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Östlund, Gunnel, associate professorORCID iD iconorcid.org/0000-0002-3068-5384
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Publications (10 of 73) 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
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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
Elfström, M., Wulff Hamrin, C. & Östlund, G. (2019). Correlates of desire to work in persons visiting psychiatric outpatient clinics. In: : . Paper presented at 33rd annual conference of the European Health Psychology Society, Dubrovnik, September 3-7, 2019..
Open this publication in new window or tab >>Correlates of desire to work in persons visiting psychiatric outpatient clinics
2019 (English)Conference paper, Oral presentation only (Other academic)
Abstract [en]

Persons with mental health problems often express a clear desire to work, although whatfactors that contribute to this healthy aspiration are less clear. The purpose of this study thuswas to explore person, healthcare, and work-related factors in relation to desire to work inpersons visiting psychiatric outpatient clinics. The sample consisted of 272 persons visitingone of four psychiatric outpatient centres from two county councils in the south of Sweden.The possible participants were asked if they wanted to participate in research while waitingfor their scheduled appointments. A comprehensive questionnaire consisting of factors inthe research literature as well as factors advocated by patient organisations was used. Theparticipants’ ratings were analysed using non-parametric group comparisons and logisticregressions. Free-text answers were analysed by content. Higher education, better mentalhealth self-efficacy, and more experiences of demands and conflicts at the workplace wereall significantly related to desire to work in bivariate analyses. However, fighting spirit andsocial support at work had the strongest associations with desire to work in the multivariatelogistic analyses. The Nagelkerke R2 was .34. Free text answers indicated the importanceof managers’ role for the psychosocial work climate, and for receiving help with structuringthe workday to allow recovery after sickness absence. In contrast to the traditional prevocationalrehabilitation approach, and in line with a supportive work environment approach,the results points to the possibility to influence a further improved desire to work throughsupportive leadership and an open and communicative psychosocial climate.

Keywords
work status, support from care, prejudices in care, fighting spirit, mental health self-efficacy, severe mental illness
National Category
Applied Psychology
Research subject
Social Work
Identifiers
urn:nbn:se:mdh:diva-45247 (URN)
Conference
33rd annual conference of the European Health Psychology Society, Dubrovnik, September 3-7, 2019.
Funder
AFA Insurance, 150096
Available from: 2019-09-19 Created: 2019-09-19 Last updated: 2019-11-15
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.
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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
Bergström, M., Sverker, A., Larsson Ranada, Å., Valtersson, E., Thyberg, I., Östlund, G. & Björk, M. (2019). Närståendes betydelse för delaktighet i vardagen hos personer med reumatoid artrit. Best Practice
Open this publication in new window or tab >>Närståendes betydelse för delaktighet i vardagen hos personer med reumatoid artrit
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2019 (Swedish)In: Best Practice, ISSN 1329-1874Article in journal (Other (popular science, discussion, etc.)) Published
National Category
Medical and Health Sciences Health Sciences
Identifiers
urn:nbn:se:mdh:diva-45850 (URN)
Available from: 2019-10-25 Created: 2019-10-25 Last updated: 2019-12-16Bibliographically 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"
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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
Östlund, G., Söderbäck, M. & Tillgren, P. (2019). Review of coproduced research within health and welfare, focusing the cooperation in between Thailand and Sweden.. In: Global health: . Paper presented at International Conference on Advancement in Health Sciences Education and Professions: Synergy and Reform for Better Health (iHSEP2019). Bangkok, 11-13 nov.
Open this publication in new window or tab >>Review of coproduced research within health and welfare, focusing the cooperation in between Thailand and Sweden.
2019 (English)In: Global health, 2019Conference paper, Oral presentation with published abstract (Refereed)
National Category
Social Sciences Other Social Sciences
Identifiers
urn:nbn:se:mdh:diva-46043 (URN)
Conference
International Conference on Advancement in Health Sciences Education and Professions: Synergy and Reform for Better Health (iHSEP2019). Bangkok, 11-13 nov
Available from: 2019-11-14 Created: 2019-11-14 Last updated: 2019-12-17Bibliographically approved
Östlund, G., Söderbäck, M. & Tillgren, P. (2019). Review of coproduced reserach within health and welfare, focusing the cooperation in between Thailand and Sweden. In: Review of coproduced research within health and welfare, focusing the cooperation in between Tailand and Sweden.: . Paper presented at International Conference on Advancement in Health Sciences Education and Professions: Synergy and Reform for Better Health (iHSEP2019). Bangkok, 11-13 nov 2019..
Open this publication in new window or tab >>Review of coproduced reserach within health and welfare, focusing the cooperation in between Thailand and Sweden
2019 (English)In: Review of coproduced research within health and welfare, focusing the cooperation in between Tailand and Sweden., 2019Conference paper, Oral presentation with published abstract (Refereed)
National Category
Medical and Health Sciences Social Sciences
Identifiers
urn:nbn:se:mdh:diva-46059 (URN)
Conference
International Conference on Advancement in Health Sciences Education and Professions: Synergy and Reform for Better Health (iHSEP2019). Bangkok, 11-13 nov 2019.
Available from: 2019-11-15 Created: 2019-11-15 Last updated: 2019-12-17Bibliographically approved
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
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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
Pongthippat, W., Darvishpour, M., Kijsompon, J. & Östlund, G. (2018). Broken dreams of a better life in Sweden: Thai women’s lived experiences of intimate partner violence by Swedish men in international marriages. Global Health Action, 11(1), 1-10
Open this publication in new window or tab >>Broken dreams of a better life in Sweden: Thai women’s lived experiences of intimate partner violence by Swedish men in international marriages
2018 (English)In: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 11, no 1, p. 1-10Article in journal (Refereed) Published
Abstract [en]

