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Fritz, J., von Heideken Wågert, P., Gusdal, A. K., Johansson-Pajala, R.-M. & Eklund, C. (2024). Determinants of Implementing an Information and Communication Technology Tool for Social Interaction Among Older People: Qualitative Content Analysis of Social Services Personnel Perspectives. JMIR Aging, 7(1), Article ID e43999.
Open this publication in new window or tab >>Determinants of Implementing an Information and Communication Technology Tool for Social Interaction Among Older People: Qualitative Content Analysis of Social Services Personnel Perspectives
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2024 (English)In: JMIR Aging, E-ISSN 2561-7605, Vol. 7, no 1, article id e43999Article in journal (Refereed) Published
Abstract [en]

Background: Older people are particularly vulnerable to social isolation and loneliness, which can lead to ill-health, both mentally and physically. Information and communication technology (ICT) can supplement health and social care and improve health among the vulnerable, older adult population. When ICT is used specifically for communication with others, it is associated with reduced loneliness in older populations. Research is sparse on how the implementation of ICT, used specifically for communication among older people in social services, can be performed. It is recommended to consider the determinants of implementation, that is, barriers to and facilitators of implementation. Determinants related to older people using ICT tools are reported in several studies. To the best of our knowledge, studies investigating the determinants related to the social services perspective are lacking. Objective: This study aims to explore the determinants of implementing the Fik@ room, a new, co-designed, and research-based ICT tool for social interaction among older people, from a social services personnel perspective. Methods: This study used an exploratory, qualitative design. An ICT tool called the Fik@ room was tested in an intervention study conducted in 2021 in 2 medium-sized municipalities in Sweden. Informants in this study were municipal social services personnel with experience of implementing this specific ICT tool in social services. We conducted a participatory workshop consisting of 2 parts, with 9 informants divided into 2 groups. We analyzed the data using qualitative content analysis with an inductive approach. Results: The results included 7 categories of determinants for implementing the ICT tool. Being able to introduce the ICT tool in an appropriate manner concerns the personnel’s options for introducing and supporting the ICT tool, including their competencies in using digital equipment. Organizational structure concerns a structure for communication within the organization. Leadership concerns engagement and enthusiasm as driving forces for implementation. The digital maturity of the social services personnel concerns the personnel’s skills and attitudes toward using digital equipment. Resources concern time and money. IT support concerns accessibility, and legal liability concerns possibilities to fulfill legal responsibilities. Conclusions: The results show that implementation involves an entire organization at varying degrees. Regardless of how much each level within the organization comes into direct contact with the ICT tool, all levels need to be involved to create the necessary conditions for successful implementation. The prerequisites for the implementation of an ICT tool will probably change depending on the digital maturity of future generations. As this study only included 9 informants, the results should be handled with care. The study was performed during the COVID-19 pandemic, which has probably affected the results.

Place, publisher, year, edition, pages
JMIR Publications Inc., 2024
Keywords
barriers, determinants, digitalization, facilitators, implementation, information and communication technology, loneliness, older people, organization, social isolation
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-66245 (URN)10.2196/43999 (DOI)001183166400001 ()38407955 (PubMedID)2-s2.0-85186600830 (Scopus ID)
Note

Article; Export Date: 13 March 2024; Cited By: 0; Correspondence Address: J. Fritz; School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna, Box 883 Västerås, 721 23, Sweden; email: johanna.fritz@mdu.se

Available from: 2024-03-13 Created: 2024-03-13 Last updated: 2024-03-27Bibliographically approved
Gusdal, A. K., Söderman, M., Pettersson, T., Kaup, J. & Gustafsson, L.-K. (2024). Healthcare and social care professionals’ experiences of respite care: a critical incident study. International Journal of Qualitative Studies on Health and Well-being, 19(1)
Open this publication in new window or tab >>Healthcare and social care professionals’ experiences of respite care: a critical incident study
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2024 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 19, no 1Article in journal (Refereed) Published
Abstract [en]

