text:
Aim To study the leadership and management skills of first-line managers (FLMs) of elderly care and their work environment in Egypt and Sweden. Background FLMs in Egypt and Sweden are directly responsible for staff and quality of care. However, FLMs in Sweden, in elderly care, have smaller units/organizations to manage than do their colleagues in Egypt. Furthermore, family care of the elderly has been the norm in Egypt, but in recent years institutional care has increased, whereas in Sweden, residential living homes have existed for a longer period. Methods A convenience sample of FLMs, 49 from Egypt and 49 from Sweden, answered a questionnaire measuring leadership and management skills, structural and psychological empowerment, job satisfaction and psychosomatic health. Results In both countries, FLMs' perceptions of their leadership and management skills and psychological empowerment were quite high, whereas scores for job satisfaction and psychosomatic health were lower. FLMs had higher values in several factors/study variables in Egypt compared with in Sweden. Conclusion and implications The work environment, both in Egypt and Sweden, needs to be improved to increase FLMs' job satisfaction and decrease stress. The cultural differences and levels of management have an effect on the differences between the two countries.
Background: Schizophrenia is a form of psychosis, it is rare but a very serious disease and the lifetime risk of becoming sick is 0.8% in Sweden. People with schizophrenia experience altered perception of reality because of symptoms such as hallucinations and delusions. Many relatives of people with schizophrenia argue that there is a lack of knowledge that leads to distorted view of themselves and the environment. The diagnosis of schizophrenia is based on symptoms, which consequently means that nurses have an important role which should include plenty hospitality, communication and understanding of patients' quality of life.
Aim: The aim of this study is to describe how people with schizophrenia experience their quality of life and to describe the method of selection of the articles included.
Method: The present study has a descriptive design and contains a total of 12 articles with qualitative and quantitative effort. The majority of the articles that have been used has the qualitative approach. Data collection has been conducted via PsycINFO.
Main Results: The diagnosis of schizophrenia contributed to confusion and difficulties to accept their disease. Symptoms and side effects of the medicine were the most conspicuous factors that resulted in the loss. Experiences of stigmatization and rejection by the environment were also a contributing factor for a poorer quality of life. The 12 included articles have mainly used the interviews to reach people's subjective experiences of living with schizophrenia.
Conclusion: Schizophrenia affects people's daily lives and relationships with other people negatively which led to the suffering and poorer quality of life. Knowledge of how people with schizophrenia experience their quality of life is important information for nurses that can lead to greater understanding, better reception, care and treatment.
Background: Obesity is now a growing problem in the world and as a result, several do gastric bypass surgery for weight loss. It is important that the experiences from a physical, mental and social approach is illuminated to provide a better understanding and to help them to right direction.
Aim: To describe the experience situation of life a one person after doing a gastric bypass surgery from a physical, psychological and social perspective.
Method: A descriptive study of eleven scientific articles.
Results: After a gastric bypass, the people have a more positive attitude towards life according the three perspectives. They experienced that they fit into society and could participate in the social and physical context in a better way than before. Sometime after the surgery, the participants experienced that they were back into the old habits which gave them a worse quality of life. They ment that the operation was a tool but the hard part remained and they expected a challenge, as some managed better than others.
Conclusions: It is important to give people good support, and information to enable them to preserve their new lifestyle. They are making a great mental effort, therefore they are indeed of psychotherapy and guidence to find a suitable copingstrategy to handle different situations.
Background: Health-related infections (HRI) are the most frequent occurring care damages in inpatient care. HRI's does not only impact the individual patient, but it also creates high costs and causes high levels of stress at the organization, as well as the community level. Nurses' application of and compliance with evidence-based guidelines regarding basic hygiene routines is the most effective way to prevent HRI. An examination of the various factors that contributes to the lack of compliance with the different guidelines are crucial in order to increase the theoretical and practical knowledge amongst nurses. This automatically leads to the performing of a safer patient care.
Aim: The purpose of this literature study was to identify and describe the various factors that may impact the nurse's compliance with basic hygiene routines in the prevention of healthcare related infections and to describe the data collection methods in the academic literature.
Method: A descriptive literature study with results from 12 scientific articles. The literature research was performed in the databases PubMed and Cinahl. The articles were also reviewed based on their data collection method.
Main results: Several factors contributed to how the nurses followed evidence-based guidelines regarding basic hygiene routines. The accessibility that nurses had to hygiene products was a primary cause. Lack of knowledge, time shortage, and high workload were additional causes as to why the basic hygiene routines were not properly performed. Contrary to this, good colleagues, good communication, and a safe workplace proved to be factors with a positive impact on preventive work. Surveys, observations and combined data collection methods were used in the included scientific articles.
Conclusion: There are several factors that affect nurses compliance with guidelines regarding basic hygiene routines. By creating awareness among nurses regarding these factors, they are given the possibility of improving the preventive work against HRI.
Background Diabetes mellitus type 2 is a condition that is increasing in the world and targets the youth. There is much that the patients can do themselves to influence the disease in form of self-care, for example through physical activity. Aim The aim was to describe the effect of physical activity on adult patients with type 2 diabetes mellitus. Method This was a literature study in which 11 original articles with a quantitative approach had been reviewed and analyzed. Results Physical activity improved both bodily functions, biomedical markers and patients' quality of life. The results were influenced by the type of exercise and intensity of physical activity they practiced. Hypoglycemic drug inhibited the good results of physical activity. Conclusion Physical activity was a effective form of treatment where the most favorable results were shown. The effect depended on the form of exercise, intensity and the patients' compliance. As a nurse it can be important to motivate, inform and support the patients towards a healthier lifestyle.
Stroke is an endemic disease, which in Sweden approximately 30 000 persons yearly are taken by and is estimated to cost society around 18 billion Swedish kronor (SEK). Dysphagia (eating difficulty in swallowing) is a common and known disorder in stroke patients. Dysphagia is not a disease itself, but rather a symptom of something underlying for example stroke. Dysphagia can lead to malnutrition and the risk of increased mortality.
The purpose of the study was to describe what attitudes there were among recipients and donors about the guiding principles that should comply with oocyte- and sperm donation. The purpose was also to investigate if there were any differences within the groups of recipient women and men and the donor group considering disclosure to the child about their origin.
The study became a part of a national project. Data were collected with questionnaire that included earlier described aspects. It was formed with statements to take stands towards in form of "agree" or "disagree". Number of participants were 333 and data were collected from April 2005 until spring 2008.
The main results found that among donors and the attitudes toward the child's right to get knowledge about their origin showed that women was significantly more positive in several aspects then the men. The results also showed that considering the guiding principles that should comply with gametes donation the recipients and donors had just about similar attitudes. For the recipients there was only the women who had a significant difference in one of the statements, otherwise there was no difference in either of both groups for the attitudes about disclosure to the child.
Purpose: Performing venepuncture is one of the most routinely performed invasive procedures in nursing care. The aim of this study was to develop instruments for the assessment of nursing students' knowledge and skills when performing venepuncture and inserting a peripheral venous catheter.
Methods: Two instruments were developed using the following steps. 1) Assessment items of importance for the procedures (venepuncture 48 items and peripheral venous catheter 51 items) were collected from focus groups including nurses, lecturers and patients. 2) The number of items was reduced using a method based on the Delphi method. Experts (n=51) reviewed the instruments in two rounds. The revised versions included 31 items for venepuncture and 33 items for peripheral venous catheter insertion. 3) Usability tests were conducted by nurses who tested the instruments to confirm that items were possible to assess. 4) Inter-rater reliability was assessed by twelve lecturers who in pairs, but independently of each other, used the instruments to assess 50 nursing students.
Results: Proportion of agreement and Cohen's kappa coefficient were calculated for each item to determine inter-rater reliability. Among the tested items for both instruments, the median proportion of agreement was 1 (range 0.66-1) and the median kappa was 0.52 (range 0.22-1).
Conclusions: The instruments developed for assessing nursing students' knowledge and skills of venepuncture and peripheral venous catheter insertion showed satisfactory inter-rater reliability.
The purpose of the present project has been to carry out international studies on meaning-making coping among people who have been affected by cancer in a number of societies and, thereby, to try to understand the influence of culture on use of these coping methods. Five countries—Sweden, South Korea, China, Japan, and Turkey—are included in the project. Qualitative semistructured interviews have been conducted with persons with a cancer diagnosis. The research group in each country has used, as a foundation, the interview questions developed for the Swedish study. These questions were, however, modified to better suite the sociocultural context of each participating country. The results presented here concern only Turkey and are restricted to religious coping methods. The study consists of 25 cancer patients (18 females and 7 males) between 20 and 71 years of age. The results of the study in Turkey indicated that the RCOPE (Religious Coping) methods are highly relevant for the interviewees. A sociological analysis of the study made from a cultural perspective showed clearly the importance of the idea of being tolerant (Sabr) for patients when coping with the psychological problems brought about by cancer. The study made it clear that culture plays an essential role in the choice of coping methods.
