https://www.mdu.se/

mdu.sePublications
Change search
Link to record
Permanent link

Direct link
Anbäcken, Els-MarieORCID iD iconorcid.org/0000-0002-5711-2391
Alternative names
Publications (10 of 44) Show all publications
Gustafsson, L.-K., Zander, V., Bondesson, A., Pettersson, T., Anbäcken, E.-M. & Östlund, G. (2022). Actions taken to safeguard the intended health care chain of older people with multiple diagnoses-a critical incident study. BMC Nursing, 21(1), Article ID 260.
Open this publication in new window or tab >>Actions taken to safeguard the intended health care chain of older people with multiple diagnoses-a critical incident study
Show others...
2022 (English)In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 21, no 1, article id 260Article in journal (Refereed) Published
Abstract [en]

Background: Older people with multiple diagnoses often have problems coping with their daily lives at home because of lack of coordination between various parts of the healthcare chain during the transit from hospital care to the home. To provide good care to those persons who have the most complex needs, regions and municipalities must work together. It is of importance to develop further empirical knowledge in relation to older persons with multiple diagnoses to illuminate possible obstacles to person-centred care during the transition between healthcare institutions and the persons livelihood. The aim of the present study was to describe nurses' experienced critical incidents in different parts of the intended healthcare chain of older people with multiple diagnoses.

Methods: The sample consisted of 18 RNs in different parts of the healthcare system involved in the care of older people with multiple diagnoses. Data were collected by semi structured interviews and analysed according to Critical Incident Technique (CIT). A total of 169 critical incidents were identified describing experiences in recently experienced situations.

Results: The result showed that organizational restrictions in providing care and limitations in collaboration were the main areas of experienced critical incidents. Actions took place due to the lack of preventive actions for care, difficulties in upholding patients' legal rights to participation in care, deficiencies in cooperation between organizations as well as ambiguous responsibilities and roles. The RNs experienced critical incidents that required moral actions to ensure continued person-centred nursing and provide evidence-based care. Both types of critical incidents required sole responsibility from the nurse. The RNs acted due to ethics, 'walking the extra mile', searching for person-centred information, and finding out own knowledge barriers.

Conclusions: In conclusion and based on this critical incident study, home-based healthcare of older people with multiple diagnoses requires a nurse that is prepared to take personal and moral responsibility to ensure person-centred home-based healthcare. Furthermore, the development of in-between adjustments of organizations to secure cooperation, and transference of person-centred knowledge is needed.

Place, publisher, year, edition, pages
BMC, 2022
Keywords
Critical incidence technique, Home-based healthcare, Multiple diagnoses, Older people, Person-centred care, Care-coordination
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-60077 (URN)10.1186/s12912-022-01039-1 (DOI)000858454500004 ()36131284 (PubMedID)2-s2.0-85138507105 (Scopus ID)
Available from: 2022-10-05 Created: 2022-10-05 Last updated: 2023-02-13Bibliographically approved
Wongsala, M., Rosendahl, S., Manasatchakun, P. & Anbäcken, E.-M. (2022). Applying the PDSA cycle to a group activity promoting lifestyle change for the active ageing of older Thai adults - a focused ethnography. BMC Geriatrics, 22(1)
Open this publication in new window or tab >>Applying the PDSA cycle to a group activity promoting lifestyle change for the active ageing of older Thai adults - a focused ethnography
2022 (English)In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 22, no 1Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: The proportion of the older Thai population is increasing rapidly. Lifestyle may impact active ageing in later life. Interventions that empower older Thai adults to initiate and carry out lifestyle changes are needed. This study applied the Plan-Do-Study-Act (PDSA) cycle, a tool for improving lifestyle changes, with the aim of exploring interactions among older Thai adults when participating in group activities. METHOD: Focused ethnography was used based on participant observations, field notes and video recordings of 15 older Thai adults aged 62-78 years. RESULTS: Older Thai adults faced difficulties at the beginning since they were unfamiliar with initiating and carrying out lifestyle changes according to the PDSA concept. This provided a learning opportunity enabling older Thai adults to reach their individual goals of lifestyle change. CONCLUSIONS: The PDSA cycle has the potential to empower older adults in group contexts to promote lifestyle changes related to active ageing. 

