Evelyn Hermansson | University of Gothenburg (original) (raw)
Papers by Evelyn Hermansson
Journal of Clinical Nursing, 2008
2 0 0 8 ) ( 2 0 0 8 ) Journal of Clinical Nursing 17, 2221-2231
Betydelsen av FoU-kompetensförsörjningsprogrammet som varit en medveten och strategisk satsning i... more Betydelsen av FoU-kompetensförsörjningsprogrammet som varit en medveten och strategisk satsning inom FoU-området kan sammanfattas på följande sätt: Deltagarnas behållning och föreskriven akademisk utveckling har haft en närmast hundraprocentig måluppfyllelse och gett kliniskt verksamma sjuksköterskor en bra start på sin akademiska karriär. Programmet illustrerar ett effektivt sätt att stimulera sjuksköterskors livslånga lärande genom att bygga upp förmågan att genomföra och tillämpa omvårdnadsforskning i klinisk praktik. Programmet har också bidragit till utvecklingen av kompetenta handledare för studenter under utbildning. Flertalet av deltagarna har utvecklat både en önskan om och kompetens för att ta på sig ledande uppdrag såväl inom den egna verksamheten som i gränsöverskridande projekt både inom Fyrbodal och nationellt. Programmet har medverkat till att bryta revirtänkande och kan bidra till en mer öppen och gränsöverskridande kultur inom Fyrbodalområdets hälso- och sjukvård. D...
Issues in Mental Health Nursing, 2014
This study aims to describe patients' experiences of supportive conversation as long-term treatme... more This study aims to describe patients' experiences of supportive conversation as long-term treatment in a psychiatric outpatient context. A focus group interview was conducted with six female patients (aged 40-60 years). Five key constituents captured the essence of the general structure of supportive conversation: being treated as a responsible person, sensing intimate contact and togetherness, perceiving stability in the relationship, learning to manage daily living, and growing as a person. Supportive conversations have a positive influence on the patient's state of mind and enhance self-confidence, thereby giving the inner strength to grow as a person.
This article evaluates the idea and ideal of the democracy dialogue in citizen and politician enc... more This article evaluates the idea and ideal of the democracy dialogue in citizen and politician encounters and the meaning of establishing a communication arena to develop health care. It further explores the meaning of establishing a communication arena to participant in such a group, the impact of on the political process and the outcome of the interaction and the dialogue. Through dialogue, citizen and politician have gain a mutual understanding an insight of complex health care problems from both perspectives. The results also indicate that such a dialogue is likely to influence the political agenda as well as decision-making-process in a more citizen focused perspective.
Midwifery, 1996
Objective: to describe women's experience of the encounter with the midwife during childbirth.
This article evaluates the idea and ideal of the democracy dialogue in citizen and politician enc... more This article evaluates the idea and ideal of the democracy dialogue in citizen and politician encounters and the meaning of establishing a communication arena to develop health care. It further explores the meaning of establishing a communication arena to participant in such a group, the impact of on the political process and the outcome of the interaction and the dialogue. Through dialogue, citizen and politician have gain a mutual understanding an insight of complex health care problems from both perspectives. The results also indicate that such a dialogue is likely to influence the political agenda as well as decision-making-process in a more citizen focused perspective.
Nurse Education Today, 2013
In Europe, midwifery education has undergone a number of reforms in the past few decades. In seve... more In Europe, midwifery education has undergone a number of reforms in the past few decades. In several countries, it has shifted from vocational training to academic education. The higher education reform, known as the "Bologna process" aimed to create convergence in higher education among a number of European countries and enhance opportunities for mobility, employment and collaborative research. It also indicated a transparent and easily compared system of academic degrees, generating a new educational system in three cycles. This study explores the implementation of the process in Sweden when the midwifery education was transferred from diploma to postgraduate or master's level. The aim of this study was to analyse how the implementation of the Bologna process in the Swedish higher education system has impacted midwifery education programmes in the country. Descriptive statistics and content analysis were employed to analyse 32 questionnaire responses from teachers and the 2009-2010 curricula and syllabi of 11 postgraduate midwifery education programmes at Swedish universities and university colleges. The results revealed variations among the universities at the major subject into the three disciplines; midwifery, nursing and caring with different conceptualisations, even when the content was identical in the curricula to that of the midwifery professional knowledge base. Implementation of the new reform not only has accelerated the academisation process, but also puts higher demand on the students and requires higher competencies among teachers to involve more evidence-based knowledge, seminars, independent studies and a postgraduate degree project in the major subject. Thus the students earn not only a diploma in midwifery, but also a master's degree in the major subject, which affords the opportunity for an academic career. But still there is a tension between professional and academic education.
