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  • 1.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    A Japanese Narrative 1992 - 2016.: Applying a Relational Perspective on Ageing, Life and Care2019Conference paper (Other academic)
    Abstract [en]

    A Japanese Narrative 1992 - 2016.

    Applying a Relational Perspective on Ageing, Life and Care

     A qualitative longitudinal study evolved as I followed the Suzuki couple in Japan for more than two decades through life turning points and crises. Would the traditions of filial duty guide their choices, or would the Suzuki couples’ clearly voiced wish to live on their own and take care of themselves be respected?  I have followed their temporary move to their daughter’s residence following upon the 1995 Hanshin Earthquake when they lost their house, their permanent move to a condominium purchased by son, and a couple of years thereafter, the sudden death of Mr Suzuki. Since his death, I met Ms Suzuki every or every other year, last time was in 2016  when she still lived at home (with dementia) and enjoyed regular visits to a day care center

    This paper will discuss views on ageing, care and life from a relational point of view and within a life course perspective. This paper also encounters death as part of life and relations    Though a one case study, this paper will also draw on some previous studies in the fields of social and cross-cultural gerontology.

  • 2.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Aloneness and loneliness in later life, reflections from a longitudinal Japanese case study: 2016Conference paper (Other academic)
  • 3.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare.
    `Best practice´ i äldreomsorg, vems perspektiv?: En kunskapsöversikt över metoder, faktorer och förhållanden som upplevs viktiga av äldre personer med demenssjukdom.2020Report (Other academic)
    Abstract [sv]

    Bakgrund och syfte: Uppdraget var att göra en kunskapsöversikt om `best practice´ i äldreomsorgen riktad till praktiker. Syftet blev att sammanställa och analysera forsknings-studier som på olika sätt belyser vad äldre personer med demenssjukdom ser som god omsorg och vård för ett gott liv i vardagen. Hur kommer de till tals i äldreomsorgen? Hur studeras de? Vilka förhållningssätt och metoder verkar upplevas meningsfulla? Hur ser evidensen ut för `best practice´ utifrån detta? Denna ansats valdes eftersom många studier utgår ifrån vårdgivarnas perspektiv och deras tolkningar av personer med demens.

    Metod och material:  En litteraturstudie på 36 vetenskapliga studier som, med några undantag, hittades i databaser utifrån valda sökord och som därefter analyserades tematiskt.

    Resultat och analys: De fyra teman som resultatet sorterades i var Brukardeltagande och inkludering, Interventioner, Relationer samt Mångfacetterade perspektiv utifrån deltagande observationer och berättelser. Resultatet visade på gränsöverskridanden mellan de olika temana men med flera gemensamma nämnare. Personcentrerad vård och omsorg liksom psykosociala insatser fångar in resultatet där flera komponenter behöver ingå:  Aktivt lyssnande på kommunikation i ord, kroppsspråk och handling; fullständig närvaro av vård och omsorgspersonal  när de är tillsammans med personen med demens. Att behandlas med respekt för den man är och har varit,  att uppleva tillhörighet till personer i livet nu och i livet som varit, att inkluderas i beslut framför allt i det som rör det dagliga livet. Att få leva i kontakt med omvärlden i olika mening, existentiellt men även konkret med nära och kära, med grannskapet, med naturen. Att uppleva välbefinnande, i glädje som i sorg kan stödjas i olika metoder av livsberättelser. För makar, att få stöd i sitt `parskap´ och för alla att behandlas från sitt `personskap´. För alla, men inte minst för ensamboende, är personalens roll stor för att  grundläggande livskvalité ska kunna upprätthållas.  

    Slutsatser och implikationer:  Lyssna på, Lev med och Lär av personen med demens och dennes närstående i den dagliga omsorgen och vården Skapa rutiner i äldreomsorgen utifrån denna kunskap. Investera i tid för att möjliggöra detta.

  • 4.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Dementia care and “best practice” - in everyday life until end of life2018In: International Conference Innovation, Prevention and Care for NCDs and Global Health, 2018Conference paper (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.

