Camilla Bernild - Academia.edu (original) (raw)

Papers by Camilla Bernild

Journal of nursing education and practice, Mar 23, 2024

This study is an education experiment based on a comparative approach, where two clinical exams-a... more This study is an education experiment based on a comparative approach, where two clinical exams-a bedside exam and a written case study exam-are investigated simultaneously. The article explores what's going on in the two exams and how nursing students assess and experience them. Based on these findings, we discuss the types of logics, knowledge, and competencies the two exams enhance and limit, respectively. Data consists of a questionnaire survey with 104 students (56/48), observations of twelve exams (6/6), followed by two focus group interviews with nurse students. The analysis shows that the bedside exam enhances 'knowing-in-action', 'reflection-in-action', 'shows how' and 'does' by its focus on nursing actions. It is unpredictable and promotes 'logics of relational care, care production and care education'. The written case study exam enhances 'reflectionon-action', 'knows' and 'knows-how' by its focus on theoretically based reflections on nursing practice. It is predictable and enhances 'logic of care education'.

Health expectations, Jul 5, 2024

Journal of advanced nursing, Feb 2, 2024

European Journal of Cardiovascular Nursing, Jul 28, 2023

Funding Acknowledgements Type of funding sources: Private company. Main funding source(s): Novo N... more Funding Acknowledgements Type of funding sources: Private company. Main funding source(s): Novo Nordic Foundation Background An estimated 35% of heart disease occurs in individuals between 35 to 54 years of age, which is the prime child-bearing and parenting years. Even though heart disease often has a good prognosis, its treatment and symptoms can cause changes in everyday life within the family. Existing research shows that adolescents who live with a parent having serious illness are to a higher degree at risk of psychosocial, behavioural, and emotional challenges than peers if they are not accommodated. To our knowledge, limited research exists about adolescents´ experiences of living with parental heart disease. Purpose To explore how adolescents experience having a parent with heart disease. Methods This qualitative study is performed with semi-structured individual interviews guided by relevant theory. Interviews of 33 adolescents from 13 to 19 years old, who either had a mother or father with one of the diagnoses: ischemic heart disease, arrhythmia, heart failure, or cardiac arrest were conducted. Their parent had been ill for at least six months and up to 5 years and the study was carried out in Denmark, Norway, and Sweden from 2019 until 2022. The analysis was inspired by Reflexive methodology. Results The findings of the present study highlighted three central themes: Response to parental heart disease, Strategies in a changed life situation, and Altered relationships. While the heart was experienced as the most vital organ for adolescent’s feelings of fear of losing their parent both physically and mentally appeared and led to a range of different reactions. Adolescents pursued normality as a strategy to overcome their new life situation with parental heart disease where they prioritized a safe space to seek away from the disruption. Adolescents took adult responsibility at home, and through the process, enhanced maturity and new practical skills were developed. Conclusion(s) This study has contributed to new knowledge in regard to how parental heart disease changes everyday life as experienced by their young relatives. In order to reconstruct the adolescent’s new lives and cope with parental heart disease the adolescent’s pursued normality, which is a significant coping strategy that must be taken into account in relation to supporting them. To expand our knowledge more research is needed to explore what adolescents’ needs from healthcare professionals are.

BMC Medical Education, May 2, 2023

Background The global coronavirus disease 2019 pandemic put extreme pressure on healthcare system... more Background The global coronavirus disease 2019 pandemic put extreme pressure on healthcare systems worldwide, forcing a heavy workload on healthcare professionals. Frontline treatment and care for patients with coronavirus disease 2019 compelled healthcare professionals to rapidly adapt to new working conditions. This study explores the experiences of frontline healthcare professionals to learn more about how frontline work affects their learning and skills development but also interprofessional collaboration during a pandemic. Methods In-depth, one-to-one semi-structured interviews were conducted with 22 healthcare professionals. A broad interdisciplinary group, the participants were employed in public hospitals in four of Denmark's five regions. Using a reflexive methodology for the data analysis allowed reflexive interpretation when interpreting subjects and interpreting the interpretation. Results The study identified two empirical themes: into the unknown and in the same boat, which we critically interpreted using learning theory and theory on interprofessionalism. The study found that the healthcare professionals moved from being experts in their own fields to being novices in the frontline of the pandemic, and then back to being experts based on interprofessional collaboration that included shared reflection. Working in the frontline was imbued with a unique atmosphere in which workers were equals and functioned interdependently, the barriers normally obstructing interprofessional collaboration set aside to focus on combating the pandemic. Conclusions This study reveals new insights regarding knowledge on frontline healthcare professionals in terms of learning and developing new skills, as well as the importance of interprofessional collaboration. The insights contributed to the understanding of the importance of shared reflection and how the development of expertise

