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Zander, Viktoria, Med drORCID iD iconorcid.org/0000-0002-1587-2835
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Gustafsson, L.-K., Östlund, G., Zander, V., Elfström, M. & Anbäcken, E.-M. (2019). ‘Best fit’ caring skills of an interprofessional team inshort-term goal-directed reablement: older adults’perceptions. Scandinavian Journal of Caring Sciences, 33(2), 498-506
Öppna denna publikation i ny flik eller fönster >>‘Best fit’ caring skills of an interprofessional team inshort-term goal-directed reablement: older adults’perceptions
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2019 (Engelska)Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 33, nr 2, s. 498-506Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

This paper reports a study conducted to illuminate older adults’ perceptions of multiproffesional team's caring skills as success factors for health support in short-term goal-directed reablement. The fact that older adults are given perquisites to live in their own homes puts great demands on the professional care given them at home. An option offered could be short-term goal-directed reablement delivered by an interprofessional team. This means after periods in hospitals to strengthen their multidimensional health, older adults’ reablement processes are supported to return to their daily life as soon as possible. Crucial in making these intentions a reality seems to be identifying the professional's approach that works as success factors for health support in the reablement process. A descriptive qualitative design with a phenomenographic approach based on interviews with 23 older persons who had received short-term goal-directed reablement at home after a period at hospital was used. The study was approved by an ethical board. The analysis revealed four major referential aspects of multiproffesional team's caring skills as success factors for health-support in short-term goal-directed reablement: a motivating caregiver, a positive atmosphere-creating caregiver, a human fellowship-oriented caregiver and a caregiver that goes beyond the expected. In this study, all caring skills in the continuum are perceived as positively loaded necessities in different situations during the reablement process. Caring skills as success factors are initially shown at a practical level, such as how the professional caregivers encourage and motivate the older persons in different training situations. At a deeper level, the caregivers open their hearts and have the capacity to go beyond the expected in the professional caregiver–patient relationship. The multiproffesional team's best fit caring skills during the home reablement process need to be addressed as evidence base in the area of elderly home care.

Nationell ämneskategori
Medicin och hälsovetenskap Hälsovetenskaper
Identifikatorer
urn:nbn:se:mdh:diva-42493 (URN)10.1111/scs.12650 (DOI)000472973400025 ()2-s2.0-85060252366 (Scopus ID)
Tillgänglig från: 2019-01-29 Skapad: 2019-01-29 Senast uppdaterad: 2019-12-16Bibliografiskt granskad
Östlund, G., Anbäcken, E.-M., Gustafsson, L.-K., Zander, V. & Elfström, M. (2019). Interprofessional homebased reablement intervention of older adults - reflecting on possible trends based on the RCT pilot study.. In: : . Paper presented at International conference on geriatrics and gerontology (IAGG-ER). Göteborg, 24-25 maj.
Öppna denna publikation i ny flik eller fönster >>Interprofessional homebased reablement intervention of older adults - reflecting on possible trends based on the RCT pilot study.
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2019 (Engelska)Konferensbidrag, Muntlig presentation med publicerat abstract (Refereegranskat)
Nationell ämneskategori
Samhällsvetenskap
Identifikatorer
urn:nbn:se:mdh:diva-46044 (URN)
Konferens
International conference on geriatrics and gerontology (IAGG-ER). Göteborg, 24-25 maj
Tillgänglig från: 2019-11-14 Skapad: 2019-11-14 Senast uppdaterad: 2019-12-17Bibliografiskt granskad
Zander, V., Johansson-Pajala, R.-M. & Gustafsson, C. (2019). Methods to evaluate perspectives of safety, independence, activity, and participation in older persons using welfare technology. A systematic review. Disability and Rehabilitation: Assistive Technology
Öppna denna publikation i ny flik eller fönster >>Methods to evaluate perspectives of safety, independence, activity, and participation in older persons using welfare technology. A systematic review
2019 (Engelska)Ingår i: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Purpose: To conduct a systematic review of existing methods to evaluate the individual aspects of welfare technology from the perspectives of independence, safety, activity, and participation. Furthermore, the study aimed to describe outcomes that have been the focus of previous research to evaluate individual aspects of welfare technology in older persons living in ordinary housing. Materials and methods: A systematic literature review in PubMed, CINAHL Plus, PsycINFO, Scopus, and Web of Science. Studies selected were those that explored the use of assistive and welfare technology devices from older persons’ perspectives, and which considered the concepts of independence, safety, activity and participation, and quality of life. Results: A broad spectrum of instruments was applied in the studies. For independence, three questionnaires were used in the identified studies. For safety, one instrument was used in two versions. To study activity and participation as well as quality of life, several scales were used. Additionally, several studies included qualitative approaches for evaluation, such as interviews, or posed one or more questions regarding the effects of welfare technology. Conclusions: The integration of digital assistive and welfare technology should be based on the needs of older persons, and those needs must be assessed using reliable and relevant instruments. The heterogeneity of the target group, i.e., older persons, together with the fact that assessments must give consideration to identifying goals, obstacles, and risks as well as users’ preferences, implies a person-centred approach.