Background: HIV is a viral disease that is caused by a retro virus which damage the immune system. AIDS is the final stage of the disease and there are two types of HIV; type 1 and type 2. The carer and the patient are dependent on each other to make the medical care optimal. The meeting is an important part of patients' experience of medical care, especially for people living with a contagious disease. Earlier research showed that healthcare professionals could have a potentially critical view on people living with HIV/AIDS (PLHA). Knowledge about how PLHA experience the meeting when in contact with the healthcare sector today is missing, therefore the authors of this study wanted to examine this topic further. Aim: The aim was to describe how PLHA experience the meeting within the healthcare sector when seeking help because of the disease, and also to describe the sample used in the articles that were used in this study. Method: Descriptive literature review, nine articles both qualitative and quantitative where used. Key findings: : According to PLHA was a positive encounter important to the career-patient-relationship. Trough more information and increased knowledge about the disease in nurses and other healthcare personnel did PLHA describe that the encounter became more positive and the HIV-related stigma could be reduced. An individual education for PLHA were also an important factor to reduce the self-experienced stigma that often were based upon shame. That internal shame and the feeling that needing to hide something could lead to depression and negative feelings. A negative encounter could for example be lack of dedications and an un-welcoming attitude and furthermore reluctance in the healthcare personnel to treat and support PLHA both physically and psychological Conclusions: PLHA doesn't experience as much stigma or discrimination today as before, but there are still a certain degree of preconceptions. Further education of both healthcare personnel that doesn't encounter these kind of patients on a regular basis and information to the society could help reduce the preconceptions and the stigma that still exist around this disease.
Bakgrund Historiskt sett har sjuksköterskeyrket ansetts ha låg status och varit dominerat av kvinnor. Yrkesrollen har associerats till det kvinnliga och att vara omhändertagande, varm och moderlig. Denna stereotyp finns kvar ännu idag. I Sverige antog inte sjuksköterskeutbildningen män förrän under 1950-talet, och viss forskning har visat att patienter och kvinnliga kollegor varit skeptiska till män i yrkesrollen.
Syfte Syftet med denna litteraturstudie var att beskriva manliga sjuksköterskors erfarenheter av att vara man i yrket.
Metod En beskrivande litteraturstudie. Databaserna Medline via Pubmed och Cinahl användes för att finna 13 artiklar, dessa analyserades genom en innehållsanalys.
Huvudresultat Studien presenterar manliga sjuksköterskors erfarenheter av yrket i fem kategorier: Upplevelsen av marginalisering och exkludering, Förväntningar på män i yrket, Manliga sjuksköterskors syn på yrket, I mötet med patienten samt Fördomar om manliga sjuksköterskors sexuella läggning.
Slutsats Manliga sjuksköterskor har upplevt motstånd i sitt yrke och begränsats av fördomar om att män inte platsar i yrkesrollen. De upplevde sig exkluderade och marginaliserade kopplat till mansrollen, samt att de förväntades utföra tungt och tekniskt arbete. Trots sin minoritetsställning upplevde de ändå patriarkaliska fördelar. I samhället finns en uppfattning om att manliga sjuksköterskor är homosexuella. Resultatet vittnar om att könsroller och genusstrukturer påverkar arbetet, vilket kan relateras till Raewyn Connells maskulinitetsteori.
Syftet: var att beskriva sjuksköterskans agerande och vilka faktorer som kan påverka beslutet om att anmäla eller inte vid misstanke om barnmisshandel samt att granska kvaliteten avseende de metodologiska aspekterna urval- och datainsamlingsmetod i studiens ingående artiklar.
Metod: Deskriptiv litteraturstudie baserad på femton vetenskapliga artiklar som söktes från databaserna Pubmed och Cinahl.
Resultat: Sjuksköterskor känner sig osäkra när tecken/symtom var otydliga och avvaktade för att samla information innan hon eller han bestämde sig för att anmäla. Sjuksköterskor var bekväma i sina observationer när arbetsplatsen stod bakom beslut om att anmäla misstanke om barnmisshandel. Faktorer som visade sig påverka sjuksköterskans beslut om att anmäla var utbildning, kunskap, samarbete, riktlinjer, självförtroende, attityder och inställning.
Slutsats: Screening för barnmisshandel, tydliga riktlinjer, mer stöd från kollegor samt utbildning inom området behövs.
Syftet med studien var att beskriva kvinnors upplevelser av livet första året efter en Gastric bypass operation. Metoden var en kvalitativ blogganalys av beskrivande design som använde sig av ett ändamålsurval med inklusion- exklusionkriterier. Åtta kvinnor deltog i studien. Det insamlande materialet analyserades genom en manifest innehållsanalys.
Slutsatsen var att ingen av informanterna ångrade ingreppet då de upplevde att operationen var den enda vägen ur tillståndet. Informanterna upplevde att stödet och attityderna från sjukvården var sämre än väntat samt att informationen om vad som väntade efter operation var till och från var bristfällig. Attityden från omgivningen men även ibland från vården upplevdes som dålig och informanterna kändes sig missförstådda, inte tagna på allvar och ibland utanförskap.
Bakgrund: Diabetes typ 2 ökar globalt, riskfaktorer för utvecklingen är bland annat ärftlighet och levnadssätt. Främsta behandlingen är egenvård i form av regelbunden motion och hälsosam kosthållning.
Syfte: Syftet med litteraturstudien var att beskriva erfarenheter av egenvård hos vuxna personer med Diabetes typ 2.
Metod: En beskrivande litteraturstudie som inkluderade 15 artiklar, vilka svarade på litteraturstudiens syfte. Genom databaserna MEDLINE via PubMed och CINAHL söktes artiklar fram systematiskt, varav en var manuell sökning.
Resultat: Resultatet visade att personer kände oro vid diagnostisering av Diabetes typ 2. Oron minskade när personerna accepterade sjukdomen och tog ansvar genom egenvård. Personer förklarade att de behövde upprätthålla egenvårdsåtgärder för att det skulle ske en livsstilsförändring, dock beskrevs det som svårt. Även om personer påbörjat sin väg mot livsstilsförändring kunde de stöta på svårigheter att hantera sociala sammanhang, vilket var ett hinder i deras vardag. Närstående till personer kunde också upplevas som ett hinder, men främst ansågs de närstående vara ett stort stöd. Personer beskrev också sjuksköterskan som ett viktigt stöd, framförallt med motivation. Andra personer beskrev istället att sjuksköterskan endast utförde praktiska procedurer.
Slutsats: Utifrån litteraturstudiens resultat kan sjuksköterskan få en uppfattning av personernas erfarenheter. Detta kan underlätta för sjuksköterskan att främja hälsa genom att ge anpassad information och vård. Om personer får en sådan hjälp kan de ta eget ansvar för sin behandling och därav påbörja sin egenvård. Genom att personerna upprätthåller sin egenvård kan de i längden förbättra sin livskvalitet.
Purpose: The purpose of this study was to describe the experiences of terminal cancer patients' receiving palliative care in hospice or in an in-patient care unit, and illuminate what these patients believe that good palliative care involves. Method: The Literature study had a descriptive design and was based on 14 scientific articles that were retrieved from the databases Cinahl, PubMed, PsycInfo and by manual search. The results of the analysis were compiled into 5 categories containing 23 subcategories. Main Result: Patients experienced that the issue of most importance in palliative care was to obtain adequate pain relief without reservation or delay. Good communication and interaction between the nurse and the patient was the basis for good health care to be developed. Trust in health professionals' skills and abilities were essential to patients' perceptions of security. Autonomy was central for the patients' participation in their health care, and it created a sense of control and meaning. The environment at the hospice had a negative impact on the patients' self-image and made them lose their identity. Finding meaning in their suffering helped the patients gradually to accept their situation in order to find peace in their knowing of the inevitable. Conclusion: The interpersonal communication and nursing skills is of crucial importance for patients' perceptions of good health care. More research is needed to meet the growing request of qualified professional palliative care.
The aim of this descriptive review was to elucidate how the literature describes how children of parents with mental illness experience and have knowledge about their parent's illness. The aim was furthermore to describe how the children's existence is affected, can be improved and why the children so often are invisible. Search through Medline (through PubMed) database and additional manual search was conducted. In total fourteen articles fulfilled the inclusion criteria and were reviewed. The chosen method for analysis was qualitative and the results are presented on the basis of different subjects that elucidated the questions at issue. The study shows that children of parents with mental disorder often takes responsibility for the parents disease, a disease that has to be kept a secret and often lead to social isolation for the children. The children often have poor knowledge of the parent's illness. Due to different obstacles these children are difficult to identify and thereby also difficult to help. The children themselves have clear opinions of what kind of help they want, mainly economic and domestic support, conversational support and information. One of the authors' conclusions is that new research needs to be done regarding Swedish conditions.
The aim of this study was that, with focus on experiences of participation and life satisfaction, work situation and consumtion of non institutional care, compare two groups that had participated versus not participated in a stroke program for Strokescreening. A questionnaire was sent retrospective to a consequetive group of people. The results were analyzed with Chi2-test, Mann Whitney-test, T-test, linear regression analyzes and multiple logistic analyze. No significant differences could be shown between the groups even though some tendences were noted. The group who participated in the Strokescreening program experienced less participation in personal care than the group who did not participate. The strokepatients that participated in this study experienced a significant lower level of life satisfaction than a reference group of a normal population of Swedes. There was a prominent difference between the groups about occupation before the stroke. In time of this study there where some higher percentes in the group who participated in the Strokescreening program that had returned to work. Several of the participants in the group that had not participated in the Strokescreening program had a regulary contact with the non institutional care. The results of the present study arouse some questions about the benefit with the Strokescreening program related to the expences. The method of a questionnairy study had some weekness, both in a relatively high level of reduction of participants and a question about the relevace of the questions asked. Therefore, it would be of great interest to make an interview study of this population. It would also be of great interest to examin if there are any differences in the frequency of how many of the participants who gets another stroke in respective group. The purpose of that would be to see if the Strokescreening program has any secondary preventive effect.
Bakgrund: Sjuksköterskorna behövde vara flexibla för att kunna hjälpa patienterna med sitt vardagliga liv. Det är viktigt att sjuksköterskan är redo att tillhandahålla palliativ vård på ett professionellt sätt och för att uppnå detta krävs det att sjuksköterskan har ett bra bemötande samt att patienten ges bästa möjliga omvårdnad. Sjuksköterskans arbete inom den palliativa vården är krävande och därför efterfrågas kunskap och erfarenhet hos sjuksköterskan. Syfte: Syftet med studien var att beskriva sjuksköterskors upplevelser av att ge omvårdnad till vuxna patienter som ges palliativ vård i hemmet, samt att beskriva hur de valda artiklarna beskriver undersökningsgruppen. Metod: En deskriptiv litteraturanalys. 11 artiklar granskades och sammanfattades. Huvudresultat: Att handskas med ett arbete nära döden och anhöriga som ofta hellre vill ha sin egen röst hörd istället för patientens röst är svårt för sjuksköterskan. Sjuksköterskor upplevde palliativ vård som emotionellt påfrestande. Sjuksköterskor beskriver att de genom professionella gränser och kollegialt stöd hanterar arbetet. Slutsats: Att upprätthålla de professionella gränserna är viktigt för sjuksköterskan, samt att kunna få kollegialt stöd. Att få läkaren att förstå vikten av situationen är inte alltid lätt, men är viktigt för sjuksköterskan att kunna göra för att ge patienten den bästa vården och minska patientens lidande.
Background: Diabetes Mellitus Type 1 debuts in childhood and adolescence. The treatment is self-care that involves blood glucose control, drug treatment and following recommendations on diet and exercise. Nursing's professional area includes children and adolescents. Deviating from self-care activities and secrecy around the disease affects the quality of care for young people. Purpose: To describe the young people's experience of living with Diabetes Mellitus type 1 as well as describing the study groups of the studies examined. Method: Descriptive literature study with twelve scientific articles with qualitative as well as qualitative and quantitative approach. Consequences and differences in the results of the articles have been categorized and themes and subthemes have been identified. Results: Young people experienced difficulties in accepting their illness and wanted to have control over and take responsibility for their illness and increase independence. Young people experienced the feeling of being different and avoiding self-care in social contexts. Difficulties to follow dietary recommendations varied and blood glucose controls were exerted. Support from friends and peers facilitated the performance of self-care. It was positive that nurses showed interest in the lives of adolescents in addition to their DMT1. Nurses were found to fail to get into the situation of young people and to be an emotional support. Conclusion: There is a need for increased support and understanding from nurses. Through increased understanding, the nurse can help to facilitate the transfer of responsibility. This can lead to increased safety and sense of control among adolescents, which may help them dare to share their illness with the environment.