Midwifery, 2011
Objective: the concept empowerment is difficult to understand, define and translate into differen... more Objective: the concept empowerment is difficult to understand, define and translate into different contexts. Therefore, the purpose of this paper was to analyze the empowerment concept in the midwifery context, focused on the childbearing period, aimed at clarifying its meaning in order to enable comprehension and use in clinical practice, education and research. Design: semi structured interviews and written text. Setting: prenatal clinics, delivery and maternity wards in western Sweden. Participants: nine midwives and 12 couples. Measurements and findings: a concept analysis was undertaken according to the hybrid model which consists of the theoretical, fieldwork and analytical phases. After a literature review, the concept was empirically elucidated in the fieldwork phase. The final step was to describe criteria and attributes, illustrative cases, antecedents and consequences of the concept. The following tentative criteria and attributes of empowerment in the midwifery context are described: developing a trustful relationship; starting an awareness process, making it possible to reflect on the changing situation; acting based on the parents' situation on their own terms, getting them involved and able to make informed choices; confirming the personal significance of becoming parents. Finally, empowerment in the midwifery context was redefined. Key conclusion: midwives use empowerment in education and research as well as strategies on both the micro and macro levels in practice. Implications for practice: empirical findings from the concept analysis confirm the concept's relevance in the midwifery context. Developing a trustful relationship J Giving the woman and her partner enough time. J Creating a nurturing and caring environment. J Caring for and being committed. J Maintaining parents' integrity based on mutual respect. J Providing person-to-person contact with warmth and proximity. J Being considerate. J Minimising the parents' anxiety. J Being there. J Acting so that the woman's wishes become clear. J Respecting the parents' situation. J Facilitating the parents' sense of control. J Giving appropriate information and providing the possibilities to make one's own choices.
Midwifery, 2011
Objective: it is not known how acupuncture is used in midwifery care in Sweden and what kind of r... more Objective: it is not known how acupuncture is used in midwifery care in Sweden and what kind of requirements health-care providers have for midwives and acupuncture training programmes. The aims of this study were to survey indications for the use of acupuncture in midwifery care in Sweden, and to examine the criteria and requirements used for purchase of acupuncture education programmes. Design: a postal survey using a structured questionnaire. Setting: 45 maternity units in Sweden. Participants: the midwife-in-charge of the units. Measurements and findings: the most common indications for the use of acupuncture were relaxation, pain relief, retained placenta, after pains, milk stasis during lactation, hyperemesis and pelvic instability. Specific requirement for acupuncture education were provision of a short course during weekdays including a follow-up course. Key conclusion: acupuncture is widely used for many indications in Swedish maternity units despite weak or no evidence to support effectiveness in midwifery care. Requirements for acupuncture education did not seem to be in accordance with what might be expected for this type of qualified intervention. Implications for practice: the use of acupuncture in midwifery care should not persist until systematic evaluation of the effect of this method is carried through.
Midwifery, 1996
Objective: to describe women's experience of the encounter with the midwife during childbirth.
Midwifery, 2011
Objective: in Sweden, acupuncture education is required before midwives can use the method in cli... more Objective: in Sweden, acupuncture education is required before midwives can use the method in clinical practice. Courses in acupuncture are usually organised by private individuals or companies, and each health facility decides on the adequacy of the educational package. Therefore, there is no overall standard or quality control for free-standing courses of acupuncture education for midwives. The aim of this study was to survey the education given to Swedish midwives in the use of acupuncture treatment in the obstetric area. Design: a postal survey using a structured questionnaire. Setting: organisers of acupuncture education. Participants: 18 acupuncture instructors. Measurements and findings: acupuncture courses were usually organised outside universities and colleges. The courses were similar in terms of extent and content, and were mainly based on a Western medical approach. The recommended indications were extensive despite a lack of scientific evidence. The most common instructor profile was a midwife without any academic degree. Key conclusions and implications for practice: courses differed considerably in the extent to which they were research based. Continuing professional education for midwives should be given at the same academic level, at least, as basic midwifery education.