Place, publisher, year, edition, pages
NLM (Medline), 2022
Keywords
Active ageing, Behaviour Lifestyle change, Lifestyle choice, Older adults, PDSA cycle, Thailand, adult, aged, article, clinical article, ethnography, female, healthy aging, human, human experiment, learning, lifestyle modification, male, middle aged, Thai (people), videorecording
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:mdh:diva-57473 (URN)10.1186/s12877-022-02775-4 (DOI)000754202900002 ()35148688 (PubMedID)2-s2.0-85124578238 (Scopus ID)
Available from: 2022-02-23 Created: 2022-02-23 Last updated: 2023-02-13Bibliographically approved
Anbäcken, E.-M. & Ichinose, A. (2022). "End of life care in group home for older persons with dementia: An exploratory case study in Japan" Caring in a changing world 4th International NCCS & EACS Conference April 27th – 28th 2022 at Mälardalen University.. In: : . Paper presented at Caring in a changing world 4th International NCCS & EACS Conference April 27th – 28th 2022 at Mälardalen University..
Open this publication in new window or tab >>"End of life care in group home for older persons with dementia: An exploratory case study in Japan" Caring in a changing world 4th International NCCS & EACS Conference April 27th – 28th 2022 at Mälardalen University.
2022 (English)Conference paper, Poster (with or without abstract) (Other academic)
National Category
Social Work
Identifiers
urn:nbn:se:mdh:diva-62048 (URN)
Conference
Caring in a changing world 4th International NCCS & EACS Conference April 27th – 28th 2022 at Mälardalen University.
Available from: 2023-03-10 Created: 2023-03-10 Last updated: 2023-03-21Bibliographically approved
Wongsala, M., Anbäcken, E.-M. & Rosendahl, S. (2021). Active ageing – perspectives on health, participation, and security among older adults in northeastern Thailand – a qualitative study. BMC Geriatrics, 21(1), Article ID 41.
Open this publication in new window or tab >>Active ageing – perspectives on health, participation, and security among older adults in northeastern Thailand – a qualitative study
2021 (English)In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 21, no 1, article id 41Article in journal (Refereed) Published
Abstract [en]

Background: Health, participation, and security are the basic pillars of active ageing suggested by the WHO. The concept is used by professionals but requires exploration from the perspectives of older people themselves. This study aims to explore how older adults experience and describe health, participation, and security. Methods: A qualitative research approach was used based on open-ended interviews with 20 older Thai adults aged 60–92 years. The interviews were analysed using qualitative content analysis. Results: The results showed perspectives related to experiences of daily life and local culture. Health while ageing, was described as the absence of barriers to continued daily living, combined with a peaceful and adaptive mindset. Participation was described as maintaining social networks and being a formal volunteer, with an emphasis on the “making of merits”, of meaningful activities and being respected. Security was described as manageable living conditions and managing to finalize life well by balancing dependency and independency in relation to children to sustain the traditional value of gratitude between generations. Conclusions: These understandings will support healthy policy planning by providing resources and activities that relate to older Thai adults’ perspectives of health, participation and security and ultimately contribute to a better quality of life.

Place, publisher, year, edition, pages
BioMed Central Ltd, 2021
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-53110 (URN)10.1186/s12877-020-01981-2 (DOI)000609519800003 ()33430777 (PubMedID)2-s2.0-85099224313 (Scopus ID)
Available from: 2021-01-21 Created: 2021-01-21 Last updated: 2023-02-13Bibliographically approved
Anbäcken, E.-M., Almqvist, A.-L., Johansson, C., Kinugasa, K., Obata, M., Hyun, J., . . . Park, Y. J. (2021). Older adults and care: reshaped family roles in societal change: A comparative study of Japan, South Korea, and Sweden (1ed.). In: Patricia Neff Claster; Sampson Lee Blair (Ed.), Aging and the Family: Understanding Changes in Structural and Relationship Dynamics (pp. 1-38). Bingley, UK: Emerald Group Publishing Limited
Open this publication in new window or tab >>Older adults and care: reshaped family roles in societal change: A comparative study of Japan, South Korea, and Sweden
Show others...
2021 (English)In: Aging and the Family: Understanding Changes in Structural and Relationship Dynamics / [ed] Patricia Neff Claster; Sampson Lee Blair, Bingley, UK: Emerald Group Publishing Limited, 2021, 1, p. 1-38Chapter in book (Refereed)
Abstract [en]

Purpose: The aim is to explore how family relations are affected by societal

changes in relation to informal and formal caregiving and self-determination

of older adults.