Background: Today live about 450 000 people with diabetes in Sweden and it makes the disease one of the major diseases. Diabetes mellitus type 1 is a chronic autoimmune disease primarily affects young people. In Sweden live about 7000 children with the disease and fall ill every year approximately 700 children under 15 years. This makes the disease one of the most common chronic diseases in children in Sweden.
Aims: The purpose of this study was to describe parents' experience of living with a child (0-13 years) with type 1 diabetes mellitus and to describe the data collection methods of the included articles.
Methods: A descriptive literature study, which included 11 scientific articles, nine articles of qualitative approach, one quantitative and one mixed study. These were analyzed objectively by both authors. The searches took place in PubMed and Cinahl.
Results: The results show that parents experienced stress and life adjustment when child get diabetes. They felt a sense of worry and they found it difficult to assign responsibility to someone else. Support and information perceived as flawed in different situations, but a healthcare team or a mentor perceived as positive. Data collection methods in the included articles were mostly interviews except one who applied the questionnaire.
Conclusions: Parents experienced constant worry, lack of support and information. With the right support and information would reduce parents' anxiety and it could also strengthen the child's self-care ability.
Background: Studies show that about 10% of the world population suffer from needle fear. Consequences for the person with this phobia who knows needle fear is anxiety and avoidance of medical procedures involving injections. This can lead to health problems for the individual and in the worst case lead to the person avoiding all healthcare. It is important that the nurse has knowledge of the factors that can lead to needle fear and what the nursing interventions that can alleviate the suffering of the patient.
Aim: The purpose of this study was to highlight nurses nursing care measures required to preclude the fear of needles in children. The aim was also to describe the selection groups in the included articles.
Method: A literature review in which the results of the 12 articles reviewed, analyzed and compiled. Searches were conducted in PubMed, CINAHL and PsycINFO.
Main Results: The result showed that the environment's design is important as children get injections, and how well the child was prepared for needle insertion. The result showed that even small children have the opportunity to benefit from training on needle insertion procedures. Adjusting the time it takes for a baby and a toddler to adapt must be allowed to steer healthcare. Distraction was used as a method before the needle insertion but that the best were of distraction was not needed.
Conclusions: The environment´s design is important as children get injections and nurse can reduce the feeling of a hospital or clinic by adapting the environment and provide for distracting toys. It is important that children know what would happen at the needle insertion procedure and even smaller children can benefit from education about needle injection procedures and understand the importance of them. The nurse can by adjusting the session time for the child's needs and validate the child's feelings reduce anxiety and fear of the needle fearing children.
Abstract (MB och AA)
District and registered nurses work with various tasks and in different services includinghome care. The patient's home becomes the nurse's workplace. The aim of the study was to describe district nurses'/registered nurses' perceptions and experiences of the work environment in municipalized home care, among those with short and long professional experience. Descriptive design and qualitative approach was used. Five participants with shortand six with long professional experiences were interviewed. The material was analyzed using qualitative content analysis. The results for participants with short work experience led to fivecategories: factors influencing workload, factors affecting collaboration, relationships and ethical dilemmas, organizational conditions and leadership, and lack of communicationreduce patient safety. The work was experienced physically diverse increased number ofpatients and time constraints led to stress. The work also felt joyful with good relationships to patients and families. Ethical dilemmas arose from divergent views of the patient's health care needs. The results among participants with long professional experience revealed four categories: nursing in home environment, factors affecting communication and collaboration, tomunicipalize home care is a conversion process and a lack of leadership. The work was described as physically demanding but varied. Shortcomings of communication and information meant that important patient information was missing. District nurses felt theirspecialist competence undervalued. The conclusion is that regardless short or long professional experience, the participants witnessed of positive and negative aspects in their work environment. The work was perceived sensed but increased understanding and supportfrom managers about the work situation was desired. When working in home care, it can be difficult to affect work environment factors of importance because the work is performed inpatients' homes.
The purpose of the study was to describe how care givers experience working with people who suffer from dementia and acting out behaviour and to illustrate the importance of the care givers approach. Sixteen caregivers were interviewed from different nursing homes in the middle of Sweden. The interviews were analyzed with qualitative content analysis. The result is divided into two content areas. The analysis of the first content area, care givers experiences of meeting people with dementia and acting out behaviour, resulted in three categories, which deals with the approach. The categories were; to be insecure, to feel a challenge and to be secure. To have co-workers nearby resulted in feeling secure. A challenge was to make the person suffering from dementia feel well once again. To be inexperienced resulted in insecurity among the care givers. The second area of content was, the care givers description of the value of a good approach when meeting people suffering from dementia and acting out behaviour. The analysis of that content area resulted in four categories; to be clear, to be calm, to be experienced and to be accepted. To be calm and use few words was successful. To have knowledge and to be appreciated made the care giving work easier. The result of the study illustrates different approaches from care givers in their contact with patients with dementia and how care givers experienced that contact.
Background: The emergency department has a high patient inflow and this results in increased waiting times for patients with low priority injuries and diseases/conditions. The confidentiality in health care prevents the nurse from giving information on why other patients are prioritized over them. Nurses can with the knowledge of patients' experiences of care in the emergency department, get a better understanding and through this provide more individualized care and increased satisfaction of patients.
Aim: To describe patients' experiences of care from nurses in the emergency department. Furthermore, the aim of this study was to examine the data collection method of the included articles.
Methods: A literature study with descriptive design. The twelve included scientific articles were sought out in the databases CINAHL and PubMed. The approaches of these are quantitative, qualitative or mixed.
Results: Many patients felt that the treatment they received by the nurse in the emergency department was good. The good hospitality, ability to listen and the high competence of the nurse brought a mutual respect between nurse and patient. During the waiting time, however, the patients sometimes felt as a burden on nurses and in some cases even felt ignored. The lack of contact with the nurses during the waiting time meant that the patients did not receive the information they deemed necessary. Patients described that the nurse communication was adequate and that they used an easy to understand language.
Conclusion: Most patients were satisfied with the care they received by the nurse in the emergency department. They felt that the nurse had a high level of competence and communication was adequate. However, there were patients who felt that the information was inadequate.
The aim of the study was to describe newly graduated nurses' experiences of work-related stress and to describe their experiences of what consequences stress can lead to. A descriptive interview study with qualitative approach was used. Data collection was performed by eight semi-structured interviews. The collected data was analyzed using qualitative manifest content analysis. The main result demonstrates that newly graduated nurses experienced stress in the beginning of their profession, partly because it is a time of uncertainty. Newly graduated nurses have described a decreased experience of stress with increased knowledge and experience, and reduced demands on herself in the professional role. Nursing is described to be stressful due to a variety of causes but there are measures that can be used to reduce stress. Stress has been described to cause consequences both for the nurse as an individual and for the care of patients, which has been described to result in feelings such as frustration and inadequacy. In line with Benner's theory it can be stated that newly graduated nurses undergo a professional development which lead to a experience of decreased stress. Stress in the nursing profession is a complex problem that must be dealt with on several fronts. For the newly graduated nurse it is very important that she is gentle with herself in the professional role by not having too high demands on herself to be able to practice her profession, that is carry out optimal patient-focused nursing.
År 2007 anmäldes 19600 fall av våld mor kvinnor där förövaren var en manlig bekant till kvinnan. Mörkertalet är stort och våldet är ofta väl dolt bakom hemmets väggar. Syftet med denna litteraturstudie var att belysa vilka kunskaper sjuksköterskan behövde för att kunna identifiera/urskilja kvinnor utsatta för våld i nära relation samt ge en god omvårdnad till dessa när de sökte till hälso- och sjukvården. Ur de granskade artiklarna utläste författarna fem teman "Urskilja kvinnor utsatta för våld i nära relation", "Att möta våldsutsatta kvinnor", "Våldsutsatta kvinnors erfarenheter av vården", "Sjuksköterskans behov av riktlinjer och utbildning" och " Sjuksköterskans inställning till att ställa frågan". Det framkom att sjuksköterskor behövde riktlinjer och utbildning/erfarenhet för att kunna identifiera och ge en god omvårdnad till kvinnor utsatta för våld i nära relation. En god omvårdnad för dessa kvinnor innebar att sjuksköterskan vågade fråga om deras situation, vågade ta emot svaret och förmedla vidare kontakt.
En slutsats författarna drar efter denna litteraturstudies genomförande är att forskning om sjuksköterskors kunskaper inom detta område bör undersökas ytterligare. Vidare bör det även forskas om vilken kunskap om detta ämne sjuksköterskestudenter erhåller i sin utbildning till sjuksköterska.
Övervikt och fetma är ett växande problem i Sverige och delar av världen. Det är en riskfaktor för andra somatiska sjukdomar och har en negativ inverkan på livskvalitén. Syftet med denna studie var att beskriva distriktsköterskors arbete med och reflektioner kring behandlingen av vuxna patienter med övervikt och fetma. Studien var av kvalitativ ansats med deskriptiv design och genomfördes genom semistrukturerade intervjuer med åtta distriktssköterskor på landstingsdrivna vårdcentraler i Uppsala län. Resultatet av studien visade att mätvärden och samtal var viktiga verktyg för att distriktssköterskorna ska kunna identifiera patientens övervikt eller fetma. I behandlingen av övervikt och fetma var motiverande samtal, tvärprofessionellt arbete, fysisk aktivitet på recept och kostråd centrala delar. Liksom de stöd som distriktssköterskan utgjorde för patienten i beteendeförändringen. Patientens brist på motivation eller vilja kunde försvåra samarbetet mellan patient och distriktssköterska. Slutsatsen av studien visade att distriktssköterskorna hade en betydande roll i patientens beteendeförändring mot en hälsosammare livsstil och viktminskning. Distriktssköterskorna hade kunskap och kompetens att hjälpa patienten i arbetet med beteendeförändringen men mer kunskap behövdes för att kunna utveckla vården. Riktlinjer för hur övervikt och fetma ska tas om hand och behandlas inom vården var viktiga och hjälpte distriktssköterskorna att motivera sitt arbete hos verksamhetschefer. Distriktssköterskorna följde delvis vårdprogrammet för fetma hos vuxna i Uppsala län.
