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Rehnsfeldt, Arne
Publications (10 of 23) Show all publications
Rehnsfeldt, A. & Arman, M. (2008). A pilgrimage on the road to understanding of life in experiences of cancer and burnout syndrome. Scandinavian Journal of Caring Sciences, 22(2), 275-283.
Open this publication in new window or tab >>A pilgrimage on the road to understanding of life in experiences of cancer and burnout syndrome
2008 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 22, no 2, 275-283 p.Article in journal (Refereed) Published
Abstract [en]

The preunderstanding for this study is that progression of a person's suffering can be seen as movement from unbearable to the bearable. This study aims to examine the development of understanding of life in people with cancer and burnout syndrome in relation to nursing care. Our method entailed clinical application research in the design and collection of data, which consisted of qualitative interviews with 16 former patients in conventional and anthroposophic health care, nine with cancer diagnoses and seven with burnout syndrome. The main theme of our findings is 'a pilgrimage on the road to understanding of life'. The pilgrimage is the person's own inner decision to reach new insights and meaning. When suffering from cancer, the struggle is related to threat of death, while persons with burnout syndrome struggle with a threatening nothingness. Walking alone on the pilgrimage without being met in an understanding of life creates increased suffering, while having a companion on the pilgrimage was seen as adding dignity to the suffering human being. The implications for nursing care are that even patients with burnout syndrome need a caring hermeneutic dialogue, where time and space is shared with a caregiver during the pilgrimage. © 2008 Nordic College of Caring Science.

Keyword
Burnout, Cancer, Caring hermeneutic dialogue, Clinical application research, Suffering, Understanding of life
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-46011 (URN)10.1111/j.1471-6712.2007.00531.x (DOI)
Available from: 2009-10-11 Created: 2009-10-11 Last updated: 2017-12-13
Roxberg, A., Eriksson, K., Rehnsfeldt, A. & Fridlund, B. (2008). The meaning of consolation as experienced by nurses in a home-care setting. Journal of Clinical Nursing, 17(8), 1079-1087.
Open this publication in new window or tab >>The meaning of consolation as experienced by nurses in a home-care setting
2008 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 17, no 8, 1079-1087 p.Article in journal (Refereed) Published
Abstract [en]

Aims and objective. The aim of this study was to illuminate nurses' experiences of consolation and how these experiences relate to suffering and care. Background. Consolation is commonly associated with the relief of suffering. The question of consolation in terms of its definition and relevance for care has, however, been a matter of discussion among nurse researchers. The question raised concerns about the nature of consolation, its place and its role in relation to care and the caring sciences. Design. An explorative qualitative interview study with 12 participants, six registered and six enrolled nurses, was carried out in a home-care context. Methods. A phenomenological-hermeneutic method inspired by the French philosopher Paul Ricoeur was used for the text analysis. Results. Two main aspects of consolation appeared: 'the present consolation', which is flexible, sustaining and opening and 'the absent consolation', which conceals the suffering and is incapable of consoling. The result was interpreted from a philosophical-ethical perspective, based on the works of Levinas and Lögstrup. Conclusions. Consolation appears as a complex phenomenon, both in terms of its existence and its absence consolation, constituting a caring and non-caring consolation. A caring consolation entails meeting the other as different and being present in a way that gives the other space to be the one he or she really is. It requires acceptance, accepting the sufferer and his/her way of suffering as unique. Relevance to clinical practice. The clinical nurse is involved in complex care situations, which entails both reflecting upon and using intuition when consoling. A caring consolation is a contradictory phenomenon that requires a nurse to be capable of both reflecting upon and acting intuitively on the unique suffering of the other. © 2008 Blackwell Publishing Ltd.

Keyword
Caring, Consolation, Ethics, Nurses, Nursing, Phenomenological Hermeneutics
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-50264 (URN)10.1111/j.1365-2702.2007.02127.x (DOI)
Available from: 2009-10-11 Created: 2009-10-11 Last updated: 2017-12-12
Arman, M. & Rehnsfeldt, A. (2007). The 'tittle extra' that alleviates suffering. Nursing Ethics, 14(3), 372-384.
Open this publication in new window or tab >>The 'tittle extra' that alleviates suffering
2007 (English)In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 14, no 3, 372-384 p.Article in journal (Refereed) Published
Abstract [en]

