "handling problems" to establishing caring relationships with a focus on the person's health and possibilities for recovering instead of psychiatric symptoms.

Conclusions: Previous studies on patients' perspective of BA describe positive experiences such as increased autonomy and participation in the healthcare process. This study supports those findings, albeit from the perspective of nurses. Our findings suggest that BA may reduce work-related stress experienced by nurses while caring for persons with emotional instability and self-harm. BA may also support nurses in their ability to provide more meaningful and constructive psychiatric inpatient care.

Keywords
Borderline personality disorder, Brief admission, Crisis intervention, Emotional instability, Mental health nursing, Patient admission, Person-centred care, Psychiatric nursing, Self-harm
National Category
Nursing
Identifiers
urn:nbn:se:esh:diva-7799 (URN)10.1080/17482631.2019.1667133 (DOI)31526310 (PubMedID)
Available from: 2019-09-25 Created: 2019-09-25 Last updated: 2023-08-25Bibliographically approved
Bullington, J., Söderlund, M., Bos Sparén, E., Kneck, Å., Omérov, P. & Cronqvist, A. (2019). Communication skills in nursing: A phenomenologically-based communication training approach. Nurse Education in Practice, 39, 136-141
Open this publication in new window or tab >>Communication skills in nursing: A phenomenologically-based communication training approach
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2019 (English)In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 39, p. 136-141Article in journal (Refereed) Published
Abstract [en]

The aim of this article is to present a communication skills training curriculum for nursing students, based upon phenomenology. Research shows that nurses have difficulty prioritizing dialogue with patients, due to lack of time, organizational and cultural factors. Like other health care professionals, nurses may also have difficulties communicating with patients due to personal fears and shortcomings. The communication training curriculum based upon phenomenology aims at systematically training students to stay focused upon patients' and relatives' narratives, allowing them to reflect upon and better understand their current situation. This approach to communication is applicable in any clinical situation where it important to provide space for the patients' experiences. The philosophical principles guiding the training are presented here as well as the practical steps in the program. Finally, the approach is compared to other common communication methods used in nursing (motivational interviewing, caring conversations, empathy training). The authors hope that the article will highlight the nurses’ role as dialogue partner as well as emphasize the importance of communication skills training in nursing education. This approach can be refined, tested and modified in future research and may serve as an inspirational model for creating a generic communicative competence for nurses.

Keywords
Communication training, Phenomenology, Nurse-patient interaction
National Category
Nursing
Identifiers
urn:nbn:se:esh:diva-7786 (URN)10.1016/j.nepr.2019.08.011 (DOI)000488657600020 ()31487674 (PubMedID)
Available from: 2019-09-05 Created: 2019-09-05 Last updated: 2022-01-04Bibliographically approved
Omerov, P., Gransjön Craftman, Å., Mattsson, E. & Klarare, A. (2019). Homeless persons' experiences of health- and social care: A systematic integrative review. Health & Social Care in the Community, 28(1), 1-11
Open this publication in new window or tab >>Homeless persons' experiences of health- and social care: A systematic integrative review
2019 (English)In: Health & Social Care in the Community, ISSN 0966-0410, E-ISSN 1365-2524, Vol. 28, no 1, p. 1-11Article, review/survey (Refereed) Published
Abstract [en]

Homelessness is associated with high risks of morbidity and premature death. Many interventions aimed to improve physical and mental health exist, but do not reach the population of persons experiencing homelessness. Despite the widely reported unmet healthcare needs, more information about the barriers and facilitators that affect access to care for persons experiencing homelessness is needed. A systematic integrative review was performed to explore experiences and needs of health- and social care for persons experiencing homelessness. The following databases were searched: AMED, ASSIA, Academic Search Complete, CINAHL, Cochrane library, Nursing and Allied Database, PsycInfo, PubMed, Scopus and Web of Science Core Collection. Twenty-two studies met the inclusion criteria of empirical studies with adult persons experiencing homelessness, English language, and published 2008-2018. Fifty percent of the studies were of qualitative and quantitative design, respectively. Most studies (73%) were conducted in the United States (n=11) and Canada (n=5). The analysis resulted in three themes Unmet basic human needs, Interpersonal dimensions of access to care, and Structural and organizational aspects to meet needs. The findings highlight that persons in homelessness often must prioritize provision for basic human needs, such as finding shelter and food, over getting health- and social care. Bureaucracy and rigid opening hours, as well as discrimination and stigma, hinder these persons' access to health- and social care.