Syftet med litteraturstudien var att beskriva hur sjuksköterskans arbetsmiljö påverkar patientsäkerheten. Metoden som användes var en litteraturstudie som baserade sig på tretton artiklar. Resultatet pekade på att kvalitén på vården som sjuksköterskorna gav var signifikant associerad med sjukhusets arbetsmiljö och antalet anställda. Det fanns ett starkt samband mellan antalet patienter per sjuksköterska och patientsäkerheten. Det visade sig även att om en arbetsplats har en dåligt organiserad arbetsmiljö så kan det motverka fördelarna med att ha mycket personal. Sjuksköterskor måste vara flexibla då patienternas behov och vårdkedjor var mycket komplexa och ständigt varierande. Det kan finnas starka kopplingar mellan patienternas säkerhet i vården och sjuksköterskornas arbetsmiljö samt flera faktorer som påverkar denna arbetsmiljö: bemanning, organisation, arbetsansvar, höga krav, arbetsledning, patienternas tillstånd, arbetsrelationer, lagarbete, arbetsvillkor, sjuksköterskans professionella inställning, kommunikation, resurser, stress, utmattningssyndrom, stora mängder administration, telefonarbete, hanterande av svåra situationer och övriga icke sjuksköterskeuppgifter. Sjuksköterskeyrket beskrivs som mycket komplext, att det förväntas mycket och att det ställs stora krav på våra sjuksköterskor. Hög arbetsbelastning, konflikter mellan kollegor, dålig ledning och emotionell börda kopplades till utmattningssyndrom bland sjuksköterskor. Slutsatsen blev att låg bemanning och dålig arbetsmiljö kan påverka vårdkvalitén och patientsäkerheten.
Background: Health care in Sweden shall be conducted with the patients' autonomy in center. However, in some cases in the psychiatric care, patients can be treated against their will. A nurse shall work towards increasing patient autonomy and participation. The use of involuntary treatment can due to this cause ethical dilemmas. To describe how nurses cope with using involuntary treatment is important since it can increase the understanding of a complicated situation, and in the long run increase the quality of the health care services.
Aim: To describe the experiences of a nurse working with involuntary treatment and to describe how the chosen articles presents their selection groups.
Method: The study was conducted as a descriptive literature review. Articles was searched in the databases Medline and Cinahl with a ten-year age limit. A total of fourteen articles was selected and processed into four subcategories and a methodological aspect to answer to the study's aim.
Results: The results show that nurses experience mostly negative feelings like anxiety, fear and vulnerability while working with involuntary treatment. The use of involuntary treatment was justified by the thought that the practice was a part of the nurses' job and duty. The use of involuntary treatment was describes as damaging on the nurse-patient relationship and caused ethical conflicts. The result was described in four subcategories Feelings about the use of involuntary treatment, Justifying involuntary treatment, Involuntary treatment and the effects on the nurse-patient relationship and Ethical conflicts due to involuntary treatment. The articles varied in their descriptions of their selection groups. Most described the participants gender, age and work experience. Most of the articles had 11-50 participants.
Conclusions: This study has found that nurses experience involuntary treatment as having mostly negative effects. It has been shown that the nurses' level of education has an effect on both the execution and the handling of involuntary treatment. The writers of this study have come to the conclusion that nurses wish to decrease the use of involuntary treatment, and that research should be focused on finding alternative methods of treatment.
Background: Intensive care nurses are exposed daily to psychologically demanding situations that can be difficult to process without adequate support from the workplace. Previous research indicates that intensive care nurses lack support in these mentally challenging situations. However, there is also a lack in current research on how support can be improved.
Purpose: The purposewas to describe the intensive care nurse's experiences of distressingsituations, how they handle these situations,how they experience the support and suggestions for improvements in the workplace.
Method: This study has used a descriptive design along with a qualitative approach. Semi-structured interviews were held with 8 intensive care nurses and a content analysis was made.
Result: The intensive care nurses experiences of mentally demanding situations were subjective. There could be difficult situations with patients, but also difficulties regarding personnel-related circumstances. The majority of intensive care nurses used problem-focused coping, were they actively sought out support from people they trusted. There were shared opinions regarding the support from colleagues, management and the workplace. Additionally, the intensive care nurses gave suggestions on how this support could be improved. The suggestions included that both the colleagues and the management could be more attentive and responsive to each others needs.
Conclusion: Situations that are experienced as mentally demanding showed to vary from each individual. The support at the workplace and the support from management are experienced both as well and less well. The support can be improved by being responsive towards colleagues needs. The collegiate support was experienced as well. However, the support can be improved further by showing more compassion for one and another.
Bakgrund: Endometrios är en östrogenberoende sjukdom som främst drabbar kvinnor i fertil ålder och tar ofta lång tid innan den diagnostiseras. Besvären från endometrios kan leda till ett långvarigt lidande med grav smärta, påverka den drabbades arbetsförmåga, sociala tillvaro och möjligheten att bli gravid. Syfte: Syftet med denna studie var att beskriva personer med endometrios erfarenheter i mötet med sjukvårdspersonal, samt att beskriva de inkluderade artiklarnas datainsamlingsmetoder. Metod: Beskrivande litteraturstudie. Resultat: Denna litteraturstudie visade att personer med endometrios erfarenheter av mötet med sjukvårdspersonal ofta präglas av att de endometriosdrabbade kände sig nonchalerade, inte blev tagna på allvar och att de, efter fastställd endometriosdiagnos, upplevde att sjukvårdspersonalen ställde orimliga krav på dem. Att mötas av empatisk och kunnig sjukvårdspersonal sågs som positivt. Slutsats: Kunskapen om sjukdomen endometrios behöver utökas både hos sjukvårdspersonalen och allmänheten för att garantera tidigare diagnos. Då sjuksköterskan är en av de professioner som de vårdsökande oftast kommer i kontakt med är god kunskap hos sjuksköterskan en förutsättning för god omvårdnad och ett led i att förbättra bemötandet gentemot de endometriosdrabbade.
Background: Occupational stress is a global health problem that exists within the nurse profession as well as within many other occupations. Individuals who suffer continuous activation of the body's stress response are subjected to an increased risk of physical and mental disease and - in the long term perspective - increased risk of an early death. When it comes to the nurse occupation, it isn't just the nurse who is affected by occupational stress. Research has shown, for example, that there is a correlation between high workload for nurses and a lower patient safety. In this context Antonovsky's theory about sense of coherence is useful as it has been known to increase a person's resilience towards stress. Aim: The aim of this literature review was to describe nurses experiences of occupational stress. Method: A literature review with a descriptive design. Twelve scientific articles were included in total. Eight articles had a qualitative approach and four had a quantitative approach. The articles were searched for in the databases CINAHL and Medline via PubMed. Main findings: Nurses experienced that occupational stress was a common phenomenon. High workload was the most prominent aspect of stress experienced by nurses, one that reappeared in all the included studies. Stressors caused by organizational structure, for example imbalance in nurse/patient ratio, caused nurses to feel stressed. Emotionally and morally burdensome care situations contributed to nurses experiences of compassion fatigue and moral distress. Unsatisfying relations to doctors, patients and other nurses was a job stress perceived by nurses. Conclusion: Nurses experience many types of occupational stress. Occupational stress is a problem for nurses globally and nurses face challenges with upkeeping the quality of care and patient safety thereby. There is a need to reprioritize the distribution of resources in the public community in order to ensure nurses' wellbeing and intent to stay within the profession – which lies in the interest of the society.
Bakgrund: Diabetes typ 1 är en autoimmun sjukdom som främst drabbar barn och ungdomar. Sjukdomen innebär total insulinbrist och behandling sker främst genom egenvård i form av blodsockerkontroller och administrering av insulin. Sjuksköterskan spelar en stor roll i diabetesvården och genom motivation, kost- och motionsrådgivning samt undervisning ges bättre förutsättningar för egenvården.
Syfte: Syftet med denna litteraturstudie var att beskriva tonåringars upplevelser av att leva med diabetes typ 1 samt att beskriva hur vald litteratur presenterar undersökningsgrupperna i studierna.
Metod:En deskriptiv litteraturstudie. Tolv artiklar med både kvalitativ och kvantitativ ansats har analyserats och delats upp i teman och subteman.
Huvudresultat: Många tonåringar beskrev en svårighet i att acceptera sin diabetes. De upplevde en känsla av att vara annorlunda som innebar att de undvek att sköta sin diabetes offentligt. Känslan att vara annorlunda försvann när tonåringarna umgicks med personer som också hade diabetes. Många tonåringar upplevde även en känsla av oro, främst för hypoglykemi. Gällande egenvården upplevde många tonåringar en önskan om självständighet som togs över av osäkerhet och okunskap i egenvård. Tonåringarna hade också en önskan om en personlig kontakt med sitt diabetesteam inom vuxenvården.
Slutsats: Tonåringar uttrycker ett behov av en personlig relation i vården samt en förståelse för sjukdomen i vardagen. Genom en ökad förståelse kan sjuksköterskan möta tonåringarnas behov och genom detta få en bättre vårdrelation. En god vårdrelation kan innebära att tonåringar med trygghet kan uttrycka sina behov på ett bättre sätt. Tryggheten kan också innebära att tonåringen har en större acceptans för sjukdomen samt vågar vara mer öppen med sin sjukdom.
Background: Palliative care means that the care is soothing and not curative, where the focus is on promoting quality of life, right into death. Palliative care varies in Sweden. Palliative care is a major area of responsibility for district nurses employed in municipal home care.
Purpose: The purpose of the study was to describe district nurses' experiences of caring for patients in palliative stages in municipal home care.
Method: The study used a qualitative approach with a descriptive design. Data were collected via semi-structured interviews, ten district nurses from municipal home care with experience of home-based palliative care participated. The material was analyzed using qualitative content analysis.
Results: The district nurses described that they experienced the work with palliative care as challenging, but also as positive and satisfactory. Being able to make a difference, having involved relatives and a specialized palliative team was stated as the biggest benefits in palliative care. The difficulties were the lack of co-operation, or if the patients' relatives were not aware of the situation. The district nurses stated that they were satisfied with their way of dealing with their feelings and that most of them sought support from their colleagues in the first place. Often, more difficult emotions occurred when it came to the care of younger patients, or when children were involved.
Conclusion: The district nurses in this study experienced the work with patients in palliative stages as challenging, developing and emotional, but it was very rewarding. Difficulties that were highlighted were, above all, a lack of co-operation and a more difficult emotional management when it came to caring for younger patients, or when children were involved. The study can lead to an increased understanding for different healthcare providers who come into contact with patients in palliative stages and it highlights the need for collaboration to be able to get improved patient care.
