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Sundin, Karin
Publications (10 of 28) Show all publications
Bäckström, B. & Sundin, K. (2010). The experience of being a middle-aged close relative of aperson who has suffered a stroke – six months after discharge from a rehabilitation clinic. Scandinavian Journal of Caring Sciences, 24(1), 116-124
Open this publication in new window or tab >>The experience of being a middle-aged close relative of aperson who has suffered a stroke – six months after discharge from a rehabilitation clinic
2010 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 24, no 1, p. 116-124Article in journal (Refereed) Published
Abstract [en]

The experience of being a middle-aged close relative of a person who has suffered a stroke - six months after discharge from a rehabilitation clinicBeing a close relative brings with it a large number of consequences, with the life situation changing over time. The aim of this study was to illuminate the experiences of being a middle-aged close relative of a person who has suffered a stroke 6 months after being discharged from a medical rehabilitation clinic. Narrative interviews were conducted with nine middle-aged close relatives and analysed using a content analysis with a latent approach. The analysis revealed that being close to someone who had suffered a stroke 6 months after discharge meant; a struggling for control and a renewal of family life in the shadow of suffering and hope. The middle-aged close relatives began to perceive the changed reality. They were struggling to take on something new, become reconciled and find a balance in their family life. Their ability to work, relief from caring concerns and having support and togetherness with others seemed to be essential for the close relatives in their efforts to manage their life situation and maintain their well-being. Having reached the 'halfway point' in their lives and still with half of their life in front of them created worries. They felt dejected about their changed relationships and roles, experience a sense of loss of shared child responsibilities, a negative impact on their marital relationships and sexual satisfaction. They felt trapped in a caring role and they worried about how to endure in the future. The middle-aged close relatives' experiences were of being alone and neglected, in an arduous and complex life situation filled with loss and grief. The findings highlights that health professionals need to see and listen to the close relatives' experiences of transition in order to provide appropriate support adjusted to their varying needs during a time of renewal.

Keywords
close relatives, content analysis, middle-aged, stroke
National Category
Nursing
Identifiers
urn:nbn:se:miun:diva-8118 (URN)10.1111/j.1471-6712.2009.00694.x (DOI)000274389900015 ()19497028 (PubMedID)2-s2.0-76549101410 (Scopus ID)
Available from: 2009-12-28 Created: 2009-01-08 Last updated: 2017-12-14Bibliographically approved
Bäckström, B., Asplund, K. & Sundin, K. (2010). The meaning of middle-aged female spouses' lived experience of the relationship with a partner who has suffered a stroke, during the first year postdischarge. Nursing Inquiry, 17(3), 257-268
Open this publication in new window or tab >>The meaning of middle-aged female spouses' lived experience of the relationship with a partner who has suffered a stroke, during the first year postdischarge
2010 (English)In: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800, Vol. 17, no 3, p. 257-268Article in journal (Refereed) Published
Abstract [en]

Stroke consequences present a great long-term challenge to the spouses of the stroke sufferer. A longitudinal study with a phenomenological hermeneutic approach was used to illuminate the meanings of middle-aged female spouses' lived experience of their relationship with a partner who has suffered a stroke, during the first year postdischarge. Four middle-aged female spouses of stroke sufferers participated in the study. Narrative interviews were conducted 1, 6 and 12 month postdischarge (total of 12 interviews), audio-taped and transcribed verbatim to a text and interpreted by a phenomenological hermeneutic method inspired by Ricoeur. The findings showed a process over time during which spouses come to know, recognize and acknowledge the residual changes in their partners' cognitive and emotional conditions and the impact on their relationship. Spouses showed grief due to the loss of the marital relationship they once had and anxiety that they would not be able to continue in an undesired relationship in the future. Even if the partner is still alive, there is a loss to grieve and to be understood, an important meaning of the transition process in the relationship during the first year after the partner's discharge.

