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Anbäcken, Els-MarieORCID iD iconorcid.org/0000-0002-5711-2391
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Publications (10 of 36) 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
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
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
Wilinska, M., de Hontheim, A. & Anbäcken, E.-M. (2018). Ageism in a Cross-Cultural Perspectives: Reflections from the Research Field. In: Liat Ayalon and Clemens Tesch Römer (Ed.), Contemporary Perspectives on Ageism: (pp. 425-440). Springer
Open this publication in new window or tab >>Ageism in a Cross-Cultural Perspectives: Reflections from the Research Field
2018 (English)In: Contemporary Perspectives on Ageism / [ed] Liat Ayalon and Clemens Tesch Römer, Springer, 2018, p. 425-440Chapter in book (Other academic)
Abstract [en]

In this chapter, we discuss the opportunities and challenges of researching ageism from a cross-cultural perspective. We discuss the complexity of exploring diverse ageist practices as performed in different parts of the world. We also reflect upon the socio-cultural backgrounds through which researchers filter the experiences of fieldwork and research on various enactments of ageism. The key tenet of our argument is that these two dimensions interact during the fieldwork to create unique frameworks that researchers apply in their studies.

We confront our experiences of researching ageism in Japan, Poland, Sweden, and West Papua to explore the notion that the socio-cultural context matters to the following aspects of ageism: diversity of ageist practices, societal images of later life, and the researchers’ socio-cultural understandings of ageism. We explore the position of researchers who, on the one hand, apply the privileged perspective of a stranger to their fieldwork, and on the other hand, are deeply embedded in their own socio-cultural background, which affects their way of approaching later life and ageism. We conclude with a notion of establishing a “sense of touch” within the field and a discussion recognizing the potential changes that such an approach can bring to the ways we study ageism worldwide.

Place, publisher, year, edition, pages
Springer, 2018
Series
Int. Perspect. Aging ; 19
National Category
Other Social Sciences
Identifiers
urn:nbn:se:mdh:diva-42288 (URN)10.1007/978-3-319-73820-8_26 (DOI)978-3-319-73820-8 (ISBN)
Available from: 2019-11-13 Created: 2019-11-13 Last updated: 2019-12-18Bibliographically approved
Anbäcken, E.-M. (2018). Dementia care and “best practice” - in everyday life until end of life. In: International Conference Innovation, Prevention and Care for NCDs and Global Health: . Paper presented at International Conference Innovation, Prevention and Care for NCDs and Global Health.
Open this publication in new window or tab >>Dementia care and “best practice” - in everyday life until end of life
2018 (English)In: International Conference Innovation, Prevention and Care for NCDs and Global Health, 2018Conference paper, Oral presentation with published abstract (Other academic)
Abstract [eo]

Title: Dementia care and “best practice” - in everyday life until end of life

 

Background: This study is part of a project financed by Mälardalen Skill Centre for Health and Welfare (MKHV) 2016-2018, aiming at providing practitioners bases to develop evidence based activities in municipal eldercare.

 

Aim: To search for “best practice” within municipal care for older persons with dementia (PWD), through a knowledge overview.

Methods: Based on a literature review with search words taking a broad view, 36 articles were analyzed and categorized into three areas: 1. End of life care (EOL) 2. Education for staff and 3. Knowledge of caring and interacting from the perspectives of PWD, next of kin, care professionals and management. The results were presented at three seminars for practitioners who were invited to give feedback.

 

Results: EOL: Findings show diversity between different care professionals, the PWD and next of kin. Care professionals and next of kin seldom regard dementia as the terminal illness it is. This makes the border between everyday life and end of life care blurred which complicates care and interactions. Education: Intervention studies with education program based on a learning philosophy and focusing on communication are promising. Interprofessional education may help staff to think outside the box. When structural reforms are included in interventions there is a potential for lasting change. Knowledge of caring and interacting showed diverse views on therapies, where intentions of therapies may clash with PWD´s perspectives, such as symptom control rather than adding quality of life. Care management assessments risk being discriminatory if PWD are treated as objects. Nuanced examples of life review and validation method challenge routines and show potentials to enrich life and care of PWD.