Journal of Clinical Nursing, 2013
Aims and objectives. To describe clinical nurses' experience of participating in a Research and D... more Aims and objectives. To describe clinical nurses' experience of participating in a Research and Development (R&D) programme and its influence on their research interest and ability to conduct and apply nursing research. Background. To stimulate nurses' research interest and to overcome barriers for building research capacity in nursing, there is a need for sustainable research programmes. A two-year programme was designed for nurses, to take part in both an academic education for master and research seminars and workshops to conduct a research project from idea to publication. Design. A qualitative approach using using focus group interviews. Methods. Registered nurses (n = 12) with a bachelor's degree in nursing, participated. Data were collected in focus group interviews, after one year and when the programme ended. Content analysis was used to analyse the data. Results. The findings consist of two themes: being a traveller in the world of nursing research, which included three categories, and experiencing professional growth as a result of nursing research training, in both cases focusing on the experience of students involved in a cohesive programme which included four categories: discovering new dimensions of clinical nursing practice; selected and confirmed; supported by professional others; development of professional self-concept. Conclusions. To support early career researchers, there is a need for strong leadership, an organisational and supportive infrastructure underpinning research capability building in nurses. In this context, research strategies, programmes and collaboration between leaders of academia and clinical institutions appear to be essential. Relevance to clinical practice. The R&D programme illustrates an effective way of stimulating nurses' lifelong learning by building the capacity to conduct and apply nursing research in clinical practice. The structure of the programme can be used as a model in other contexts.
Issues in Mental Health Nursing, 2014
This study aims to describe patients' experiences of supportive conversation as long-term treatme... more This study aims to describe patients' experiences of supportive conversation as long-term treatment in a psychiatric outpatient context. A focus group interview was conducted with six female patients (aged 40-60 years). Five key constituents captured the essence of the general structure of supportive conversation: being treated as a responsible person, sensing intimate contact and togetherness, perceiving stability in the relationship, learning to manage daily living, and growing as a person. Supportive conversations have a positive influence on the patient's state of mind and enhance self-confidence, thereby giving the inner strength to grow as a person.
Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives, 2014
The aim of this study was to obtain a deeper understanding of midwives' lived experience of c... more The aim of this study was to obtain a deeper understanding of midwives' lived experience of caring during childbirth in a Swedish context. Ten midwives were recruited from one university hospital with two separate delivery units in western Sweden. Data were collected by both written narratives and interviews. With an inductive approach using a descriptive phenomenological method, the answers to the question: "Can you describe a situation in which you felt that your caring was of importance for the woman and her partner?" were analysed. A general structure of the phenomenon of caring in midwifery during childbirth, including five key constituents: sharing the responsibility, being intentionally and authentically present, creating an atmosphere of calm serenity in a mutual relationship, possessing the embodied knowledge, and balancing on the borders in transition to parenthood. This study emphasises how the midwives shared the responsibility and their possessed embodied ...
Journal of Clinical Nursing, 2008
2 0 0 8 ) ( 2 0 0 8 ) Journal of Clinical Nursing 17, 2221-2231
Betydelsen av FoU-kompetensförsörjningsprogrammet som varit en medveten och strategisk satsning i... more Betydelsen av FoU-kompetensförsörjningsprogrammet som varit en medveten och strategisk satsning inom FoU-området kan sammanfattas på följande sätt: Deltagarnas behållning och föreskriven akademisk utveckling har haft en närmast hundraprocentig måluppfyllelse och gett kliniskt verksamma sjuksköterskor en bra start på sin akademiska karriär. Programmet illustrerar ett effektivt sätt att stimulera sjuksköterskors livslånga lärande genom att bygga upp förmågan att genomföra och tillämpa omvårdnadsforskning i klinisk praktik. Programmet har också bidragit till utvecklingen av kompetenta handledare för studenter under utbildning. Flertalet av deltagarna har utvecklat både en önskan om och kompetens för att ta på sig ledande uppdrag såväl inom den egna verksamheten som i gränsöverskridande projekt både inom Fyrbodal och nationellt. Programmet har medverkat till att bryta revirtänkande och kan bidra till en mer öppen och gränsöverskridande kultur inom Fyrbodalområdets hälso- och sjukvård. D...
Issues in Mental Health Nursing, 2014
This study aims to describe patients' experiences of supportive conversation as long-term treatme... more This study aims to describe patients' experiences of supportive conversation as long-term treatment in a psychiatric outpatient context. A focus group interview was conducted with six female patients (aged 40-60 years). Five key constituents captured the essence of the general structure of supportive conversation: being treated as a responsible person, sensing intimate contact and togetherness, perceiving stability in the relationship, learning to manage daily living, and growing as a person. Supportive conversations have a positive influence on the patient's state of mind and enhance self-confidence, thereby giving the inner strength to grow as a person.
This article evaluates the idea and ideal of the democracy dialogue in citizen and politician enc... more This article evaluates the idea and ideal of the democracy dialogue in citizen and politician encounters and the meaning of establishing a communication arena to develop health care. It further explores the meaning of establishing a communication arena to participant in such a group, the impact of on the political process and the outcome of the interaction and the dialogue. Through dialogue, citizen and politician have gain a mutual understanding an insight of complex health care problems from both perspectives. The results also indicate that such a dialogue is likely to influence the political agenda as well as decision-making-process in a more citizen focused perspective.
