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Höglander, Jessica
Publikasjoner (10 av 12) Visa alla publikasjoner
Sundling, V., Hafskjold, L., Håkansson Eklund, J., Holmström, I., Höglander, J., Sundler, A. J., . . . Eide, H. (2020). Emotional communication in home care: A comparison between Norway and Sweden. Patient Education and Counseling
Åpne denne publikasjonen i ny fane eller vindu >>Emotional communication in home care: A comparison between Norway and Sweden
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2020 (engelsk)Inngår i: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134Artikkel i tidsskrift (Fagfellevurdert) Epub ahead of print
Emneord
Worries, Supportive communication, Person-centred communication, Home care, VR-CoDES
HSV kategori
Forskningsprogram
vårdvetenskap
Identifikatorer
urn:nbn:se:mdh:diva-47479 (URN)10.1016/j.pec.2020.03.002 (DOI)
Prosjekter
COMHOME
Tilgjengelig fra: 2020-04-07 Laget: 2020-04-07 Sist oppdatert: 2020-04-17bibliografisk kontrollert
Höglander, J., Sundler, A. J., Spreeuwenberg, P., Holmström, I. K., Eide, H., van Dulmen, S. & Håkansson Eklund, J. (2019). Emotional communication with older people: A cross-sectional study of home care. Nursing and Health Sciences (3), 382-389, Article ID NHS12611.
Åpne denne publikasjonen i ny fane eller vindu >>Emotional communication with older people: A cross-sectional study of home care
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2019 (engelsk)Inngår i: Nursing and Health Sciences, ISSN 1442-2018, nr 3, s. 382-389, artikkel-id NHS12611Artikkel i tidsskrift (Fagfellevurdert) Published
HSV kategori
Identifikatorer
urn:nbn:se:mdh:diva-42881 (URN)10.1111/nhs.12611 (DOI)000486246900015 ()30957364 (PubMedID)2-s2.0-85063993689 (Scopus ID)
Tilgjengelig fra: 2019-03-07 Laget: 2019-03-07 Sist oppdatert: 2020-03-12bibliografisk kontrollert
Höglander, J. (2019). Home care communication - Moving beyond the surface. In: : . Paper presented at RCN International Nursing Research Conference 2019.
Åpne denne publikasjonen i ny fane eller vindu >>Home care communication - Moving beyond the surface
2019 (engelsk)Konferansepaper, Poster (with or without abstract) (Fagfellevurdert)
HSV kategori
Forskningsprogram
vårdvetenskap
Identifikatorer
urn:nbn:se:mdh:diva-46057 (URN)
Konferanse
RCN International Nursing Research Conference 2019
Tilgjengelig fra: 2019-11-15 Laget: 2019-11-15 Sist oppdatert: 2019-12-17bibliografisk kontrollert
Höglander, J. (2019). Home care communication: moving beyond the surface. (Doctoral dissertation). Västerås: Mälardalen University
Åpne denne publikasjonen i ny fane eller vindu >>Home care communication: moving beyond the surface
2019 (engelsk)Doktoravhandling, med artikler (Annet vitenskapelig)
Abstract [en]

Communication is an essential part of care and human interaction. While communication within care entails both task-focused and socio-emotional elements, nurses are sometimes perceived as too task-focused. When in need of care, older persons want to be perceived and treated as individuals – to feel involved. However, nurses might lack the prerequisites for establishing individualised home care, which is often based on daily tasks rather than on older persons’ needs and wishes. Despite the importance of communication in nurse-patient interactions, knowledge about daily communication within home care is scarce. Therefore, the overall aim of this thesis was to explore the naturally occurring communication between nursing staff and older persons during home care visits, with a focus on emotional distress and from a person-centred perspective.

This thesis is an observational, cross-sectional study of the communication in 188 audio-recorded home care visits, and is part of the international COMHOME project. In Study I, older persons’ expressions of emotional distress were coded and analysed using the Verona Coding Definitions of Emotional Sequences [VR-CoDES]. The results showed that older persons often express emotional distress in the form of hints at emotional concerns, which were defined as cues. Explicit expressions of emotional distress, which were defined as concerns, were uncommon. The responses of nursing staff to older persons’ cues and concerns were coded and analysed in Study II using VR-CoDES. Nursing staff often responded by providing space rather than reducing it for further disclosure of older persons’ emotional distress. In Study III, the communication of emotional distress and participants’ characteristics were analysed using generalised linear mixed model [GLMM]. The results revealed that most cues and concerns were expressed by older females and to female nursing staff. Furthermore, elicitations of expressions of emotional distress were influenced by native language and profession, and responses that provided space were more often given to older females and to older persons aged 65-84 years. Home care communication between registered nurses and older persons was coded and analysed in Study IV using the Roter Interaction Analysis System [RIAS]. The results revealed a high degree of person-centred communication, especially during visits lasting 8-9 minutes, and that socio-emotional communication was more frequent than task-oriented communication.

