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Skär, Lisa
Publications (10 of 17) Show all publications
Skär, L., Grankvist, O. & Söderberg, S. (2020). Factors of importance for developing a trustful patient-professional relationship when women undergo a pelvic examination. Health Care for Women International
Open this publication in new window or tab >>Factors of importance for developing a trustful patient-professional relationship when women undergo a pelvic examination
2020 (English)In: Health Care for Women International, ISSN 0739-9332, E-ISSN 1096-4665Article in journal (Refereed) Epub ahead of print
Abstract [en]

We examined gynecological teaching women’s perception on what factors are important for developing a trustful patient-professional relationship when women undergo a pelvic examination. A qualitative research design was conducted with repeated focus group discussions. Our results show that healthcare professionals’ communications skills can strengthen a trustful patient-professional relationship. Treating women with dignity could make them feel less vulnerable and make the relationship trustworthy based on respect. Thus, having the ability to identify factors important for a trustful relationship may support healthcare professional’s ability to strengthen women’s health issues. A trustful relationship might also affect quality of care. © 2020, © 2020 Taylor & Francis Group, LLC.

Place, publisher, year, edition, pages
Taylor and Francis Inc., 2020
Keywords
adult, article, controlled study, female, human, human dignity, pelvic examination, perception, professional-patient relationship, qualitative research, skill, teaching, women's health
National Category
Nursing
Identifiers
urn:nbn:se:bth-19174 (URN)10.1080/07399332.2020.1716234 (DOI)000507818800001 ()2-s2.0-85078014420 (Scopus ID)
Available from: 2020-02-06 Created: 2020-02-06 Last updated: 2020-02-26Bibliographically approved
Robertsen, I. L. & Skär, L. (2020). Oncology nurses’ experiences of meeting with men with cancer-related fatigue: a qualitative study. Scandinavian Journal of Caring Sciences
Open this publication in new window or tab >>Oncology nurses’ experiences of meeting with men with cancer-related fatigue: a qualitative study
2020 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background: Cancer treatment often causes side effects, among which fatigue is common and can persist for years among disease-free cancer survivors. Living with fatigue can lead to reduced life expectancy and quality of life. Aims and objectives: To describe oncology nurses’ experiences of meeting with men with cancer and talking about cancer-related fatigue. Design and Methods: The data were collected via semi-structured interviews with nine oncology nurses recruited using a purposeful sampling method and analysed using thematic content analysis. This qualitative design was conducted to describe and interpret the content of experiences. Ethical issues and approval: The study was approved by a regional Ethical Review Board, and research ethical principles were followed. Results: The analysis revealed one major theme, namely take the whole person into consideration, and three subthemes: the importance of (i) establishing trust in the nurse–patient relationship, (ii) supporting the patient’s understanding of cancer-related fatigue, and (iii) managing the challenging emotions experienced by patients. The major theme describes the oncology nurses’ approach when meeting with men with cancer-related fatigue. Conclusion: The results provide insight into how oncology nurses can increase their knowledge about fatigue to establish trust in nurse–patient relationships. They can acquire knowledge about how to make men with cancer-related fatigue feel safe when handling their daily lives despite their fatigue. Oncology nurses require knowledge, presence and commitment in their interactions with men with cancer-related fatigue to be able to take the whole person into consideration. This study demonstrates the importance of the approach oncology nurses take when interacting with men with cancer-related fatigue and the strategies required when talking about cancer-related fatigue. © 2020 The Authors. Scandinavian Journal of Caring Sciences published by John Wiley & Sons Ltd on behalf of Nordic College of Caring Science

Place, publisher, year, edition, pages
Blackwell Publishing Ltd, 2020
Keywords
cancer nurse, cancer-related fatigue, content analysis, men with cancer, qualitative method
National Category
Nursing
Identifiers
urn:nbn:se:bth-19345 (URN)10.1111/scs.12841 (DOI)2-s2.0-85081725144 (Scopus ID)
Note

Open access

Available from: 2020-03-30 Created: 2020-03-30 Last updated: 2020-03-30Bibliographically approved
Juuso, P., Skär, L. & Söderberg, S. (2020). Recovery despite everyday pain: Women's experiences of living with whiplash-associated disorder. Musculoskeletal Care
Open this publication in new window or tab >>Recovery despite everyday pain: Women's experiences of living with whiplash-associated disorder
2020 (English)In: Musculoskeletal Care, ISSN 1478-2189, E-ISSN 1557-0681Article in journal (Refereed) Epub ahead of print
Abstract [en]