Background: Endometriosis is a chronic gynecological disease which ten percent of all women suffer from. The symptoms are individual but the most common are pelvic pain, pain during menstruation and intercourse pain. Because of insufficient competence in health care system women are treated with disbelief and normalization of symptoms. The nurse attitude towards these patients ought to include sensitivity, sympathy and empathy and also have a good communication and be able to find meaning in each meeting with patients.
Aim: The aim with this literature review was to describe womens experience in daily life of living with endometriosis. The aim was furthermore to describe the included articles data collections method.
Method: A literature review with descriptive design. Data were collected through databases PubMed and CINAHL where ten articles with a qualitative approach was found which laies to basis for the result.
Main results: The way to diagnosis was a long process that was related to disbelief and endometriosis diffuse symptoms. Endometriosis limited womens physical, psychological and social abilities that significantly reduced quality of life. Pain was the most substantial symptom and to be able to handle with the pain, they constantly search for strategies. The strategies varied slightly among the women but the most useful approach was a major dietary change. The ten articles that was included in this literature review used interviews to collect data and supplemented with diarys and journal entries to describe womens experiences of living with endometriosis.
Conclusion: Endometriosis affects a womans daily life adversely and also her relationships with other people. Deficiencies in health care was significantly when non adequate information was given and a marked disbelief related to the womens symptom that can be one reason for a delayed diagnosis. To be able to handle everyday life women had found different strategies to reduce pain.
The aim of this study was to describe nurses' knowledge of pain. The method used was a systematic literature study. Information was gathered from the databases Blackwell Synergy, Academic Search Elite and Medline, and the keywords used in the search were: pain, knowledge, nurses and nurses.
The result was divided into three subgroups; Insignificant documentation and evaluation. More education is necessary. Knowledge and attitudes.
Nurses need to improve their documentation and do it more continuously, not only at the end of their workday, but also make documentation about changes in the patient's condition. The result showed lack in nurse's basic traing regarding pain and pain management. Nurses that had gone to further education regarding pain and pain management had more knowledge in the subject. Concerning how knowledge and attitudes played a role in the interpretation of pain in patients from other cultures , the result showed how important it is that the nurses are culturally congruent, meaning that they must support, promote and amplify actions and decisions that goes along the lines of other cultures values and life styles.
The educating of pain advisers seems very worth wile since workplaces with pain-advisers have improved their pain management considerable.
Background: People who self-harm is nothing new, this behavior has a lot of different terms and definitions. Self-destructive feelings can be rooted in assaults and violations. A self-harming behavior is sometimes used to regain control or to be used as self-punishment. Today there is a greater attention towards research in the subject of self-harm which brings new knowledge. Aim: The aim is to illuminate nurses' attitudes an factors that is important in the encounter of patients who suffers from self-injurious behavior and to exanimate the samples selection in the articles of this study. Method: A descriptive literature study was conducted and fifteen articles from PsycINFO and PubMed between years 2005-2015. The chosen articles have qualitative and/or quantitative approach. Results: Nurses attitudes towards people who self-harm are predominantly positive. Negative attitudes are also presented in the encounter in form of antipathy, frustration, powerlessness and anxiety. Nurses are experiencing a lack of knowledge and resources. Conclusion: For nurses to feel confident in their work and give the best possible care to people who self-harm there is a need of education and organizational improvements such as more time and support from colleagues. Clinical significance: Our expectation with this study is to bring attention and understanding in the subject of self-harm.
Syftet med föreliggande litteraturstudie var att beskriva på vilket sätt licensierade vårdhundar kan fungera som ett komplement i omvårdnaden av barn med autismspektrumtillstånd. Syftet var också att beskriva kvaliteten av artiklarna utifrån den metodologiska aspekten urval. En litteraturstudie med deskriptiv ansats genomfördes utifrån två artiklar med kvalitativ ansats, två artiklar med kvantitativ ansats, fyra artiklar med kvalitativ ansats och kvantitativa mätningar, samt två artiklar med kvantitativ ansats och kvalitativa inslag i form av observationer. De inkluderade artiklarna hade publicerats mellan åren 1989 och 2013. De databaser som användes för artikelsökningen var Academic Search Elite, Cinahl och PubMed med sökorden: Dogs, Child, Autism Spectrum Disorders, Animal-assisted, Service dogs, Autism samt Therapy Dogs. Huvudresultatet visade att de problem som barn med AST har med att passa in i samhället på grund av sina negativa, asociala beteenden till viss del kan avhjälpas i interaktion med licensierade vårdhundar. Vårdhunden hade förmågan att hjälpa barnen med AST att utveckla och förbättra sin fysiska aktivitet samt sina psykosociala beteenden. Det visade sig också att den familjära sammanhållningen ökade i närvaro av en licensierad vårdhund. För få studier har genomförts inom området barn med AST i interaktion med licensierad vårdhund, och därför är vidare forskning inom området nödvändigt för ytterligare evidens. För att en god omvårdnad ska kunna bedrivas krävs det mer utbildning och forskning inom detta område.
Syfte: Syftet med denna litteraturstudie var att beskriva hur det är att leva med Polycystiskt ovariesyndrom (PCOS). Metod: Deskriptiv litteraturstudie. Data inhämtades från databaserna Pubmed och Cinahl. Resultatet baserades på 14 evidensbaserade artiklar. Resultat: Kvinnor med Polycystiskt ovariesyndrom hade större risk att utveckla ångest och depression jämfört med normalpopulationen, orsaken till detta är inte klarlagd forskarnas åsikter går isär. Majoriteten av artiklarna i denna litteraturstudie hävdade att att ett högt Body Mass Index (BMI) var den största bidragande faktorn som orsakade psykisk ohälsa och reducerad livskvalité hos denna patientgrupp. Kvinnor med ett högt BMI hade större risk att utveckla psykisk ohälsa. Sjukvården negligerade ofta de psykologiska aspekterna som syndromet medförde. Vilket kunde leda till onödigt lidande för dessa kvinnor. Slutsats: Kvinnor med PCOS upplevde mer psykisk ohälsa och reducerad livskvalité i jämförelse med normalpopulationen. Personal inom hälso- och sjukvård behövde mer kunskap om syndromet för att kunna hjälpa denna patientgrupp på bästa sätt.
Introduction: HIV-infection is a chronic and progressive disease that, left untreated, leads to a deterioration of the immune system and the development of AIDS.
Aim: To examine nursing students´, at two universities, knowledge about HIV and their attitude towards assessing the need for a HIV-test.
Method: An empirical cross-sectional study using descriptive and comparative design with a quantitative approach. Data was collected by a questionnaire among third year nursing students at the University of Gavle and Uppsala University (N=95).
Result: A majority (88,4 %) answered correctly that intercourse with more than one partner increases the risk for contracting HIV. Three students (3,2 %) answered incorrectly that there is a vaccine for HIV. Nearly half of the students did not know that lubricant, combined with a condom, does not reduce the risk for contracting HIV. A majority (78,9 %) recommended a HIV-test to a woman who have had unprotected sex with a man. In analyzing the students´ explanatory statements for the need for a HIV-test, four categories emerged; "risk", "sexual behavior", "patients´ concern" and "not knowing".
Conclusion: The nursing students had relatively good knowledge about HIV. However, there was a significant lack of knowledge in some questions. The nursing students´ attitudes towards HIV-testing conforms relatively well with current guidelines. However, there is a need to change an outdated way of assessing the risk for HIV-infection to be able to provide counseling to patients based on current knowledge.
Little is known about experiences with receiving home nursing care when old, living in a rural area, and suffering from end-stage cancer. The aim of this study was thus to investigate bereaved family members' perceptions of suffering by their older relatives when receiving palliative home nursing care. Qualitative semi-structured interviews were conducted with 10 family members, in Norway during autumn 2015, and directed content analysis guided by Katie Eriksson's theoretical framework on human suffering was performed upon the data. The two main categories identified reflected expressions of both suffering and well-being. Expressions of suffering were related to illness, to care and to life and supported the theory. Expressions of well-being were related to other people (e.g. familiar people and nurses), to home and to activity. The results indicate a need to review and possibly expand the perspective of what should motivate care. Nursing and palliative care that become purely disease and symptom-focused may end up with giving up and divert the attention to social and cultural factors that may contribute to well-being when cure is not the goal.
The aim of this study was to explore and understand the lived experience of older people living alone and suffering from incurable cancer in rural Norway.
Methods and sample
Narrative interviews were conducted with five older people with incurable cancer (three women and two men, aged 71–79), receiving outpatient and life-prolonging chemotherapy and living alone in their homes in rural areas. A phenomenological hermeneutical approach was used to interpret the meaning of the lived experience.
Key results
Four main themes were found: enduring by keeping hope alive, becoming aware that you are on your own, living up to expectations of being a good patient and being at risk of losing one's identity and value. Enduring this situation means struggling with terminal illness and facing death in a brave manner, and replacing former ways of living. The process of providing treatment may threaten dignity and cause additional distress.
These results show a complex and comprehensive situation where physical symptoms and emotions are interwoven. Further the results describe how the ways of suffering caused by the manner in which care is delivered, suffering related to the cancer disease and existential suffering, may increase each other's impact. The social and rural context calls for special attention as the patients may lack recourses to gain sufficient care. Their comfort depends to a large extent on the health professionals' sensitivity.
Background: Compassion is seen as a core professional value in nursing and as essential in the effort of relieving suffering and promoting well-being in palliative care patients. Despite the advances in modern healthcare systems, there is a growing clinical and scientific concern that the value of compassion in palliative care is being less emphasised.
Objective: This study aimed to explore nurses' experiences of compassion when caring for palliative patients in home nursing care. Design and participants: A secondary qualitative analysis inspired by hermeneutic circling was performed on narrative interviews with 10 registered nurses recruited from municipal home nursing care facilities in Mid-Norway. Ethical considerations: The Norwegian Social Science Data Services granted permission for the study (No. 34299) and the re-use of the data.
Findings: The compassionate experience was illuminated by one overarching theme: valuing caring interactions as positive, negative or neutral, which entailed three themes: (1) perceiving the patient's plea, (2) interpreting feelings and (3) reasoning about accountability and action, with subsequent subthemes.
Discussion: In contrast to most studies on compassion, our results highlight that a lack of compassion entails experiences of both negative and neutral content.
Conclusion: The phenomenon of neutral caring interactions and lack of compassion demands further explorations from both a patient – and a nurse perspective.