  • 5.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Linköpings universitet, Socialt arbete.
    Dementia care and  “best practice”- in everyday life until end of life2018In: International Conference Innovation, Prevention and Care for NCDs and Global Health,, 2018Conference paper (Refereed)
  • 6.
    Anbäcken, Els-Marie
    Linköpings universitet, Socialt arbete.
    Efterord (fri översättning av japanska titeln)2003In: Who Cares? Culture, Structure and Agency in Caring for the Elderly in Japan: Japanese family and care seen with Swedish eyes (fri översättning av japanska titeln) / [ed] Hitoshi Asano & Kayoko Minemoto, Tokyo: Chuohoki (Japaneese); Institute of Oriental Languages (English) , 2003, p. 189-204Chapter in book (Other academic)
  • 7.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Examples of  support to staff in  care work  for and with persons with dementia: 2018Conference paper (Other (popular science, discussion, etc.))
  • 8.
    Anbäcken, Els-Marie
    Linköpings universitet, Socialt arbete.
    Existential issues in later-life care, a Swedish case study2008In: Kwansei Gakuin University Social Sciences Review, ISSN 1342-8861, Vol. 13, p. 63-99Article in journal (Other academic)
  • 9.
    Anbäcken, Els-Marie
    Linköpings universitet, Socialt arbete.
    From "Who Cares?" to "Why Care"? Linking a Socio-Cultural Research project in Japanology to Missiology2003In: Svensk Missionstidsskrift, ISSN 0346-217X, Vol. 91, no 4, p. 633-648Article in journal (Other academic)
    Abstract [en]

    This article begins with a short personal presentation, in order to provide some background to my research and its possible relevance to missiology. After this introduction, the abstract of my Ph.D. thesis is quoted followed by a presentation of additional results of that study. After this, I look more closely into part of the concluding chapter of the thesis, where I discuss the concept of honouring ones parents - from the perspective of ancient Judeo- Christian and Confucian texts respectively: Genesis and Deuteronomy (in the Bible) and Nihon no meicho, Great Books of Japan no. 14, which is about Confucian values. I also quote some pages from my dissertation thesis and this excerpt provides the basis for raising the following two questions. Firstly, are there any inferences to be drawn from this small piece of comparative analysis for the general analysis of post-modern society in a worldwide context? Secondly, can missiology learn any lessons from crosscultural and comparative research and, if so, which ones?

  • 10.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare. Linköpings universitet, Socialt arbete.
    Kvalitet och meningsfullhet i äldreomsorgenom; Om att ge utrymme för livsfrågor i äldreomsorgen, från äldres, anhörigas och persoanelns horisont.: Ett FoU projekt initierat av Oskarshamns kommun och NOVA högskolecentrun2008Report (Other academic)
  • 11.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    ”KÖP –projektet”: Kunskapsöversikt för praktiker, BEST PRACTICE Äldreomsorg2017Conference paper (Other academic)
  • 12.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare.
    Loss and grief in global social work: Autoethnographic explorations of the case of the Tsunami catastrophe in Northeastern Japan, March 11, 20112017In: Social Work in a Glocalised World, Taylor and Francis Inc. , 2017, p. 119-136Chapter in book (Other academic)
  • 13.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Methods in social care work for older persons with dementia- from daily life to end of life2018In: Nationell forskningskonferens i socialt arbete; Abstractsammanställning av Sara Thunberg, Daniel Uhnoo, Anders Bruhn / [ed] Anders Bruhn och Åsa Källström, Örebro: Örebro University , 2018Conference paper (Other academic)
  • 14.
    Anbäcken, Els-Marie
    Linköpings universitet, Socialt arbete.
    On the Need to Address Spirituality and Well-Being in Later Life Care - Some Reflections2006In: Advanced social research, Vol. 4, p. 101-134Article in journal (Other academic)
  • 15.
    Anbäcken, Els-Marie
    Linköpings universitet, Socialt arbete.
    Policy Language in Old Age Care, Does it Steer or Reflect Ideology?2013In: New Tools in Welfare Research / [ed] Ellinor Brunnberg & Elisabet Cedersund, Uppsala: NSU press , 2013Chapter in book (Other academic)
  • 16.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare.
    RECENSION av boken: Jason Danely (2014). Aging and Loss: Mourning and Maturity in Contemporary Japan.New Brunswick, NJ: Rutgers University Press,246 pp. ISBN 978 0 8135 6516 3 (paperback)2016In: International Journal of Ageing and Later Life, E-ISSN 1652-8670, Vol. 10, no 2, p. 103-107Article, book review (Other academic)
  • 17.
    Anbäcken, Els-Marie
    Linköpings universitet, Socialt arbete.
    Researching Home Help Services for the Elderly in Japan and Sweden: How Cultural Concepts Affect the Research Design2004In: Changing worlds and the ageing subject: Dimensions in the study of ageing and later life / [ed] Britt-Marie Öberg, Anna-Liisa Närvanen, Elisabet Näsman, Erik Olsson, Aldershot: Ashgate , 2004, p. 96-114Chapter in book (Other academic)
    Abstract [en]