Introduction: Living with whiplash-associated disorders (WAD) means living every day under the influence of pain and limitations. As the incidence of WAD and the related intensity of pain are somewhat higher among women than men, the aim of the present study was to describe women's experiences of living with WAD. Methods: A purposive sample of seven women participated in individual in-depth qualitative interviews, the transcripts of which were subjected to qualitative content analysis. Results: The results of the analysis suggested six themes of women's experiences with WAD: living with unpredictable pain; trying to manage the pain; living with limitations; being unable to work as before; needing support and understanding; and learning to live with limitations. The findings showed that unpredictable pain limited women's strength to engage in activities of daily life and be as active as before. Support and understanding were important for their ability to manage changes in their daily lives. Conclusions: Pain considerably affects the daily lives of women with WAD, particularly by limiting their ability to perform activities and to enjoy their professional and social lives. As women with WAD need support with managing their daily lives, nurses and other healthcare personnel should adopt a person-centred approach, in order to support such women according to their individual needs and circumstances. © 2020 John Wiley & Sons, Ltd.

Place, publisher, year, edition, pages
John Wiley and Sons Ltd, 2020
Keywords
nursing, qualitative research, whiplash-associated disorder, women's health
National Category
Nursing
Identifiers
urn:nbn:se:bth-19135 (URN)10.1002/msc.1434 (DOI)000506259700001 ()2-s2.0-85077904809 (Scopus ID)
Available from: 2020-01-23 Created: 2020-01-23 Last updated: 2020-01-23Bibliographically approved
Christiansen, L., Sanmartin Berglund, J., Lindberg, C., Anderberg, P. & Skär, L. (2019). Health-related quality of life and related factors among a sample of older people with cognitive impairment. Nursing Open, 6(3), 849-859
Open this publication in new window or tab >>Health-related quality of life and related factors among a sample of older people with cognitive impairment
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2019 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 6, no 3, p. 849-859Article in journal (Refereed) Published
Abstract [en]

Aim: This study aimed to identify factors affecting health-related quality of life (HRQoL) of older adults with cognitive impairment and to describe the association of these factors with different components of HRQoL. Design: A cross-sectional, descriptive research design was used. Methods: Data were collected from 247 individuals aged 60 years and older from a Swedish longitudinal cohort study. The Short-Form Health Survey-12 (SF-12) and EuroQol (EQ-5D) were used to assess HRQoL. The data were analysed using descriptive and comparative statistics. Results: The present study identified several factors that influenced HRQoL of older adults with cognitive impairment. The results of a multiple logistic regression analysis revealed that the following factors were associated with physical and mental HRQoL: dependency in activities of daily living (ADL), receiving informal care and feelings of loneliness and pain. © 2019 The Authors. Nursing Open published by John Wiley & Sons Ltd.

Place, publisher, year, edition, pages
Wiley-Blackwell Publishing Ltd, 2019
Keywords
ageing, cognitive impairment, EuroQol, health-related quality of life, Short-Form Health Survey-12
National Category
Nursing
Identifiers
urn:nbn:se:bth-18618 (URN)10.1002/nop2.265 (DOI)000476917700022 ()2-s2.0-85069794910 (Scopus ID)
Note

open access

Available from: 2019-09-10 Created: 2019-09-10 Last updated: 2019-09-13Bibliographically approved
Andersson, E. K., Dellkvist, H., Johansson, U. B. & Skär, L. (2019). Relatives' experiences of sharing a written life story about a close family member with dementia who has moved to residential care: An interview study. Nursing Open, 6(2), 276-282
Open this publication in new window or tab >>Relatives' experiences of sharing a written life story about a close family member with dementia who has moved to residential care: An interview study
2019 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 6, no 2, p. 276-282Article in journal (Refereed) Published
Abstract [en]

Aim The aim of this study was to describe relatives' experiences of sharing a written life story about a close family member with dementia who has moved to residential care. Design An explorative descriptive qualitative design was used. Methods The data were collected using semi-structured interviews with a purposeful sample of eight relatives and analyzed using a qualitative content analysis. Results Results show that creating and sharing the life story of a close family member could help relatives handle grief and stress. It was perceived as an important, yet difficult, task to ensure that the close family member got good quality care. The creation of a meaningful life story takes time and requires cooperation with family members and other significant people.

