mdh.sePublications
Change search
Link to record
Permanent link

Direct link
BETA
Gustafsson, Lena-KarinORCID iD iconorcid.org/0000-0001-5670-6908
Alternative names
Publications (10 of 30) Show all publications
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
Open this publication in new window or tab >>‘Best fit’ caring skills of an interprofessional team inshort-term goal-directed reablement: older adults’perceptions
Show others...
2019 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 33, no 2, p. 498-506Article in journal (Refereed) 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.

National Category
Medical and Health Sciences Health Sciences
Identifiers
urn:nbn:se:mdh:diva-42493 (URN)10.1111/scs.12650 (DOI)000472973400025 ()2-s2.0-85060252366 (Scopus ID)
Available from: 2019-01-29 Created: 2019-01-29 Last updated: 2019-12-16Bibliographically approved
Kumpula, E., Gustafsson, L.-K. & Ekstrand, P. (2019). Illuminating the gendered nature of health-promoting activities among nursing staff in forensic psychiatric care. Nursing Inquiry, Article ID e12332.
Open this publication in new window or tab >>Illuminating the gendered nature of health-promoting activities among nursing staff in forensic psychiatric care
2019 (English)In: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800, article id e12332Article in journal (Refereed) Epub ahead of print
Abstract [en]

When people in Sweden are sentenced and handed over to forensic psychiatric care (FPC), the authorities have overall responsibility for their health recovery. How nursing staff construct gender through their relations in this context affects their understanding of health promotion activities. The aim of this study was to illuminate, using a gender perspective, the understanding of nursing staff with respect to health promotion activities for patients. Four focus group interviews were conducted with nursing staff in two FPC clinics in Sweden. The study has a qualitative inductive design with an ethnographic approach. This study sheds new light on FPC in which its dual goals of protecting society and providing care are viewed from a gender perspective. When relationships within the nursing staff group and the nurse–patient relationship are justified by the goal of protecting society, gender becomes invisible. This might cause patients' individual conditions and needs for certain types of activities to go unnoticed. One of the implications of ignoring gender relations in nursing staff health promotion activities is that it risks contributing to gender stereotypes which impact on the nurse–patient relationship and the quality of care.

Place, publisher, year, edition, pages
Blackwell Publishing Ltd, 2019
Keywords
focus group interviews, forensic psychiatric care, gender, health-promoting activities, nursing staff, adult, article, female, health promotion, human, interview, male, mental health care, nurse patient relationship, stereotypy, Sweden
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-46707 (URN)10.1111/nin.12332 (DOI)2-s2.0-85077026178 (Scopus ID)
Available from: 2020-01-14 Created: 2020-01-14 Last updated: 2020-01-14Bibliographically approved
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.
Open this publication in new window or tab >>Interprofessional homebased reablement intervention of older adults - reflecting on possible trends based on the RCT pilot study.
Show others...
2019 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Social Sciences
Identifiers
urn:nbn:se:mdh:diva-46044 (URN)
Conference
International conference on geriatrics and gerontology (IAGG-ER). Göteborg, 24-25 maj
Available from: 2019-11-14 Created: 2019-11-14 Last updated: 2019-12-17Bibliographically approved
Kumpula, E., Gustafsson, L.-K. & Ekstrand, P. (2019). Nursing Staff Talk: Resource or Obstacle for Forensic Psychiatric Patient Care?. Journal of Forensic Nursing, 15(1), 52-59
Open this publication in new window or tab >>Nursing Staff Talk: Resource or Obstacle for Forensic Psychiatric Patient Care?
2019 (English)In: Journal of Forensic Nursing, ISSN 1939-3938, E-ISSN 1556-3693, Vol. 15, no 1, p. 52-59Article in journal (Refereed) Published
Abstract [en]