Nursing, or caring science, is mainly concerned with developing knowledge of what constitutes ideal, good health care for patients as whole persons, and how to achieve this. The aim of this study was to find clinical empirical indications of good ethical care and to investigate the substance of ideal nursing care in praxis. A hermeneutic method was employed in this clinical study, assuming the theoretical perspective of caritative caring and ethics of the understanding of life. The data consisted of two Socratic dialogues: one with nurses and one with nursing students, and interviews with two former patients. The empirical data are first described from a phenomenological approach. Observations of caregivers offering 'the little extra' were taken to confirm that patients were 'being seen', not from the perspective of an ideal nursing model, but from that of interaction as a fellow human being. The study provides clinical evidence that, as an ontological response to suffering, 'symbolic acts' such as giving the 'little extra' may work to bridge gaps in human interaction. The fact that 'little things' have the power to preserve dignity and make patients feel they are valued offers hope. Witnessing benevolent acts also paves the way for both patients and caregivers to increase their understanding of life. © 2007 SAGE Publications.

Keyword
Caring, Ethics, Hermeneutics, Suffering, Understanding of life
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-47977 (URN)10.1177/0969733007075877 (DOI)
Available from: 2009-10-11 Created: 2009-10-11 Last updated: 2017-12-13
Isovaara, S., Isovaara, S., Arman, M., Arman, M., Rehnsfeldt, A. & Rehnsfeldt, A. (2006). Family suffering related to war experiences: An interpretative synopsis review of the literature from a caring science perspective. Scandinavian Journal of Caring Sciences, 20(3), 241-250.
Open this publication in new window or tab >>Family suffering related to war experiences: An interpretative synopsis review of the literature from a caring science perspective
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2006 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 20, no 3, 241-250 p.Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to conduct a synopsis review of findings from families' experiences related to combat and war events and to interpret these findings from the perspective of theories of suffering. The method used in the study was a synopsis review of 12 articles dealing with family suffering related to war or combat experiences and an interpretation of the articles from a caring science perspective. Findings from the synopsis review were that the dominant part of the articles viewed suffering in general and post-traumatic stress disorders (PTSD) in particular from a medical, psychiatric or psychologically behaviouristic perspective. PTSD and other distress-related conditions were mainly described in terms of their symptoms and dealt with in terms of pathology. The interpretation of the articles from a caring science perspective generated three significant themes: first, interdependence as a spiritual dimension of dependence, secondly, familial communion as sharing moral and spiritual values and thirdly, familial suffering visualized by compassion. The study's conclusion is that, from a caring science perspective, the appearance of family suffering should be comprehended in terms of expressed compassion and that any disturbance within familial communion is likely to have an emotional impact on all of the family members, as a result of their interdependence. © 2006 The Authors.

National Category
Social Sciences
Identifiers
urn:nbn:se:liu:diva-35494 (URN)10.1111/j.1471-6712.2006.00432.x (DOI)27105 (Local ID)27105 (Archive number)27105 (OAI)
Available from: 2009-10-10 Created: 2009-10-10 Last updated: 2017-12-13
Arman, M. & Rehnsfeldt, A. (2006). How can we research human suffering?. Scandinavian Journal of Caring Sciences, 20(3), 239-240.
Open this publication in new window or tab >>How can we research human suffering?
2006 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 20, no 3, 239-240 p.239-240 p.Article in journal (Other academic) Published
Abstract [en]

[No abstract available]

Place, publisher, year, edition, pages
John Wiley & Sons, 2006. 239-240 p.
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-50134 (URN)10.1111/j.1471-6712.2006.00438.x (DOI)
Available from: 2009-10-11 Created: 2009-10-11 Last updated: 2017-12-12
arman, m. & Rehnsfeldt, A. (2006). The Presence of Love in Caring. Nursing forum, 41(1).
Open this publication in new window or tab >>The Presence of Love in Caring
2006 (English)In: Nursing forum, ISSN 0029-6473, Vol. 41, no 1Article in journal (Refereed) Published
National Category
Social Sciences
Identifiers
urn:nbn:se:liu:diva-33676 (URN)19713 (Local ID)19713 (Archive number)19713 (OAI)
Available from: 2009-10-09 Created: 2009-10-09 Last updated: 2011-01-11
Arman, M. & Rehnsfeldt, A. (2006). Vårdande som lindrar lidande -Etik i vårdandet (1ed.). Stockholm: Liber.
Open this publication in new window or tab >>Vårdande som lindrar lidande -Etik i vårdandet
2006 (Swedish)Book (Other academic)
Abstract [sv]

