Thesis (Ph. D.)--University of Washington, 2006. / Vita. Includes bibliographical references (leaves 126-132).

Diss. (sammanfattning) Stockholm : Karol. inst., 2004. / Härtill 6 uppsatser.

Thesis (Ph. D.)--University of Washington, 1992. / Vita. Includes bibliographical references (leaves [157]-166).

Thesis (M.S.)--University of Michigan, 1978.

Thesis (M.S.)--University of Michigan, 1978.

Thesis (M.S.)--University of Michigan, 1990.

Thesis (Ph.D.)--University of Alabama at Birmingham, 2010. / Title from PDF title page (viewed on July 7, 2010). Includes bibliographical references (p. 187-204).

Thesis (M.S.)--University of Michigan, 1990.

Den äldre befolkningen i Sverige ökar dramatiskt medans resurser minskar. Hjärtsvikt är en av Sveriges främsta folksjukdomar och en vanlig orsak till vårdkontakt och sjukhusvistelse för äldre personer. Symtom vid hjärtsvikt kan vara påfrestande och påverkar livskvalitén negativt för både patienter och närstående. Många äldre personer med hjärtsvikt bor kvar hemma och är i behov av stöd för att kunna hantera sin sjukdom och minska återinläggningar. Syftet med litteraturstudien är att beskriva distriktssköterskans strategier för att stärka egenvård hos patienter med hjärtsvikt i hemsjukvård. Metoden är en integrativ litteraturstudie där 19 artiklar av både kvalitativa och kvantitativa metoder ingår. Resultatet visar på fyra kategorier som tar upp strategier vilka distriktssköterskan kan tillämpa för att stärka egenvården hos patienter med hjärtsvikt; grundläggande förutsättningar för distriktssköterskan, vikten av att utgå från patientens situation och behov, att arbeta med mål och uppföljning samt erbjuda utbildning och kunskap. De grundläggande förutsättningarna handlar främst om distriktsköterskans specialistutbildning och att erfarenhet har stor betydelse i arbetet med egenvård. Andra strategier som framkommer är att se varje individ, arbeta med delaktighet, involvera anhöriga och individanpassa utbildning samt följa upp. Det finns ingen generell strategi att stärka egenvården som fungerar på alla. Distriktssköterskans kompetens är nödvändig i arbetet med att ge individuellt stöd som stärker egenvård. / The older population in Sweden increases dramatically while resources are decreasing. Heart failure is one of the most common diseases in Sweden which causes hospitalization for elderly people. Symptoms of heart failure can be stressful and affect the quality of life negatively for both patients and close relatives. A lot of old people with heart failure lives at home and need support to cope with their illness and reduce hospitalization. The aim of the literature study is to describe district nurses' strategies to strengthen self-care in patients with heart failure in home care. The method is an integrative literature study where 19 articles of both qualitative and quantitative methods are included. The results show four categories that address strategies district nurses can apply to strengthen self-care in patients with heart failure. These are essential conditions for district nurse, the importance of starting from the patient's situation and needs, to work with goals and follow-up as well as offer education and knowledge. The essential conditions are mainly that higher education and experience are of great importance in the work of self-care. Other strategies emerging is to see each individual person as unique, work with participation, involve relatives and individualized education as well as follow up. There is no general strategy to strengthen self-care that works for all. District Nurse skills are necessary in the work of providing individual support that strengthens selfcare.

ABSTRACT THE EFFECTS OF HOSPITAL UNIT NURSE LEADERS’ PERCEIVED FOLLOWER SUPPORT ON NURSING STAFF PERFORMANCE OUTCOMES by JOY BAILEY Hospital unit nurse leaders are increasingly expected to deliver high quality patient outcomes at less cost yet very little is known about how they accomplish these goals while meeting work force demands and the needs of the organization. Whereas the literature is replete with studies about the work environment of nurses in general, very little has been published that examines the work environment of unit nurse leaders even though, by virtue of their role, they are inextricably linked to both staff performance and patient outcomes and ultimately the success of hospital organizations. The purpose of this study was to examine nursing support relationships (unit nurse leaders’ perceived follower support (PFS), nursing staff perception of leader supportive supervision (SS) and unit nurse leaders’ perceived organizational support), unit nurse leaders’ work stressors (role conflict, workload and span of control) and nursing staff outcomes of work team cohesion (WTC), job satisfaction, absenteeism and turnover intent on the acute care hospital nursing unit. Thirty-two unit nurse leaders from nine urban hospitals, along with 397 of the staff they supervised were surveyed. Seventy-seven percent (n = 305) of the nursing staff were registered nurses; the remaining 23% (n = 92) were nursing assistants and unit secretaries. The average nurse leader’s span of control was 41staff members (SD=43.5; range: 24-135). Most nurse leaders were affiliated with academic medical centers. Results showed that leaders with higher levels of PFS were more likely to display higher levels of SS of their staff and that higher levels of SS were associated with greater WTC, higher staff job satisfaction and increased staff intent to remain with the organization. Supportive supervision mediated the relationship between PFS and staff work team cohesion, job satisfaction and turnover intent. Also the negative effects of nurse leader role conflict on SS weakened with higher PFS. This preliminary study lays the ground work for more expansive studies on supportive interactions between unit nurse leaders and their staff, with potential to inform nurse administrators about the importance of the unit leader/staff relationship and its influence on nursing staff performance outcomes and ultimately patient outcomes.