Keywords
female; lived experiences; phenomenological hermeneutics; spouses; stroke
National Category
Nursing
Identifiers
urn:nbn:se:miun:diva-10792 (URN)10.1111/j.1440-1800.2010.00490.x (DOI)000280998500009 ()20712664 (PubMedID)2-s2.0-77955746328 (Scopus ID)
Available from: 2009-12-28 Created: 2009-12-28 Last updated: 2017-12-12Bibliographically approved
Bäckström, B. & Sundin, K. (2009). The experience of being a middle-aged close relative of a person who has suffered a stroke - six months after discharge from a rehabilitation clinic. Paper presented at International conference; 9th International Family Nursing Conference. From insights to intervention. The cutting edge of family nursing. June 2-5 2009, Reykjavik, Iceland..
Open this publication in new window or tab >>The experience of being a middle-aged close relative of a person who has suffered a stroke - six months after discharge from a rehabilitation clinic
2009 (English)Conference paper, Published paper (Other academic)
Abstract [en]

Being a close relative brings with it a large number of consequences, with the life situation changing over time. The aim of this study was to illuminate the experiences of being a middle-aged close relative of a person who has suffered a stroke six months after being discharged from a medical rehabilitation clinic. Narrative interviews were conducted with nine middle-aged close relatives and analyzed using a content analysis with a latent approach. The analysis revealed that being close to someone who had suffered a stroke six months after discharge meant; a struggling for control and a renewal of family life in the shadow of suffering and hope. The middle-aged close relatives began to perceive the changed reality. They were struggling to take on something new, become reconciled and find a balance in their family life. Their ability to work, relief from caring concerns and having support and togetherness with others seemed to be essential for the close relatives in their efforts to manage their life situation and maintain their well-being. Having reached the ‘halfway point’ in their lives and still with half of their life in front of them created worries. They felt dejected about their changed relationships and roles, experience a sense of loss of shared child responsibilities, a negative impact on their marital relationships and sexual satisfaction. They felt trapped in a caring role and they worried about how to endure in the future. The middle-aged close relatives’ experiences were of being alone and neglected, in an arduous and complex life situation filled with loss and grief. The findings highlights that health professionals need to see and listen to the close relatives’ experiences of transition in order to provide appropriate support adjusted to their varying needs during a time of renewal.

Keywords
caregivers, family, life experiences, middle aged, qualitative research, stroke.
National Category
Nursing
Identifiers
urn:nbn:se:miun:diva-10851 (URN)
Conference
International conference; 9th International Family Nursing Conference. From insights to intervention. The cutting edge of family nursing. June 2-5 2009, Reykjavik, Iceland.
Available from: 2010-01-04 Created: 2010-01-04 Last updated: 2010-01-04Bibliographically approved
Persson, C., Wennman-Larsen, A., Sundin, K. & Gustavsson, P. (2008). Assessing informal caregivers' experiences: a qualitative and psychometric evaluation of the Caregiver Reaction Assessment Scale. European Journal of Cancer Care, 17(2), 189-199
Open this publication in new window or tab >>Assessing informal caregivers' experiences: a qualitative and psychometric evaluation of the Caregiver Reaction Assessment Scale
2008 (English)In: European Journal of Cancer Care, ISSN 0961-5423, E-ISSN 1365-2354, Vol. 17, no 2, p. 189-199Article in journal (Refereed) Published
Abstract [en]

With the aim to evaluate the Swedish version of the Caregiver Reaction Assessment Scale (CRA), informal caregivers (n = 209) to individuals with a malignant disease, dementia or a physical impairment were recruited. The CRA was developed in the USA and is a self-rating questionnaire consisting of five subscales, measuring family members' reactions to the experience of caring for a relative with mental or physical illnesses. Data were analysed using psychometric and qualitative methods. Findings indicated good internal consistency, and a factor analysis confirmed the structure with five subscales; however, an overlap of items between the subscales was found. A content analysis of respondents' comments indicated that there were problems due to presuppositions inherent in the questions and with the meaning of words. Problems regarding inclusion/exclusion aspects in some concepts were also found. Two aspects of caregiver reactions were found to be missing or only partly covered: worrying and positive experiences. Results from this study suggest that the Swedish version is useful for assessment of caregiver reactions but needs further refinement.