text:
Backing from Transport minister for new motorway link
TRANSPORT Secretary Patrick McLoughlin has given his backing to the campaign for a new motorway link at Emersons Green.
TRANSPORT Secretary Patrick McLoughlin has given his backing to the campaign for a new motorway link at Emersons Green.
He met the area's Mps, Chris Skidmore, Jack Lopresti and Luke Hall with Bath MP Ben Howlett to hear how much junction 18a on the M4 was needed. They are all part of the Gateway2Growth campaign for the link.
Mr Skidmore, Conservative MP for Kingswood, said: "I was delighted that it was such a positive meeting where we had chance to talk about the new ways of funding that may be available to the project. As the local MP I know just what a difference this link would have on the area – it would ease congestion for local residents, tempt more businesses to move here, and increase productivity for those that are already based in the constituency."
Mr McLoughlin said: 'I know just what a difference a new junction 18a on the M4 would make to Bristol and the surrounding areas. Transport has a key role in unlocking growth potential and I have seen for myself the plans that are in place if this scheme is built. I am sure that local MPs and the LEP will continue to work together to promote the benefits of a new junction and I look forward to hearing more from the Gateway2Growth campaign."

subset: commoncrawl


text:
Last Friday we had the privilege of visiting the Tent London design fair in the Old Truman Brewery on Brick Lane as part of London Design Festival. The range of work on display and variety of techniques and materials used was remarkable. Some exhibiting designers hailed from as far afield as China; others showcased contemporary design from European countries like Portugal, Sweden and Denmark. I've picked three of my favourite makers from the show here:
Amy Isles Freeman
I immediately fell in love with Amy's collection of hand turned and brightly painted wooden bowls. These beautiful, fun but also useful objects are decorated with an assortment of bold nudes, birds and leaves evocative of the paintings and paper cutouts of Henri Matisse and Mexican folk art. To check out more of her distinctive work visit http://www.amyislesfreeman.co.uk/.
Lauren Dickinson Clarke
There's something slightly Monty Pythonesque (or certainly Alice in Wonderlandish) about this collection of illustrated fine bone china. I like the humour in the surreal imagery but also the elegance of the minimal use of colour (black, white and hand-gilded gold finish). All work is handmade in Stoke-on-Trent. For more info visit http://www.laurendickinsonclarke.com/.
Melaine Muir
Melaine Muir was inspired by a traditional Japanese metalworking technique called 'mokume-gane' to invent her own process in which she fires polymer veneers. On display were a series of cylinders of different heights and widths decorated with a patchwork of earthy colours and patterns inspired by the seasons and the Scottish highlands in which she lives. Looking on her website it's interesting to see that she usually uses this technique for brightly coloured statement jewellery. Take a look at http://www.melaniemuir.com/.
On the return journey we stopped off at the V and A. The museum has a stunning collection of pottery, from early Islamic tiles, traditional aromatic earthenware from Mexico and South Korean plates decorated with transfer papers from copper plate etching, right through to 20th century studio potters like Bernard Leach then onward to the contemporary work of Akiyama Yo and Edmund de Vaal. There's even Lucie Rie's studio to see along with a film of her being interviewed by David Attenborough (in which he has to rescue her after she gets stuck in the kiln). I'll have no shortage of inspiration for a long while to come.


text:
1 week ago 40564
Meet a 52-year-old Zambian woman
from Ndola, Yvonne Banda. She has revealed how her son has been
sleeping with her every Wednesday for ritual purpose.
READ ALSO: He fancies dogs' milk and gets it from the stray bitches
This extraordinary mother says that she started offering her nakedness to her son, Abel, since 2002 in accordance to the prescription of the witch doctor.
The result? His transportation business has grown tremendously and he now owns a fleet of trucks, buses, and other small cars.
READ ALSO: Why this fathers build love huts for their daughters is a shock
But once she stops sleeping with him, all their hard earned wealth will disappear and the son will die a very painful death.
All these things Mrs. Yvonne Banda revealed in church and the pastor of Great Kingdom church prayed for her.
What a bizarre world we live in!
Read more: https://tuko.co.ke/168480-shocking-woman-sleeps-son-every-wednesday-make-richer-photo.html


text:
EstatePad on the iPhone
Posted on 30 November, 2010
Haven't bought an iPad yet but want a Real Estate CRM tool on your iPhone? The team from EstatePad have just submitted an iPhone version of our popular iPad App for review to the App Store. NamedEstateAgent this App will bring you many of the same features as EstatePad but will run on your iPhone. You'll be able to manage tasks, load and sync contacts and keep track of your listings. Obviously since it's on the iPhone you'll be able to make phone calls from within the App allowing you to quickly and easily contact potential buyers and clients.
Some features of EstatePad will be left out of EstateAgent for the time being. These include the Twitter and Facebook feeds and the ability to keep track of tenants. These (and other features) will be included based upon your feedback, so if there's something you'd like added to EstatePad or EstateAgent then please let us know – we crave constructive feedback.
We'll try and put together a simple help page for EstateAgent but the functionality and navigation is pretty much the same as EstatePad – just with a smaller screen, so the existing help manuals found on this website should help you for now.
Expect to see EstateAgent on the App Store sometime mid-December.
« Back


text:
Peter Zeitlinger
STARmeterSEE RANK
Down 36,474 this week
Peter Zeitlinger is an accomplished filmmaker whose career encompasses cinematography, directing, writing and editing. Zeitlinger is working with Werner Herzog since 1995 when he was director of photography on the director's documentary Death For Five Voices. That film began an intensive collaboration that has yielded such documentaries as Little ... See full bio »
More at IMDbPro » Contact Info: View agent, publicist, legal on IMDbPro


text:
I'll have to take some pictures of mine...I have too many movies!
It doesn't really take less room unless you sell the discs after you rip them. But then you have no backup.Do you rip the extras too, or no? Sometimes the extras on a disc are almost as interesting as the movie itself !
That's a lot of movies. I can't think of that many movies I'm even interested in watching, which makes my collection much more manageable.
I have uploaded a short vid for how I manage my stuff and also for an opinion on where my room is dark enough. Granted this is taken with my cell phone and the video is grainy but depicts pretty close to the darkness of room during daylight hours. This is my living area by the way. I have the Epson 4050 you sold me in Dec or Jan. and am looking to upgrade to a better 4k image. Thanks