Background: Intimate partner violence by men against women has detrimental effects on equality, health and integration. Migrated and ‘imported’ wives experience an increased risk of intimate partner violence. Objectives: The purpose of this study was to explore Thai immigrant women’s lived experiences of intimate partner violence in Sweden. Method: Semi-structured interviews based on the critical incident technique with specific questions about experiences of male-to-female intimate partner violence were used to collect data. The participants were Thai immigrant women who had lived in Sweden for more than five years. Qualitative content analysis was used to identify patterns and variations in the transcribed data material. Results: Eighteen interviewees reported psychological, physical, economic and/or sexual violence in their international marriages. These Thai women described being faithful and silent and reliable housewives. However, this did not keep them from being replaced and losing dignity as a result of intimate partner violence, including experiencing broken dreams and deception. Although their dreams were broken, they did not give up their efforts to achieve better lives in Sweden. Conclusions: The vulnerability of imported wives in international marriages needs to be further recognised by health and welfare agencies in Sweden, as elsewhere, to ensure that these women have equal access to human rights, welfare and health as other citizens. From a health promotion perspective, home-based health check-ups are needed to stop the exploitation of imported wives. In Thailand, information and education about the unrecognised negative conditions of the Mia farang role (Imported wife role) need to be disseminated.

National Category
Medical and Health Sciences
Research subject
Public Health Sciences
Identifiers
urn:nbn:se:mdh:diva-41285 (URN)10.1080/16549716.2018.1496889 (DOI)000440729600001 ()30073910 (PubMedID)2-s2.0-85051069200 (Scopus ID)
Available from: 2018-11-05 Created: 2018-11-05 Last updated: 2019-11-15
Björk, M., Thyberg, I., Valtersson, E., Östlund, G., Stenström, B. & Sverker, A. (2018). Foot Barriers in Patients With Early Rheumatoid Arthritis: An Interview Study Among Swedish Women and Men. Arthritis care & research, 70(9), 1348-1354
Open this publication in new window or tab >>Foot Barriers in Patients With Early Rheumatoid Arthritis: An Interview Study Among Swedish Women and Men
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2018 (English)In: Arthritis care & research, ISSN 2151-464X, E-ISSN 2151-4658, Vol. 70, no 9, p. 1348-1354Article in journal (Refereed) Published
Abstract [en]

Objective: Foot impairments are related to reduced mobility and participation restrictions in daily activities in patients with established rheumatoid arthritis (RA). The new biologic medications are effective and reduce disease activity, but not disability to the same extent. Foot impairments are assumed to be related to participation restrictions also in patients with early RA, diagnosed after the introduction of biologic medications. Knowledge of foot impairments needs to be explored further after the introduction of biologic disease-modifying antirheumatic drugs (bDMARDs). The aim of this study was to explore the patients’ perspective of foot impairments related to early RA. Methods: The sample included 59 patients (ages 20–63 years) who were interviewed about participation dilemmas in daily life using the critical incident technique. The interviews were audio-recorded and transcribed. Data related to foot impairments were extracted and analyzed thematically. A research partner validated the analysis. Results: Patients with early RA described a variety of participation restrictions related to foot impairments: foot hindrances in domestic life, foot impairments influencing work, leisure activities restricted by one's feet, struggling to be mobile, and foot impairments as an early sign of rheumatic disease. Conclusion: There is a need to focus on foot impairments related to early RA, and for health care professionals to understand these signs. A suggestion for future research is to conduct a longitudinal followup of foot impairment related to medication, disease activity, and disability in patients diagnosed after the introduction of bDMARDs. 

Place, publisher, year, edition, pages
John Wiley and Sons Inc., 2018
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-40921 (URN)10.1002/acr.23486 (DOI)000442984300009 ()29195001 (PubMedID)2-s2.0-85052571000 (Scopus ID)
Available from: 2018-09-13 Created: 2018-09-13 Last updated: 2019-11-15
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-3068-5384

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