Granskingarverkætlanir á Sjúkrarøktarfrøðideildini

Verkætlanarábyrgd: Kristianna Hammer, RN, MSN, PhD, Associate Professor, University of Faroe Islands, Faculty of Natural and Health Sciences, Dept. of Nursing, Faroe Island.
Bjarni á Steig, Consultant in Hematology, internal - and palliative medicine, Department of Medicine, National Hospital of the Faroe Islands, Tórshavn, Faroe Islands.

Aim:
This study describes the meaning of hope for patients with advanced cancer from both patients and their close relative’s perspective. The purpose is to portray hope in terminal cancer patients after teir first meeting in Palliative care unit. Hope is a natural part of life and can be regarded as a coping strategy as well as a factor for enhancing the quality of life both for the patient with advanced cancer and for their family (Mok, 2010).

Background:
Helping a patient to find hope in illness and suffering is a cornerstone of humanistic-oriented nursing where dignity, respect, integrity and caring are overarching values (Travelbee 2001, Martinsen 1996). Knowledge of how patients themselves feel hope at the time of when palliative treatment appears will enhance the nursing knowledge base and will increase understanding and opportunities for clinical nurses. Cancer is a common and often life-threatening disease. The word “cancer” can have a stigmatising meaning. Palliative care is becoming an increasingly important clinical field and there is a demand for valid research measures focusing not only on patients in palliative care but also on their relatives

Methods:
This study is performed in two palliative care units in two different countries. Firstly at a University Hospital in the Faroe Islands and secondly at a Danish University Hospital; designed as a qualitative interview study (Kvale, 1994), with a phenomenological approach (Van Manen 1990) and a visual phenomenological approach (Mala G. Betensky 1995). Eight patients all diagnosed with incurable cancer, and their relatives will be interviewed after receiving a palliative diagnosis. Data is to be analyzed using a phenomenological and a visual approach. 

Results:
The results are expected to be presented in four articles and published in international, peer-reviewed journals. 

Perspective and Implication:
This study will have important implications for the nursing profession as it will provide basic understanding of the skills that are important for conscious hope orientated nursing. Furthermore the study is expected to provide  basis for  creation of  family based hope theory, that can  help renew the organization of the hospital, the individual nurse and  education.

 Keywords:
Hope, cancer, palliative care, relatives, hermeneutic-phenomenology, visual-phenomenology and drawings.

Verkætlanarábyrgd: Kristianna Hammer, RN,MScN,PhD 

The aim of the thesis Portraying hope among women with newly diagnosed gynaecological cancer is to examine hope experienced the day the woman get diagnosed with cancer. Hope is also closely linked to hopelessness, and the day you get a cancer diagnose can be a day of emotional chaos and a feeling that one has lost control over life. The feeling of hopelessness can easily appear.  However, precisely because hope is a part of life, hope is present, in one form or another.

Background
Helping a patient to find hope in illness and suffering is one of the cornerstones of humanistic-oriented nursing where also dignity, respect, integrity and caring are overarching values.  Knowledge of how patients themselves feel hope at the time of diagnosis will enhance the nursing knowledge base and will increase understanding and opportunities for clinical nurses. Cancer is a common and often life-threatening disease and also the word cancer have a stigmatizing meaning. Gynaecological cancer is one of the most frequent cancers among women. 

Methods
This qualitative study was carrying out at a surgical unit at a Danish University Hospital. The data collection is based both on interviews and drawings. Fifteen women, all diagnosed with gynaecological cancer, were interviewed the same day they received their diagnosis. Semi-structured interviews were chosen in order to investigate the informants lived experiences of hope. Data was analyzed using a phenomenological and a visual approach.

Results
In this thesis hope as collected in a synthesis showing three sides, an internal, an external and a commotional force are belonging together, and where hopelessness is seen as a dark shadow in a circumference of the triangle shaped design. The findings discovered of the close relationship between hope and hopelessness supports the need for nurses and other health care to supports patients find hope starting from time of diagnosis.

Synthesis
The living hope with the prism-like shape symbolizing the tree aspects og hope: spirits, energy and communion and with an every-threatening hopelessness trying to penetrate the living hope.

Hope is movable, perpetually in motion in a multidimensional tension field of hope and hopelessness, past, present and future and spirit, energy and communion.

