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14. Quality of life among patients living with advanced breast cancer receiving palliative care

Author

Drageset, Sigrunn, Austrheim, Gunhild, and Ellingsen, Sidsel

Subjects
breast cancer, palliative care, quality of life, VDP::Medisinske Fag: 700::Helsefag: 800::Sykepleievitenskap: 808, sytematic review
Abstract

The quality of life (QoL) of women living with metastatic breast cancer and receiving palliative care needs more attention. We reviewed published studies (1992–2019) examining QoL of women receiving palliative care. The findings were interpreted according to the World Health Organization’s (WHO) definition of palliative care. Four themes emerged: (1) the impact of medical treatment on pain relief; (2) the need for psychosocial attention and support; (3) the necessity of an interdisciplinary approach; (4) ambiguous understanding of the term palliative care. A common understanding of the term palliative care and more research is needed to enhance the QoL of women living with metastatic breast cancer.

Published
2021

18. Understanding the Course of Critical Illness Through a Lifeworld Approach.

Author

Flinterud, Stine Irene, Moi, Asgjerd L., Gjengedal, Eva, and Ellingsen, Sidsel

Subjects
INTENSIVE care units, HOSPITALS, SAFETY, PATIENTS, INTERVIEWING, INDIVIDUALIZED medicine, CATASTROPHIC illness, PATIENTS' attitudes, PHENOMENOLOGY, HUMANITY, EMERGENCY medical services, DESCRIPTIVE statistics, RESEARCH funding, DATA analysis software, DISCHARGE planning
Abstract

An increasing number of individuals receive and survive intensive care treatment; however, several individuals experience problems afterward, which may threaten recovery. Grounded in a lifeworld approach, the aim of this study was to explore and describe what intensive care patients experience as limiting and strengthening throughout their illness trajectories. Ten former intensive care patients were interviewed three to eight months after hospital discharge. Using Giorgi's phenomenological analysis, a general structure of gaining strength through a caring interaction with others was revealed. The structure consisted of three constituents: feeling safe through a caring presence, being seen and met as a unique person, and being supported to restore capacity. Being met with a humanistic approach and individualized care appeared to be important, and the findings are discussed within the framework of lifeworld-led care. To facilitate improved aftercare of the critically ill, more tailored support throughout the illness trajectory is needed. [ABSTRACT FROM AUTHOR]

Published
2022
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25. Tiden i livet og livet i tiden. Opplevelse av tid ved langkommet og uhelbredelig sykdom. En fenomenologisk studie

Author

Ellingsen, Sidsel

Subjects
praxeologi
Abstract

The aim of this project was to gain insight in the lived experience of time when living with severe incurable disease and receiving palliative care at home or at different palliative care settings in Norway. The study is descriptive and based on a phenomenological life world perspective. It is conducted 26 in-depth interviews with 23 respondents, 14 females and 9 males, aged 42-88 years during the period: April 2008 to February 2010. The analysis in the first and second article is inspired by A. Giorgis phenomenological descriptive method while the analysis in the third article is inspired by K. Martinsen deciphering and phenomenological approach. As bodily weakness progresses and change the opportunity to participate in activities of daily living the existential meaning of time becomes prominent, while the clock time gradually loses its importance. When living with a deteriorated body in unpredictable change it becomes increasingly challenging to relate punctual to the time. The lived experience of time is described as a movement that goes, where the perception of how fast it goes depends on the tuned life situation of the individual, of what happens at the place where one is situated, the structure and atmosphere at the place and if one finds the tone and rhythm in the relationship with the other. Typically, the time is experienced to go fast, but it can also be the opposite. The quality of time appears in ambiguous ways, in different but integrated levels and dimensions and in the light of its opposite. The most significant for the quality of time, is whether the suffering is alleviated or not, if one feels safe or unsafe on site, and if one feels at home or homeless in existence. Findings are discussed in relation to phenomenological philosophy, Saunders hospice philosophy and Martinsens care philosophy. Målet med prosjektet var å få innsikt i hvordan pasienter som mottar palliativ omsorg opplever tidens mangfold ut fra sin livssituasjon som alvorlig og uhelbredelig syk. Studien er beskrivende og inspirert av et fenomenologisk livsverdensperspektiv. Det er foretatt 26 dybdeintervju med 23 respondenter, 14 kvinner og 9 menn, i alderen 42- 88 år i tidsrommet: april 2009 – februar 2010. Analysen har vært en prosess som har endret seg underveis. Analysen i artikkel en og to er inspirert av Giorgis fenomenologiske beskrivende metode, mens analysen i artikkel tre er inspirert av K. Martinsens tydende og fenomenologiske tilnærming. Ved alvorlig livstruende sykdom endres livsverden og forholdet til tid. I takt med kroppslig svekkelse og endring i hva en kan gjøre, fremtrer livet som tidens egentlige mening mens klokketiden mister betydning. Med en kropp i uforutsigbar endring blir det stadig mer utfordrende å forholde seg punktlig til tidspunkt. Tid blir beskrevet som en bevegelse som går, hvor opplevelsen av hastigheten på hvor fort tiden går avhenger av livssituasjonen til den enkelte, av det som skjer på stedet der en er, stedets struktur og atmosfære og om en finner tonen og rytmen i relasjon med den andre. Det typiske er at tiden oppleves å gå fort, men det kan også være motsatt. Kvalitet på tiden fremstår på flertydig vis og i ulike, men integrerte nivå og dimensjoner, og i lys av sin motsetning. Det mest betydningsfulle for hvordan tiden erfares når pasienten er alvorlig og livstruende syk, er om en får lindret det som plager, om en føler seg trygg eller utrygg på stedet en er, og om en føler seg hjemme eller hjemløs i egen tilværelse. Studiens funn blir belyst i forhold til fenomenologisk filosofiske utlegginger om tid, Saunders hospicefilosofi og Martinsens omsorgsfilosofi.