Although forensic psychiatric care is located at the intersection of health care and the Swedish legal system, nursing research has not yet evaluated how language is context bound or its consequences for understanding patient care. The aim of this study was to explore how nursing staff talk about patient care in Swedish forensic psychiatric care and the implications for the care given to patients. The theoretical framework is based on social constructionism and sheds light on how language use can be understood as a social action. Twelve interviews were conducted with nursing staff working in forensic psychiatric settings. The questions focused on patient care in relation to activities, security, relationships with patients, and rules and routines. The results show that nursing staff assignments are encouraging them to use various interpretative repertoires to make meaning about their practice. The three interpretative repertoires were "taking responsibility for correcting patients' behavior," "justifying patient care as contradictory practice," and "patients as unpredictable." However, although forensic psychiatric care emphasizes both security and care, nursing staff's use of these interpretative repertoires provided multiple interpretations that lead to contradictory ways of understanding patient care. These findings show that talk itself can be understood as problematic in various situations. A possible implication for clinical forensic nursing practice might be that the nurse-patient relationship does not support patients' best interests. For example, when language endows the patient with certain characteristics, this talk is justified and given meaning by its context and thus has an influence on a patient's individual need for care.

Place, publisher, year, edition, pages
Lippincott Williams and Wilkins, 2019
Keywords
Forensic psychiatric care, interpretative repertoires, nursing staff, patient care, talk, adult, article, conceptual framework, forensic nursing, human, interview, language, mental health care, mental patient, nurse patient relationship, responsibility, aged, female, health personnel attitude, male, mental hospital, middle aged, Sweden, young adult, Attitude of Health Personnel, Hospitals, Psychiatric, Humans, Interviews as Topic, Nurse-Patient Relations, Nursing Staff, Hospital
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-43057 (URN)10.1097/JFN.0000000000000227 (DOI)000480698100009 ()30640200 (PubMedID)2-s2.0-85061968513 (Scopus ID)
Available from: 2019-04-10 Created: 2019-04-10 Last updated: 2020-01-14Bibliographically approved
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.
Open this publication in new window or tab >>Older adults’ experiences of a reablement process.: "To be treated like an adult, and ask for what I want and how I want it"
Show others...
2019 (English)In: Educational gerontology, ISSN 0360-1277, E-ISSN 1521-0472, Vol. 45, no 8, article id https://doi.org/10.1080/03601277.2019.1666525Article in journal (Refereed) 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.

National Category
Social Sciences Health Sciences
Research subject
Social Work
Identifiers
urn:nbn:se:mdh:diva-41258 (URN)10.1080/03601277.2019.1666525 (DOI)000486894500001 ()2-s2.0-85074283281 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2017-00126
Available from: 2018-10-31 Created: 2018-10-31 Last updated: 2019-12-13
Snöljung, A. & Gustafsson, L.-K. (2019). Physiotherapy: How to work with evidence in daily practice. Journal of Evaluation In Clinical Practice, 25(2), 216-223
Open this publication in new window or tab >>Physiotherapy: How to work with evidence in daily practice
2019 (English)In: Journal of Evaluation In Clinical Practice, ISSN 1356-1294, E-ISSN 1365-2753, Vol. 25, no 2, p. 216-223Article in journal (Refereed) Published
Abstract [en]

Rationale, aims, and objectives The concept of evidence-based health care has gained increasing currency over the past decades; however, questions persist regarding how to overcome the gap between research and health care practice. The question arises whether this gap derives from a true knowledge deficit or from physiotherapists' perception of working with evidence. The aim of the current study was to illuminate changes to the meaning of working with evidence experienced by a cohort of physiotherapists following an education program. Methods A phenomenological hermeneutic design with open-ended group interviews was carried out with physiotherapists who had participated in an education program about evidence and how to implement evidence-based practice (EBP) in day-to-day practice. Findings The interviews provided descriptions of working with evidence according to three major themes: "Confidence with the concept of evidence in relation to a way of working"; "Experience of EBP as a duty to seek evidence for individual patients"; and "EBP experienced as an integrated and patient-oriented activity". Conclusions The physiotherapists' lived experiences demonstrated that the participants' perception of the concept of evidence mainly concerned a broadening of the definition of evidence, and this altered perception of evidence could interpreted as the physiotherapists viewing EBP as a more integrated and patient-oriented activity than before.