Samandráttur úr MA ritgerðini hjá Annemi L. Joensen December 2010.

Summary
The focus of my dissertation is on how Faroese mothers experience the newborn children’s service, which is a public service provided to them after giving birth. The responsibility of the newborn children’s service is divided between medical practitioners and the government organisation Gigni. The main aim of my dissertation is to uncover and explore the experiences mothers have with the public service Gigni provides. Gigni is a part of Nærverkið, and its service was created in conjunction with general health services and other socio-political services which citizens have access to, if needed.

The main aim of the service Gigni provides, is to ensure that children receive the best possible start to their lives and benefit from a safe and healthy environment throughout their child and teenage years. The service places special emphasis on raising awareness and empowering parents in bringing up their children. There is a strong political will to support it, which is evident by the legislation within the child service area.

The empirical data collected for this dissertation has been through questionnaires. 391 mothers, who had given birth between 1st April to 30th September 2008, were asked to participate by answering the questions. I used two different methods to analyse the data. The first method was a frequency analysis and the second was a cross analysis of the questions.

The aim of the dissertation is limited to theoretically analyse Gigni’s legitimacy as a service provider, especially their relationship with mothers. The questionnaire asked if they found the service; 1) accessible and 2) to serve its aim (which is to ensure a safe and healthy environment throughout children’s lives).

The result shows that the majority of mothers believe that the service is accessible, it meets its aim and it does not affect the help received from family members. The mothers on the other hand believe that the service lacks accessibility for fathers, as health visits and other services, all occur while the fathers are at work. The mothers are very content with the various social gatherings, the service provides, especially the mother and child groups.

Beinta í Jákupsstovu was the first to conduct a study of the previous Heilsufrøðiskipanini (now Gigni) in 1993. Noteworthy aspects are; in 1993 Heilsufrøðiskipanin had only existed for 10 years, and, since then the Faroese society has changed. One main aspect of this study is to compare it with the 1993 study, in order to evaluate if the past seventeen years have changed the mothers’ experiences of Gigni.

In comparison to the study conducted in 1993, it shows that the mothers’ experiences of the service today are very similar or have improved to the experiences in 1993. One significant exception is that the mothers feel that social networking is more difficult today than in 1993, as there are less options today than then.

Overall, considering the chosen research method and theories, the data has proven to give valuable insights into the chosen areas of focus.

Verkætlanarábyrgd: Ása Róin, RN,MA,stud PHD og Hildur við Høgadalsá, RN,MA

Kanningin snýr seg um at finna títtleikan av UI, kanna hvørja vitan kvinnur hava um UI, hvussu teirra lív er ávirkað av UI og í hvønn mun tær hava søkt sær professjonella hjálp.

Endamálið var at varpa ljós á og gera meting av framtíðarinnar tiltøkum (interventión).

Verkætlanarábyrgd: Hildur við Høgadalsá, RN, MA, Katrin Andersen, RN, MA og Annemi Joensen, RN, MSc

Í 1988 var Felagið Føroyskir Sjúkrarøktarfrøðingar stovnað, og í 1992 varð stovnað etiskt ráð, sum m.a. hevur til uppgávu at gera og framhaldandi at dagføra yrkisetiskar leiðreglur fyri føroyskar sjúkrarøktarfrøðingar.

Sjúkrarøktaretiska ráðið hevur givið møguleika fyri og lagt upp til, at sjúkrarøktarfrøðingar senda etiskar tvístøður inn til viðgerðar; sum stuðul til teirra dagliga virksemi. Hóast hetta tilboð eru bert fáir spurningar komnir inn til ráðið, samstundis sum tað sæst manglandi kjak um etiskar spurningar í Vøku og á heimasíðuni hjá etiska ráðnum.

Lesandi reflektera javnan um etiskar spurningar og tvístøður og viðgera tær í uppgávuskriving, bæði í ástøðiliga og kliniska partinum. Tað sýnist tó sum heild, at hesir spurningar í størri mun verða viðgjørdir í ástøðiliga partinum og í minni mun í kliniska partinum.

