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  • 1. Hall-Lord, M-L.
    et al.
    Larsson, Gerry
    Swedish National Defence College, Ledarskapsinstitutionen.
    Steen, B.
    Chronic pain and distress among elderly in the community: Comparison of patients' experiences and enrolled nurses' assessments1999In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 7, no 1, p. 45-54Article in journal (Refereed)
    Abstract [en]

    AIM: This study compared elderly patients' reported experiences of pain and distress with enrolled nurses' assessments and related potential differences to patient and enrolled nurse characteristics.

    BACKGROUND: Many elderly suffer from chronic pain but few studies have focused on this group of patients.

    METHODS: Data were collected through personal interviews with 38 patients and questionnaires completed by 38 enrolled nurses.

    FINDINGS: Enrolled nurses underestimated patients' experiences of physical pain, physical discomfort, breathing problems, resignation, and dependency. Pain and distress were overestimated by enrolled nurses who had lower scores on three of the five personality scales used. In contrast, enrolled nurses who had higher scores on these personality scales tended to underestimate the patients' pain and distress.

    CONCLUSIONS: There is a need to develop staff training programmes in order to optimize the care for elderly patients with chronic pain in the community.

  • 2. Johansson, I.
    et al.
    Hamrin, E.
    Larsson, Gerry
    Centre for Public Health Research, The County Council of Värmland, Sweden.
    Evaluation of the prognostic value of the Health Assessment Form among patients clinically ready for discharge1994In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 2, no 2, p. 77-85Article in journal (Refereed)
    Abstract [en]

    The aim of the study was to identify patterns of physical, psychological, and social conditions that may be of prognostic value when it comes to assessing continued care of patients clinically ready for discharge; a related aim was to evaluate instruments used for this identification, especially a Swedish version of the health assessment form. The sample consisted of 53 consecutive patients (mean age 82.8 years, SD = 6.6 years) All patients came from their own homes and were admitted to surgical and orthopaedic departments. Interviews were carried out on the day the patients were assessed as medically ready for discharge, and a second time 1 month later. The health assessment form measured the persons' social and environmental situation, health history, and functional health status, and another instrument measured the persons' sense of coherence. Few significant differences in functional health status were noted between persons who could return to their homes (n =25) and persons who were referred to institutions after discharge (n = 17). However, the persons being referred to institutions showed less favourable scores within the areas of mood, sense of coherence, and worries about their home accommodation situation. When another sub-group was included (patients who died between the interview occasions; n = 8), significant differences were also noted in the health functions breathing, digestion, elimination, and body movement. Sense of coherence had a significant prognostic value for the continued care after discharge irrespective of whether the deceased patients were included or not.

  • 3.
    Larsson, Gerry
    et al.
    The Centre for Public Health Research, The County Council of Varmland, Sweden.
    Johansson, I.
    Hamrin, E.
    Sense of coherence among elderly somatic patients: Predictive power regarding future needs of care1995In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 3, no 6, p. 307-311Article in journal (Refereed)
    Abstract [en]

    The main aim was to study the predictive power of sense of coherence regarding future needs of care among elderly patients evaluated as medically ready for discharge from somatic emergency care. A secondary aim was to study the consistency of sense of coherence over time among patients with this kind of experience. The sample consisted of 53 Swedish patients (mean age 82.8 years, SD = 6.6 years) who had completed their medical treatment at surgical or orthopaedic departments. The predominant diagnosis was lower limb fractures. Sense of coherence was assessed twice, on the day the patient was evaluated as medically ready for discharge and 1 month later. On the second assessment occasion, 28 patients had returned to their homes, 17 were staying at institutions, and eight had died. Patients who returned to their homes reported the strongest sense of coherence while still in hospital. Patients who were staying at institutions scored lowest on the overall sense of coherence scale and on the comprehensibility subscale. Patients who died before the second measurement occasion scored lowest on the meaningfulness subscale. A correlation of 0.51 was noted between the two assessments of sense of coherence, indicating a moderate temporal consistency

  • 4. Wilde Larsson, B.
    et al.
    Larsson, Gerry
    Swedish National Defence College, Ledarskapsinstitutionen.
    Starrin, B.
    Patients' views on quality of care: A comparison of men and women1999In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 7, no 3, p. 133-139Article in journal (Refereed)
    Abstract [en]

    Aim This study set out to explore gender differences among medical and surgical acute care inpatients regarding their perceptions of actual care conditions as well as their evaluation of the subjective importance of various care conditions.

    Background Firstly, the literature reports inconsistent findings regarding male and female patients’ views on care. Secondly, the instruments used in most previous research are not derived from a patient perspective.

    Methods The sample consisted of 831 patients (48% were women and 52% were men) at two Swedish hospitals. Data were collected using the questionnaire ‘Quality from the Patient’s Perspective’.

    Findings Male and female patients tended to evaluate the actual care received similarly. However, women tend to assign the different care aspects higher subjective importance.

    Conclusion More research is needed to illuminate the reasons why men and women hold these different values. Until these issues are better understood, there is no valid basis on a group (gender) level to give specific practical recommendations to nursing managers.

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