text: zoozings 0 Report post Posted September 23, 2015 Me and my family live abroad, I was born and raised in London, and obviously he (my cousin) lives abroad. Usually my family go down once a year to see the family. I am 23 and he is the 22, with just a few months between us. While I used to travel back home throughout my childhood, we always used to be very close, and used to play around and mess around a lot. As I grew older and went through my hormonal stages as a teenager I started to develop feelings for him. We would flirt a lot and always loved being around each other. Unfortunately I was more into him than he was me at that point. I wouldn't call it love - because I was young, I was 16, and hormonal. Came back to London and carried on with my life as normal, got into a relationship and all was fine. A few year later at around 18/19 I traveled back, that year the tables had turned and this time he seemed to have developed feelings for me. He told me that he spoke to his mum (my aunty) about me , and told her that he wants to marry me. He also that year proposed to me, and told me that he wanted to be with me. But I wasn't in the right mind frame and was still in love with my ex, so I wasn't thinking about my cousin in that way. So I had to tell him no. We carried on with our Normal lives once again. Every year I'd travel something would happen between us. For example, I was sleeping over. He came and kissed my for head before he left for work. He held me in his arms once I woke up.. And he also took his necklace off and put it around me (as I kept telling him how much I liked it and wanted the same one).. We would always have moments like that, even when in that moment in time nothing was going on with us. We have just always had chemistry. Even as we grew older we would still play fight. He would feed me, eat after me and drink after me, look after me, is always very protective over me, and just things like that. We've always had a connection. This year I went back down, my stay was for a month and a week. (Usually its between a month or two).. The moment I saw him you could just feel the chemistry, as usual. Two weeks into my stay he asks me if I like him. I get very stuck with my response to him. I don't give him an answer and I ask him why he's saying all this to me, why he's asking me (this was all face to face). Anyway he told me that he wouldn't tell me until I gave him an honest answer. So after an hour of trying to think, I told him that I did have slight feelings but that even if I was fully in love with him, whatever we have can't go anywhere. He kept asking me why not, and I said my parents won't agree after what happened with my sister (as my older sister had similar experience with a cousin, but she was a much younger age.. Like 17/18).. And all I could remember was my parents reaction. So basically I gave him no hope, I think its because I'm scared of the truth.. Which is I do love him, but if it was to go further then it'll be like I'm going to be in a big war.. And its not that I don't want to fight for him, but there are so many reasons, which I will explain. But to carry on with my story, three weeks after he asked me if I liked him, another incident happened - no one was at his house, And I had dropped him off home as he let me borrow his car. This was the day before I was leaving to come back to London. I looked at the time and I asked if I could come up to do my online check in. So he said that's fine. As it was my last day, I had. So many people I needed to see. I got up to his house at 5:21pm.. I was only planning on staying no longer than 15/20 mins. His friend came over, chilled for a but and then left. I was about to leave and I felt he was upset so I trued to see what was wrong with him.. That then turned into play fighting (on his bed).. Which then led to 2 hours and a half of cuddling and spooning. He kept tickling me and then when I couldn't take it anymore he just held me in his arms, and I just stayed there lost track of time and just didn't want to leave. Throughout this period he attempted to kiss me twice. I guess we did kiss.. But I have never kissed anyone before, which he already knew, And so I panicked and told him I couldn't. And every 20 mins I would look at him and keep asking him "what are we doing, I'm leaving tomorrow - this is wrong because I'm going to hurt you! I don't want to hurt you" and he replied with "I don't care as long as i get to spend these hours with you! Don't worry about my feelings" I left his at 8:30ish.. I saw him on the day I was leaving to give him his car Back, we saw each other and just gazed at each other. Didn't mention what had happened the night before. He dropped me home and that was it! I got back to London, and i guess you could say my feelings were very strong! Constantly thinking about him.. Always!! And the jokes on me now because i believe I'm in love with him. I tried to message him many time's, but he was being very distant, one worded answers, and very uncomfortable to talk to! All I wanted to know was how he feels and what he makes of what happened, but he would never elaborate every time I asked him!! I wrote a status and said "all I'm asking for is your honesty, I'm not asking for much" - he knew this was directed at him, so he messaged me and told me that we need to move on and close the door on this chapter in our lives. I told him why. He said "because even you told me this can't happen and your parents won't agree" - I said that was then and this is now. But he wouldn't listen. I told him I don't regret it, and he tells me he does (I don't believe him). . in the end he blocks me and deletes me of WhatsApp and Facebook.. And all I want to do is see him! I hate feeling like this!! Some may ask why it can't happen so here we go: I live in London he lives in Lebanon So if i was to go ahead with this, then either he has to come and live with me or me live there. And as much as I love my country, I won't be able to live there. And for him to come to England could take up to 4 years because its not easy! He is the eldest out of him and his sister, and his dad is not alive, meaning he has to provide for my aunty and be there for her when she needs a man around the house! My aunt is also extremely attached to her children, so the thought of him leaving will kill her - I can't take him away from his mum.. It won't be fair I graduated, still yet don't work within my field, but I want to work on getting my am career going! He dropped out of school, and works in my uncles cornet shop. I don't care if he doesn't have a degree or an education, but we are heading in different directions - I want to make something of my life, and he has settled for that. So if we were to buy a house or have a future it would be hard. Lebanon isn't the safest of countries, and I have more opportunity in London to become who I want to and I have everything I need and that I am used to.. So it would be like I'm going from great to not great. And then there is my parents, I'm not sure what they would say about it, but my sister told me that in the end they would cave in. I need help because I just don't know what to do, and I will be in lebanon in a few days. Just for 18 hours, but even so. Regardless,I think off him a lot. I think I'm partially in love with him and I don't know what to do and how he feels! I'm so stuck: ( Share this post Link to post Share on other sites


text:
My1Stop.com would like to Congratulate Mike H. who is our Day 2 winner of a $25 Wal-Mart e-gift card from our 12 Days of Christmas promotion!
Enter 1 time daily for a chance to win. If your name isn't drawn that day, keep entering. Your entries will carry over to the next day to increase your chance. Here is what you can win:
- December 14th thru 19th – $25 e-Gift Card
- December 20th thru 23rd – $50 e-Gift Card
- December 24th – $100 e-Gift Card
- December 25th – $200 e-Gift Card
You will receive a promo code for 10% up to $300 off your next order just for entering!
Thanks so much for playing, and Congrats Again Mike!
#12daysofchristmas, #my1stop, #giftcardprinting


text:
SEC toughens cybersecurity guidelines
The Securities and Exchange Commission published new cybersecurity guidelines for publicly-traded companies that became effective Feb. 26, 2018. Security analysts have praised the interpretive guidance, most notably for requiring companies to disclose cybersecurity risks and incidents within prescribed timeframes.
"Given the frequency, magnitude and cost of cybersecurity incidents, the Commission believes that it is critical that public companies take all required actions to inform investors about material cybersecurity risks and incidents in a timely fashion, including those companies that are subject to material cybersecurity risks but may not yet have been the target of a cyber-attack," the SEC wrote in its Commission Statement and Guidance on Public Company Cybersecurity Disclosures document.
"Crucial to a public company's ability to make any required disclosure of cybersecurity risks and incidents in the appropriate timeframe are disclosure controls and procedures that provide an appropriate method of discerning the impact that such matters may have on the company and its business, financial condition, and results of operations, as well as a protocol to determine the potential materiality of such risks and incidents," the SEC wrote.
Risk-based, layered protections
Scott Clements, Chief Executive Officer at Vasco Data Security International Inc. called the SEC's policies a positive move for investors and online citizens that acknowledges the rapidly evolving nature of cybersecurity threats and increasing sophistication of attacks, which include malware, ransomware, phishing and the use of stolen credentials. He emphasized the need for a risk-based, layered approach to security, noting that too many companies rely on outdated security methods that insufficiently address the current environment.
"The overwhelming number of corporate breaches can be traced back to the use of stolen credentials or weak passwords combined with inadequate authentication methods," Clements stated. "Too many companies still rely on decades-old methods of security and this is not sufficient in today's environment. Organizations need to apply a risk-based, layered approach to security."
Clements expressed hope that the SEC's action will increase transparency of publicly-traded companies and their security practices. "Highly effective and frictionless multifactor authentication and risk analysis solutions augmented with new technologies such as facial recognition and behavioral biometrics make the job of securing information and assets remarkably economical and efficient," he added.
Protecting consumer privacy
The SEC document noted that criminals frequently target companies involved in critical infrastructure, and that malicious attacks can lead to theft or destruction of financial assets, intellectual property and other sensitive information belonging to companies and their customers and business partners. This includes targeting companies that operate in industries responsible for critical infrastructure.
While the new SEC guidelines require companies to file periodic reports on a regular basis related to business and operations, risk factors and legal proceedings, some analysts would like to see more specific guidance on privacy protections. Willy Leichter, Vice President of Marketing at Virsec Systems Inc., a cybersecurity provider, noted the word "privacy" does not appear anywhere in the document.
While data privacy may not be in the SEC's purview, Leichter said cybersecurity incidents most commonly involve breaches of customer data and ensuing loss of privacy, confidence and customer trust. "Requiring disclosure of cyber security gaps that may not yet have been exploited is important, as it [bars] insider trading on non-public knowledge of a breach," he stated. "However, recommending 'timely' notification of breaches is far too vague. Was Equifax's months-long gap in public disclosure timely?"
Many agree that more work still needs to be done. "Ultimately, the step the Commission took with respect to cybersecurity risks and incidents should only be its first," said SEC Commissioner Kara Stein. "There is so much more we can and should do. I hope we will proceed accordingly for the good of investors, public companies, and our capital markets."
- Growth through innovation/creativity:
Rather than be constrained by ideas for new products, services and new markets coming from just a few people, a Thinking Corporation can tap into the employees.
- Increased profits:
The corporation will experience an increase in profits due to savings in operating costs as well as sales from new products, services and ventures.
- Higher business values:
The link between profits and business value means that the moment a corporation creates a new sustainable level of profit, the business value is adjusted accordingly.
- Lower staff turnover:
This, combined with the culture that must exist for innovation and creativity to flourish, means that new employees will be attracted to the organization.


text:
Celebrating the birth anniversary of blue boy with peacock feather in his wreath, flute in one hand and making efforts to steal pots of butter, butter-milk or dahi (curd); well known for his mischievous acts and playing pranks on gopis (cow herding girls).
Based on his stealing efforts there is a very popular ceremony called dahi-handi celebrated with lot of enthusiasm and glee on this day or on the second day of Janmashtami. It is an enactment of Lord Krishna's efforts to steal butter from Matka (earthen pot) suspended from the ceiling. It is not the rituals, customs and traditions that change over the time but the celebration styles and perspectives that become contemporary. Now a days this ceremony has taken its shape in form of money making competition participated by various groups "govinda" or "gopalas" of localities. Group which succeds in breaking pot gets hefty rewards.
Dahi Handi is celebrated with fervor, especially in the twin cities of Mathura - Vrindavan, Dwarka and Mumbai. In Mumbai with yelling of 'Ala re ala, Govinda ala' this ceremony cum competition starts. Now, state-government is thinking on projecting this festival in-order to attract tourists. Basically, an earthen pot containing a mixture of milk, dry fruits, ghee is hung around 20-30 feet high in the air with the help of a rope. Enthusiastic young men (now women group), form a human pyramid by standing one on top of the other and tries to break the pot. Onlookers throw waters on the young men in order to prevent them from breaking the pot. Devotees believe that the broken pieces of earthen pot will keep away negative powers from their homes. Thus, rejoicing in lords glory…. Bol Hari !!!