    Considers the humanistic-historical dimension of ageing and substantiates new perspectives on family roles and intergenerational relationships. Also examines age discrimination, the impact of the increase in early retirement, the effect of old and new technology on older people's lives, and more.

  • 18.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare. Kwansei Gakuin University, JAPAN.
    Sociocultural reflections on caregiving roles in Japan and Sweden2011In: SYSTED 2011, Sept 17-18 Tokyo JAPAN / [ed] Tokie Anme, Linköping, 2011, Vol. 18:1, p. 41-47Conference paper (Other academic)
  • 19.
    Anbäcken, Els-Marie
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Almqvist, Anna-Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Johansson, Carl
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Kinugasa, Kazushige
    Obata, Miho
    Doshisha University, Japan.
    Hyun, Jinhee
    Daegu University, South Korea.
    Lee, Jinsook
    Daegu University, South Korea.
    Park, Young Joon
    Daegu University, South Korea.
    Older adults and care: reshaped family roles in societal change: A comparative study of Japan, South Korea, and Sweden2021In: 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.

  • 20.
    Anbäcken, Els-Marie
    et al.
    Linköpings universitet, Filosofiska fakulteten.
    Anbäcken, Owe
    Linköpings universitet, Filosofiska fakulteten.
    One hundred Japanese study visitors' perspective on Swedish welfare.2000In: Japan and Korea in a Nordic context: proceedings from the 1998 Stockholm conference : the fifth Nordic Symposium on Japanese and Korean Studies / [ed] Ulla Frisk, the Institute of Oriental Languages, Department of Japanese Studies, Stockholm University , 2000Conference paper (Other academic)
  • 21.
    Anbäcken, Els-Marie
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Antelius, Eleonor
    Linköpings Universitet, Sweden.
    Ichinose, Akiko
    Kwansei Gakuin University, JAPAN.
    Minemoto, Kayoko
    Koshien Junior College, Nishinomiya, Japan.
    Fujii, Miwa
    Kwansei Gakuin University, JAPAN.
    HOW IS PALLIATIVE CARE FOR OLDER PERSONS WITH DEMENTIA PRESENTED IN POLICY DOCUMENTS AND RESEARCH PUBLICATIONS IN JAPAN AND SWEDEN2015Conference paper (Other academic)
  • 22.
    Anbäcken, Els-Marie
    et al.
    Linköpings universitet, Socialt arbete.
    Asano, Hitoshi
    Kwansei Gakuin University, Japan.
    Minemoto, Kayoko
    Osaka University of Human Sciences, Japan.
    "What can be learned from Sweden" (fri översättning av japanska titeln)2003In: Who Cares? Culture Structure and Agency in Caring for the Elderly in Japan: "Japan`s family and care seen with Swedish eyes" (fri översättning av japansk titel) / [ed] Hitoshi Asano och Kayoko Minemoto, Tokyo: Chuohoki , 2003, p. 159-187Chapter in book (Other academic)
  • 23.
    Anbäcken, Els-Marie
    et al.
    Linköpings universitet, Institutionen för vård och välfärd.
    Dahlgaard, Jens Jörn
    Linköpings universitet, Tekniska högskolan.
    Must Be and Attractive Quality in Elder Care - Barriers and Challenges?2005In: Proceedings of the 8th International Conference on Quality Management for Organisational and Regional Development : QMOD 2005 Palermo, Italy 29.06.2005 - 01.07.2005. , 2005, p. 71-Conference paper (Refereed)
  • 24.
    Anbäcken, Els-Marie
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Gustafsson, Lena-Karin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Elfström, Magnus
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Zander, Viktoria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    A holistic way ofworking interprofessionally in home care with and for older people2016Conference paper (Refereed)
  • 25.
    Anbäcken, Els-Marie
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Linköpings universitet, Socialt arbete.