Nursing open, Jan 3, 2022

Purpose: This study explored the apparel wants and needs of people on dialysis using the user-cen... more Purpose: This study explored the apparel wants and needs of people on dialysis using the user-centered design process. The study's aim was to understand the experiences and feeling of people on dialysis and their clothing barriers, along with exploring their functional needs and aesthetic wants in apparel items. Methods: To achieve the study's aim, 15 semi-structured qualitative interviews with people undergoing dialysis or caregivers were conducted in March 2017. In addition, researchers observed two dialysis clinics after hours for additional context. Results: Three theme categories emerged, which included (a) dialysis treatment, (b) challenges of dialysis, (c) dialysis clothing barriers. Within the framework of the user-centered design process, a deeper understanding of both the physical and emotional challenges of dialysis helped in finding barriers and giving design considerations for researchers, industry professionals, and educators. Significance: The findings help to give voice to a target market who desires to participant in consuming both fashionable and functional clothing. Current apparel for PLWD focus on the physical ailment and not the psychological well-being. The study's findings help to give recommendations to researchers, industry professionals, and educators when designing and developing apparel, products, and other environments for people on dialysis. ä IMPLICATIONS FOR REHABILITATION People undergoing dialysis treatment are an under-served population in terms of clothing needs and wants, which results in both physical and emotional challenges. This study recommends researchers and industry professional to apply the user-centered design process when designing and developing apparel for people on dialysis. People on dialysis have a similar unappealing "uniform" that is worn during treatment that gives access to their site and blood pressure cuff, hides blood staining and allows for weight fluctuations. Apparel considerations for designing should consider to break down clothing barriers and improve mental health of people on dialysis.

Research Square (Research Square), Jan 7, 2021

Background: While people in the societies must stay home to reduce spread of the newly discovered... more Background: While people in the societies must stay home to reduce spread of the newly discovered coronavirus, healthcare professionals do the exact opposite. For them the coronavirus is an enemy that should be defeated as a part of one's job. They do, however, also have a daily life with family while doing their work obligations. The purpose of this study was to gain an in-depth understanding of the frontline healthcare professionals' experience of balancing work life and family life during the COVID-19 pandemic. Methods: A sample of 22 frontline healthcare professionals caring for patients with COVID-19 was included and interviewed individually from May to August 2020. Ricoeur's phenomenological hermeneutical philosophy inspired the methodology in this study. Result: Frontline healthcare professionals treating and caring for patients with COVID-19 are, voluntarily or involuntarily, forced to be ready to change departments as well as being ready to face the unknown coronavirus. The frontline work leads to feelings of being abandoned among their families and friends due to the threat of bringing the infection home and spreading the virus. Although healthcare professionals are facing a working life lled with uncertainty and unpredictability impacting their family life, they express opposing feelings of being a part of something bigger. Conclusion: The work life balance for these healthcare professionals is threatened by changes in professional responsibilities, working hours and shifts. Fear of bringing the infection home challenges

Global Qualitative Nursing Research

Social support is known to be essential to cope with the physical and psychological aftermath fol... more Social support is known to be essential to cope with the physical and psychological aftermath following coronary heart disease treatment. Consequently, patients experiencing loneliness may be placed in a vulnerable situation. The aim of this study was to provide insight into the nuances and complexity of loneliness and its impact on health behaviour in the early rehabilitation period following treatment. The study used a hermeneutic philosophical approach. Patients classified as lonely were interviewed in either a focus group ( n = 7) or in an individual interview ( n = 10). We analysed the empirical material using inductive content analysis. The analysis illuminated various dimensions of patients’ perceived loneliness; ‘Loneliness as an emotional pain’, ‘A changed, but unmet need for social support’ and ‘Striving for symmetry in relationships’. Loneliness negatively influenced patients’ ability to adapt to the critical event and manage health behaviour changes. Insight into the mec...

Introduction: In patients treated for cardiac disease, loneliness is known to contribute negative... more Introduction: In patients treated for cardiac disease, loneliness is known to contribute negatively to health behavior, health outcome and increase risk of cardiac and all-cause mortality. Even so, in health care research, social support interventional studies targeting patients who experience loneliness is lacking. Aim: To determine the feasibility of an individually structured social support intervention targeting patients treated for cardiac disease who experience loneliness. Design: A feasibility study based on randomized clinical trial design with 1:1 randomization to a 6-month social support program, plus usual care (intervention) versus usual care, (i.e., regular guidelines-based follow-up). Intervention: Patients classified as high risk lonely according to the High Risk Loneliness tool will be provided with an informal caregiver in the six months rehabilitation phase following cardiac disease treatment. The informal caregiver will be designated by the patient from the existi...

BMC Health Services Research

BackgroundWhile people in the societies must stay home to reduce spread of the newly discovered c... more BackgroundWhile people in the societies must stay home to reduce spread of the newly discovered coronavirus, healthcare professionals do the exact opposite. For them the coronavirus is an enemy that should be defeated as a part of one’s job. They do, however, also have a daily life with family while doing their work obligations. The purpose of this study was to gain an in-depth understanding of the frontline healthcare professionals’ experience of balancing work life and family life during the COVID-19 pandemic.MethodsA sample of 22 frontline healthcare professionals caring for patients with COVID-19 was included and interviewed individually from May to August 2020. Ricoeur’s phenomenological hermeneutical philosophy inspired the methodology in this study.ResultFrontline healthcare professionals treating and caring for patients with COVID-19 are, voluntarily or involuntarily, forced to be ready to change departments as well as being ready to face the unknown coronavirus. The frontli...

