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Posts tagged ‘Marit Kirkevold’

Complexities of Nursing

The current ANS featured article is titled “Complexities in Studying and Practicing Nursing—A Theoretical Elaboration Based on Reflections by Nurses and Nursing Students” authored by Joakim Öhlén, PhD, RN; Annette Bramstång, MScN, RN; Frida Lundin Gurné, MScN, RN; Anneli Pihlgren, BSc, RN; Marie Thonander, MScN, RN; and Marit Kirkevold, EdD, RN. You can download this article at no cost while it is featured, and we welcome your comments and discussion of this article in the comments below! This is a message that Dr. Öhlén provided about this work:

We’ve explored ideas about nursing as a subject from the perspectives of nurses and nursing students. The motive for the project was discussions about current nursing practice and the development of nursing as a subject, which in our Swedish healthcare as well as scholarly context has been characterized by a sometimes really intense debate about terminology (nursing vs caring), what it should encompass (generic caring knowledge vs professional nursing knowledge and skills), and where its boundaries with other subjects lie.

For this reason, we performed a participatory action project to explore nursing students’ and clinically active registered nurses’ experiential ideas about nursing – to provide a foundation for a critical reflection on the complexities involved in studying and practising nursing. We performed two empirical cycles and one final cycle with a theoretical interpretation. In total there were 238 participants. We who undertook the study are all nurses in metropolitan Sweden; professors, teachers, clinical nurse specialists and nursing students.

L-R: Marie Thonander, Annette Bramstång, Marit Kirkevold, Anneli Pihlgren, Joakim Öhlén (Frida Lundin Gurné is missing)

From focus group data we identified nine experiential ideas about nursing as a composite of subject, nursing practice and being a nurse. The ideas ranged from Nursing is holistic to Nursing is prioritising, and to Nursing is following check-lists and guidelines. Then, the ideas were presented to supervisors in clinical practice, teachers/researchers and students, and all of these perceived all nine ideas to be important foci for students’ learning in clinical practice. Finally, the ideas identified were related to clinical gazes and to two different epistemological structures.

We think our result will contribute to explain the confusion many nursing students and practising nurses express with regard to nursing as a composite of subject, nursing practice and being a nurse. We hope you’ve been interested in the article and here you can listen to us telling about the study, and that reading it will open up for critical reflections, commentaries and for the discussion to be continued. Thank you

Nursing Intervention for People Living with Parkinson’s Disease

The currently featured ANS article is  “It Is Hard Work, But It Is Worth It” – Patients and Spouses’ Experiences of a Nursing Intervention to Promote Adjustment to Deep Brain Stimulation for Parkinson’s Disease—A Feasibility Study by  Anita Haahr, PhD, MScN, RN; Karen Østergaard,

Anita Haahr

DrMSc, MD and Marit Kirkevold, DrEd, RN. We invite you to download this article (no cost) while it is featured, and share your comments here.  As leader of the Denmark/Norway team of researchers, Dr. Haahr shared this background about her interest in working with people living with Parkinson’s disease:

Parkinson’s disease has been my research focus for more than a decade. My interest in and passion for caring for persons living with Parkinson’s disease and their spouses, began when I was a nursing student. My passion developed further during my work as a neurological nurse. As a nurse researcher I have had a specific interest in exploring everyday living and coping with Parkinson’s disease when receiving deep brain stimulation. This focus has developed over time, focusing on how nurses and other health care professionals can support persons living with the disease and their spouses when coping with and adjusting to the unpredictability of living with the disease in the advanced stage, whether they are being treated with Deep brain stimulation, or in a general rehabilitation setting.

Family Relationships in the Context of Palliative Care

The current ANS featured article explores the challenges that families face when one of their loved ones is receiving palliative care.  The article, titled “A Valuable but Demanding Time: Family Life During Advanced Cancer in an Elderly Family Member” by Marianne Fjose, MScN, RN; Grethe Eilertsen, PhD; Marit Kirkevold, EdD; and Ellen Karine Grov, PhD is available at no charge while it is featured on the ANS website! Marianne Fjose shared this message for ANS readers about her work:

My mentors Dr Ellen Karine Grov, Dr Marit Kirkevold, Dr Grethe Eilertsen and I are pleased to share this article

Marianne Fjose

Marianne Fjose

with ANS readers. The article is part of my PhD project aimed to explore how elderly patients with advanced cancer in the palliative phase and their nearest family members experiences their relationships.