    Hashimoto, Masaaki
    Inagaki, Mikako
    Yamamoto, Etsuko
    Hellström, Linda
    Nilsson, Karin
    Voices from inside. A study of nursing home residents´ views of life, ageing and care in Japan and Sweden2008In: Older people in an international local context: The cases of Japan and Sweden / [ed] Els-Marie Anbäcken & Yasuhito Kinoshita, Stockholm: Dreamforce , 2008, 1, p. 165-213Chapter in book (Other academic)
  • 26.
    Anbäcken, Els-Marie
    et al.
    Linköpings universitet, Socialt arbete.
    Hashimoto, Masaaki
    Rikkyo University, College of Community and Human Services.
    Inagaki, Mikako
    Ibaraki Christian University, Deptm of Human Welfare.
    Yamamoto, Etsuko
    Keisen University, Deptm of International Social Studies.
    Hellström, LInda
    Linköpings universitet.
    Nilsson, Karin
    Linköpings universitet.
    Voices from inside: A study of nursing home residents`views of life, ageing and care in Japan and Sweden2008In: Older people in an international local context; The cases of Japan and Sweden / [ed] Els-Marie Anbäcken & Yasuhito Kinoshita, Stockholm: Vårdalstiftelsen www.vardal.se , 2008, 1, p. 214-255Chapter in book (Other academic)
  • 27.
    Anbäcken, Els-Marie
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Ichinose, Akiko
    Kwansei Gakuin Unversity, Nishinomiya, JAPAN.
    "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.2022Conference paper (Other academic)
  • 28.
    Anbäcken, Els-Marie
    et al.
    Linköpings universitet, Socialt arbete.
    Kinoshita, YasuhitoRikkyo University, Tokyo, Japan.
    Older people in an international local context: The cases of Japan and Sweden2008Conference proceedings (editor) (Other academic)
  • 29.
    Anbäcken, Els-Marie
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Minemoto, Kayoko
    Koshien Junior College, Nishinomiya JAPAN.
    Fujii, Miwa
    Kwansei Gakuin University, Nishinomiya, JAPAN.
    Expressions of Identity and Self in Daily Life at a Group Home for Older Persons With Dementia in Japan2015In: Care Management Journals, ISSN 1521-0987, Vol. 16, no 2, p. 64-78Article in journal (Refereed)
    Abstract [en]

    This study focuses on expressions of identity and self among residents at a group home for older persons with dementia in Japan—a study, which started as an explorative study on spirituality—and how residents make meaning of life. Although aware of stages of dementia illness and briefly commenting on these, the analysis does not make any specific point of it. This article views dementia from a sociocultural perspective and is based on participant observations at a group home with 19 residents, combined with interviews with 6 of them. Two central concepts for the study are discussed and drawn on in the analysis: ie, meaning home and family, and dementia and boke, senility. The study examines how the group home is ie and concludes that it is “home enough” in the sense that one’s identity and self are honored here. The old word boke represents a state in which one has “given up” any attempts to keep one’s mental health. This concept was used by some residents to mark the line between those who were “helpless” with boke and those who could manage by themselves without boke. Identities are analyzed in different terms: as profession, as feeling secure, as being physically close, in social interactions, and as being cared for properly also after death. The analysis of self and identity showed that contentment in life was expressed in various ways, as a whole or as a patchwork with light and dark colors, and that it is still in process. Here, the supportive but discreet scaffolding of staff seems to matter. Life is lived until death, and the farewell ceremonies are analyzed as existential closures for many—and for life finalized here at Ie, the group home.