IntroductionAging in place is favoured among older persons and supported by research in Sweden, although it poses challenges for overburdened informal caregivers. While respite care can offer support, its accessibility is hindered by organizational challenges and informal caregivers' delays in using it. The experiences of informal caregivers are well-studied, but the professionals' experiences of respite care quality and critical incident management are underexplored.AimTo explore professionals' experiences of critical incidents in respite care, consequences for the persons being cared for, and strategies to manage critical incidents.Materials and methodsA qualitative, critical incident technique was used, and three group interviews with a total of 16 professionals were conducted.ResultsBarriers to quality respite care included communication gaps during care transitions, environmental shortcomings in respite care facilities, lack of support for informal caregivers, and inadequacies in respite care decisions. Strategies to manage critical incidents included individualized care, continuity and communication in care transitions, a conducive environment, support for informal caregivers, and care professionals' positive approach.ConclusionsThe study emphasizes the need for focused efforts on communication, continuity, and a supportive environment. Addressing identified challenges and applying suggested strategies will be key to maximizing the potential of respite care as a vital support for care recipients and their informal caregivers.

National Category
Nursing
Identifiers
urn:nbn:se:mdh:diva-66607 (URN)10.1080/17482631.2024.2352888 (DOI)001220124200001 ()38735060 (PubMedID)2-s2.0-85192908253 (Scopus ID)
Projects
Växelvårds-projektet
Available from: 2024-05-15 Created: 2024-05-15 Last updated: 2024-06-19Bibliographically approved
Johansson-Pajala, R.-M., Alam, M., Gusdal, A. K., Marmstål Hammar, L. & Boström, A.-M. (2024). Trust and easy access to home care staff are associated with older adults' sense of security: a Swedish longitudinal study. Scandinavian Journal of Public Health
Open this publication in new window or tab >>Trust and easy access to home care staff are associated with older adults' sense of security: a Swedish longitudinal study
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2024 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905Article in journal (Refereed) Published
Abstract [en]

Aim: Older adults are increasingly encouraged to continue living in their own homes with support from home care services. However, few studies have focused on older adults' safety in home care. This study explored associations between the sense of security and factors related to demographic characteristics and home care services.Methods: The mixed longitudinal design was based on a retrospective national survey. The study population consisted of individuals in Sweden (aged 65+ years) granted home care services at any time between 2016 and 2020 (n=82,834-94,714). Multiple ordinal logistic regression models were fitted using the generalised estimation equation method to assess the strength of relationship between the dependent (sense of security) and independent (demographics, health and care-related factors) variables.Results: The sense of security tended to increase between 2016 and 2020, and was significantly associated with being a woman, living outside big cities, being granted more home care services hours or being diagnosed/treated for depression (cumulative odds ratio 2-9% higher). Anxiety, poor health and living alone were most strongly associated with insecurity (cumulative odds ratio 17-64% lower). Aside from overall satisfaction with home care services, accessibility and confidence in staff influenced the sense of security most.Conclusions: We stress the need to promote older adults' sense of security for safe ageing in place, as mandated by Swedish law. Home care services profoundly influence older adults' sense of security. Therefore, it is vital to prioritise continuity in care, establish trust and build relationships with older adults. Given the increasing shortage of staff, integrating complementary measures, such as welfare technologies, is crucial to promoting this sense of security.

Place, publisher, year, edition, pages
SAGE PUBLICATIONS LTD, 2024
Keywords
Home care service, national survey, older adults, register study, safety, security
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-66405 (URN)10.1177/14034948241236830 (DOI)001189401500001 ()38517103 (PubMedID)2-s2.0-85188292536 (Scopus ID)
Available from: 2024-04-10 Created: 2024-04-10 Last updated: 2024-04-10Bibliographically approved
Gusdal, A. K., Florin, U., Johansson-Pajala, R.-M., Eklund, C., Fritz, J. & von Heideken Wågert, P. (2023). Older Adults’ Use of a Research-Based Web Platform for Social Interaction. Healthcare, 11(3), Article ID 408.
Open this publication in new window or tab >>Older Adults’ Use of a Research-Based Web Platform for Social Interaction
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2023 (English)In: Healthcare, E-ISSN 2227-9032, Vol. 11, no 3, article id 408Article in journal (Refereed) Published
Abstract [en]

