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Norell Pejner, MargarethaORCID iD iconorcid.org/0000-0002-1174-2523
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Publications (10 of 14) Show all publications
Norell Pejner, M. & Brobeck, E. (2018). Couples in Need of Home Care Services: Experiences With Support From Care Professionals. Home Health Care Management & Practice, 30(3), 116-121
Open this publication in new window or tab >>Couples in Need of Home Care Services: Experiences With Support From Care Professionals
2018 (English)In: Home Health Care Management & Practice, ISSN 1084-8223, E-ISSN 1552-6739, Vol. 30, no 3, p. 116-121Article in journal (Refereed) Published
Abstract [en]

Many older people desire to remain in their homes and be cared for by a family member, but this arrangement requires support from care professionals. The aim was to describe how couples in need of home care services experienced the received support from care professionals. A qualitative design with content analysis was used. Data were collected through diaries and focus groups consisting of eight couples between 65 and 80 years, and two registered nurses. The main findings are described by the following categories: Organizational adaptedWithholdingBeing in a gap, resulting in the theme Lack of professional support. Couples experienced shortcomings that were related to the organization, the care professionals, and the couples themselves. The theme Lack of professional support requires more knowledge. © The Author(s) 2018

Place, publisher, year, edition, pages
Thousand Oaks, CA: Sage Publications, 2018
Keywords
care organization, chronically ill, home care, informal carer, older persons, support
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hh:diva-36200 (URN)10.1177/1084822318755379 (DOI)
Available from: 2018-01-31 Created: 2018-01-31 Last updated: 2018-07-23Bibliographically approved
Norell Pejner, M. & Kihlgren, A. (2018). Reporting adverse events—Swedish Registered Nurses experience in a municipal home care context. Nursing Open
Open this publication in new window or tab >>Reporting adverse events—Swedish Registered Nurses experience in a municipal home care context
2018 (English)In: Nursing Open, E-ISSN 2054-1058Article in journal (Refereed) Epub ahead of print
Abstract [en]

Aim: To describe how Registered Nurses in a municipal home care context experience adverse event reports.

Design: A qualitative design was used.

Method: Twelve semistructured individual interviews with Registered Nurses in a municipal home care context were collected on two occasions and analysed with qualitative content analysis.

Results: The results show that conflicts exist between being able to trust the managers and their feedback, being loyal to colleagues and retaining professional pride. These are described in the theme “Contradiction” and the three categories: “Awareness”; “Uncertainty”; and “Concealment.” © 2018 The Authors.

Place, publisher, year, edition, pages
Chichester: John Wiley & Sons, 2018
Keywords
adverse event reports, home care, risk analysis
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-38477 (URN)10.1002/nop2.223 (DOI)
Available from: 2018-12-04 Created: 2018-12-04 Last updated: 2018-12-04
Norell Pejner, M., Lundström, J., Ourique de Morais, W., Laurell, H., Isaksson, A., Stranne, F. & Skärsäter, I. (2017). Smart medication organizer – one way to promote self-management and safety in drug administration in elderly people. In: : . Paper presented at Medicinteknikdagarna 2017, Västerås, Sweden, 10-11 October, 2017.
Open this publication in new window or tab >>Smart medication organizer – one way to promote self-management and safety in drug administration in elderly people
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2017 (English)Conference paper, Oral presentation only (Refereed)
National Category
Medical Engineering Other Medical Engineering
Identifiers
urn:nbn:se:hh:diva-35738 (URN)
Conference
Medicinteknikdagarna 2017, Västerås, Sweden, 10-11 October, 2017
Available from: 2017-12-05 Created: 2017-12-05 Last updated: 2017-12-11Bibliographically approved
Norell Pejner, M., Ziegert, K. & Kihlgren, A. (2014). Older patients’ in Sweden and their experience of the emotional support received from the registered nurse – a grounded theory study. Aging & Mental Health, 19(1), 79-85
Open this publication in new window or tab >>Older patients’ in Sweden and their experience of the emotional support received from the registered nurse – a grounded theory study
2014 (English)In: Aging & Mental Health, ISSN 1360-7863, E-ISSN 1364-6915, Vol. 19, no 1, p. 79-85Article in journal (Refereed) Published
Abstract [en]

Objectives: This study intends to explore older patients’ experiences of the emotional support received from registered nurses (RNs). We also aimed to gain deeper knowledge about the process of how getting the support they need is managed by the patient.

Methods: The study was conducted using the grounded theory method. Data were collected by interviewing 18 patients between 80 and 96 years old.