  • 30.
    Anbäcken, Els-Marie
    et al.
    Linköpings universitet, Socialt arbete.
    Nitta, Masako
    Sapporo Gakuin University, Japan.
    "Until death do us part?" Experienced institutionalisation: Couples  experiences in a spouses`placement process in Sweden and Japan2008In: Older people in an international local context; The cases of Japan and Sweden / [ed] Els-Marie Anbäcken & Yasuhito Kinoshita, Stockholm: Vårdalstiftelsen , 2008, 1, p. 165-213Chapter in book (Other academic)
  • 31.
    Anbäcken, Els-Marie
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Sand, Ann-Britt
    Stockholms Universitet, Sweden.
    Japan and Sweden with different types of welfare regimes but a similar elderly care development?  Family care from a gender perspective2015In: Care Policies in Korea, Japan and Sweden, Paju(Gyungkido), South Korea: Yang Seo Won , 2015Chapter in book (Other academic)
  • 32.
    Anbäcken, Els-Marie
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Zander, Viktoria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Bondesson, Anna
    Mälardalen University, School of Health, Care and Social Welfare.
    Pettersson, Tina
    Mälardalen University, School of Health, Care and Social Welfare.
    Gustafsson, Lena-Karin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Team-Talk and Time; keys to support in complex care of older adults at home2021In: ECSWR 2021 10th European Conference for social work research: Book of abstracts, 2021, p. 215-Conference paper (Refereed)
  • 33.
    Brunnberg, Elinor
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare.
    From public sector to Welfare pluralism - the Swedish situation in child, family and elderly care2014In: International seminar about the role of the family for the elderly care, between Sweden, Korea and japan: Who care for the elderly? / [ed] Lee, Jinsook, Daegue University, Dague University, Korea, 2014, p. 21-27Conference paper (Other academic)
  • 34.
    Cedersund, Elisabet
    et al.
    Linköpings universitet, Socialt arbete.
    Lundborg, Katarina
    Linköpings universitet, Socialt arbete.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare. Linköpings universitet, Socialt arbete.
    Garnisonen - ett steg på väg! Om starten av ett korttidsboende för äldre personer på väg hem  från sjukhus.: Rapport om de första årens verksamhet på Garnosonens vårdboende i Linköping2009Report (Other academic)
  • 35.
    Elfström, Magnus
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Zander, Viktoria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Gustafsson, Lena-Karin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Reablement for older persons by an interprofessional home rehabilitation team: An ongoing RCT2018Conference paper (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.

  • 36.
    Funkesson, Kajsa
    et al.
    Linköpings Universitet, Sweden.
    Anbäcken, Els-Marie
    Linköpings Universitet, Sweden.
    Ek, Anna-Christina
    Linköpings Universitet, Sweden.
    Nurses' reasoning  process during care planning taking pressure ulcer prevention as an example: A think-aloud study2007In: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 44, no 7, p. 1109-1119Article in journal (Refereed)
  • 37.
    Gustafsson, Lena-Karin
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare.
    Zander, Viktoria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Elfström, Magnus L.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Working with short-term goal-directed reablement with older adults: strengthened by a collaborative approach2019In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 39, no 4, p. 178-185Article in journal (Refereed)
    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.

  • 38.
    Gustafsson, Lena-Karin
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Zander, Viktoria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Bondesson, Anna
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Pettersson, Tina
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Actions taken to safeguard the intended health care chain of older people with multiple diagnoses-a critical incident study2022In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 21, no 1, article id 260Article in journal (Refereed)
    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.

  • 39.
    Gustafsson, Lena-Karin
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Zander, Viktoria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Elfström, Magnus
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    ‘Best fit’ caring skills of an interprofessional team inshort-term goal-directed reablement: older adults’perceptions2019In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 33, no 2, p. 498-506Article in journal (Refereed)
    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.