Published
2015

27. Historien om tiden, enhver og oss alle

Author

Ellingsen, Sidsel

Subjects
døden, Attitude to Death, dødsangst, Holdning til døden
Abstract

Artikkelen handler om døden og erkjennelse av livets begrensning. Teksten inneholder et kort sammendrag av historien om Enhver, som er et gammelt middelalderdrama fra 1500-tallet.

Published
2010

31. Mastergrad og videreutdanninger i sykepleie

Author

Haugstøl, Torunn, Ellingsen, Sidsel, Glavin, Kari, Hamre, Britt, Hansen, Ingeborg, Grumstad, Jarle, and Synnevåg, Hildegunn

Subjects
videreutdanning, sykepleie, masterutdanning
Published
2007

32. En kvalitativ studie

Author

Ellingsen, Sidsel

Subjects
ventetid, usikkerhet, mistillit, preoperativ erfaring, tillit, forventning, omsorg
Abstract

Hovedoppgave helsefag hovedfag, spesialfag sykepleievitenskap - Universitetet i Bergen, 2004

Published
2004

42. Adgangen til den andens livsverden

Author

Angel, Sanne, Dahlberg, Helena, Ellingsen, Sidsel, Martinsen, Bente, and Rosberg, Susanne

Subjects
Ricoeur, Fænomenologi, Heidegger, Husserl, Livsverden
Published
2019

43. Nurse Anesthetist Practice Over 40 Years: A Repeated Cross-Sectional Study in Norway.

Author

Leonardsen AL, Drageset S, Ellingsen S, Finjarn TJ, Sandvik L, and Olsen MV

Subjects
Humans, Anesthesiologists, Cross-Sectional Studies, Surveys and Questionnaires, Nurse Anesthetists, Anesthesiology
Abstract

Research focusing on the scope of practice by nurse anesthetists (NAs) is limited. The purpose of this study was to examine NAs' scope of practice in Norway, and to explore whether and how this has changed during the period from 1979 to 2018. The study had a repeated crosssectional design. All members of the Norwegian Association of Nurse Anesthetists at the four time-points (1979, 1989, 1999 and 2018) were invited to participate in a questionnaire study. Inclusion criteria were education and work as an NA and currently working in Norway. Data were analyzed using the Statistical Package for the Social Sciences (SPSS). Findings indicate that the scope of NAs' practice in Norway has been increasingly restricted from 1979 to 2018 (N = 2171, P < .001). Additionally, the presence of an anesthesiologist when performing anesthesia had significantly increased during that time (39% in 1979 vs 90% in 2018). However, NAs' independent practice significantly increased in some areas, such as handling of acute situations, (i.e., handling of laryngospasm/bronchospasm [41% in 1979 versus 54% in 2018]). International and national standards underline the independent role of NAs. The development shown in our results should be addressed to avoid further restrictions of NAs' scope of practice., Competing Interests: Name: Ann-Chatrin Linqvist Leonardsen, MSc, PhD, NA Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. This author is the corresponding author of this article. Disclosures: This study was funded by the Norwegian Association of Nurse Anesthetists. The funding body did not take part in planning or conduction of the study, or in analysis of data or writing of the manuscript. Name: Sigrunn Drageset, MSc, PhD, NA Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: This study was funded by the Norwegian Association of Nurse Anesthetists. The funding body did not take part in planning or conduction of the study, or in analysis of data or writing of the manuscript. Name: Sidsel Ellingsen, MSc, PhD, NA Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: This study was funded by the Norwegian Association of Nurse Anesthetists. The funding body did not take part in planning or conduction of the study, or in analysis of data or writing of the manuscript. Name: Therese Jenssen Finjarn, MSc, NA Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: This study was funded by the Norwegian Association of Nurse Anesthetists. The funding body did not take part in planning or conduction of the study, or in analysis of data or writing of the manuscript. Name: Leiv Sandvik, PhD Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: This study was funded by the Norwegian Association of Nurse Anesthetists. The funding body did not take part in planning or conduction of the study, or in analysis of data or writing of the manuscript. Name: Marit Vassbotten Olsen, MSc, NA Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: This study was funded by the Norwegian Association of Nurse Anesthetists. The funding body did not take part in planning or conduction of the study, or in analysis of data or writing of the manuscript, (Copyright © by the American Association of Nurse Anesthetists.)

Published
2023

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