Midwifery, 1996
Objective: to describe women's experience of the encounter with the midwife during childbirth.
This article evaluates the idea and ideal of the democracy dialogue in citizen and politician enc... more This article evaluates the idea and ideal of the democracy dialogue in citizen and politician encounters and the meaning of establishing a communication arena to develop health care. It further explores the meaning of establishing a communication arena to participant in such a group, the impact of on the political process and the outcome of the interaction and the dialogue. Through dialogue, citizen and politician have gain a mutual understanding an insight of complex health care problems from both perspectives. The results also indicate that such a dialogue is likely to influence the political agenda as well as decision-making-process in a more citizen focused perspective.
Nurse Education Today, 2013
In Europe, midwifery education has undergone a number of reforms in the past few decades. In seve... more In Europe, midwifery education has undergone a number of reforms in the past few decades. In several countries, it has shifted from vocational training to academic education. The higher education reform, known as the "Bologna process" aimed to create convergence in higher education among a number of European countries and enhance opportunities for mobility, employment and collaborative research. It also indicated a transparent and easily compared system of academic degrees, generating a new educational system in three cycles. This study explores the implementation of the process in Sweden when the midwifery education was transferred from diploma to postgraduate or master's level. The aim of this study was to analyse how the implementation of the Bologna process in the Swedish higher education system has impacted midwifery education programmes in the country. Descriptive statistics and content analysis were employed to analyse 32 questionnaire responses from teachers and the 2009-2010 curricula and syllabi of 11 postgraduate midwifery education programmes at Swedish universities and university colleges. The results revealed variations among the universities at the major subject into the three disciplines; midwifery, nursing and caring with different conceptualisations, even when the content was identical in the curricula to that of the midwifery professional knowledge base. Implementation of the new reform not only has accelerated the academisation process, but also puts higher demand on the students and requires higher competencies among teachers to involve more evidence-based knowledge, seminars, independent studies and a postgraduate degree project in the major subject. Thus the students earn not only a diploma in midwifery, but also a master's degree in the major subject, which affords the opportunity for an academic career. But still there is a tension between professional and academic education.
Midwifery, 2011
Objective: the concept empowerment is difficult to understand, define and translate into differen... more Objective: the concept empowerment is difficult to understand, define and translate into different contexts. Therefore, the purpose of this paper was to analyze the empowerment concept in the midwifery context, focused on the childbearing period, aimed at clarifying its meaning in order to enable comprehension and use in clinical practice, education and research. Design: semi structured interviews and written text. Setting: prenatal clinics, delivery and maternity wards in western Sweden. Participants: nine midwives and 12 couples. Measurements and findings: a concept analysis was undertaken according to the hybrid model which consists of the theoretical, fieldwork and analytical phases. After a literature review, the concept was empirically elucidated in the fieldwork phase. The final step was to describe criteria and attributes, illustrative cases, antecedents and consequences of the concept. The following tentative criteria and attributes of empowerment in the midwifery context are described: developing a trustful relationship; starting an awareness process, making it possible to reflect on the changing situation; acting based on the parents' situation on their own terms, getting them involved and able to make informed choices; confirming the personal significance of becoming parents. Finally, empowerment in the midwifery context was redefined. Key conclusion: midwives use empowerment in education and research as well as strategies on both the micro and macro levels in practice. Implications for practice: empirical findings from the concept analysis confirm the concept's relevance in the midwifery context. Developing a trustful relationship J Giving the woman and her partner enough time. J Creating a nurturing and caring environment. J Caring for and being committed. J Maintaining parents' integrity based on mutual respect. J Providing person-to-person contact with warmth and proximity. J Being considerate. J Minimising the parents' anxiety. J Being there. J Acting so that the woman's wishes become clear. J Respecting the parents' situation. J Facilitating the parents' sense of control. J Giving appropriate information and providing the possibilities to make one's own choices.