Results: Reasons why older patients experienced the emotional support received from the RN are reflected in the categories ‘Meets my needs when I am irresolute’, ‘Meets my needs when I am vulnerable’ and ‘Meets my needs when I am in need of sympathy’. Reasons to the emotional support resulted in that patients experienced ‘A sense of being able to hand over’, which is therefore the core category of this study.

Conclusion: Older patients’ experiences of emotional support are about obtaining relief. Patients were active participants and had strategies for which they wanted to share their emotions with the RN. In order to develop participatory care for older patients, we need more knowledge about how emotional support can be used as a nursing intervention. © 2014 Taylor & Francis.

Place, publisher, year, edition, pages
Abingdon, United Kingdom: Routledge, 2014
Keywords
emotion, needs, relief, social, support
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-25937 (URN)10.1080/13607863.2014.917605 (DOI)000344866100009 ()24963781 (PubMedID)2-s2.0-84911361255 (Scopus ID)
Available from: 2014-06-27 Created: 2014-06-27 Last updated: 2018-03-22Bibliographically approved
Norell Pejner, M. (2014). The bright side of life - Emotional support in elderly care. Paper presented at 2nd International Conference on Nursing & Healthcare, November 17-19, 2014, Chicago, USA. Journal of Nursing & Care, 3(7), 75-75
Open this publication in new window or tab >>The bright side of life - Emotional support in elderly care
2014 (English)In: Journal of Nursing & Care, ISSN 2167-1168, Vol. 3, no 7, p. 75-75Article in journal, Meeting abstract (Refereed) Published
Abstract [en]

Introduction: When older patients are in need of care the desire for help is often related to practical duties, but they also express a preference for support with the emotional difficulties that disease and illness cause. The concept of support in nursing is widely used and in nursing practice it is seldom specified which kind of support that has been performed.

Aim: Aim was to explore and describe which supportive intervention registered nurses use in municipal elderly home care settings and if it is in agreement with the patient’s preferences.

Methods: One retrospective descriptive study (I) were conducted and followed up by three qualitative studies using Grounded Theory as a method (II-IV). Grounded Theory allowed to explore actions/interactions and processes that occur between complex social phenomena. A process is seen as a continuous action in relation to a determinate purpose to reach a goal with a problem or a situation and actors can choose actions to influence the course of events.

Data collection and sampling: I/Using a web based form describing 7053 interventions given to patients 80 years or older during the months of April and October 2004-2008. II/ Observation of 12 registered nurses supportive interventions during the home visit of 36 patients between 80 and 102 years. III/ Interviews with 16 registered nurses. IV/Interviews with 18 patients between 80 and 96 years.

Results: Combined, the four studies show in a substantive theory that supportive interventions were based on patient’s preferences and guided by their emotions. The emotional support resulted in that the patient could experience serenity. Serenity is a state of relief and the moment required for the patient to be able to move forward. Patients lost or reduced ability to process their emotions makes that they get stuck in a state, which fatigue them with additional experience of disease and illness. To get out of their state the patient searched the registered nurse whose mission is to identify their needs in order that they could find relief. The theory also shows the strengths and weaknesses in the process. Emotional support should be developed as a nursing intervention and be integrated as a part of nursing. 

Place, publisher, year, edition, pages
Los Angeles: Journal of Nursing & Care, 2014
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-27171 (URN)10.4172/2167-1168.S1.006 (DOI)
Conference
2nd International Conference on Nursing & Healthcare, November 17-19, 2014, Chicago, USA
Available from: 2014-12-05 Created: 2014-12-05 Last updated: 2017-12-05Bibliographically approved
Norell Pejner, M. (2014). The bright side of life: support in municipal elderly home care. (Doctoral dissertation). Örebro: Örebro universitet
Open this publication in new window or tab >>The bright side of life: support in municipal elderly home care
2014 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Registered nurses in municipal elderly home care have in some occasionsdifficulties in identifying the patients’ needs and prioritize intervention inaccordance with the patients’ preferences, which is to obtain social and emotional support. The overall aim was to explore and describe which supportive interventions registered nurses use in municipal elderly home care settings and if it is in agreement with the patient’s preferences. Methods: A retrospective descriptive study (I ) were conducted and followed up by a qualitative approach with Grounded Theory as a method (II IV ). Sample to study; I , registered nurses (62) performed interventions to 6138 patients between 80- 109 years. II , 12 registered nurses, who performed 36 home visits to patients between 80- 102 years. III , 16 registered nurses. IV , 18 patients between 80- 96 years. Data was collected by; I , between 2004- 2008, during the months of April and October using a web- based form which was filled in by registered nurses. II , through nonparticipant observations when the registered nurse made a home visit. III and IV , using informal conversational interviews. Results: Combined, the four studies show that emotional support is important to a group of older patients because it helps them to experience serenity. Serenity is a state of relief and the moment required for the patient to be able to move forward in a dignify way. Patients lost or reduced ability to process their emotions makes so that they get stuck in a state, which fatigue them with additional experience of disease and illness. To get out of their state the patient uses the registered nurse as a reliever whose mission is to identify their needs and guide them into a state of serenity. Registered nurses on the other hand, makes priorities based on patients preferences. Registered nurses strengths was their profession that contributed to the patient's emotions became available to them. Weaknesses was registered nurses workload and lack of knowledge about the identification of emotions. Emotional support should be developed as a nursing intervention and be integrated as a part of nursing.