Nationell ämneskategori
Gerontologi, medicinsk/hälsovetenskaplig inriktning
Identifikatorer
urn:nbn:se:mdh:diva-42746 (URN)10.1080/17483107.2019.1574919 (DOI)30786779 (PubMedID)
Projekt
Hjälpmedel och välfärdsteknik i tre dimensioner - HV3D
Tillgänglig från: 2019-02-21 Skapad: 2019-02-21 Senast uppdaterad: 2019-11-10
Östlund, G., Zander, V., Elfström, M., Gustafsson, L.-K. & Anbäcken, E.-M. (2019). Older adults’ experiences of a reablement process.: "To be treated like an adult, and ask for what I want and how I want it". Educational gerontology, 45(8), Article ID https://doi.org/10.1080/03601277.2019.1666525.
Öppna denna publikation i ny flik eller fönster >>Older adults’ experiences of a reablement process.: "To be treated like an adult, and ask for what I want and how I want it"
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2019 (Engelska)Ingår i: Educational gerontology, ISSN 0360-1277, E-ISSN 1521-0472, Vol. 45, nr 8, artikel-id https://doi.org/10.1080/03601277.2019.1666525Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

This is a follow-up study of intensive home-based rehabilitation from older people’s perspectives. The aim was to explore older adults’ descriptions of interactional needs related to autonomy in life. The purpose was also to explore the importance of significant others in the reablement process.

Method: The sample consisted of 23 women aged 72–92 who were included consecutively in the first project year. Data were collected through face-to-face semi-structured interviews that were recorded, transcribed, and analyzed using qualitative latent content analysis.

Results: Regaining autonomy through reablement was achieved by the interviewees although not always to the same extent as before. Three themes related to interactional needs were identified: (1) Transitional relations, referring to encounters with staff in time-limited relations. (2) More stable relations with significant others without limitation of time. (3) The acceptance of growing older and of death as a “natural departure”. Transitional relations with professionals, and more stable relations with significant others, are important parts of the reablement process according to older adults.

In conclusion: Professionals within gerontology need to recognize the social and historical context including the symbolic meanings each older person gives to life’s necessaries. Older adults appreciate reablement which includes rehabilitation goals related to the person’s stable relationships and larger life context.

Nationell ämneskategori
Samhällsvetenskap Hälsovetenskaper
Forskningsämne
socialt arbete
Identifikatorer
urn:nbn:se:mdh:diva-41258 (URN)10.1080/03601277.2019.1666525 (DOI)000486894500001 ()2-s2.0-85074283281 (Scopus ID)
Forskningsfinansiär
Forte, Forskningsrådet för hälsa, arbetsliv och välfärd, 2017-00126
Tillgänglig från: 2018-10-31 Skapad: 2018-10-31 Senast uppdaterad: 2019-12-13
Gustafsson, L.-K., Anbäcken, E.-M., Zander, V., Elfström, M. L. & Östlund, G. (2019). Working with short-term goal-directed reablement with older adults: strengthened by a collaborative approach. Nordic journal of nursing research, 39(4), 178-185
Öppna denna publikation i ny flik eller fönster >>Working with short-term goal-directed reablement with older adults: strengthened by a collaborative approach
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2019 (Engelska)Ingår i: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 39, nr 4, s. 178-185Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

