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Pettersson, Tina
Publications (8 of 8) Show all publications
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
Gustafsson, L.-K., Anbäcken, E.-M., Östlund, G., Bondesson, A., Pettersson, T. & Zander, V. (2024). Implementation of a New Integrated Healthcare Model; Quality Aspects to Support the Complex Home Care of Older Adults with Multiple Needs. Journal of Multidisciplinary Healthcare, 17, 2879-2890
Open this publication in new window or tab >>Implementation of a New Integrated Healthcare Model; Quality Aspects to Support the Complex Home Care of Older Adults with Multiple Needs
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2024 (English)In: Journal of Multidisciplinary Healthcare, E-ISSN 1178-2390, Vol. 17, p. 2879-2890Article in journal (Refereed) Published
Abstract [en]

Aim: This study aims to describe experiences of the implementation of a new integrated healthcare model for older adults with complex care needs due to multimorbidity, living at home, from a health and welfare personnel perspective. The goal was to diminish hospitalization and still carry out high quality care at home for older adults living with multimorbidity. The model was implemented by two organizations working in cooperation, the municipality, and the region that handles interprofessional social care and healthcare in people's homes. Materials and Method: Open-ended group interviews with personnel were carried out, three of the group interviews preimplementations of the model, and three of the group interviews post -implementation. The interviews were audiotaped and analysed according to the procedure of thematic analysis. Results: The quality of the integrated care model was based on care -chain cooperation, shared professionalism, and creating relations with the patient including closeness to next of kin, which was underlined by the participants. Unencumbered time gave the professionals the possibility to develop quality in integrated healthcare as part of integrated and person -centred care. The coproduction of education, research interviews and the follow-up meeting identified successes in diminishing hospitalization rates according to the participants' experiences of the post -implementation interviews. An identified failure was, however, that shared professionalism was not developed over time, rather the different responsibilities were accentuated according to the information retrieved at the follow-up meeting. Conclusion: Quality aspects of the model were identified in the present study. However, when implementation of a new model is completed, the organizations always have their own interpretation of how to further understand the model in question. Plain language summary: The intention of the present study was to follow the process of working with a new model of providing care at home, thus preventing increased numbers of hospital readmissions, based on the professionals<acute accent> point of view of what quality care is for older adults with complex care needs due to multimorbidity, living in their own home. The professionals were interviewed in group settings on several occasions during the implementation. The result showed hopeful expectations expressed by the professionals before the new model was implemented, such as a hope for getting more time for high -quality care for the older adults with multimorbidity. During the teamwork, the conversation within the team members was praised as a key factor that included shared professionalism from professionals with different levels of education and focus on their work. According to the staff, unnecessary hospital stays were reduced, while the interprofessional care -chain cooperation was improved through the work of the integrated care team. For many team members, the positive difference in both work and care satisfaction was highlighted in comparison to regular home care as they were able to use their multi -disciplinary skills and support.

Place, publisher, year, edition, pages
DOVE MEDICAL PRESS LTD, 2024
Keywords
integrated-care model, multi-morbidity, interprofessional care, home-based care, person-centred integrated care
National Category
Nursing
Identifiers
urn:nbn:se:mdh:diva-67891 (URN)10.2147/JMDH.S455935 (DOI)001248141100001 ()38894963 (PubMedID)
Available from: 2024-06-26 Created: 2024-06-26 Last updated: 2024-07-04Bibliographically approved
Gustafsson, L.-K., Bondesson, A., Pettersson, T. & Söderman, M. (2023). Dilemmas in rehabilitation and patient strategies in an intensive home intervention: a follow-up study. International Journal of Qualitative Studies on Health and Well-being, 18(1), Article ID 2253001.
Open this publication in new window or tab >>Dilemmas in rehabilitation and patient strategies in an intensive home intervention: a follow-up study
2023 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 18, no 1, article id 2253001Article in journal (Refereed) Published
Abstract [en]

Background The original project, where older persons received reablement performed by an interprofessional team showed success factors for IHR. However, since there is a lack of knowledge about why some persons do not recover despite receiving IHR, this study follows up patients' experiences of IHR.Aim To describe older persons' perceived dilemmas in the reablement process within the framework of IHR.Method 11 CIT interviews with participants who have previously received IHR, were analysed, interpreted and categorized according to CIT. The study was approved by the Swedish Ethical Review Authority.Results The results showed disease-related dilemmas, fatigue or pain so that participants could not cope with the prescribed exercises. New diseases appeared, as well as medication side effects made exercising difficult, and painkillers became a prerequisite for coping with IHR. Low self-motivation and mistrust towards the staff emerged like lack of trust due to otherness such as sex, cultural background, or language also became critical.Conclusions Interventions that consider individual- and contextual dilemmas are very important. By recognizing critical situations, this study can work as a basis of evidence to further develop interventions for older people living in their own homes and to ensure them to stay there.