  • 40.
    Johansson, Ingrid
    et al.
    Mälardalen University, School of Education, Culture and Communication.
    Anbäcken, Els-Marie
    Linköpings universitet, Socialt arbete.
    Nitta, Masako
    Sapporo Gakuin University, Faculty of Humanities.
    Karp, Håkan
    Mälardalens högskola, School of Health, Care and Social Welfare.
    Kinoshita, Yasuhito
    Rikkyo University, College of Sociology.
    Daily life as seen from the perspectives of older people in Sweden and Japan2008In: Older people in an international local context: The cases of Japan and Sweden / [ed] Els-Marie Anbäcken & Yasuhito Kinoshita, Stockholm: Vårdalstiftelsen , 2008, p. 130-164Chapter in book (Other academic)
  • 41.
    Strand, Anne-Sofie
    et al.
    Jönköping University, Sweden.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare. Linköping University, Sweden.
    Granlund, Mats
    Jönköping University, Sweden.
    Social Support for Adolescents With a High Level of Truancy in Swedish Compulsory Schooling2015In: Journal of Education for Students Placed at Risk, ISSN 1082-4669, E-ISSN 1532-7671, Vol. 20, no 4, p. 293-311Article in journal (Refereed)
    Abstract [en]

    The aim of this article is to explore whether 15 students with a high level of truancy have experienced social support at school. The analysis is based on systems theory with a focus on the social context at school. The study is based on data collected in an earlier school document study (Strand & Granlund, 2013) and on 2 earlier interview studies with the school staff (Strand & Cedersund, 2013) and the students themselves (Strand, 2012). Data triangulation was conducted using person-based content analysis. The students were divided in three groups of the school system. For the winners, we found that engaged adults close to them made a positive difference that restored their relationship with school. The unchallenged and the losers of the school system had poor social relationships with the school staff, especially within the classroom. A dearth of relationships with classmates was observed for all 3 groups. There was a low level of agreement between the information taken from the school documents, what the school staff members said, and what the students themselves said for all of the groups. What the students perceived as support was not the same as the school had noted as provided and received support.

  • 42.
    Whitaker, Anna
    et al.
    Ersta Sköndal, Institutionen för Socialvetenskap.
    Anbäcken, Els-Marie
    Linköpings universitet, Socialt arbete.
    Omsorgens existentiella innebörder i livets sista tid- från de äldstas horisont2012In: Åldrande och omsorgens gestaltningar: mot nya perspektiv / [ed] Eva Jeppsson Grassman & Anna Whitaker, Lund, Sverige: Studentlitteratur , 2012, 1:1, p. 163-187Chapter in book (Other academic)
    Abstract [sv]

    I vår tids diskussion om välfärd är omsorgsbegreppet centralt. Men vad är omsorg och på vilket sätt kommer den till uttryck i sammanhang som gäller äldre och åldrande? Det är några av de frågeställningar som diskuteras i den här antologin.

    I äldre­omsorgsforskning har man hittills som regel tagit offentlig äldreomsorg som en självklar utgångspunkt. Här vidgas istället perspektivet och flera andra av omsorgsbegreppets olika dimensioner, gestaltningar och sammanhang inkluderas och diskuteras – sådana som har betydelse i vår tid men som ofta har förbisetts i forskningen. Det innebär också att antologin fokuserar på åldrande och omsorg i vid bemärkelse och inte bara på kommunal äldreomsorg. Med utgångspunkt i begrepp som tid, plats och aktörer och samspelet mellan dessa lyfter vi fram flera olika sammanhang för omsorg: Det är fråga om civilsamhället som plats och utförare av omsorg, liksom omsorg som berör migration och etniska relationer. Vi diskuterar också den fysiska miljön, boendet och platsens betydelse för omsorgens utformning och innebörder. Slutligen belyser vi livets sista tid och omsorgens olika existentiella dimensioner under detta skede.