 

Conclusions: A broad view on “best practice” informs dementia care with a holistic perspective encompassing art, communication skills, life history, interprofessional cooperation as well as environmental aspects of everyday life until end of life. More participant observation type of studies are welcome to capture the interplay between the actors: older PWD, their next of kin and care professionals. PWD´s voices are crucial to develop best practices.

National Category
Social Work
Identifiers
urn:nbn:se:mdh:diva-45301 (URN)
Conference
International Conference Innovation, Prevention and Care for NCDs and Global Health
Available from: 2019-11-06 Created: 2019-11-06 Last updated: 2019-12-18Bibliographically approved
Anbäcken, E.-M. (2018). Dementia care and  “best practice”- in everyday life until end of life. In: International Conference Innovation, Prevention and Care for NCDs and Global Health,: . Paper presented at The International Conference Innovation, Prevention and Care for NCDs and Global Health. Udanthani, Thailand..
Open this publication in new window or tab >>Dementia care and  “best practice”- in everyday life until end of life
2018 (English)In: International Conference Innovation, Prevention and Care for NCDs and Global Health,, 2018Conference paper, Oral presentation with published abstract (Refereed)
National Category
Medical and Health Sciences Health Sciences
Identifiers
urn:nbn:se:mdh:diva-42289 (URN)
Conference
The International Conference Innovation, Prevention and Care for NCDs and Global Health. Udanthani, Thailand.
Available from: 2019-09-25 Created: 2019-09-25 Last updated: 2019-09-26Bibliographically approved
Anbäcken, E.-M. (2018). Examples of  support to staff in  care work  for and with persons with dementia: . In: : . Paper presented at 認知症ケア向上のための支援者の支援 How we should build a network to help care workers to develop dementia care. スウェーデンにおける取り組みLearning from Sweden. March 5, 18-20. Joint symposium arranged by Tokorozawa “Shakyo”= Social Welfare Third Sector Organization and Waseda University, Faculty of Human Sciences, Research center Tokyo JAPAN.
Open this publication in new window or tab >>Examples of  support to staff in  care work  for and with persons with dementia:
2018 (Japanese)Conference paper, Oral presentation only (Other (popular science, discussion, etc.))
National Category
Social Sciences Social Work
Identifiers
urn:nbn:se:mdh:diva-45303 (URN)
Conference
認知症ケア向上のための支援者の支援 How we should build a network to help care workers to develop dementia care. スウェーデンにおける取り組みLearning from Sweden. March 5, 18-20. Joint symposium arranged by Tokorozawa “Shakyo”= Social Welfare Third Sector Organization and Waseda University, Faculty of Human Sciences, Research center Tokyo JAPAN
Available from: 2019-11-13 Created: 2019-11-13 Last updated: 2019-12-18Bibliographically approved
Anbäcken, E.-M. (2018). Methods in social care work for older persons with dementia- from daily life to end of life. In: Anders Bruhn och Åsa Källström (Ed.), Nationell forskningskonferens i socialt arbete; Abstractsammanställning av Sara Thunberg, Daniel Uhnoo, Anders Bruhn: . Paper presented at Nationell forskningskonferens i socialt arbete 9-10 oktober 2018, Örebro Universitet. Örebro: Örebro University
Open this publication in new window or tab >>Methods in social care work for older persons with dementia- from daily life to end of life
2018 (English)In: Nationell forskningskonferens i socialt arbete; Abstractsammanställning av Sara Thunberg, Daniel Uhnoo, Anders Bruhn / [ed] Anders Bruhn och Åsa Källström, Örebro: Örebro University , 2018Conference paper, Oral presentation with published abstract (Other academic)
Place, publisher, year, edition, pages
Örebro: Örebro University, 2018
Series
Working Papers and Reports Social work ; 13
National Category
Social Sciences
Identifiers
urn:nbn:se:mdh:diva-41520 (URN)
Conference
Nationell forskningskonferens i socialt arbete 9-10 oktober 2018, Örebro Universitet
Available from: 2018-12-09 Created: 2018-12-09 Last updated: 2019-11-06
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
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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
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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
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-5711-2391

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