Keywords
Informal caregivers
National Category
Nursing
Identifiers
urn:nbn:se:miun:diva-1196 (URN)10.1111/j.1365-2354.2007.00833.x (DOI)000253477400013 ()2-s2.0-39749195432 (Scopus ID)4235 (Local ID)4235 (Archive number)4235 (OAI)
Note
VR-HealthAvailable from: 2008-12-09 Created: 2008-11-19 Last updated: 2017-12-13Bibliographically approved
Juthberg, C., Eriksson, S., Norberg, A. & Sundin, K. (2008). Stress of conscience and perceptions of conscience in relation to burnout among care providers in older people. Journal of Clinical Nursing, 17(14), 1897-1906
Open this publication in new window or tab >>Stress of conscience and perceptions of conscience in relation to burnout among care providers in older people
2008 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 17, no 14, p. 1897-1906Article in journal (Refereed) Published
Abstract [en]

Aims. The aim was to study the relationship between conscience and burnout among care-providers in older care, exploring the relationship between stress of conscience and burnout, and between perceptions of conscience and burnout.Background. Everyday work in healthcare presents situations that influence care-providers' conscience. How care-providers perceive conscience has been shown to be related to stress of conscience (stress related to troubled conscience), and in county council care, an association between stress of conscience and burnout has been found.Method. A questionnaire study was conducted in municipal housing for older people. A total of 166 care-providers were approached, of which 146 (50 registered nurses and 96 nurses' aides/enrolled nurses) completed a questionnaire folder containing the stress of conscience questionnaire, the perceptions of conscience questionnaire and the maslach burnout inventory. Multivariate canonical correlation analysis was used to explore relationships.Result. The relationship between stress of conscience and burnout indicates that experiences of shortcomings and of being exposed to contradictory demands are strongly related to burnout (primarily to emotional exhaustion). The relationship between perceptions of conscience and burnout indicates that a deadened conscience is strongly related to burnout.Conclusion. Conscience seems to be of importance in relation to burnout, and suppressing conscience may result in a profound loss of wholeness, integrity and harmony in the self.Relevance to clinical practice. The results from our study could be used to raise awareness of the importance of conscience in care.

Keywords
Samvetsstress
National Category
Nursing
Identifiers
urn:nbn:se:miun:diva-4036 (URN)10.1111/j.1365-2702.2007.02184.x (DOI)000256635700010 ()2-s2.0-44949142886 (Scopus ID)5020 (Local ID)5020 (Archive number)5020 (OAI)
Available from: 2008-12-09 Created: 2008-11-18 Last updated: 2017-12-12Bibliographically approved
Juthberg, C., Eriksson, S., Norberg, A. & Sundin, K. (2007). Perceptions of conscience in relation to stress of conscience. Nursing Ethics, 14(3), 329-343
Open this publication in new window or tab >>Perceptions of conscience in relation to stress of conscience
2007 (English)In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 14, no 3, p. 329-343Article in journal (Refereed) Published
Abstract [en]

Every day situations arising in health care contain ethical issues influencing care providers' conscience. How and to what extent conscience is influenced may differ according to how conscience is perceived. This study aimed to explore the relationship between perceptions of conscience and stress of conscience among care providers working in municipal housing for elderly people. A total of 166 care providers were approached, of which 146 (50 registered nurses and 96 nurses' aides/enrolled nurses) completed a questionnaire containing the Perceptions of Conscience Questionnaire and the Stress of Conscience Questionnaire. A multivariate canonical correlation analysis was conducted. The first two functions emerging from the analysis themselves explained a noteworthy amount of the shared variance (25.6% and 17.8%). These two dimensions of the relationship were interpreted either as having to deaden one's conscience relating to external demands in order to be able to collaborate with coworkers, or as having to deaden one's conscience relating to internal demands in order to uphold one's identity as a 'good' health care professional.