American Journal of Nursing Science, 2021

COVID-19 causes patient trajectories that are sudden, unpredictable and imbedded in a worldwide p... more COVID-19 causes patient trajectories that are sudden, unpredictable and imbedded in a worldwide panic as well as lack of medical experience and knowledge. This study aims to understand how close family members to patients hospitalized with COVID-19 are affected by the situation. Individual, in-depth interviews with twelve close family members to patients hospitalized with COVID-19 were conducted. The interviews were analyzed with a hermeneutic approach using reflexive methodology. Theoretical conceptualization ensured a critical interpretation. Three empirical themes were identified: fear and unpredictability, not being able to be there and being the "key caregiver". Family members´ fear is compounded as the whole world is preoccupied with the same fear and uncertainty about COVID-19. Due to the volatile situation, a shift in coping strategies throughout the trajectory was illuminated as well as an ambivalence towards the health system´s treatment regime on COVID-19 implying a total separation between the patient and their close family member. In conclusion, close family members of patients hospitalized with COVID-19 are in a vulnerable situation, characterized by a high degree of unpredictability and seriousness causing fear of losing their loved ones, as well as powerlessness due to visiting restrictions. Hospitalization with COVID-19 is an unpredictable situation, where the family members are separated from their loved ones. Family members are dependent on the communication with health care professionals. Therefore, talking to family members during COVID-19 must be prioritized and it is found necessary to develop relevant and systematic practices for communication and collaboration practices.

Background: Vaccination is an effective choice to stop the COVID-19 pandemic. Vaccine hesitancy m... more Background: Vaccination is an effective choice to stop the COVID-19 pandemic. Vaccine hesitancy may, however, be a threat to global health. What is structuring and at stake regarding citizens’ attitudes towards COVID-19 vaccination in a society is not yet well understood. The aim was therefore to assess how the attitudes and beliefs of Danish citizens regarding the offer of a COVID-19 vaccine are expressed to make us wiser as to why people have the attitudes towards the vaccination program that they have.Methods: The study was designed as a qualitative case study including 25 citizens from different parts of Denmark and with different sociodemographic backgrounds. Data were collected through individual interviews and analyzed and interpreted through the lens of Bourdieu’s practice theory; the focus being especially on structures, habitus and capital within a health field. Findings: The findings highlight structures that regulate vaccination attitudes in the individual in which perce...

INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 2021

Family members to patients admitted to intensive care units in general experience a psychological... more Family members to patients admitted to intensive care units in general experience a psychological crisis with elevated levels of needs in support, information, assurance, and proximity. During COVID-19, this has been made more difficult as visiting restrictions prevent proximity and cause less access to communication with healthcare professionals. This study aims to explore and understand how communication with healthcare professionals was experienced by family members to patients admitted to intensive care units with COVID-19. To gain knowledge about this, 12 qualitative interviews with family members of patients hospitalized with COVID-19 were conducted. Adopting Reflexive Methodology, the interpretation is carried out following 4 levels, where the empirically grounded themes are analyzed and discussed using Habermas’s theoretical concept of communication. The analysis brought forward 2 interconnected themes about how family members experienced the communication with the healthcar...

Scandinavian Journal of Public Health, 2021

Aim: This study aimed to explore experiences of awaiting a test result for COVID-19 among individ... more Aim: This study aimed to explore experiences of awaiting a test result for COVID-19 among individuals from the general population. Methods: Fifteen participants were recruited from COVID-19 testing tents in the Capital Region of Denmark in March and April 2020. A phenomenological–hermeneutic approach inspired by Ricoeur’s theory of interpretation was used. Results: The analysis revealed five themes. (1) The participants’ experiences of awaiting a COVID-19 test result illuminated concerns related to infecting others rather than their own health. Experiences of guilt for not taking all possible precautions to avoid the spread of COVID-19 were described and thoughts of potentially having exposed others bothered the participants. (2) The test result would guide their precautions and therefore regulate behaviour at home and in society. (3) Even though the participants did not take all possible precautions they made some changes in their everyday lives. (4) Leaving the individual with the...

Background: Extensive measures to reduce person-to-person transmission of COVID-19 are required t... more Background: Extensive measures to reduce person-to-person transmission of COVID-19 are required to control the current outbreak. Special attention is directed at healthcare professionals as reducing the risk of infection in healthcare is essential. The purpose of this study was to explore healthcare professionals’ experiences of awaiting a test result for a potential COVID-19 infection.Methods: Qualitative interviews with 15 healthcare professionals were performed, underpinned by a phenomenological hermeneutical analytical framework. Results: The participating healthcare professionals’ experiences of awaiting a COVID-19 test result were found to be associated with a stoic and altruistic orientation towards their work. These healthcare professionals presented a strong professional identity overriding most concerns about their own health. The result of the coronavirus test was a decisive parameter for whether healthcare professionals could return to work. The healthcare professionals ...

Disability and Rehabilitation, 2020