Place, publisher, year, edition, pages
Örebro: Örebro universitet, 2014. p. 70
Series
Örebro Studies in Care Sciences 45, ISSN 1652-1153 ; 45
Keywords
Emotion, elderly home care, intervention, priorities, support, registered nurse, older patients, serenity
National Category
Medical and Health Sciences Nursing
Identifiers
urn:nbn:se:hh:diva-25804 (URN)978-91-7668-940-0 (ISBN)
Public defence
2013-06-14, Hörsal 2 Prismahuset, HSP2, Örebro universitet, Fakultetsgatan 1, Örebro, 14:10 (English)
Opponent
Available from: 2014-06-27 Created: 2014-06-23 Last updated: 2015-02-18Bibliographically approved
Norell Pejner, M. (2014). The bright side of life Support in municipal elderly home care. In: : . Paper presented at Nordic Conference in Nursing Research - Methods and Networks for the future, 10-12 June 2014, Odense, Denmark.
Open this publication in new window or tab >>The bright side of life Support in municipal elderly home care
2014 (English)Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

Registered nurses in municipal elderly home care have in some oc-casions difficulties in identifying the patients’ needs and prioritize intervention in accordance with the patients’ preferences. The overall aim was to explore and describe which supportive intervention regis-tered nurses use in municipal elderly home care settings and if it is in agreement with the patient’s preferences. Methods: One retrospective descriptive study (I) were conducted and followed up by three qualitative studies using Grounded Theory as a method (II-IV). Grounded Theory allow to explore actions/ interac-tions and processes that occur between complex social phenomena. A process is seen as a continuous action in relation to a determinate purpose to reach a goal with a problem or a situation and actors can choose actions to influence the course of events. Results: Combined, the four studies show in a substantive theory that supportive interventions were based on patients preferences and guided by their emotions. The aim with the emotional support was that the patient would experience serenity. Serenity is a state of relief and the moment required for the patient to be able to move forward with dignity. Patients lost or reduced ability to process their emotions makes that they get stuck in a state, which fatigue them with additional experience of disease and illness. To get out of their state the patient uses the registered nurse as a reliever whose mis-sion is to identify their needs and guide them into a state of serenity. The theory also shows the strengths and weaknesses in the process. Emotional support should be developed as a nursing intervention and be integrated as a part of nursing.

National Category
Health Sciences
Identifiers
urn:nbn:se:hh:diva-25803 (URN)
Conference
Nordic Conference in Nursing Research - Methods and Networks for the future, 10-12 June 2014, Odense, Denmark
Available from: 2014-06-23 Created: 2014-06-23 Last updated: 2015-02-18Bibliographically approved
Norell Pejner, M., Ziegert, K. & Kihlgren, A. (2012). Care priorities: Registered nurses’ clinical daily work in municipal elderly care settings. Scandinavian Journal of Caring Sciences, 27(2), 388-395
Open this publication in new window or tab >>Care priorities: Registered nurses’ clinical daily work in municipal elderly care settings
2012 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 27, no 2, p. 388-395Article in journal (Refereed) Published
Abstract [en]

Common in Swedish elderly home care is that Registered Nurses work independently, and lead the care team without being a part of it. People involved in the care of the patient can be social services, physician, Registered Nurse (RN), nurses in inpatient care and family. Inaccording to current model for nursing documentation RNs interventions is described as participation, information/education, support, environment, general care, training, observation/surveillance, special care drug administration and coordination. Time pressure isperceived as high, but the nurses have the opportunity to influence their daily work situation and make priorities. The purpose of this study was to investigate how RNs prioritise interventions in municipal elderly care settings. A quantitative descriptive method was used for the study. Data were collected during the months of April and October 2004 – 2008, using a web-based form. The nurses filled in patient’s type of housing, performed interventions, and if the interventions were delegated. Interventions were described as keywords and wereattributed a certain amount of time, calculated in previous time studies. The inclusion criteria were: all patients 80 years of age and older, in a municipality in southwestern Sweden, who received some form of health care from a RN, or performed by non-certified staff by delegation. Results indicate that differences in priority could be observed, depending on the patient’s gender, or whether the patient was living in independent or sheltered housing. Drug administration was prioritised for female patients, while coordination became a priority for patients living in ordinary housing. Support received the highest priority, regardless if the patient lived in ordinary or sheltered housing. However, it is not entirely clear what support signifies in municipal health care settings, and this issue would therefore require further investigation. © 2012 Nordic College of Caring Science.