Keywords
Care of elderly people, Care providers, Conscience, Stress
National Category
Nursing
Identifiers
urn:nbn:se:miun:diva-3888 (URN)10.1177/0969733007075868 (DOI)000246554100007 ()17459817 (PubMedID)2-s2.0-34248217643 (Scopus ID)4226 (Local ID)4226 (Archive number)4226 (OAI)
Available from: 2008-09-30 Created: 2008-09-30 Last updated: 2017-12-12Bibliographically approved
Sundin, K., Fahlen, U. & Lundgren, M. (2007). Registered Nurses´ experiences of allocation in the care of patients: Nurses at the Forefront: Dealing with the Unexpected. ICN International Conference, 27 May 1 June 2007,Yokohama, Japan. Oral presentation.
Open this publication in new window or tab >>Registered Nurses´ experiences of allocation in the care of patients: Nurses at the Forefront: Dealing with the Unexpected. ICN International Conference, 27 May 1 June 2007,Yokohama, Japan. Oral presentation
2007 (English)Conference paper, Published paper (Other academic)
Keywords
Allocation
National Category
Nursing
Identifiers
urn:nbn:se:miun:diva-4918 (URN)4985 (Local ID)4985 (Archive number)4985 (OAI)
Available from: 2008-09-30 Created: 2008-09-30 Last updated: 2011-08-17Bibliographically approved
Sundin, K. & Eurenius, M. (2007). Relatives' lived experience of support from Registered Nurses during palliative care at home. In: ICN Conference 2007: Nurses at the Forefront: Dealing with the Unexpected.
Open this publication in new window or tab >>Relatives' lived experience of support from Registered Nurses during palliative care at home
2007 (English)In: ICN Conference 2007: Nurses at the Forefront: Dealing with the Unexpected, 2007Conference paper, Published paper (Other academic)
Keywords
Relatives
National Category
Nursing
Identifiers
urn:nbn:se:miun:diva-4233 (URN)4984 (Local ID)4984 (Archive number)4984 (OAI)
Available from: 2008-09-30 Created: 2008-09-30 Last updated: 2011-08-17Bibliographically approved
Norberg, A., Strandberg, G., Söderberg, A., Eriksson, S., Sundin, K., Armgard, L., . . . Juthberg, C. (2007). Samvetet - en tillgång eller en börda? Samvetsstress i relation till syn på samvete, moralisk lyhördhet, inre styrka, socialt stöd och utmattningssymtom.: Symposium. Nationell konferens. Vårdstämman, Stockholm, Sverige.
Open this publication in new window or tab >>Samvetet - en tillgång eller en börda? Samvetsstress i relation till syn på samvete, moralisk lyhördhet, inre styrka, socialt stöd och utmattningssymtom.: Symposium. Nationell konferens. Vårdstämman, Stockholm, Sverige
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2007 (Swedish)Conference paper, Published paper (Other academic)
Keywords
Samvetsstress
National Category
Nursing
Identifiers
urn:nbn:se:miun:diva-1860 (URN)4981 (Local ID)4981 (Archive number)4981 (OAI)
Available from: 2008-09-30 Created: 2008-09-30 Last updated: 2011-08-17Bibliographically approved
Juthberg, C., Eriksson, S., Norberg, A. & Sundin, K. (2007). Syn på samvete och upplevelse av samvetsstress i relation till utmattningssyndrom (utbrändhet) hos vårdpersonal i kommunal äldreomsorg: Vårdstämman, Stockholm, Sverige.
Open this publication in new window or tab >>Syn på samvete och upplevelse av samvetsstress i relation till utmattningssyndrom (utbrändhet) hos vårdpersonal i kommunal äldreomsorg: Vårdstämman, Stockholm, Sverige
2007 (Swedish)Conference paper, Published paper (Other academic)
Keywords
Samvetsstress
National Category
Nursing
Identifiers
urn:nbn:se:miun:diva-2270 (URN)4979 (Local ID)4979 (Archive number)4979 (OAI)
Available from: 2008-09-30 Created: 2008-09-30 Last updated: 2011-08-17Bibliographically approved
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