Scandinavian journal of caring sciences
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Measuring patients' experiences has been a major task for health care organisations during the past decade. The discharge process is identified as a vulnerable component of health care in need of assessment, especially when it concerns elderly persons. There are no published reviews or systematic assessment of the existing instruments developed to capture patients' perspective on the discharge process. ⋯ The main focus is on the information flow from the professional to the patient and never vice versa. Few of the instruments studied/analysed to what degree the patients were invited to share their knowledge, and none of the instruments inquired whether, in the patients' experiences, their perspective was taken into account. The major finding of the review is that none of the existing instruments capture the full range of participation, nor do they cover those areas of the discharge process identified by elderly patients themselves as the most essential.
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Bullying may have a number of negative health impacts on children. Previous studies have mainly explored negative health consequences related to being bullied. A different approach is to explore how these phenomena are related to the school child's quality of life (QOL). ⋯ Four main themes were identified: teasing and fighting, emotional reactions to being left alone or excluded, the need for friends to achieve the dream day and stopping the bullying immediately. The participants said that being bullied made them feel helpless, lonely and excluded. They wanted the bullying to be recognized, assistance from the school staff to stop the bullying, and to be included by their peers.
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To better understand the phenomenon of patient-related barriers to cancer pain management and address them more effectively in interventional studies, a theoretical model related to psychological aspects of pain experience and pain-related behaviours was elaborated. The aim of the study was to analyse the impact of patient-related barriers on cancer pain management outcomes following this model. ⋯ The results of the multivariable linear regression analyses showed that pain intensity was explained by patients' emotional distress (symptoms of anxiety and depression) and that pain relief was explained by cognitive barriers. In conclusion, interventions in emotional distress and patients' concerns may supposedly result in better cancer pain management outcomes.
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In nursing science, concept development is a necessary prerequisite for meaningful basic research. Rodgers' evolutionary concept analysis is a method for developing knowledge in nursing science. The purpose of this article is to present Rodgers' evolutionary concept analysis as a valid scientific method. ⋯ While an interdisciplinary perspective which stresses the similarities and dissimilarities of how a concept is used in various disciplines can increase knowledge of a concept, it is important to clarify the specific with the discipline. Nursing research should focus on the unambiguous use of concepts, for which Rodgers' method constitutes a possible method. The importance of using quality criteria to determine the inclusion of material should, however, be emphasised in the continued development of the method.