Keywords
Healthcare, Homelessness, Needs and experiences of care, Social care, Systematic review
National Category
Nursing
Identifiers
urn:nbn:se:esh:diva-7796 (URN)10.1111/hsc.12857 (DOI)31524327 (PubMedID)
Available from: 2019-09-17 Created: 2019-09-17 Last updated: 2023-11-21Bibliographically approved
Omerov, P., Titelman, D. & Nyberg, U. (2018). Population-Based Surveys That Include Suicide-Bereaved Family Members: Ethical and Methodological Considerations. Sage Research Methods
Open this publication in new window or tab >>Population-Based Surveys That Include Suicide-Bereaved Family Members: Ethical and Methodological Considerations
2018 (English)In: Sage Research MethodsArticle in journal (Refereed) Published
Abstract [en]

Parents who have lost a son or daughter to suicide are at risk of developing psychological ill-health that may become long-lasting and even life-threatening. Despite this risk, the aftermath of a suicidal loss is yet to be carefully studied. Reasons for the lack of such studies may be that the dangers of approaching surviving relatives are exaggerated and trauma-related inquiries avoided. Another obstacle may be methodological difficulties. An overriding goal of the studies considered here was to provide knowledge that may be used to improve the professional care of suicide-bereaved parents. We describe how we planned and implemented a population-based survey with a continuous focus on ethical and methodological considerations throughout the research process.

Place, publisher, year, edition, pages
London: Sage Publications, 2018
Keywords
parents; suicide; ethical considerations
National Category
Ethics
Identifiers
urn:nbn:se:esh:diva-7395 (URN)10.4135/9781526455918 (DOI)9781526455918 (ISBN)
Note

Online ISBN: 9781526455918

Available from: 2019-04-16 Created: 2019-04-16 Last updated: 2020-06-03Bibliographically approved
Omerov, P., Pettersen, R., Titelman, D., Nyberg, T., Steineck, G., Dyregrov, A. & Nyberg, U. (2017). Encountering the Body at the Site of the Suicide: A Population-Based Survey in Sweden.. Journal of Suicide and Life-threatening Behaviour, 47(1), 38-47
Open this publication in new window or tab >>Encountering the Body at the Site of the Suicide: A Population-Based Survey in Sweden.
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2017 (English)In: Journal of Suicide and Life-threatening Behaviour, ISSN 0363-0234, E-ISSN 1943-278X, Vol. 47, no 1, p. 38-47Article in journal (Refereed) Published
Abstract [en]

Encountering the body of a child who died by suicide at the site of death is believed to be especially harmful for bereaved parents. We investigated the association between encountering the body at the site of the suicide and psychological distress in 666 suicide-bereaved parents. Parents who had encountered their child's body at the site of the suicide (n = 147) did not have a higher risk of nightmares (relative risk [RR] 0.95, 95% confidence interval [CI] 0.67-1.35), intrusive memories (RR 0.97, 95% CI 0.84-1.13), avoidance of thoughts (RR 0.97, 95% CI 0.74-1.27), avoidance of places or things (RR 0.91, 95% CI 0.66-1.25), anxiety (RR 0.93, 95% CI 0.64-1.33), or depression (RR 0.94, 95% CI 0.63-1.42) compared with parents who had not encountered the body (n = 512). Our results suggest that losing a child by suicide is sufficiently disastrous by itself to elicit posttraumatic responses or psychiatric morbidity whether or not the parent has encountered the deceased child at the site of death.

National Category
Nursing
Identifiers
urn:nbn:se:esh:diva-5454 (URN)10.1111/sltb.12260 (DOI)27111725 (PubMedID)
Available from: 2016-09-30 Created: 2016-09-30 Last updated: 2023-11-17Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-1835-1960

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