    Åldrande och omsorgens gestaltningar - mot nya perspektiv riktar sig främst till högskolestuderande inom samhälls- och beteende­vetenskap, socialt arbete, social omsorg och vård, liksom till yrkesverksamma inom fältet. Den kan också vara värdefull för en intresserad allmänhet.

  • 43.
    Wilinska, Monika
    et al.
    Jönköping University, Sweden.
    de Hontheim, Astrid
    Université libre de Bruxelles, Belgium.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Linköpings universitet, Socialt arbete.
    Ageism in a Cross-Cultural Perspectives: Reflections from the Research Field2018In: 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.

  • 44.
    Wongsala, Manothai
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. bAssociate professor of Gerontological Social Work, Linkoping University, Sweden.
    Rosendahl, S.
    cPhd Gerontology, Associate professor/Senior lecturer in Nursing, School of Health Sciences, University of Skovde, Hogskolevagen, Box 408, Skovde, S-54 128, Sweden.
    Active ageing – perspectives on health, participation, and security among older adults in northeastern Thailand – a qualitative study2021In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 21, no 1, article id 41Article in journal (Refereed)
    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.

  • 45.
    Wongsala, Manothai
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Holmgren, Jessica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Manasatchakun, Pornpun
    Boromarajonani College of Nursing Chaingmai, Thailand.
    Rosendahl, Sirpa
    University of Skövde.
    Experiences of lifestyle changes among Thai older adults six months after applying the PDSA cycleManuscript (preprint) (Other academic)
    Abstract [en]

    Background: Thai older adults are valuable resources in their society. The Thai health service system is challenged when it comes to ensuring that older Thai adults can continue to live healthy and independent lives in society. It is of great value to support independence and improve older people's active ageing. Promoting lifestyle changes by applying the Plan-Do-Study-Act cycle (PDSA cycle), at group meetings in a municipality context, is a way of focusing on active ageing. Objectives: To describe older adults´ experiences of lifestyle change six months after finishing group meetings applying the PDSA cycle. Methods: A qualitative approach with individual interviews and a qualitative content analysis were used with 12 Thai older adults who participated in the meetings applying the PDSA cycle. Results: Three categories and six sub-categories emerged: Keeping individual goals, influenced by the surroundings, and formulation of additional goals were the overall categories. Discussion: These Thai older adults showed that they had the ability to make lifestyle changes with the support of the PDSA cycle, but not all maintained their planned activities after six months.  The question is how healthcare professionals and the surroundings, may further support and motivate these people to maintain these changes based on their own preferences in a sustainable way.

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  • 46.
    Wongsala, Manothai
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Rosendahl, S.
    School of Health Sciences, University of Skövde, Swede.
    Manasatchakun, P.
    Boromarajonani College of Nursing Chiang Mai, Chiang Mai, Thailand.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Applying the PDSA cycle to a group activity promoting lifestyle change for the active ageing of older Thai adults - a focused ethnography2022In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 22, no 1Article in journal (Refereed)
    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. 

  • 47.
    Östlund, Gunnel
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Gustafsson, Lena-Karin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Zander, Viktoria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Elfström, Magnus
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Interprofessional homebased reablement intervention of older adults - reflecting on possible trends based on the RCT pilot study.2019Conference paper (Refereed)
  • 48.
    Östlund, Gunnel
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Zander, Viktoria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Elfström, Magnus
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Gustafsson, Lena-Karin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    “It gets easier when the sun is shining”: a follow-up study after a reablement intervention2017Conference paper (Refereed)
  • 49.
    Östlund, Gunnel
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Zander, Viktoria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Elfström, Magnus
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Gustafsson, Lena-Karin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Older adults’ experiences of a reablement process.: "To be treated like an adult, and ask for what I want and how I want it"2019In: 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)
    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.

  • 50.
    Östlund, Gunnel
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Zander, Viktoria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Elfström, Magnus, L.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Gustafsson, Lena-Karin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare.
    ´Nothing to do about it, simply hang on´ - Older women´s experiences of social and existential health after a reablement intervention2018Conference paper (Refereed)
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