Midwifery, 2011
Objective: it is not known how acupuncture is used in midwifery care in Sweden and what kind of r... more Objective: it is not known how acupuncture is used in midwifery care in Sweden and what kind of requirements health-care providers have for midwives and acupuncture training programmes. The aims of this study were to survey indications for the use of acupuncture in midwifery care in Sweden, and to examine the criteria and requirements used for purchase of acupuncture education programmes. Design: a postal survey using a structured questionnaire. Setting: 45 maternity units in Sweden. Participants: the midwife-in-charge of the units. Measurements and findings: the most common indications for the use of acupuncture were relaxation, pain relief, retained placenta, after pains, milk stasis during lactation, hyperemesis and pelvic instability. Specific requirement for acupuncture education were provision of a short course during weekdays including a follow-up course. Key conclusion: acupuncture is widely used for many indications in Swedish maternity units despite weak or no evidence to support effectiveness in midwifery care. Requirements for acupuncture education did not seem to be in accordance with what might be expected for this type of qualified intervention. Implications for practice: the use of acupuncture in midwifery care should not persist until systematic evaluation of the effect of this method is carried through.
Midwifery, 1996
Objective: to describe women's experience of the encounter with the midwife during childbirth.
Midwifery, 2011
Objective: in Sweden, acupuncture education is required before midwives can use the method in cli... more Objective: in Sweden, acupuncture education is required before midwives can use the method in clinical practice. Courses in acupuncture are usually organised by private individuals or companies, and each health facility decides on the adequacy of the educational package. Therefore, there is no overall standard or quality control for free-standing courses of acupuncture education for midwives. The aim of this study was to survey the education given to Swedish midwives in the use of acupuncture treatment in the obstetric area. Design: a postal survey using a structured questionnaire. Setting: organisers of acupuncture education. Participants: 18 acupuncture instructors. Measurements and findings: acupuncture courses were usually organised outside universities and colleges. The courses were similar in terms of extent and content, and were mainly based on a Western medical approach. The recommended indications were extensive despite a lack of scientific evidence. The most common instructor profile was a midwife without any academic degree. Key conclusions and implications for practice: courses differed considerably in the extent to which they were research based. Continuing professional education for midwives should be given at the same academic level, at least, as basic midwifery education.
Journal of Clinical Nursing, 2013
Aims and objectives. To describe clinical nurses' experience of participating in a Research and D... more Aims and objectives. To describe clinical nurses' experience of participating in a Research and Development (R&D) programme and its influence on their research interest and ability to conduct and apply nursing research. Background. To stimulate nurses' research interest and to overcome barriers for building research capacity in nursing, there is a need for sustainable research programmes. A two-year programme was designed for nurses, to take part in both an academic education for master and research seminars and workshops to conduct a research project from idea to publication. Design. A qualitative approach using using focus group interviews. Methods. Registered nurses (n = 12) with a bachelor's degree in nursing, participated. Data were collected in focus group interviews, after one year and when the programme ended. Content analysis was used to analyse the data. Results. The findings consist of two themes: being a traveller in the world of nursing research, which included three categories, and experiencing professional growth as a result of nursing research training, in both cases focusing on the experience of students involved in a cohesive programme which included four categories: discovering new dimensions of clinical nursing practice; selected and confirmed; supported by professional others; development of professional self-concept. Conclusions. To support early career researchers, there is a need for strong leadership, an organisational and supportive infrastructure underpinning research capability building in nurses. In this context, research strategies, programmes and collaboration between leaders of academia and clinical institutions appear to be essential. Relevance to clinical practice. The R&D programme illustrates an effective way of stimulating nurses' lifelong learning by building the capacity to conduct and apply nursing research in clinical practice. The structure of the programme can be used as a model in other contexts.
Issues in Mental Health Nursing, 2014
This study aims to describe patients' experiences of supportive conversation as long-term treatme... more This study aims to describe patients' experiences of supportive conversation as long-term treatment in a psychiatric outpatient context. A focus group interview was conducted with six female patients (aged 40-60 years). Five key constituents captured the essence of the general structure of supportive conversation: being treated as a responsible person, sensing intimate contact and togetherness, perceiving stability in the relationship, learning to manage daily living, and growing as a person. Supportive conversations have a positive influence on the patient's state of mind and enhance self-confidence, thereby giving the inner strength to grow as a person.
Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives, 2014
The aim of this study was to obtain a deeper understanding of midwives' lived experience of c... more The aim of this study was to obtain a deeper understanding of midwives' lived experience of caring during childbirth in a Swedish context. Ten midwives were recruited from one university hospital with two separate delivery units in western Sweden. Data were collected by both written narratives and interviews. With an inductive approach using a descriptive phenomenological method, the answers to the question: "Can you describe a situation in which you felt that your caring was of importance for the woman and her partner?" were analysed. A general structure of the phenomenon of caring in midwifery during childbirth, including five key constituents: sharing the responsibility, being intentionally and authentically present, creating an atmosphere of calm serenity in a mutual relationship, possessing the embodied knowledge, and balancing on the borders in transition to parenthood. This study emphasises how the midwives shared the responsibility and their possessed embodied ...