Place, publisher, year, edition, pages
WILEY, 2019
Keywords
dementia, experiences, life story, person-centred care, relative, residential care
National Category
Nursing Geriatrics
Identifiers
urn:nbn:se:bth-17775 (URN)10.1002/nop2.208 (DOI)000461835600008 ()30918679 (PubMedID)
Note

open access

Available from: 2019-04-05 Created: 2019-04-05 Last updated: 2019-04-05Bibliographically approved
Romare, C., Hass, U. & Skär, L. (2018). Healthcare professionals' views of smart glasses in intensive care: A qualitative study. Intensive & Critical Care Nursing, 45, 66-71
Open this publication in new window or tab >>Healthcare professionals' views of smart glasses in intensive care: A qualitative study
2018 (English)In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 45, p. 66-71Article in journal (Refereed) Published
Abstract [en]

Objective: The aim of this study was to describe healthcare professionals' views of smart glasses before their implementation in an intensive care unit, both regarding quality of use of the glasses and to identify possible intensive care situations where the glasses could be used to increase patient safety. Methods: Data were generated through focus group interviews and analysed using thematic content analysis. Findings: The findings describe participants' views of smart glasses divided into three categories; Smart glasses to facilitate work at intensive care unit; Quality of use and Utilisation. Participants assumed smart glasses to cause both effect and affect in intensive care. Participants' concern for patients arose recurrently and through their concern intention to work to promote patient safety. Conclusion: Smart glasses are suggested as a complement to existing monitoring and routines and cannot replace human presence in intensive care. © 2017 The Authors.

Place, publisher, year, edition, pages
Elsevier, 2018
Keywords
Critical care, Focus groups, Intensive care units, Monitoring physiologic, Patient safety, Patient-centred care, Qualitative research, Smart glasses, Surveillance
National Category
Nursing
Identifiers
urn:nbn:se:bth-15738 (URN)10.1016/j.iccn.2017.11.006 (DOI)000427792500012 ()2-s2.0-85039550176 (Scopus ID)
Available from: 2018-01-11 Created: 2018-01-11 Last updated: 2018-04-06Bibliographically approved
Nygren Zotterman, A., Skär, L. & Söderberg, S. (2018). Meanings of encounters for close relatives of people with a long-term illness within a primary healthcare setting. Primary Health Care Research and Development, 19(4), 392-397
Open this publication in new window or tab >>Meanings of encounters for close relatives of people with a long-term illness within a primary healthcare setting
2018 (English)In: Primary Health Care Research and Development, ISSN 1463-4236, E-ISSN 1477-1128, Vol. 19, no 4, p. 392-397Article in journal (Refereed) Published
Abstract [en]

Background: Encounters play an important role in the relationship between healthcare personnel and the close relatives of people with a long-term illness. Aim: The aim of this study was to elucidate the meanings of encounters for close relatives of people with a long-term illness within a primary healthcare setting. Methods: Interviews using a narrative approach were conducted with seven women and three men, and the phenomenological hermeneutic method was used to interpret the interview texts. Results: The structural analysis revealed three major themes: being confirmed as a family, being informed of the care, and being respected as a valuable person. Close relatives stated that they wanted to be confirmed as a family and have a familiar and trusting relationship with healthcare personnel. They valued being informed concerning the care of the ill person so that they could give support at home. It was also important to be compassionately viewed as an important person in a welcoming atmosphere based on respect and dignity. © Cambridge University Press 2018

Place, publisher, year, edition, pages
Cambridge University Press, 2018
Keywords
close relatives, narrative interviews, people with long-term illness, phenomenological hermeneutics, primary healthcare, adult, article, atmosphere, clinical article, female, health care personnel, hermeneutics, human, human dignity, human experiment, interview, male, narrative, primary health care, relative, structure analysis
National Category
Nursing
Identifiers
urn:nbn:se:bth-16083 (URN)10.1017/S1463423618000178 (DOI)000439350700008 ()2-s2.0-85044396737 (Scopus ID)
Available from: 2018-04-06 Created: 2018-04-06 Last updated: 2018-08-21Bibliographically approved
Skär, L. & Söderberg, S. (2018). Patients' complaints regarding healthcare encounters and communication. Nursing Open, 5(2), 224-232
Open this publication in new window or tab >>Patients' complaints regarding healthcare encounters and communication
2018 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 5, no 2, p. 224-232Article in journal (Refereed) Published
Abstract [en]

Aim: To explore patient-reported complaints regarding communication and healthcare encounters and how these were responded to by healthcare professionals. Design: A retrospective and descriptive design was used in a County Council in northern part of Sweden. Both quantitative and qualitative methods were used. Methods: The content of 587 patient-reported complaints was included in the study. Descriptive statistical analysis and a deductive content analysis were used to investigate the content in the patient-reported complaints. Results: The results show that patients' dissatisfaction with encounters and communication concerned all departments in the healthcare organization. Patients were most dissatisfied when they were not met in a professional manner. There were differences between genders, where women reported more complaints regarding their dissatisfaction with encounters and communication compared with men. Many of the answers on the patient-reported complaints lack a personal apology and some of the patients failed to receive an answer to their complaints.

