Opponent:  Helle Wijk, professor, Göteborgs universitet.

Betygsnämnd: Carina Elmqvist, docent, Linné universitetet, Eva Persson, docent, Lunds universitet, Rolf Karlsten, docent, Uppsala universitet.

Ordförande: Per Hellman, professor, Uppsala universitet.

Huvudhandledare: Eva Jangland, docent Uppsala universitet.Bihandledare: Åsa Muntlin, docent, Uppsala universitet, Martin Björk, professor, Uppsala universitet,  Alison Kitson, professor, Flinders University,  Australien.

Välkommen att delta hela eller del av eftermiddagen!

Therese Avallin, RN since 2006, works as a specialist nurse at the Department of Surgery, Uppsala University hospital. Her interest to improve care by learning and teaching best nursing evidence, and use it in clinical practice for the patient in surgical care, keeps her motivation high to remain as a clinical nurse. This interest was also her main incentive for performing this thesis, which began at the Department of Surgical sciences, Uppsala University in the autumn 2014.

The aim of the thesis is to explore how to achieve and measure person-centred pain management for the patient with acute abdominal pain in acute surgical care, using the Fundamentals of Care framework as theoretical guidance. In the four studies she explores and presents; how fundamental care needs, such as pain management, can be met using only communication (Study II); a model guiding how to achieve person-centred pain management (Study I & IV); and a questionnaire to evaluate the person-centred pain management (Study III). In these studies, Therese confirms the international challenge of missed nursing care concerning pain management, leaving patients suffering from pain with serious consequences. This evidence is used in combination with the evidence found for what worked to successfully manage the patient’s pain, to provide guidance on how to achieve and measure person-centred pain management. She concludes her thesis with a call for action: “In the end, a major contribution of this thesis would be if we – as nursing stakeholders, made use of the results to unite upon the mutual goal to meet the patient’s fundamental care need of pain management, guided by the experience of the person asking us for help – the patient. Which in fact is our professional obligation.”

Länk till avhandlingen.