Design/methodology/approach: Care managers (CMs)/social workers (SWs)

(N = 124) participated in a comparative vignette study including Japan, South

Korea, and Sweden. Systems theory was used.

Findings: Japanese CMs/SWs clearly describe their efforts to create networks

in a relational way between formal and informal actors in the community. South

Korean CMs/SWs balance between suggesting interventions to support daily

life at home or a move to a nursing home, often acknowledging the family as the

main caregiver. In Sweden, CMs/SWs highlight the juridical element in meeting

the older adult and the interventions offered, and families primarily give social

support. Regarding self-determination, the Japanese priority is for CMs/SWs

to harmonize within the family and the community. South Korean CMs/SWs

express ambivalent attitudes to older adults’ capability for self-determination in

the intersection between formal and family care. Swedish CMs/SWs adhere to

the older adult’s self-determination, while acknowledging the role of the family

in persuading the older adult to accept interventions. The results suggest emerging

defamilialization in South Korea, while tendencies to refamilialization are

noticed in Japan and Sweden, albeit in different ways.

Research limitations/implications: In translation, nuances may be lost. A

focus on changing families shows that country-specific details in care services

have been reduced. For future research, perspectives of “care” need to be studied

on different levels.

Originality/value: Using one vignette in three countries with different welfare

regimes, discussing changing views on families’, communities’ and societal caregiving

is unique. This captures changes in policy, influencing re- and defamilialization.

Place, publisher, year, edition, pages
Bingley, UK: Emerald Group Publishing Limited, 2021 Edition: 1
Series
Contemporary Perspectives in Family Research, ISSN 1530-3535
Keywords
Care managers, familialism, Japan, older adults, South Korea, Sweden, vignettes
National Category
Social Work
Research subject
Social Work
Identifiers
urn:nbn:se:mdh:diva-53883 (URN)10.1108/S1530-353520210000017001 (DOI)2-s2.0-85107722046 (Scopus ID)978-1-80071-491-5 (ISBN)978-1-80071-490-8 (ISBN)
Available from: 2021-04-14 Created: 2021-04-14 Last updated: 2022-10-31Bibliographically approved
Anbäcken, E.-M., Östlund, G., Zander, V., Bondesson, A., Pettersson, T. & Gustafsson, L.-K. (2021). Team-Talk and Time; keys to support in complex care of older adults at home. In: ECSWR 2021 10th European Conference for social work research: Book of abstracts. Paper presented at 10th European conference for social work research (ECSWR) Bucharest/digital, 5-7 May, 2021 (pp. 215).
Open this publication in new window or tab >>Team-Talk and Time; keys to support in complex care of older adults at home
Show others...
2021 (English)In: ECSWR 2021 10th European Conference for social work research: Book of abstracts, 2021, p. 215-Conference paper, Oral presentation with published abstract (Refereed)
National Category
Social Sciences
Identifiers
urn:nbn:se:mdh:diva-56186 (URN)
Conference
10th European conference for social work research (ECSWR) Bucharest/digital, 5-7 May, 2021
Available from: 2021-10-13 Created: 2021-10-13 Last updated: 2022-10-19Bibliographically approved
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 ()30653689 (PubMedID)2-s2.0-85060252366 (Scopus ID)
Available from: 2019-01-29 Created: 2019-01-29 Last updated: 2020-12-08Bibliographically 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: 2020-12-08Bibliographically 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: 2020-12-08Bibliographically 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
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.

Place, publisher, year, edition, pages
Sage Publications, 2019
Keywords
elderly, home-based rehabilitation, multi-professional team, municipal healthcare, quality of life, social care
National Category
Medical and Health Sciences Health Sciences
Identifiers
urn:nbn:se:mdh:diva-45848 (URN)10.1177/2057158519850974 (DOI)2-s2.0-85092259177 (Scopus ID)
Available from: 2019-10-25 Created: 2019-10-25 Last updated: 2022-10-19Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-5711-2391

Search in DiVA

Show all publications