När livet förändras eller hotas av sjukdom eller olycka aktualiseras en mängd etiska frågor. Hur hanterar man människor i livsavgörande skeenden? Hur kan man som vårdpersonal i sådana situationer se, bli delaktig i och lindra lidandet? Vårdande som lindrar lidande tar upp dessa viktiga frågor.Läs merMed nya vårdvetenskapliga teoriansatser, inspirerade av Katie Eriksson, omsätter författarna det abstrakta vårdtänkandet till ett mer praktiskt vårdande. Läsaren får också ta del av människors berättelser om lidande och bemötande inom vården. Alla som kommer i kontakt med lidande människor har nytta av boken. Den är framför allt givande för studenter och yrkesverksamma inom hälso- och sjukvården.Om författarnaMaria Arman är leg. sjuksköterska, leg. barnmorska, doktor i vårdvetenskap och biträdande universitetslektor i omvårdnad vid Karolinska Institutet, Stockholm. Arne Rehnsfeldt är leg. sjukskötare, docent i vårdvetenskap och universitetslektor vid Hälsouniversitetet, Linköpings universitet.

Place, publisher, year, edition, pages
Stockholm: Liber, 2006. 139 p. Edition: 1
Keyword
nursing, caring, ethics
National Category
Social Sciences
Identifiers
urn:nbn:se:liu:diva-35493 (URN)27085 (Local ID)91-47-08403-0 (ISBN)978-91-47-08403-6 (ISBN)27085 (Archive number)27085 (OAI)
Available from: 2009-10-10 Created: 2009-10-10 Last updated: 2013-09-02Bibliographically approved
Rehnsfeldt, A. & Arman Rehnsfeldt, M. (2005). Livsförståelseetik och vittnesbörd - vårdetiska aspekter. Vård i Norden, 25(3), 19-23.
Open this publication in new window or tab >>Livsförståelseetik och vittnesbörd - vårdetiska aspekter
2005 (Swedish)In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 25, no 3, 19-23 p.Article in journal (Refereed) Published
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-29343 (URN)14665 (Local ID)14665 (Archive number)14665 (OAI)
Available from: 2009-10-09 Created: 2009-10-09 Last updated: 2017-12-13
Rehnsfeldt, A. (2005). The relevance of the ethics of understanding of life in nursing. International journal for human caring, 9(4), 39-44.
Open this publication in new window or tab >>The relevance of the ethics of understanding of life in nursing
2005 (English)In: International journal for human caring, ISSN 1091-5710, Vol. 9, no 4, 39-44 p.Article in journal (Refereed) Published
National Category
Social Sciences
Identifiers
urn:nbn:se:liu:diva-33554 (URN)19582 (Local ID)19582 (Archive number)19582 (OAI)
Available from: 2009-10-09 Created: 2009-10-09 Last updated: 2011-01-12
Rehnsfeldt, A. (2004). Begreppen integration och problembaserat lärande granskat ur ett vårddidaktiskt perspektiv. In: Dahly Matilainen & Katie Eriksson (Ed.), Vårdvetenskapens didaktik : caritativ didaktik i vårdandets tjänst: (pp. 135-147). Vasa: Åbo Akademi, Institutionen för Vårdvetenskap.
Open this publication in new window or tab >>Begreppen integration och problembaserat lärande granskat ur ett vårddidaktiskt perspektiv
2004 (Swedish)In: Vårdvetenskapens didaktik : caritativ didaktik i vårdandets tjänst / [ed] Dahly Matilainen & Katie Eriksson, Vasa: Åbo Akademi, Institutionen för Vårdvetenskap , 2004, 135-147 p.Chapter in book (Other academic)
Place, publisher, year, edition, pages
Vasa: Åbo Akademi, Institutionen för Vårdvetenskap, 2004
Series
Vårdforskning,, ISSN 0786-3578 ; 9
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-24449 (URN)6560 (Local ID)952-12-1475-9 (ISBN)978-9-5212-1475-2 (ISBN)6560 (Archive number)6560 (OAI)
Available from: 2009-10-07 Created: 2009-10-07 Last updated: 2013-11-08Bibliographically approved
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