Home care communication contains important aspects of person-centred communication, with nursing staff providing space for the older person’s narrative; however, there are also challenges in the form of vague and implicit expressions of emotional distress.

 

Keywords: communication; home care services; nursing staff; older persons; person-centred care; RIAS; VR-CoDES

sted, utgiver, år, opplag, sider
Västerås: Mälardalen University, 2019
Serie
Mälardalen University Press Dissertations, ISSN 1651-4238 ; 288
Emneord
communication, home care services, nursing staff, older persons, person-centred care, RIAS, VR-CoDES
HSV kategori
Forskningsprogram
vårdvetenskap
Identifikatorer
urn:nbn:se:mdh:diva-42862 (URN)978-91-7485-424-4 (ISBN)
Disputas
2019-05-10, Beta, Mälardalens högskola, Västerås, 13:15 (svensk)
Opponent
Veileder
Tilgjengelig fra: 2019-03-12 Laget: 2019-03-12 Sist oppdatert: 2020-01-28bibliografisk kontrollert
Håkansson Eklund, J., Holmström, I. K., Kumlin, T., Kaminsky, E., Skoglund, K., Höglander, J., . . . Summer Meranius, M. (2019). "Same same or different?" A review of reviews of person-centered and patient-centered care. Patient Education and Counseling, 102(1), 3-11
Åpne denne publikasjonen i ny fane eller vindu >>"Same same or different?" A review of reviews of person-centered and patient-centered care
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2019 (engelsk)Inngår i: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 102, nr 1, s. 3-11Artikkel, forskningsoversikt (Fagfellevurdert) Published
Abstract [en]

Objective: To provide a synthesis of already synthesized literature on person-centered care and patient-centered care in order to identify similarities and differences between the two concepts. Methods: A synthesis of reviews was conducted to locate synthesized literature published between January 2000 and March 2017. A total of 21 articles deemed relevant to this overview were synthesized using a thematic analysis. Results: The analysis resulted in nine themes present in person-centered as well as in patient-centered care: (1) empathy, (2), respect (3), engagement, (4), relationship, (5) communication, (6) shared decision-making, (7) holistic focus, (8), individualized focus, and (9) coordinated care. The analysis also revealed that the goal of person-centered care is a meaningful life while the goal of patient-centered care is a functional life. Conclusions: While there are a number of similarities between the two concepts, the goals for person-centered and patient-centered care differ. The similarities are at the surface and there are important differences when the concepts are regarded in light of their different goals. Practice implications: Clarification of the concepts may assist practitioners to develop the relevant aspects of care. Person-centered care broadens and extends the perspective of patient-centered care by considering the whole life of the patient.