As a nurse and nurse educator, I have always been interested in palliative care. My masters degree therefore focused on how patients with cancer in the palliative phase experienced their close relationships. In this project, I discovered that little knowledge existed about family relationships within palliative care. We do know that cancer in a palliative phase not only affect the patient, but also his or her family members and the entire life of the family. Knowledge about how family relationships, interactions, and communication patterns are affected are sparse. Therefore, this became the focus for my PhD project.

 “A valuable but demanding time” is the first article in this project. Additionally two articles are in process. They will report findings about different family caregiver groups (e.g. spouses and

Grethe Eilertsen

Grethe Eilertsen

children/children-in-law) perspectives on caregiver burden and social support, and patients and family

members’ experiences with the health care system. Family group interviews is the main data collection method. In addition, quantitative data are collected by means of two standardized measures: CRA: The Caregiver Reaction Assessment and SPS: Social Provisions Scale.

The experience to sit down, communicate, and listen to families experiencing such a hard time in life has been challenging, but foremost educational. I think of the families with gratitude and respect for sharing with me their thoughts and experiences.

We think that the family group interviews have been an advantage in this study, bringing the perspectives of different family members to the research topic. In addition, this has given us the opportunity to collect data about family interactions and communication, data that are hard to achieve through individual interviews. Many of the

Marit Kirkevold

Marit Kirkevold

findings in our study regarding what was important and difficult in relationships were not revealed through the manifest content of the text. Instead, these results were uncovered from the latent content in the conversations, that is, through the way patients and family members talked, and acted. However, further methodological research is needed to evaluate the strengths and limitations of this method in different contexts.

Ellen Karine Grov

Ellen Karine Grov

Recognizability: Assessing External Validity

This week’s “Editor’s Pick” article is titled “Recognizability: A Strategy for Assessing External Validity and for Facilitating Knowledge Transfer in Qualitative Research” by Hanne Konradsen, PhD; Marit Kirkevold, DrEd; and Karin Olson, PhD.  Dr. Konradsen sent this message for our blog:

Dear ANS and readers


Hanne Konradsen

When you sit and type on your computer, you often wonder “will anyone ever read this?”, “will anyone else think this is interesting?” and “will this in any way help improve lives or situations for patients?”

In debates external validity has been an issue that has divided qualitative researchers in many different groups. We argue in this article, that recognisability could serve as a strategy for quality assessment in relation to grounded theory. And for facilitating knowledge transfer. This implies that the researcher must be active in the scientific as well as public debate. Hopefully some will read the conclusions from the research. But it is equally important that the researcher must present the results in different forums. This gives the possibility for a wide variety of people to give their opinion regarding the results, and assess the recognizability of the findings. From these responses the researcher can then collect and paint a picture of whether others find the results important and whether the results of the research can contribute to future patient care.

You can download your copy of this article while it is featured!  Visit the ANS web site now!


Creativity and Quality: Qualitative research with people with aphasia


Berit Arnesveen Bronken

The authors of the current Editor’s Pick article in ANS provide an inspirational example of overcoming a research challenge that may seem impossible!  The challenge: to understand the experience of people with aphasia, despite their limitations in being able to convey their experience in spoken or written language.  The authors, Berit Arnesveen Bronken, MNS and Marit Kirkevold, EdD, provide thought-provoking explanations to address this challenge.  In addition, their approaches and their conclusions provide creative and rigorous approaches for conducting qualitative studies with all populations.  This article, titled “Between the Lines: Generating Good Qualitative Data in Studies Involving Persons With Aphasia” is a “must read” for anyone who is planning and conducting qualitative research.  Here is a description of their work:


Marit Kirkevold

Studying experiences of persons with aphasia following stroke challenge traditional norms of generating data of good quality because the research methods are based on abilities to produce and understand oral and written language, read and write. A longitudinal design, using a combination of research methods contributed to generate relevant and important data from a dialogue-based nursing intervention which included persons with moderate to severe aphasia.

To get your copy of this article, visit the ANS web site while it is being featured, and you can download it at no cost!

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