• Ambulance clinicians’ responsibility when encountering patients in a suicidal process 

      Hammarbäck, Staffan; Holmberg, Mats; Wiklund Gustin, Lena; Bremer, Anders (Journal article; Tidsskriftartikkel; Peer reviewed, 2023-04-07)
      Background - Even though the traditional focus in emergency care is on life-threatening medical crisis, ambulance clinicians frequently encounter patients with mental illness, including suicidal ideation. A suicide is preceded by a complex process where most of the suicidal ideation is invisible to others. However, as most patients seek healthcare in the year before suicide, ambulance clinicians ...
    • Å skape handlingsrom for pasientsikkerhet i sykehjem. Sykepleieres erfaringer med å delta i simulering in situ på sykehjem 

      Lindgren, Sari Johanna; Høgbakk, Mona Lahm; Evju, Anne Svelstad; Wiklund Gustin, Lena (Chapter; Bokkapittel, 2021-01-08)
      Some patients in nursing homes require extra attention to enable staff to detect and manage deterioration at an early stage. Nursing skills are vital to make systematic observations and assessments of a patient’s condition. It is challenging for nurses in nursing homes to make professional decisions without being able to consult other nurses. To improve the quality and safety of health care for ...
    • Balancing between challenges and trust: Nursing students’ experiences of participating in a course in wilderness medicine 

      Evju, Anne Svelstad; Høgbakk, Mona Lahm; Lindgren, Sari Johanna; Wiklund Gustin, Lena (Journal article; Tidsskriftartikkel; Peer reviewed, 2020-08-31)
      Newly graduated nurses are expected to have acquired the knowledge and skills necessary to be safe and accountable practitioners (Maartensson and Lofmark, ¨ 2013). Hence, nursing students should not only develop cognitive knowledge about the what and how of nursing skills, but also about using evidence-based nursing practice. Bergen and Santo (2018, p. 362) defines action competence as ...
    • Battling extraordinary situations and conflicting emotions—A qualitative study of being a newly graduated Registered Nurse in the emergency department during the COVID-19 pandemic 

      Carnesten, Hillewi; Wiklund Gustin, Lena; Skoglund, Karin; von Heideken Wågert, Petra (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-05-28)
      Aim: To describe newly graduated registered nurses’ (NGRNs’) experiences of encountering stress in emergency departments (EDs) during the COVID-19 pandemic.<p><p> Design: A qualitative descriptive study. <p>Methods: Data from 14 in-depth interviews with NGRNs working in an ED for 3-36 months after graduation was analysed by the means of qualitative content analysis as described by Graneheim and ...
    • ” Being mutually involved in recovery”. A hermeneutic exploration of nurses’ experiences of patient participation in psychiatric care 

      Wiklund Gustin, Lena (Journal article; Tidsskriftartikkel; Peer reviewed, 2021-11-26)
      Purpose: This study aims at exploring how psychiatric nurses’ experiences of patient participation could be understood from a caring science perspective.<p> Methods: The design was inspired by clinical application research., which is a hermeneutic approach developed within caring science research. . In this study data were co-created during four reflective group dialogues where five participants’ ...
    • Caring for the suicidal person: A Delphi study of what characterizes a recovery-oriented caring approach 

      Sellin, Linda; Kumlin, Tomas; Wallsten, Tuula; Wiklund Gustin, Lena (Journal article; Tidsskriftartikkel; Peer reviewed, 2018-05-30)
      More research is needed for supporting mental health nurses in their caring for suicidal individuals. This study aimed to describe what characterizes a recovery‐oriented caring approach, and how this can be expressed through caring acts involving suicidal patients and their relatives. Delphi methodology was used, and research participants were recruited as experts by experience to explore a ...
    • Caring from the heart as belonging—The basis for mediating compassion 

