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  • 51.
    Ström, M.
    et al.
    Research and Development Unit, Primary Health Care, Halland, Sweden.
    Marklund, B.
    Research and Development Unit, Primary Health Care, Halland, Sweden.
    Hildingh, Cathrine
    Research and Development Unit, Primary Health Care, Halland, Sweden.
    Nurses' perceptions of providing advice via a telephone care line2006In: British Journal of Nursing, ISSN 0966-0461, E-ISSN 2052-2819, Vol. 15, no 20, p. 1119-1125Article in journal (Refereed)
    Abstract [en]

    The provision of advice over the telephone in the health service has become more common in the Western world and in Sweden this task is allocated to nurses. There are several million calls a year to the medical care telephone helpline. Nurses answer the calls, provide advice and direct the flow of patients to the most appropriate treatment level. The aim of this study was to describe how nurses perceive their job of providing telephone advice to patients. Interviews with 12 nurses were analyzed using a phenomenographic approach. The nurses perceived their work as stimulating, autonomous and challenging. They also felt exposed because extensive knowledge is required and there is a risk of being criticized, as they are in a front-line position. Nurses who are responsive, determined and not anxious about their prestige can carry out the work well, provided they have a good level of self-awareness. Personal qualities and the confidence of superiors make even an exposed position with considerable requirements manageable.

  • 52.
    Ström, Mayvor
    et al.
    Research and Development Unit, Primary Health Care, Halland, Sweden.
    Baigi, Amir
    Research and Development Unit, Primary Health Care, Halland, Sweden.
    Hildingh, Cathrine
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Marklund, Bertil
    Research and Development Unit, Primary Health Care, Halland, Sweden.
    Mattsson, Bengt
    Sahlgrenska School of Public Health and Community Medicine, University of Gothenburg, Gothenburg, Sweden.
    Patient care encounter with the MCHL: a questionnaire study2011In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 25, no 3, p. 517-524Article in journal (Refereed)
    Abstract [en]

    Background: Both internationally and nationally, the medical care help line (MCHL) is a growing operation within the healthcare field. In Sweden, approximately 5 million calls per year are processed. The service is managed by specially trained nurses. Aim: To describe how patients' sex, age, education level and care level influenced their perceptions of care encounters with the MCHL. Methodological design and instrument: A questionnaire was designed through the operationalisation of terms based on a previous interview study with MCHL callers. It was distributed to 858 callers in a region of southwest Sweden. The questionnaire was comprised of 14 visual analogue scales (VAS). Validity and reliability were determined to be acceptable by a pilot study and factor analyses. Results: Response frequency n=517 (60.4%). Three factors, interaction, service and product, emerged to describe high satisfaction with the MCHL from different perspectives. The items 'friendliness', 'respect', 'confirmation', 'accessibility' and 'simplicity' scored highest, whereas the 'joint decision-making', 'composure' and 'time' items had the lowest values. Conclusions and relevance to clinical nursing: A new questionnaire with acceptable validity and reliability was created on the basis of an interview study examining patient encounters with the MCHL. The new questionnaire may provide useful support in the education of MCHL nurses and other nurses in telephone triage. It can also be used for quality development and as a basis for further research on telephone nursing.

  • 53.
    Ström, Mayvor
    et al.
    Research and Development Unit, Primary Health Care, Halland.
    Marklund, Bertil
    Research and Development Unit, Primary Health Care, Halland.
    Hildingh, Cathrine
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Callers' perceptions of receiving advice via a medical care help line2008Conference paper (Refereed)
    Abstract [en]

    Background: Telephone consultations with specially trained nurses are becoming an increasingly common form of care.

    Aim: To describe patients' perceptions of receiving advice via a medical care help line.

    Results: The patients perceived the help line as a professional, reliable and easily accessible asset in everyday life, that self-care is promoted through personal advice and that the help line is apartner with whom one can discuss reflections and feelings. It is also a kind of ́back uṕ. The advice service is perceived as satisfactory when the nurse is calm, friendly, confirming and shows respect. Compliance and acceptance are enhanced when patients feel involved in the decision-making process. The fact that the service is easily accessible is perceived as simple and time saving.