text:
Brain injuries and bad tempers seem to go together. After my brain surgery, I had little tolerance for others if their opinions or actions differed from what I thought was appropriate. I thank God for the grace others offered me. They assured me that they knew how I had acted before the doctors found my brain tumor. They trusted the sweet Robin would eventually return.
I saw James 3:17-18 in action around me. This is how The Message reads:
Real wisdom, God's wisdom, begins with a holy life and is characterized by getting along with others. It is gentle and reasonable, overflowing with mercy and blessings, not hot one day and cold the next, not two-faced. You can develop a healthy, robust community that lives right with God and enjoy its results only if you do the hard work of getting along with each other, treating each other with dignity and honor.
Friends and family offered me God's grace when I was acting like a powder keg, ready to explode. I thought I was all alone in this.
Here's a post from Michelle Munt, another brain injury survivor, and her experience dealing with emotions shortly after her accident.
Have you had an experience when you thought your emotions were going to get the better of you?


text:
A couple weeks ago, I noted proposed legislation to phase out plastic bags in New Jersey's supermarkets and big box retailers. This weekend, the NY Times took up the issue on its editorial page.
Herb Conaway Jr. of Burlington County and Jack Connors of Camden County, both Democrats who were re-elected last month, say that if the bill is not passed in the current lame duck legislative session they will bring it back next year. It would require big retailers like supermarkets and big-box stores to reduce their use of plastic bags by half by the end of 2009 and to eliminate them entirely by Dec. 31, 2010.The entire editorial is worth a read, as it covers most of the important points on the bag issue.
The plastic bag lobbyists are screaming. People like the convenience of plastic bags and would not react favorably if the Legislature banned them, says the New Jersey Food Council. Maybe so, although a lot of New Jerseyans simply find it hard to push back when the man or woman at a busy checkout counter automatically puts the groceries in a plastic bag. And a lot of Americans resisted the idea of giving up smoking until they realized the dangers involved.
Here are some facts: Unlike paper bags, which can be easily recycled, relatively few plastic bags (about 7 percent) are ever used a second time. They last what seems an eternity, probably longer than most of the people using them. They put toxins in the soil, water and food chain. They are made of oil, something we should be saving rather than using when we do not need it. (It takes millions of barrels of oil to make the 100 billion plastic bags that Americans use in a year.)
One point that was muffled (or perhaps overlooked) is that neither paper nor plastic are particularly good alternatives. While plastic bags probably require fewer resources to produce and transport, paper bags are biodegradable and easier to recycle. The best option is to carry reusable bags as much as possible. Most supermarkets now sell or distribute their own, and there are some available from specialty retailers. Really, any large, sturdy bag for the purpose.


text:
- March 31, 2015
- Galliano, Louisiana
of Elphege's Passing
Share This Obituary
Memories & CandlesPrevious
"We are so sorry to hear. Such a good man!!! Know all of you have such special memories of him.
1 of 8 | Posted by: RJ & Evelyn Matherne - Trussville, AL
"My heart goes out to each and every one of you. I have such beautiful memories of Mr. Junior. I am so sorry. He was such a good man. He'd call me...Read More »
2 of 8 | Posted by: Edna Foret - Thibodaux, LA
"I am praying for the family for strength to endure the difficult days ahead. I know the chair will always be empty !! Love ya'll !!!
3 of 8 | Posted by: Corine Guidry - Larose, LA
"I am koko brunets brother in law.also afreind of Tan.,Sorry for the lost.
4 of 8 | Posted by: FRANK BOURRIAGUE - lafayette, LA
"So very sorry for your loss. Prayers to all of you. Especially Glen and family and Ms Ola.
5 of 8 | Posted by: Ruby V. Naquin. - Lockport., LA
"Hold on to your memories and let them guide you during this time of sadness. My love and prayers are with you and family.
6 of 8 | Posted by: Laura Punch - Clearwater, FL
"So sorry to hear of the passing of your father, Avis and our sympathies to your mother. Mr. Brunet was a most kindly man and it was a pleasure to...Read More »
7 of 8 | Posted by: Winifred & Greg Parzynski - LA
"I remember him being a kind,caring man.I'm so sorry to hear he passed.GOD bless you all.
8 of 8 | Posted by: Barry Ables - Florence, MS
Sympathy Flowers
Falgout Funeral Homes
Elphege Joseph "Jr." Brunet, Jr., 83, a native and resident of Galliano, passed from this earth on Tuesday, March 31, 2015.
Visitation will be held at St. Joseph Catholic Church in Galliano on Monday, April 6, 2015 from 9:00 am till service time. A Mass of Christian Burial will begin at 11:00 am with burial following in Cheramie Cemetery
He is survived by his wife of 65 years, Vina Mae Hebert Brunet; sons, Glenn John Brunet and wife Leah and Dean John Brunet and wife Ann; daughters, Robbin B. Avera and husband Buster and Avis B. Bourgeois and husband Dwayne; brother, Andrew "Tan" Brunet; sister, Ola B. Freeman; grandchildren, Danielle B. Rodrigue and husband Tommy, Beth B. Pitre and husband Jacques, Adelaide L. Avera, Francine A. Avera, Andre' C. Brunet and wife Erica, Armand M. Brunet, Paul J. Fremin, Jill T. Fremin, Olivia R. Bourgeois, Dallas L. Bourgeois and wife Amanda; great-grandchildren, Ross D. Rodrigue, Madison L. Pitre, Marcus L. Pitre, Blair J. Cortez, Sophia E. Brunet, and Estelle L. Bourgeois.
He was preceded in death by his parents, Elphege Joseph Brunet, Sr. and Francine Marie Gisclair Brunet; and sisters, Dudline B. Louviere and Irma B. Lagrange.
He was a loving husband, devoted father and grandfather, avid outdoorsman, member of the St. Joseph Holy Name Society, and former co-owner of Brunet Lumber Yard in Galliano.
Falgout Funeral Home of Galliano entrusted with arrangements.
Funeral Home
3838 Louisiana Hwy 1 Raceland, LA 70394
Tel. (985) 537-5261
Email Us


text:
Halfway through our meal, my dining companion laid down her fork, turned to me, and exclaimed, "What this restaurant needs is a good spanking."
I had to agree with her. The setting—on a sprawling outdoor terrace in the trendy Maritime Hotel—is hardly auspicious. The building once held a medical facility for retired seamen, and you can easily imagine the groans of old salts in their death throes as you relax beneath the portholed edifice. Diners gaze out across traffic-clogged Ninth Avenue at the Robert Fulton housing projects. Jammed together and scraping the rough cement floor, the metal tables are tiny in the extreme, fit more for an ice cream parlor than a restaurant, and comfy as economy class in an airliner. Add condiments, squat candles, wine and water glasses, and there is little room for the pricey but undistinguished food.
La Bottega is typical of the "big box" restaurants pouring into the meatpacking district—places that seat hundreds and charge prices that would have been unthinkable for this level of food and service five years ago. Even though New York magazine lists La Bottega as "moderate" in price (or maybe their recommendation is really a paid advertisement—read the fine-print disclaimer at the bottom of the page), you'll find it difficult to escape without blowing $75 or so for a full meal with wine. I guess it's something of a triumph that the food is not out-and-out bad. Nevertheless, the quality is wildly uneven. An appetizer of octopus carpaccio ($15) with a fennel slaw is tasty, if a bit dry; the steak fiorentina ($29)—a nice hunk of sirloin, charred on the outside, pink in the middle, served on a bed of spinach—is excellent, especially if you ignore its complete lack of resemblance to a real Florentine steak. The best part of a singularly unadventuresome menu are the small pizzas. My favorite is salsicca ($16), sporting clumps of sweet-hot sausage, good mozzarella, and a nice crust from the wood-fired oven.
Now for some duds. Many pastas arrive soupy and mushy, small for their $14 to $17 price tags. The simplest—spaghetti with tomatoes and basil—is totally bland, making me wonder if the garlic delivery truck got stuck in the Ninth Avenue traffic. Worst of all are the gnocchi, so soft and grainy they disintegrate into the tepid sauce. Though the "Carne & Pesce" section of the menu proves more dependable, it's also more expensive. The chicken cooked under a brick ($21) is admirable, and so is the Milanese breaded veal cutlet ($25), concealed under a lettuce bed. It's even reasonably authentic, though the lack of dressing on the salad renders the dish blah, and we were unable to attract a waiter's attention to request oil and vinegar.
Despite an abundance of servers in navy-and-orange ensembles (others wear East Village black), the service is refractory and surly. Courses arrive on top of each other or separated by vast gulfs of time. One evening we asked to have our pizza served with the pastas. "The pizza's made in a different kitchen," the waiter smirked, "so it can come at any time." And it did, arriving two minutes after the appetizers, so in a test of dexterity, we had to reach under the hot pie to get at the cold carpaccio. That alone merits a spanking.


text:
I know the chances of snow in the UK on Christmas day aren't usually all that high, but hey - it's happened before so why not again?!
I would never leave anything important to the last minute but I do like to leave one or two unimportant little bits and pieces to the last minute just to be able to go out to the shops and soak a little of that hectic, excited atmosphere up! Plus I love seeing all the excited kiddies looking up to the sky, checking for reindeer!!


text:
- Fox 2000's feature film Marley & Me starring Jennifer Anniston and Owen Wilson and directed by Miamian David Frankel will be shooting throughout Miami-Dade County for the next few months. The story is based on the memoir of John Grogan and is about a family that learns important life lessons from their adorable, but naughty and neurotic dog.
- Universal Pictures' feature film Chilled In Miami starring Renee Zellweger and Harry Connick Jr. recently wrapped filming at the Miami airport and on Miami Beach. Zellweger plays a high-powered consultant in love with her upscale Miami lifestyle, sent to a middle of nowhere town in Minnesota. When she's ordered to close down the town factory and put the entire community out of work, she's forced to reconsider her goals and priorities, and finds a way to save the town.
- Downtown Miami is being converted into Foam City for a $1.4 million dollar Sony Commercial this weekend.
Thursday, March 06, 2008
Miami Film Gossip
Came across these bits of info from the Miami-Dade film office.
No comments:
Subscribe to: Post Comments (Atom)