National Category
Medical and Health Sciences Health Sciences
Identifiers
urn:nbn:se:mdh:diva-64158 (URN)10.1080/17482631.2023.2253001 (DOI)001058063600001 ()2-s2.0-85169677576 (Scopus ID)
Available from: 2023-09-05 Created: 2023-09-05 Last updated: 2023-09-20Bibliographically approved
Gustafsson, L.-K., Söderman, M., Bondesson, A., Pettersson, T. & Kaup, J. (2023). HEMMA projektet - om äldres förutsättningar för kvarboende.
Open this publication in new window or tab >>HEMMA projektet - om äldres förutsättningar för kvarboende
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2023 (Swedish)Report (Other academic)
National Category
Other Health Sciences
Identifiers
urn:nbn:se:mdh:diva-64041 (URN)
Available from: 2023-08-17 Created: 2023-08-17 Last updated: 2023-08-29Bibliographically approved
Söderman, M., Bondesson, A., Pettersson, T. & Gustafsson, L.-K. (2023). “Intensive-Home-Rehabilitation” Intervention for Older Persons: A Follow-Up Study of Team Members’ Perceptions. Journal of Multidisciplinary Healthcare, 16, 2207-2216
Open this publication in new window or tab >>“Intensive-Home-Rehabilitation” Intervention for Older Persons: A Follow-Up Study of Team Members’ Perceptions
2023 (English)In: Journal of Multidisciplinary Healthcare, E-ISSN 1178-2390, Vol. 16, p. 2207-2216Article in journal (Refereed) Published
Abstract [en]

Background: Reablement as a concept includes a health-promoting perspective with the goal of strengthening health and the ability to perform and participate in daily activities, a broader perspective than in general home care and rehabilitation. Reablement interventions have shown to be both more effective and to a greater extent improve the function and health-related quality of life of older persons when compared to traditional home-based care. Success factors for intensive-home-rehabilitation (IHR), an intervention based on the reablement concept, have been described earlier; however, there is a lack of knowledge about why some persons do not recover despite receiving IHR. Aim: The aim was to shed light on the older persons’ conditions during IHR from the perspective of the rehabilitation team members and to describe obstacles to recovery. Methods: Qualitative analysis of health and care records of persons (65+) who received IHR (n=19) performed by an interprofes-sional team. Results: The analysis revealed various problematic situations, dilemmas, that occurred in the older persons’ lives during IHR, as well as their consequences and the strategies employed by the older persons as a result. IHR aspects perceived as successful by the older persons also emerged, as well as differences in experiences of the physical and mental aspects of the IHR. Analysis also revealed reasons why the IHR might be experienced as broadly successful. Conclusion: The older persons seemed to be satisfied with IHR and achieved their goals; however, some seemed to need more time to reach their goals. Background factors such as having additional diagnoses and living alone might affect the rehabilitation process. Implication for Practice: The study provides knowledge regarding the importance of IHR for the recovery process for the increasing numbers of older persons, which might also be useful in other patient groups requiring otherwise long-term rehabilitation and recovery such as after covid-19 infection. 

Place, publisher, year, edition, pages
Dove Medical Press Ltd, 2023
Keywords
home-based care, intensive-home-rehabilitation, interprofessional team, older persons, reablement, recovery, rehabilitation process
National Category
Nursing
Identifiers
urn:nbn:se:mdh:diva-63967 (URN)10.2147/JMDH.S409879 (DOI)001045768500001 ()2-s2.0-85167331727 (Scopus ID)
Available from: 2023-08-16 Created: 2023-08-16 Last updated: 2024-07-04Bibliographically 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
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
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2022 (English)In: BMC Nursing, 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: 2024-07-04Bibliographically 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
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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
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