Loneliness and social isolation are triggers for unfavorable changes in older adults’ health and well-being. Information and communication technology (ICT) can be used by older adults to mitigate the negative effects of loneliness and social isolation. However, ICT needs to be customized to the specific needs and conditions of older adults. The aim of this study was to explore older adults’ use of a new, co-designed and research-based web platform for social interaction from the perspectives of older adults, researchers, and social services personnel. The study is an intervention study with a multimethod approach in which 20 older adults used the web platform for social interaction “the Fik@ room” for eight weeks. Quantitative and qualitative data were collected pretest, during the test, and posttest. The Fik@ room met the expectations of those older adults who completed the study. It enabled them to expand their social network and develop new friendships, but their experiences of loneliness were not reduced. The involvement of social services personnel in recruitment and support was important in facilitating older adults’ use of the Fik@ room. Our study contributes knowledge about a new, co-designed and research-based web platform, customized specifically for older adults, which is valuable in guiding the design and delivery of future web platforms for social interaction among older adults.

Keywords
information and communication technology, loneliness, social isolation, social network, web platform
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-61708 (URN)10.3390/healthcare11030408 (DOI)000930407300001 ()2-s2.0-85147808732 (Scopus ID)
Available from: 2023-01-31 Created: 2023-01-31 Last updated: 2023-03-15Bibliographically approved
Gustafsson, L.-K., Söderman, M., Bondesson, A., Pettersson, T., Östlund, G. & Gusdal, A. K. (2023). Växelvård idag och i framtiden.
Open this publication in new window or tab >>Växelvård idag och i framtiden
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2023 (Swedish)Report (Other academic)
Publisher
p. 88
National Category
Other Health Sciences
Research subject
Care Sciences
Identifiers
urn:nbn:se:mdh:diva-64040 (URN)
Available from: 2023-08-17 Created: 2023-08-17 Last updated: 2023-08-29Bibliographically approved
Johansson-Pajala, R.-M., Alam, M., Gusdal, A. K., von Heideken Wågert, P., Lövenmark [Åberg] [Engström], A., Boström, A.-M. & Hammar, L. M. (2022). Anxiety and loneliness among older people living in residential care facilities or receiving home care services in Sweden during the COVID-19 pandemic: a national cross-sectional study. BMC Geriatrics, 22(1), Article ID 927.
Open this publication in new window or tab >>Anxiety and loneliness among older people living in residential care facilities or receiving home care services in Sweden during the COVID-19 pandemic: a national cross-sectional study
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2022 (English)In: BMC Geriatrics, E-ISSN 1471-2318, Vol. 22, no 1, article id 927Article in journal (Refereed) Published
Abstract [en]

Background: Older people were subjected to significant restrictions on physical contacts with others during the COVID-19 pandemic. Social distancing impacts older people’s experiences of anxiety and loneliness. Despite a large body of research on the pandemic, there is little research on its effects on older people in residential care facilities (RCF) and in home care services (HCS), who are the frailest of the older population. We aimed to investigate the effect of the first wave of the COVID-19 pandemic in March-May 2020 on experiences of anxiety and loneliness among older people living in RCF or receiving HCS and the impact of the progression of the pandemic on these experiences.

Methods: A retrospective cross-sectional design using data from the national user satisfaction survey (March − May 2020) by the Swedish National Board of Health and Welfare. Survey responses were retrieved from 27,872 older people in RCF (mean age 87 years) and 82,834 older people receiving HCS (mean age 84 years). Proportional-odds (cumulative logit) model was used to estimate the degree of association between dependent and independent variables.

Results: Loneliness and anxiety were more prevalent among the older persons living in RCF (loneliness: 69%, anxiety: 63%) than those receiving HCS (53% and 47%, respectively). Proportional odds models revealed that among the RCF and HCS respondents, the cumulative odds ratio of experiencing higher degree of anxiety increased by 1.06% and 1.04%, respectively, and loneliness by 1.13% and 1.16%, respectively, for 1% increase in the COVID-19 infection rate. Poor self-rated health was the most influential factor for anxiety in both RCF and HCS. Living alone (with HCS) was the most influential factor affecting loneliness. Experiences of disrespect from staff were more strongly associated with anxiety and loneliness in RCF than in HCS.