The increased number of older adults who experience longevity requires increased investment in healthcare services. Short-term goal-directed reablement is expected to strengthen the functional capacity and quality of life of older adults, while homecare hours, and thus municipal expenditures, decrease. Facilitation of successful interprofessional collaboration includes not only enhancing coordination structurally, but also establishing a commitment regarding culture that overcomes professionally differentiated attitudes. Nurses have an obvious role in these multi-professional teams and the study explores some aspects' of working in this type of collaboration. The aim was to illuminate the meaning of working with short-term goal-directed reablement of older adults as experienced by an interprofessional team. Data were collected after an intervention with goal-directed time-limited reablement of older people. Written narratives from an interprofessional team were analyzed using a phenomenological-hermeneutic approach. Findings identified four major thematic structures that characterized the meaning: 1) Reliable relationship; including the aspects ‘Confidence between the older adult and staff’, ‘A sense of security’ and ‘Continuity’, 2) Empowered participation, including the following aspects: ‘Listen to the older adult’s desires’ and ‘Put the person in control’, 3) Team with a negotiated approach, including the aspects: ‘Closeness’, ‘Same direction and overarching goal’, ‘Learning from interprofessional dialogue’, 4) Time for growth with the aspects ‘Creating harmony’ and ‘Building the older adult’s self-confidence’. The process of reablement seemed strengthened by the collaborative approach of different professions and their combined efforts. The present study argues that teamwork gives confidence both in terms of general knowledge of reablement but also specific confidence in one’s profession.

Nationell ämneskategori
Medicin och hälsovetenskap Hälsovetenskaper
Identifikatorer
urn:nbn:se:mdh:diva-45848 (URN)10.1177/2057158519850974 (DOI)
Tillgänglig från: 2019-10-25 Skapad: 2019-10-25 Senast uppdaterad: 2019-12-09Bibliografiskt granskad
Östlund, G., Zander, V., Elfström, M. L., Gustafsson, L.-K. & Anbäcken, E.-M. (2018). ´Nothing to do about it, simply hang on´ - Older women´s experiences of social and existential health after a reablement intervention. In: : . Paper presented at European Conference for Social Work Research 2018.
Öppna denna publikation i ny flik eller fönster >>´Nothing to do about it, simply hang on´ - Older women´s experiences of social and existential health after a reablement intervention
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2018 (Engelska)Konferensbidrag, Enbart muntlig presentation (Refereegranskat)
Nationell ämneskategori
Samhällsvetenskap Annan samhällsvetenskap
Identifikatorer
urn:nbn:se:mdh:diva-41519 (URN)
Konferens
European Conference for Social Work Research 2018
Tillgänglig från: 2018-12-09 Skapad: 2018-12-09 Senast uppdaterad: 2019-11-15
Elfström, M., Östlund, G., Anbäcken, E.-M., Zander, V. & Gustafsson, L.-K. (2018). Reablement for older persons by an interprofessional home rehabilitation team: An ongoing RCT. In: : . Paper presented at 32nd Annual Conference of the European Health Psychology Society, Galway, August 21-25, 2018..
Öppna denna publikation i ny flik eller fönster >>Reablement for older persons by an interprofessional home rehabilitation team: An ongoing RCT
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2018 (Engelska)Konferensbidrag, Poster (med eller utan abstract) (Övrigt vetenskapligt)
Abstract [en]

The aim is to evaluate the effects of intensive home rehabilitation regarding multidimensional health perceptions and other quality of life domains, physical ability and capacity among older people (65+). The design is a randomized controlled study of a reablement intervention with controls receiving traditional home care. The intervention is goal- and user oriented, home-based, time limited (3 months), and organized by an interprofessional team consisting of the professions nurse, enrolled nurses, physiotherapists, social worker, and occupational therapists. The effects of the intervention are measured by self-reported health and quality of life (EQ-5D-5L, HACT) including psychological well-being (GP-CORE), physical capacity (SPPB, hand dynamometer test), activity performance (COPM), and home care hours needed. Data are collected at inclusion (T1; applying for home care), after the three months intervention (T2), and at six months (T3). Primary outcome analyses will be performed according to intention to treat; 2 x 3 mixed design (group x time) ANCOVA with each dependent variable at T1 as covariate. Based on a medium effect size in favour of the intervention in the pilot study, and a dropout of 20%, the power calculation indicated that 240 persons should be included. The project will contribute with evidence of the effects of interprofessional home rehabilitation for reablement, and consequences for older persons’ bio-psycho-social health. The project is ongoing with more than 120 persons included. The intervention may result in reduced costs for care, but especially individual gains in relation to reduced care needs, maintained independence and good health.