    Conclusions: Seen from the patients perspective, the telephone contact with the help line is a simple, easily accessible and secure alternative that is appreciated and used. Caring encounters gave rise to feelings, influenced by the agreement between onés own needs and expectations, the encounter between human beings and the care provided. More in-depth studies is needed focusing on the patient́s perspective and characterizes of the caring encounter over the telephone. Relevance to clinical nursing: Improved understanding of the patient́s perspective on the care provided leads to increased staff satisfaction and motivation. Care encounters over the phone are common today for nurses and their well-being at work is beneficial for both themselves and thecare they provide and thereby for the patients.

  • 54.
    Ström, Mayvor
    et al.
    Research and Development Unit, Primary Health Care, Halland.
    Marklund, Bertil
    Research and Development Unit, Primary Health Care, Halland.
    Hildingh, Cathrine
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Callers' perceptions of receiving advice via a medical care help line2009In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 23, no 4, p. 682-690Article in journal (Refereed)
    Abstract [en]

    Background:

    Telephone consultations with specially trained nurses are becoming an increasingly common form of care.

    Aim:

    To describe patients' perceptions of receiving advice via a medical care help line.

    Results:

    The patients perceived the help line as a professional, reliable and easily accessible asset in everyday life, that self-care is promoted through personal advice and that the help line is a partner with whom one can discuss reflections and feelings. It is also a kind of 'back up'. The advice service is perceived as satisfactory when the nurse is calm, friendly, confirming and shows respect. Compliance and acceptance are enhanced when patients feel involved in the decision-making process. The fact that the service is easily accessible is perceived as simple and time saving.

    Conclusions:

    Seen from the patient's perspective, the telephone contact with the help line is a simple, easily accessible and secure alternative that is appreciated and used. Caring encounters gave rise to feelings, influenced by the agreement between one's own needs and expectations, the encounter between human beings and the care provided. More in-depth studies is needed focusing on the patient's perspective and characterizes of the caring encounter over the telephone.

    Relevance to clinical nursing:

    Improved understanding of the patient's perspective on the care provided leads to increased staff satisfaction and motivation. Care encounters over the phone are common today for nurses and their well-being at work is beneficial for both themselves and the care they provide and thereby for the patients.

  • 55.
    Wendt, Eva
    et al.
    Research and Development Unit, Primary Health Care, Falkenberg, Sweden.
    Hildingh, Cathrine
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Lidell, Evy
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Westerståhl, Anna
    Department of Public Health and Community Medicine, Göteborg University, Göteborg, Sweden.
    Baigi, Amir
    Department of Public Health and Community Medicine, Göteborg University, Göteborg, Sweden.
    Marklund, Bertil
    Department of Public Health and Community Medicine, Göteborg University, Göteborg, Sweden.
    Young women's sexual health and their views on dialogue with health professionals2007In: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 86, no 5, p. 590-595Article in journal (Refereed)
    Abstract [en]

    BACKGROUND:

    Many women who experience sexual problems or who have been subjected to sexual abuse, do not seek help, and often health professionals avoid raising such issues. The aim of this study was to describe young women's sexual health and their views on a dialogue about aspects of sexuality in connection with a gynecologic examination.

    METHOD:

    Cross-sectional study. Women, 23, 26 and 29 years of age, called for gynecologic screening between March and July 2006 (n=488; response rate 75%). Descriptive statistics, multiple logistic regression and bivariate analysis were used.

    RESULTS:

    The majority (95%) had a positive attitude towards sexuality, although many women reported sexual problems, and one-fifth (22%) were dissatisfied with their sex life. Women considered it appropriate to be asked about sexuality in general (92%), while a majority (72%) found questions about sexual abuse appropriate. However, depending on the area, the majority (76-99%) had never been asked such questions. Demographic variables, aspects of life, sexuality and sexual abuse were irrelevant for whether women considered it appropriate to be asked questions about aspects of sexuality, by a midwife/doctor in connection with a gynecologic examination.

    Conclusion:

    The result can activate health professionals to initiate a dialogue about sexual issues among young women. In this way, many women who experience sexual problems or have been subjected to sexual abuse, may be provided the opportunity to improve their sexual health.