Conclusion: Older people in RCF or receiving HCS experienced increasing levels of anxiety and loneliness as the first wave of the pandemic progressed. Older people’ mental and social wellbeing should be recognized to a greater extent, such as by providing opportunities for social activities. Better preparedness for future similar events is needed, where restrictions on social interaction are balanced against the public health directives.

Keywords
Aged, Community health services, COVID-19, Emotions, Residential facilities, Social isolation
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:mdh:diva-61101 (URN)10.1186/s12877-022-03544-z (DOI)000914898600001 ()36456904 (PubMedID)2-s2.0-85143163763 (Scopus ID)
Funder
Mälardalen University
Available from: 2022-12-02 Created: 2022-12-02 Last updated: 2024-07-04Bibliographically approved
von Heideken Wågert, P., Florin, U., Gusdal, A. K., Eklund, C., Johansson-Pajala, R.-M. & Zander, V. (2022). FIK@RUMMET– en webb-plattform för minskad ensamhet och social isolering. Ä (3), 12-14, Article ID oktober.
Open this publication in new window or tab >>FIK@RUMMET– en webb-plattform för minskad ensamhet och social isolering
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2022 (Swedish)In: Ä, ISSN 2001-1164, no 3, p. 12-14, article id oktoberArticle in journal (Other (popular science, discussion, etc.)) Published
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-61217 (URN)
Note

Författarna har fått tillstånd att tillgängliggöra artikeln i fulltext.

Available from: 2022-12-13 Created: 2022-12-13 Last updated: 2022-12-13Bibliographically approved
Johansson-Pajala, R.-M., Zander, V., Gustafsson, C. & Gusdal, A. K. (2022). No thank you to humanized robots: attitudes to care robots in elder care services. Home Health Care Services Quarterly, 41(1), 40-53
Open this publication in new window or tab >>No thank you to humanized robots: attitudes to care robots in elder care services
2022 (English)In: Home Health Care Services Quarterly, ISSN 0162-1424, E-ISSN 1545-0856, Vol. 41, no 1, p. 40-53Article in journal (Refereed) Published
Abstract [en]

The growing older population will increase the demands on the health and welfare systems, including elder care services. One way of meeting these growing service needs is to shift from traditional care services to technologically oriented services. Robotic innovations are gradually being introduced to elder care services. The aim was to explore attitudes toward the use of care robots in elder care services - specifically focusing on situations and interaction, influence, and emotions in interaction with care robots. Data were obtained from visitors at a welfare technology fair (n = 124). The results show that the most negative attitudes concerned if the care robots were humanized and had emotions. The attitudes toward interacting with care robots in general were predominately positive. In conclusion, concrete usage scenarios in elder care services need to be detected, based both on users' needs, digital literacy and on the maturity of the technology itself.

Place, publisher, year, edition, pages
TAYLOR & FRANCIS LTD, 2022
Keywords
Attitudes, care robots, elder care, older people, welfare technology
National Category
Social Work
Identifiers
urn:nbn:se:mdh:diva-57708 (URN)10.1080/01621424.2022.2052221 (DOI)000770853000001 ()35311474 (PubMedID)2-s2.0-85126761542 (Scopus ID)
Available from: 2022-03-30 Created: 2022-03-30 Last updated: 2022-12-05Bibliographically approved
Gusdal, A. K., Johansson-Pajala, R.-M., Zander, V. & von Heideken Wågert, P. (2021). Prerequisites for a healthy and independent life among older people: a Delphi study. Ageing & Society, 41(9), 2171-2187
Open this publication in new window or tab >>Prerequisites for a healthy and independent life among older people: a Delphi study
2021 (English)In: Ageing & Society, ISSN 0144-686X, E-ISSN 1469-1779, Vol. 41, no 9, p. 2171-2187Article in journal (Refereed) Published
Abstract [en]