      Hemberg, Jessica; Wiklund Gustin, Lena (Journal article; Tidsskriftartikkel; Peer reviewed, 2020-01-10)
      <i>Aim</i> - The aim of this study was to illuminate nurses’ experiences of mediating compassion to patients in the home care context.<p><p> <i>Design</i> - A phenomenological–hermeneutical approach was used.<p><p> <i>Methods</i> - The data comprised of texts from interviews with 12 nurses in a home care context. Informed consent was sought from participants regarding participation in the ...
    • Caring through barriers—Newly graduated registered nurses' lived experiences in emergency departments during the COVID-19 pandemic 

      Carnesten, Hillewi; Wiklund Gustin, Lena; Skoglund, Karin; Wågert, Petra von Heideken (Journal article; Tidsskriftartikkel; Peer reviewed, 2023-02-07)
      Aim - To illuminate the meaning of newly graduated registered nurses' experiences of caring for patients in emergency departments during the COVID-19 pandemic.<p> <p>Design - A phenomenological hermeneutical study guided by Lindseth and Norberg.<p> <p>Methods - In-depth one-on-one interviews with 14 nurses from five hospitals were conducted from March to November 2020 and analysed using thematic ...
    • Filling the Void: The Role of Adult Siblings Caring for a Brother or Sister With Severe Mental Illness 

      Kitzmüller, Gabriele; Wiklund Gustin, Lena; Kalhovde, Anne Martha (Journal article; Tidsskriftartikkel; Peer reviewed, 2023-03-30)
      Little is known about the role of adult siblings’ caregiver role within the context of mental illness. Therefore, our purpose was to explore how siblings narrate their experiences of being the main caregivers of a brother or sister with severe mental illness and how they cooperate with their ill sibling and their family of origin. We used a narrative hermeneutic approach and performed a secondary ...
    • Getting to know the person behind the illness - the significance of interacting with patients hospitalised in forensic psychiatric settings 

      Salzmann-Erikson, Martin; Rydlo, Cecilia; Wiklund Gustin, Lena (Journal article; Tidsskriftartikkel; Peer reviewed, 2016-03)
      AIMS AND OBJECTIVES: To describe what nurses want to accomplish in relationships with patients who are hospitalised in forensic psychiatric settings. BACKGROUND: Relationships between staff and patients in forensic psychiatric settings should be grounded in trust and confidence, and the patients need opportunities for emotional reconciliation. However, relationships can be challenging for nurses, ...
    • Living in negotiation: Patients' experiences of being in the diagnostic process of COPD 

      Lindgren, Sari Johanna; Storli, Sissel Lisa; Wiklund Gustin, Lena (Journal article; Tidsskriftartikkel; Peer reviewed, 2014-05-06)
      Purpose: To illuminate patients’ lived experiences of going through the process of being diagnosed with chronic obstructive pulmonary disease (COPD). Patients and methods: A phenomenological-hermeneutic analysis was applied in the interpretation of interviews with eight persons diagnosed with mild or moderate COPD. <p>Results: One main theme ‘living in negotiation’, and three themes ‘living with ...
    • Navigating between Compassion and Uncertainty – Psychiatric Nurses’ Lived Experiences of Communication with Patients Who Rarely Speak 

      Donner, Lucas; Wiklund Gustin, Lena (Journal article; Tidsskriftartikkel; Peer reviewed, 2020-08-13)
      Caring conversations are considered essential in psychiatric and mental health nursing. However, some patients are more or less silent and rarely express themselves verbally. This can be challenging for nurses who also need to find ways of communicating with these patients. Therefore, the aim of this study is to describe psychiatric nurses’ lived experiences of communication with patients who rarely ...
    • A ‘near-life experience’: lived experiences of spirituality from the perspective of people who have been subject to inpatient psychiatric care 

      Koslander, Tiburtius; Rönning, Sonia; Magnusson, Sofia; Wiklund Gustin, Lena (Journal article; Tidsskriftartikkel; Peer reviewed, 2020-04-24)
      Aims: To describe lived experiences of spirituality from the perspective of people who have been subject to inpatient psychiatric care and to interpret these experiences from an understanding of health as dialectical.<p> <p>Methods: After approval from a regional ethical board, eleven participants were recruited from two organisations for people with mental health problems. Participants were ...
    • A ‘near‐life experience’: lived experiences of spirituality from the perspective of people who have been subject to inpatient psychiatric care 

