Experience of Managing Countertransference Through Self-Guided Imagery in Meditation Among Healthcare Professionals.

INTRODUCTION: As a part of the therapeutic relationship, a significant, well-established predictor of outcomes in psychiatric healthcare, healthcare professionals' emotional reactions to patients may affect treatment outcomes. AIM: The aim of our study was to explore and describe healthcare professionals' experiences with managing countertransference using skills from a training program on self-guided imagery in meditation (SIM). METHOD: Following an exploratory descriptive design, we conducted qualitative interviews with 10 healthcare professionals who care for patients with mental illness and subjected the collected data to thematic content analysis. RESULTS: Participants reported that SIM had helped them to manage countertransference and had prompted changes that we categorized into three themes: managing personal vulnerability, setting clearer boundaries, and practicing self-care. CONCLUSION: The results suggest that by cultivating wellbeing and dealing with unresolved inner conflicts, SIM can help healthcare professionals to manage countertransference.

Patient Involvement During a Pathway of Home-Based Reablement for Older Persons: A Longitudinal Single-Case Study.

BACKGROUND: In recent years, home-based reablement has become an increasingly popular way to provide rehabilitation services. This health care service aims to enable older persons to live longer at home while reducing the need for institutionalization. To ensure the provision of high-quality services, there is a continual need for research on issues of user involvement and co-creation during the pathway of the reablement process. PURPOSE: This study focused on user involvement and participation with health care professionals during the reablement process. METHODS: This was a longitudinal, instrumental single-case study, in which one 85-year-old female patient was followed over the pathway of a six-week reablement process. Data were collected at three stages, including the goal-mapping phase, evaluation phase, and three weeks after completing reablement. RESULTS: Our analyses revealed two themes for the goal-mapping phase (dialogue led by the care provider and main goal), three themes for the implementation phase (the home as the preferred setting, little influence on organizational factors, and participation, influence, and motivation), and three themes for the evaluation phase (patient understanding as a precondition, motivated by weak paternalism, and self-determination requires clear communication). CONCLUSION: The patient becomes involved through a partly co-creation process. During this time, they are involved, motivated, and influenced over the pathway of reablement. Health care providers must avoid implementing too much control during the pathway of home-based reablement, as patients have contextual knowledge that care providers do not possess.

Patient experiences with videoconferencing as social contact and in follow-up from oncology nurses in primary health care.

Patients with various forms of cancer often have unmet psychosocial support needs. By interpretative phenomenological approach, this study aimed to acquire a deeper understanding of home-living patients with cancer's experience and meaning from videoconferencing in oncological nursing follow-up in primary healthcare and contact with networks. Six patients from rural Norway participated. Three themes emerged: (1) From skepticism to videoconferencing-enthusiasm; (2) Oncology nurses ensured tablet mastery and delivered close follow-up; and (3) Oncology nurses helped ensure general social support using videoconferencing. Oncology follow-up care in rural areas using videoconferencing may enhance care availability and provision of psychosocial support meeting patients' needs.

[Evaluation of an educational program for adolescents with asthma]. / Evaluering av et undervisningsopplegg for ungdom med astma.

Knowledge and understanding is important to the quality of life and coping ability of adolescents with bronchial asthma. Adolescents are often difficult to recruit and retain in educational programmes; the aim of this study was to develop and evaluate a modern training programme for adolescents. The two-day training programme included question sessions about asthma, lectures, videos, demonstrations, searches on the internet, counselling and group discussions. The evaluation was based on focus group interviews with 39 adolescents, 13 to 16 years of age, divided into 7 groups. Adolescents were motivated for learning via the internet. The group discussions inspired to confidence and openness about one's own disease and medication. The educational model provided motivation for self-reliance and autonomy.