Tí fevnir okkara undran um, hvørt føroyskir sjúkrarøktarfrøðingar eru tilvitaðir um etisku leiðreglurnar, og um teir brúka tær í sambandi við tvístøður og etiskar spurningar í sínum dagliga virksemi. Um ikki, hvat verða avgerðir teirra so grundaðar á, og hvør moralur ella hvørjir normar eru grundarlag undir  atburði og avgerðum í dagliga virkseminum, og hvaðani koma hesin moralur og hesir normar?

Farið er undir kanning av hesum spurningi á heysti 2011 og data verður savnað við fokusbólkasamrøðum. Væntandi verður úrslitið almannakunngjørt heystið 2012.

 

 

Verkætlanarábyrgd: May-Britt Skoradal Jacobsen,BSc í sjúkrarøktarfrøði, stud.scient.san, Marjun Vilhelm,BSc í sjúkrarøktarfrøði og Gunnbjørg Guttesen,BSc í sjúkrarøktarfrøði

Endamálið við kanningini er at finna fram til títtleikan av risikofaktorum fyri typu 2 diabetes millum 9. floksnæmingar í Føroyum.

Kanningin byggir á eitt pilotprojekt, sum varð gjørt á vári 2009, har uml. 8% av 9.-floksnæmingunum vórðu kannaðir fyri vandan fyri typu 2 diabetes. Hendan kanningin gav ábendingar um, at føroyskir 9.-floksnæmingar í stóran mun hava diabetes vandafaktorar, so sum yvirvekt (30%) og ættarbregði (33%).

Samanborðið við líknandi kanning í Danmark, so gav kanningin ábending um, at vandin fyri at fáa typu 2 diabetes er størri millum ung í Føroyum enn í Danmark. Tí varð farið undir at kanna ein heilan árgang av 9. floksnæmingum.

Verkætlanarábyrgd: Ása Róin, RN, MA, stud PhD

Arbeiðið við ph.d verkætlanini byrjaði februar 2011 við stuðli frá Granskingarráðnum. Verkætlanin snýr seg um at kanna, hvussu tað er at eldast í Føroyum, og hvat hevur týdning, tá tosað verður um lívsgóðsku á ellisárum. Samfelagslig tiltøk og framtíðar ætlanir byggja í stóran mun á stereotypar myndir av eldri og fjala tað stóra fjølbroytni av lívsroyndum og ymiskleika millum eldri.

Verkætlanin hevur sum endamál at viðvirka til eina dekonstruktión av stereotypum myndum av eldri, og harvið skapa grundarlag fyri fjølbroyttari tiltøkum fyri framtíðar eldri fólk í Føroyum.

Vísindaástøðiliga tilgongdin verður diskursástøðilig og háttalagið verður kvalitativt interview við umleið 25 eldri fólki  í Føroyum umframt viðgerð av almennum tilfari um eldrapolitik, álit, kunngerðir og annað.

Verkætlanin er, umframt Sjúkrarøktarfrøðiskúlanum, eisini knýtt at National Institute on Ageing and Later Life á Linnköping Universitet, Norrköping, Svøriki.

Verkætlanarábyrgd: Anna Sofía Fjallheim, cand.cur.

EPDS (Edinburgh Postnatal Depression Scale) er eitt screenings-amboð, sum verður brúkt til áseting av barnsburðartunglyndi hjá kvinnum eftir føðing. EPDS er nógv brúkt og eftirkannað í øðrum londum, men ongantíð eftirkannað í einum so lítlum samfelagið sum Føroyar, ið hevur onnur eyðkenni enn stórsamfeløg.

Endamálið við hesi verkætlan er tí at eftirkanna screeningsamboðið í Føroyum við denti á, hvat “cut point” skal vera. Cut point er tað talið, ið skilur kvinnur, ið sannlíkt hava barns-burðartunglyndi frá teimum, sum ikki hava tað. Eitt neyvt og rætt cut point er neyðugt, um screenings-mboðið skal kunna áseta kvinnur við barnsburðartunglyndi.

Ein svensk kanning fra 2011 gevur ábendingar um at barnsburðartunglyndi kann vera ávirkað variatiónum í árstíðunum. Onga aðra staðni eru kanningar gjørdar, ið kunnu vátta ella avsanna hetta. Av tí at populatiónin í hesi verkætlan fevnir um eitt heilt ár, verður møguligt at kanna, um árstíðarvariatiónir eru í títtleikanum av barnseftirburðartunglyndi í Føroyum.