The number of older people (aged 65+) will more than double by 2050 in Sweden. The ageing population is an increasing concern due to rising health-care costs and a shortage of health professionals. Older people generally prefer ageing in place, as long as they feel confident and comfortable. However, preventive and supportive measures are needed to maintain older people’s independence and active participation in society. The aim of this study is to explore the prerequisites for a healthy and independent life among older people in Sweden. A Delphi study was conducted in three rounds. In round 1, seven focus group interviews were performed with older persons aged 65–79, older persons aged ⩾80, next of kin of older persons, health professionals in primary and home health care, assistant nurses in home care, care managers and local politicians. The data were analysed using thematic analysis, resulting in 35 statements of the prerequisites needed for a healthy and independent life. These statements were sent to the participants from round 1, who were asked to evaluate the degree to which they agreed with each statement in round 2, and again in round 3. There was an agreement of at least 80 per cent for 31 of the 35 statements. When asked to identify the three prerequisites of most importance for a healthy and independent life, most participants stated: to have a social life, to have freedom of choice and power over one’s own situation, and to have the possibility to choose independently one’s type of housing. There was an overall high group agreement on the prerequisites needed for a healthy and independent life among older people. The main areas of importance were to have a social life, several dimensions of feeling safe and to retain one’s personal control.

National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-47415 (URN)10.1017/S0144686X20000306 (DOI)000681728700013 ()2-s2.0-85082201421 (Scopus ID)
Available from: 2020-03-23 Created: 2020-03-23 Last updated: 2021-11-05Bibliographically approved
Gusdal, A. K., Johansson-Pajala, R.-M., Arkkukangas, M., Ekholm, A. & Zander, V. (2021). Preventing Falls and Malnutrition among Older Adults in Municipal Residential Care in Sweden: A Registry Study. Sage Open Nursing, 7
Open this publication in new window or tab >>Preventing Falls and Malnutrition among Older Adults in Municipal Residential Care in Sweden: A Registry Study
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2021 (English)In: Sage Open Nursing, E-ISSN 2377-9608, Vol. 7Article in journal (Refereed) Published
Abstract [en]

Introduction: Older adults in municipal residential care are among the most vulnerable and in need of most care. The prevalence of negative events, such as falls and malnutrition, is increased among these older adults. The need for strategies to prevent falls and malnutrition is emphasized in guidelines and systematic, individualized risk assessments are prerequisites for adequate interventions. Objectives: The overall purpose of this study was to investigate the assessed risks of, and risk factors for, falling and malnutrition and the correlations between these assessed risks among older women and men in residential care. Further, the purpose was to investigate the consistency between planned and performed interventions among women and men assessed as at risk. Methods: A cross-sectional registry study based on risk assessment data in the Swedish national quality registry, Senior Alert. Altogether, 5,919 older adults ≥65 in nursing homes and dementia care units in 19 municipalities in Sweden were included. Results: Of the older adults, 77% were at risk of falls, and 59% were at risk of malnutrition. The most prevalent risk factors for falls were previous falls and not being cognitively oriented; and for malnutrition were having mild or severe dementia or depression. A significant positive correlation between the risk of falling and the risk of malnutrition was found. Less than half of the planned interventions for falls and malnutrition were performed. Care staff’s least common interventions to prevent falls were balance, muscular function, and strength training, which contrasts with the recommendations; interventions to prevent malnutrition were only partially adhering to recommendations. Conclusions: This cross-sectional registry study points towards the importance of using an evidence-based approach, based on adherence to recommended guidelines, in the prevention of falling and malnutrition. Further, the implementation of clinical practice guidelines is needed, which requires educational training for care staff and supportive leadership.

Place, publisher, year, edition, pages
SAGE Publications Inc., 2021
Keywords
fall, malnutrition, older adults, prevention, quality registry
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-55528 (URN)10.1177/23779608211026161 (DOI)000689591400001 ()34286078 (PubMedID)2-s2.0-85109643104 (Scopus ID)
Available from: 2021-08-05 Created: 2021-08-05 Last updated: 2022-12-12Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-6448-5866

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