Place, publisher, year, edition, pages
Chichester: Wiley-Blackwell, 2012
Keywords
delegation, elderly, home care, intervention, municipal care, priorities, Registered Nurse, support
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-19324 (URN)10.1111/j.1471-6712.2012.01051.x (DOI)000318815700023 ()23003218 (PubMedID)2-s2.0-84877795395 (Scopus ID)
Available from: 2012-08-23 Created: 2012-08-23 Last updated: 2018-03-22Bibliographically approved
Norell Pejner, M., Ziegert, K. & Kihlgren, A. (2012). Dealing with daily emotions – supportive activities for the elderly in a municipal care setting. International Journal of Qualitative Studies on Health and Well-being, 7(9510)
Open this publication in new window or tab >>Dealing with daily emotions – supportive activities for the elderly in a municipal care setting
2012 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 7, no 9510Article in journal (Refereed) Published
Abstract [en]

There are diverse descriptions of supportive activities in nursing to be found in the literature. That which they have in common is their association with good care outcomes, but they may differ depending on the context in which the care is given. In a Swedish municipal elderly care setting registered nurses work in a consultative way and they describe a part of their tasks as being comprised of supportive activities without specifying what kind supportive activities they mean. The aim of the study was to explore the main concern of the support given by registered nurses to a group of patients in an elderly home care setting. The study was conducted using Grounded Theory (GT). Data was collected using non participant observations regarding the supportive activities of 12 registered nurses at the home of 36 patients between 80 and 102 years. The core category was about dealing with today's emotions. This was done by encouraging the situation and reducing patient's limitations, but situations also occurred in which there was a gap of support. Support was about capture the emotions that the patient expressed for the moment, but there were also situations in which registered nurses chose not to give support. In order to develop a holistic eldercare more knowledge is needed about the factors causing the registered nurses to choose not to provide support on some occasions. Copyright © 2012 N. Dauman & S. I. Erlandsson.

Place, publisher, year, edition, pages
Basingstoke: Taylor & Francis, 2012
Keywords
support, maintaining wellness, municipal care, the elderly
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-17556 (URN)10.3402/qhw.v7i0.9510 (DOI)000300455000001 ()22312410 (PubMedID)2-s2.0-84875208481 (Scopus ID)
Available from: 2012-04-25 Created: 2012-04-24 Last updated: 2018-03-22Bibliographically approved
Norell Pejner, M., Ziegert, K. & Kihlgren, A. (2012). Dealing with today’s emotions - supportive activities for the elderly in a municipal care setting. In: : . Paper presented at Vårdforskningens dag – Individen i Fokus, Universitetssjukhuset Örebro, Örebro, Sverige, 14 november, 2012.
Open this publication in new window or tab >>Dealing with today’s emotions - supportive activities for the elderly in a municipal care setting
2012 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Background; There are diverse descriptions of supportive activities in nursing to be found in the literature. That which they have in common is their association with good care outcomes, but they may differ depending on the context in which the care is given. In a Swedish municipal elderly care setting registered nurses work in a consultative way and they describe a part of their tasks as being comprised of supportive activities without specifying what kind supportive activities they mean. Aim; The aim of the study was to explore the main concern of the support given by registered nurses to a group of patients in an elderly home care setting. Method; The study was conducted using Grounded Theory (GT). Data was collected using non participant observations regarding the supportive activities of 12 registered nurses at the home of 36 patients between 80 and 102 years. Result; The core category was about dealing with today's emotions. This was done by encouraging the situation and reducing patient's limitations, but situations also occurred in which there was a gap of support. Support was about capture the emotions that the patient expressed for the moment, but there were also situations in which registered nurses chose not to give support. Conclution; The main purpose of supportive activities to a group of elderly persons in a municipal care setting is about dealing with today's emotions. The core category reflects the moment and emotions significance in the care of elderly. In some occasions it occurred a gap of support and this coincided with the inability of the RN to identify the patient’s inner needs. In order to develop a holistic elderly care more knowledge about psychological and spiritual needs is needed.

National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-21976 (URN)
Conference
Vårdforskningens dag – Individen i Fokus, Universitetssjukhuset Örebro, Örebro, Sverige, 14 november, 2012
Available from: 2013-05-02 Created: 2013-05-02 Last updated: 2018-03-22Bibliographically approved
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Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-1174-2523

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