sted, utgiver, år, opplag, sider
ELSEVIER IRELAND LTD, 2019
Emneord
Patient-centered, Person-centered, Literature review, Concept analysis, Care
HSV kategori
Identifikatorer
urn:nbn:se:mdh:diva-41771 (URN)10.1016/j.pec.2018.08.029 (DOI)000452381100002 ()30201221 (PubMedID)2-s2.0-85052965545 (Scopus ID)
Tilgjengelig fra: 2018-12-20 Laget: 2018-12-20 Sist oppdatert: 2020-03-19bibliografisk kontrollert
Håkansson Eklund, J., Holmström, I. K., Kumlin, T., Kaminsky, E., Skoglund, K., Höglander, J., . . . Summer Meranius, M. (2019). "Same same or different?" A review of reviews of person-centered and patient-centred care. In: Royal college of Nursing, Sheffield, UK: . Paper presented at Royal college of Nursing, Sheffield, UK.
Åpne denne publikasjonen i ny fane eller vindu >>"Same same or different?" A review of reviews of person-centered and patient-centred care
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2019 (engelsk)Inngår i: Royal college of Nursing, Sheffield, UK, 2019Konferansepaper, Oral presentation with published abstract (Fagfellevurdert)
HSV kategori
Identifikatorer
urn:nbn:se:mdh:diva-45437 (URN)
Konferanse
Royal college of Nursing, Sheffield, UK
Tilgjengelig fra: 2019-10-07 Laget: 2019-10-07 Sist oppdatert: 2020-01-28bibliografisk kontrollert
Höglander, J., Sundler Johansson, A., Spreeuwenberg, P., Holmström, I., Eide, H., van Dulmen, S. & Håkansson Eklund, J. (2018). Female gender explains emotional communication in home care. In: International Conference on Communication in Healthcare, Porto, Portugal: . Paper presented at International Conference on Communication in Healthcare, Porto, Portugal.
Åpne denne publikasjonen i ny fane eller vindu >>Female gender explains emotional communication in home care
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2018 (engelsk)Inngår i: International Conference on Communication in Healthcare, Porto, Portugal, 2018Konferansepaper, Oral presentation with published abstract (Fagfellevurdert)
HSV kategori
Identifikatorer
urn:nbn:se:mdh:diva-45446 (URN)
Konferanse
International Conference on Communication in Healthcare, Porto, Portugal
Tilgjengelig fra: 2019-10-07 Laget: 2019-10-07 Sist oppdatert: 2019-12-18bibliografisk kontrollert
Håkansson Eklund, J., Holmström, I. K., Kumlin, T., Kaminsky, E., Skoglund, K., Höglander, J., . . . Summer Meranius, M. (2018). "Same same or different?" A review of reviews of person-centred and patinet-centred care. In: International Conference on Communication in Healthcare, Porto, Portugal: . Paper presented at International Conference on Communication in Healthcare, Porto, Portugal.
Åpne denne publikasjonen i ny fane eller vindu >>"Same same or different?" A review of reviews of person-centred and patinet-centred care
Vise andre…
2018 (engelsk)Inngår i: International Conference on Communication in Healthcare, Porto, Portugal, 2018Konferansepaper, Oral presentation with published abstract (Fagfellevurdert)
HSV kategori
Identifikatorer
urn:nbn:se:mdh:diva-45447 (URN)
Konferanse
International Conference on Communication in Healthcare, Porto, Portugal
Tilgjengelig fra: 2019-10-07 Laget: 2019-10-07 Sist oppdatert: 2020-01-28bibliografisk kontrollert
Sundling, V., Hafskjold, L., Holmström, I., Höglander, J., Sundler, A. J. & Eide, H. (2018). Supportive communication in Home care: a cross-national comparative study. In: International Conference on Communication in Healthcare, Porto, Portugal: . Paper presented at International Conference on Communication in Healthcare, Porto, Portugal.
Åpne denne publikasjonen i ny fane eller vindu >>Supportive communication in Home care: a cross-national comparative study
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2018 (engelsk)Inngår i: International Conference on Communication in Healthcare, Porto, Portugal, 2018Konferansepaper, Oral presentation with published abstract (Fagfellevurdert)
HSV kategori
Identifikatorer
urn:nbn:se:mdh:diva-45449 (URN)
Konferanse
International Conference on Communication in Healthcare, Porto, Portugal
Forskningsfinansiär
The Research Council of Norway, 226537
Tilgjengelig fra: 2019-10-07 Laget: 2019-10-07 Sist oppdatert: 2020-04-07
Sundler, A. J., Höglander, J., Håkansson Eklund, J., Eide, H. & Holmström, I. K. (2017). Older persons' expressions of emotional cues and concerns during home care visits. Application of the Verona coding definitions of emotional sequences (VR-CoDES) in home care. Patient Education and Counseling, 100(2), 276-282
Åpne denne publikasjonen i ny fane eller vindu >>Older persons' expressions of emotional cues and concerns during home care visits. Application of the Verona coding definitions of emotional sequences (VR-CoDES) in home care
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2017 (engelsk)Inngår i: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 100, nr 2, s. 276-282Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Objective: This study aims to a) explore to what extent older persons express emotional cues and concerns during home care visits; b) describe what cues and concerns these older persons expressed, and c) explore who initiated these cues and concerns. Methods: A descriptive and cross-sectional study was conducted. Data consisted of 188 audio recorded home care visits with older persons and registered nurses or nurse assistants, coded with the Verona coding definitions on emotional sequences (VR-CoDES). Results: Emotional expressions of cues and concerns occurred in 95 (51%) of the 188 recorded home care visits. Most frequent were implicit expressions of cues (n = 292) rather than explicit concerns (n = 24). Utterances with hints to hidden concerns (63,9%, n = 202) were most prevalent, followed by vague or unspecific expressions of emotional worries (15,8%, n = 50). Most of these were elicited by the nursing staff (63%, n = 200). Conclusion: Emotional needs expressed by the older persons receiving home care were mainly communicated implicitly. To be attentive to such vaguely expressed emotions may demand nursing staff to be sensitive and open. Practice implications: The VR-CoDES can be applied on audio recorded home care visits to analyse verbal and emotional communication, and may allow comparative research. (C) 2016 Elsevier Ireland Ltd. All rights reserved.

sted, utgiver, år, opplag, sider
ELSEVIER IRELAND LTD, 2017
Emneord
Patient-provider communication, Concern, Cue, Home care, Nursing
HSV kategori
Identifikatorer
urn:nbn:se:mdh:diva-35123 (URN)10.1016/j.pec.2016.09.009 (DOI)000396886000013 ()27692492 (PubMedID)2-s2.0-84999029525 (Scopus ID)
Tilgjengelig fra: 2017-04-06 Laget: 2017-04-06 Sist oppdatert: 2020-03-20bibliografisk kontrollert
Organisasjoner