Nyckelord
health perception, interprofessional, Ageing, RCT
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Identifikatorer
urn:nbn:se:mdh:diva-45951 (URN)
Konferens
32nd Annual Conference of the European Health Psychology Society, Galway, August 21-25, 2018.
Forskningsfinansiär
Forte, Forskningsrådet för hälsa, arbetsliv och välfärd, 2017-00126
Tillgänglig från: 2019-11-11 Skapad: 2019-11-11 Senast uppdaterad: 2019-12-18Bibliografiskt granskad
Östlund, G., Zander, V., Elfström, M., Gustafsson, L.-K. & Anbäcken, E.-M. (2017). “It gets easier when the sun is shining”: a follow-up study after a reablement intervention. In: : . Paper presented at Nationell forskarkonferens i socialt arbete, Umeå, 2017.
Öppna denna publikation i ny flik eller fönster >>“It gets easier when the sun is shining”: a follow-up study after a reablement intervention
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2017 (Engelska)Konferensbidrag, Enbart muntlig presentation (Refereegranskat)
Nationell ämneskategori
Samhällsvetenskap Hälsovetenskaper
Forskningsämne
socialt arbete
Identifikatorer
urn:nbn:se:mdh:diva-36091 (URN)
Konferens
Nationell forskarkonferens i socialt arbete, Umeå, 2017
Tillgänglig från: 2017-07-10 Skapad: 2017-07-10 Senast uppdaterad: 2019-11-15
Anbäcken, E.-M., Gustafsson, L.-K., Elfström, M., Zander, V. & Östlund, G. (2016). A holistic way ofworking interprofessionally in home care with and for older people. In: : . Paper presented at Joint Conference of Home Care & Gerontology, Tokyo, 2016.
Öppna denna publikation i ny flik eller fönster >>A holistic way ofworking interprofessionally in home care with and for older people
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2016 (Engelska)Konferensbidrag, Muntlig presentation med publicerat abstract (Refereegranskat)
Nationell ämneskategori
Hälsovetenskaper
Identifikatorer
urn:nbn:se:mdh:diva-36092 (URN)
Konferens
Joint Conference of Home Care & Gerontology, Tokyo, 2016
Projekt
Intensiv hemrehabilitering
Tillgänglig från: 2017-07-10 Skapad: 2017-07-10 Senast uppdaterad: 2019-11-15
Zander, V., Eriksson, H., Christensson, K. & Müllersdorf, M. (2015). Development of an Interview Guide Identifying the Rehabilitation Needs of Women from the Middle East Living with Chronic Pain. International Journal of Environmental Research and Public Health, 12(10), 12043-12056
Öppna denna publikation i ny flik eller fönster >>Development of an Interview Guide Identifying the Rehabilitation Needs of Women from the Middle East Living with Chronic Pain
2015 (Engelska)Ingår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 12, nr 10, s. 12043-12056Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

The purpose of this study was to develop an interview guide for use by primaryhealthcare professionals to support them in identifying the rehabilitation needs of forcedresettled women from the Middle East living with chronic pain. Previous findings togetherwith the existing literature were used as the basis for developing the interview guide in threesteps: item generation, cognitive interviews, and a pilot study. The study resulted in a16-item interview guide focusing on patients’ concerns and expectations, with considerationof pre-migration, migration, and post-migration factors that might affect their health. Withthe help of the guide, patients were also invited to identify difficulties in their daily activitiesand to take part in setting goals and planning their rehabilitation. The current interview guideprovides professional guidance to caretakers, taking a person-centered participative point ofdeparture when meeting and planning care, for and together, with representatives from dispersed ethnic populations in Sweden. It can be used together with the patient by all staffmembers working in primary healthcare, with the aim of contributing to continuity of careand multi-professional collaboration.

Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Identifikatorer
urn:nbn:se:mdh:diva-42750 (URN)10.3390/ijerph121012043 (DOI)000365472500005 ()26404332 (PubMedID)2-s2.0-84942740688 (Scopus ID)
Tillgänglig från: 2019-02-21 Skapad: 2019-02-21 Senast uppdaterad: 2019-06-18Bibliografiskt granskad
Organisationer
Identifikatorer
ORCID-id: ORCID iD iconorcid.org/0000-0002-1587-2835

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