Place, publisher, year, edition, pages
WILEY, 2019
Keywords
education, elder care, evidence-based practice, physiotherapy, primary care, professional development
National Category
Physiotherapy
Identifiers
urn:nbn:se:mdh:diva-43021 (URN)10.1111/jep.13035 (DOI)000461883800007 ()30259604 (PubMedID)2-s2.0-85053862849 (Scopus ID)
Available from: 2019-04-04 Created: 2019-04-04 Last updated: 2019-11-12
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
Open this publication in new window or tab >>Working with short-term goal-directed reablement with older adults: strengthened by a collaborative approach
Show others...
2019 (English)In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 39, no 4, p. 178-185Article in journal (Refereed) 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.

National Category
Medical and Health Sciences Health Sciences
Identifiers
urn:nbn:se:mdh:diva-45848 (URN)10.1177/2057158519850974 (DOI)
Available from: 2019-10-25 Created: 2019-10-25 Last updated: 2019-12-09Bibliographically approved
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.
Open this publication in new window or tab >>´Nothing to do about it, simply hang on´ - Older women´s experiences of social and existential health after a reablement intervention
Show others...
2018 (English)Conference paper, Oral presentation only (Refereed)
National Category
Social Sciences Other Social Sciences
Identifiers
urn:nbn:se:mdh:diva-41519 (URN)
Conference
European Conference for Social Work Research 2018
Available from: 2018-12-09 Created: 2018-12-09 Last updated: 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..
Open this publication in new window or tab >>Reablement for older persons by an interprofessional home rehabilitation team: An ongoing RCT
Show others...
2018 (English)Conference paper, Poster (with or without abstract) (Other academic)
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.

Keywords
health perception, interprofessional, Ageing, RCT
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:mdh:diva-45951 (URN)
Conference
32nd Annual Conference of the European Health Psychology Society, Galway, August 21-25, 2018.
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2017-00126
Available from: 2019-11-11 Created: 2019-11-11 Last updated: 2019-12-18Bibliographically approved
Gustafsson, L.-K. & Stenberg, M. (2017). Crucial contextual attributes of nursing leadership towards a care ethics. Nursing Ethics, 24(4), 419-429
Open this publication in new window or tab >>Crucial contextual attributes of nursing leadership towards a care ethics
2017 (English)In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 24, no 4, p. 419-429Article in journal (Refereed) Published
Abstract [en]

Background: It is of importance to understand and communicate caring ethics as a ground for qualitative caring environments. Research is needed on nursing attributes that are visible in nursing leadership since it may give bases for reflections related to the patterns of specific contexts. Aim: The aim of this study was to illuminate the meaning of crucial attributes in nursing leadership toward an ethical care of patients in psychiatric in-patient settings. Research design: The design of the study was descriptive and qualitative with a phenomenological hermeneutical approach. Participants and research context: The study comprised focus group interviews with nurses working in indoor psychiatric care who participated after giving informed consent. Ethical considerations: Since the topic and informants are not labeled as sensitive and subject to ethical approval, it is not covered by the ethics committee’s aim and purpose according to Swedish law. However, careful procedures have been followed according to ethics expressed in the Declaration of Helsinki. Findings: When identifying the thematic structures, analysis resulted in three major themes: To supply, including the following aspects: to supply evidence, to supply common space, and to supply good structures; To support, including the following aspects: to be a role model, to show appreciation and care, and to harbor; To shield, including the following aspects: to advocate, to emit non-tolerance of unethical behavior, and to reprove. Discussion: Leadership is challenging for nurses and plays an important role in ethical qualitative care. These findings should not be understood as a description about nurse manager’s role, which probably has different attributes and more focus on an organizational level. Conclusion: Making the understanding about crucial attributes explicit, the nurse may receive confirmation and recognition of crucial attributes for ethical care in order to move toward an ethical care. 

Place, publisher, year, edition, pages
SAGE Publications Ltd, 2017
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-35987 (URN)10.1177/0969733015614879 (DOI)000403451300004 ()26643484 (PubMedID)2-s2.0-85020550157 (Scopus ID)
Available from: 2017-06-29 Created: 2017-06-29 Last updated: 2018-10-16Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-5670-6908

Search in DiVA

Show all publications