Place, publisher, year, edition, pages
WILEY, 2018
Keywords
communication, nurse-patient relationship, patient advisory committee, patient complaints, quality of health care
National Category
Nursing
Identifiers
urn:nbn:se:bth-16105 (URN)10.1002/nop2.132 (DOI)000428455600014 ()29599998 (PubMedID)
Note

open access

Available from: 2018-04-19 Created: 2018-04-19 Last updated: 2018-04-19
Skär, L. & Söderberg, S. (2018). The importance of ethical aspects when implementing eHealth services in healthcare: A discussion paper. Journal of Advanced Nursing, 74(5), 1043-1050
Open this publication in new window or tab >>The importance of ethical aspects when implementing eHealth services in healthcare: A discussion paper
2018 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 74, no 5, p. 1043-1050Article in journal, Editorial material (Other academic) Published
Abstract [en]

AimThe aim of this paper was to discuss the importance of ethical aspects when implementing eHealth services in health care. BackgroundChallenges in healthcare today include a growing older population and, as a consequence, an increased need for healthcare services. One possible solution is the use of eHealth services. DesignDiscussion paper. Data sourcesResearch literature published from 2000-2017 in CINAHL, PubMed and Scopus. Implications for nursingImplementing eHealth services in health care involves ethical challenges where different technologies can solve different problems in different ways. eHealth services should therefore be developed and implemented based on the patient's specific needs and conditions for use and in accordance with the healthcare professionals' presumption to provide high-quality care. ConclusionTo preserve patients' integrity, dignity and autonomy, healthcare professionals must include ethical aspects when implementing and using eHealth services in health care. Healthcare professionals have to take responsibility for the eHealth services introduced, explaining why and how they are implemented based on a person-centred approach. More knowledge is needed about ethical aspects when implementing eHealth services to improve the quality of care.

Place, publisher, year, edition, pages
WILEY, 2018
Keywords
autonomy, dignity, eHealth, ethical aspects, health care, implementation, nursing, participation, person-centred care, quality care
National Category
Nursing
Identifiers
urn:nbn:se:bth-16148 (URN)10.1111/jan.13493 (DOI)000430121900007 ()29105151 (PubMedID)
Available from: 2018-05-04 Created: 2018-05-04 Last updated: 2018-05-07Bibliographically approved
Holst, A. & Skär, L. (2017). Formal caregivers' experiences of aggressive behaviour in older people living with dementia in nursing homes: A systematic review. International Journal of Older People Nursing, 12(4), Article ID e12158.
Open this publication in new window or tab >>Formal caregivers' experiences of aggressive behaviour in older people living with dementia in nursing homes: A systematic review
2017 (English)In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 12, no 4, article id e12158Article in journal (Refereed) Published
Abstract [en]

Aim: The purpose of this study was to investigate formal caregivers' experiences of aggressive behaviour in older people living with dementia in nursing homes. Background: Aggressive behaviour symptoms among older people living with dementia are reported to be prevalent. As aggressive behaviour includes both verbal and physical behaviours, such as kicking, hitting and screaming, it causes an increased burden on formal caregivers. Professionals experiencing this aggression perceived it as challenging, causing physical and psychological damage, leading to anger, stress and depression. Methods: A systematic review was conducted. A search of published research studies between 2000 and 2015 was conducted using appropriate search terms. Eleven studies were identified and included in this review. Results: The analysis resulted in four categories: formal caregivers' views on triggers of aggression, expressions of aggression, the effect of aggressive behaviours on formal caregivers and formal caregivers' strategies to address aggression. The results show that aggressive behaviour may lead to negative feelings in formal caregivers and nursing home residents. Conclusion: The results of this study suggest that having the ability to identify triggers possibly assists caregivers with addressing aggressive behaviour. Aggressive behaviour might also affect quality of care. Implications for practice: Results from this systematic review indicate that caregivers prefer person-centred strategies to handle aggressive behaviour among older people, while the use of pharmaceuticals and coercion strategies is a last resort. © 2017 John Wiley & Sons Ltd.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2017
Keywords
Aggressive behaviour, Behavioural and psychological symptoms of dementia, Dementia, Nursing, Nursing home, Qualitative, Systematic review
National Category
Nursing Geriatrics
Identifiers
urn:nbn:se:bth-15021 (URN)10.1111/opn.12158 (DOI)000416161000005 ()2-s2.0-85021751195 (Scopus ID)
Available from: 2017-08-23 Created: 2017-08-23 Last updated: 2018-01-16Bibliographically approved
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