  • 56.
    Wendt, Eva K.
    et al.
    Research and Development Unit, Primary Health Care, General Practice and Public Health, Falkenberg, Sweden.
    Lidell, Evy A. S.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Westerståhl, Anna K.E.
    Department of Public Health and Community Medicine, Göteborg University, Göteborg, Sweden.
    Marklund, Bertil R.G.
    Research and Development Unit, Primary Health Care, General Practice and Public Health, Falkenberg, Sweden.
    Hildingh, Cathrine I.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Young women's perceptions of being asked questions about sexuality and sexual abuse: a content analysis2011In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 27, no 2, p. 250-256Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: to describe young women's perceptions of being asked questions by midwives or doctors pertaining to sexuality and sexual abuse in connection with visits for gynaecological examination. DESIGN: a qualitative study. Data comprised responses to open-ended questions in a questionnaire and were analysed by qualitative content analysis. SETTING: a county in the south-west of Sweden. PARTICIPANTS: all of the 23-, 26- and 29-year-old women who attended eight midwife and youth centres for cervical screening during the period between March and July 2006 were invited to participate. The open-ended question about sexuality was answered by 413 women, and 409 women answered the question about sexual abuse, representing approximately 84% of the women who answered the questionnaire as a whole. FINDINGS: the data resulted in a total of eight categories and 31 codes, which showed the women's perceptions of being asked questions about sexuality and sexual abuse. Six of the categories dealt with why it was considered natural to be questioned. Health professionals can be trusted and questions can open up a dialogue as well as clarify the woman's situation. The context of a visit for a gynaecological examination is relevant and questions will make it possible for the professionals to strengthen the woman. Another reason was that sexuality is an essential part of life. Those women who felt that it would not feel natural to be asked questions about sexuality and sexual abuse considered that the context is wrong and that such questions will encroach on the woman's personal sphere. KEY CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: women's responses indicate that there are good reasons for midwives and doctors to raise questions about sexuality and sexual abuse when they meet young women. Taking opportunity to find those who have sexual problems and/or experience of sexual abuse could reduce the suffering of these women and lead to an economic gain to society. The provision of training and supervision for midwives and doctors is important to enhance the quality of conversations about sexual matters. In order to deal with such issues, it is necessary to have knowledge of sexual health, relationships and violence, as well as a professional stance and a good conversational technique.

  • 57.
    Wendt, Eva
    et al.
    Research and Development Unit, Primary Health Care, Falkenberg, Sweden.
    Marklund, Bertil
    Research and Development Unit, Primary Health Care, Falkenberg, Sweden.
    Lidell, Evy
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Hildingh, Cathrine
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Westerstål, Anna
    Department of Public Health and Community Medicine, University of Gothenburg, Göteborg, Sweden.
    Possibilities for dialogue on sexuality and sexual abuse: Midwives' and clinicians' experiences2011In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 27, no 4, p. 539-546Article in journal (Refereed)
    Abstract [en]

    Objective: To describe midwives’ and clinicians’ experiences of the possibilities and obstacles for dialogue with young women on sexuality and sexual abuse, focusing on the possibilities. Design: qualitative study with interview data analysed by qualitative content analysis. Setting: South-west Sweden. Participants: A purposive sample, consisting of 15 midwives, six gynaecologists and five general practitioners aged 30–65 years, was chosen in order to obtain as many different experiences as possible. The participants’ professional experiences varied, ranging from five to more than 35 years, and they were employed at youth clinics, primary health-care centres, gynaecology clinics, a specialist sexual medicine centre and antenatal care centres, situated in small and large cities. Findings: The participants described the respectful encounter that can be created when young women meet midwives and clinicians in the context of a gynaecological consultation. In this situation, there was a potential to strengthen women while attempting to improve their sexual health. Support from the organisation and the use of personal skills and assets were found to be promoting factors for dialogue. Lack of organisational support or communication skills and difficult emotions complicated the situation, which might, in turn, restrain midwives and clinicians from raising sexual issues. Implications for practice Increased knowledge, support and opportunities for reflection concerning dialogue regarding sexual issues might evoke the interest and intent of health professionals to approach these issues. Guidelines regarding dialogue about both sexuality and sexual abuse should be routine in health-care services.

12 51 - 57 of 57
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