      Koslander, Tiburtius; Rönning, Sonia; Magnusson, Sofia; Wiklund Gustin, Lena (Journal article; Tidsskriftartikkel; Peer reviewed, 2020-04-24)
      <i>Aims</i>: To describe lived experiences of spirituality from the perspective of people who have been subject to inpatient psychiatric care and to interpret these experiences from an understanding of health as dialectical.<p> <p><i>Methods</i>: After approval from a regional ethical board,eleven participants were recruited from two organisations for people with mental health problems. Participants ...
    • Nurses’ experiences of informal coercion on adult psychiatric wards 

      Andersson, Urban; Fathollahi, Jafar; Wiklund Gustin, Lena (Journal article; Tidsskriftartikkel; Peer reviewed, 2020-01-03)
      Background: Informal coercion, that is, situations where caregivers use subtle coercive measures to impose their will on patients, is common in adult psychiatric inpatient care. It has been described as ‘a necessary evil’, confronting nurses with an ethical dilemma where they need to balance between a wish to do good, and the risk of violating patients’ dignity and autonomy.<p> <p>Aim: To describe ...
    • Nursing teachers’ experiences of the process of recovery while participating in a group programme for reducing work-related stress: A qualitative content analysis 

      Wiklund Gustin, Lena; Fredriksson, Lennart; Rakovshik, Sarah (Journal article; Tidsskriftartikkel; Peer reviewed, 2020-08-26)
      Work-related stress is an increasing health problem among nursing teachers, contributing to health problems, disengagement and poor job satisfaction. Negative coping strategies impact on both teachers' and students' teaching-learning experiences. Several interventions have been developed to address work-related stress. There has been less focus on how nursing teachers can learn to recover from ...
    • Positioning Psychiatric and Mental Health Nursing as a Transformative Force in Health Care 

      Gabrielsson, Sebastian; Tuvesson, Hanna; Wiklund Gustin, Lena; Jormfeldt, Henrika (Journal article; Tidsskriftartikkel; Peer reviewed, 2020-06-25)
      From the perspective of psychiatric and mental health nurses in Sweden, this discussion paper aims to position psychiatric and mental health nursing as a transformative force contributing to enforcing person-centered values and practices in health care. We argue the potential impact of psychiatric and mental health nursing on service user health and recovery, nursing student education and values, ...
    • Reconnecting with oneself while struggling between life and death: The phenomenon of recovery as experienced by persons at risk of suicide 

      Sellin, Linda; Asp, Margareta; Wallsten, Tuula; Wiklund Gustin, Lena (Journal article; Tidsskriftartikkel; Peer reviewed, 2016-07-15)
      The body of knowledge regarding health and recovery as experienced by patients at risk of suicide is limited.More research is needed into the meaning of recovery and what strengthens the desire to live. The aim of this study was to describe the phenomenon of recovery in a context of nursing care as experienced by persons at risk of suicide. In line with a reflective lifeworld research approach, 14 ...
    • Struggling for existence-Life situation experiences of older persons with mental disorders 

      Martinsson, Gunilla; Fagerberg, Ingegerd; Lindholm, Christina; Wiklund Gustin, Lena (Journal article; Tidsskriftartikkel; Peer reviewed, 2012-06-07)
      Older persons with mental disorders represent a vulnerable group of people with extensive and complex needs. The older population is rapidly increasing worldwide and, as a result of deinstitutionalization in mental health care, older persons are remaining at home to a greater extent. Although they constitute a large proportion of the population, older persons with mental disorders have been ...
    • Supporting Students’ Understanding of Caring Science as a Meaningful Basis for Practice 

      Wiklund Gustin, Lena (Journal article; Tidsskriftartikkel; Peer reviewed, 2021-10)
      Caring science has been described as abstract, difficult to apply, or unscientific common sense. An alternative view is that caring science knowledge does not pose a greater challenge because it is abstract, but because it challenges caregivers’ existence. No matter how nursing faculty perceive these challenges, it is crucial to create a context where students are supported in the integration of ...