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  • 1.
    Anbäcken, Els-Marie
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Gustafsson, Lena-Karin
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Elfström, Magnus
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Zander, Viktoria
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Östlund, Gunnel
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    A holistic way ofworking interprofessionally in home care with and for older people2016Konferansepaper (Fagfellevurdert)
  • 2.
    Anbäcken, Els-Marie
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Östlund, Gunnel
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Zander, Viktoria
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Bondesson, Anna
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Pettersson, Tina
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Gustafsson, Lena-Karin
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Team-Talk and Time; keys to support in complex care of older adults at home2021Inngår i: ECSWR 2021 10th European Conference for social work research: Book of abstracts, 2021, s. 215-Konferansepaper (Fagfellevurdert)
  • 3.
    Borg, Johan
    et al.
    Dalarna Univ, Sch Hlth & Welf,Falun, Sweden..
    Gustafsson, Christine
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Eskilstuna Municipal, Dept Hlth & Social Care, Eskilstuna, Sweden.
    Landerdahl Stridsberg, Sara
    Mälardalens universitet.
    Zander, Viktoria
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Implementation of welfare technology: a state-of-the-art review of knowledge gaps and research needs2022Inngår i: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115Artikkel, forskningsoversikt (Fagfellevurdert)
    Abstract [en]

    Purpose: To offer guidance for future welfare technology research, this review provides an overview of current knowledge gaps and research needs as reported in primary scientific studies addressing the implementation of welfare technology for older people, people with disabilities and informal caregivers.

    Materials and methods: This paper conducted a state-of-the-art review based on systematic searches in 11 databases followed by a descriptive qualitative analysis of 21 selected articles.

    Results: Knowledge gaps and research needs were identified concerning two categories: research designs and populations and focus of research. The articles reported needs for comparative studies, longitudinal studies, and demonstration trials as well as the development of co-design processes involving technology users. They also called for studies applying a social system theory approach, involving healthy and frail older adults, representative samples of users within and across countries, informal and formal caregivers, inter-and multidisciplinary teams, and care organizations. Moreover, there are reported needs for studies of acquirement, adoption and acceptance of welfare technology, attitudes, beliefs, and context related to welfare technology, caregiver perspectives on welfare technology, services to provide welfare technology and welfare technology itself.

    Conclusions: There are considerable knowledge gaps and research needs concerning the implementation of welfare technology. They relate not only to the research focus but also to research designs, a social system theory approach and study populations.

  • 4.
    Elfström, Magnus
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Östlund, Gunnel
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Anbäcken, Els-Marie
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Zander, Viktoria
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Gustafsson, Lena-Karin
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Reablement for older persons by an interprofessional home rehabilitation team: An ongoing RCT2018Konferansepaper (Annet vitenskapelig)
    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.

  • 5.
    Gusdal, Annelie K
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Johansson-Pajala, Rose-Marie
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Arkkukangas, Marina
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Ekholm, A.
    Research and Development in Sörmland, Eskilstuna, Sweden.
    Zander, Viktoria
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. PrILiv - Långvarigt självständigt liv.
    Preventing Falls and Malnutrition among Older Adults in Municipal Residential Care in Sweden: A Registry Study2021Inngår i: Sage Open Nursing, E-ISSN 2377-9608, Vol. 7Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

    Fulltekst (pdf)
    fulltext
  • 6.
    Gusdal, Annelie K
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Johansson-Pajala, Rose-Marie
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Zander, Viktoria
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Centre for Clinical Research Sörmland, Uppsala University, Eskilstuna, Sweden.
    von Heideken Wågert, Petra
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Prerequisites for a healthy and independent life among older people: a Delphi study2021Inngår i: Ageing & Society, ISSN 0144-686X, E-ISSN 1469-1779, Vol. 41, nr 9, s. 2171-2187Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

    Fulltekst (pdf)
    fulltext
  • 7.
    Gustafsson, Lena-Karin
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Anbäcken, Els-Marie
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Zander, Viktoria
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Elfström, Magnus L.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Östlund, Gunnel
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Working with short-term goal-directed reablement with older adults: strengthened by a collaborative approach2019Inngår i: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 39, nr 4, s. 178-185Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 8.
    Gustafsson, Lena-Karin
    et al.
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Zander, Viktoria
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Bondesson, Anna
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Pettersson, Tina
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Anbäcken, Els-Marie
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Östlund, Gunnel
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Actions taken to safeguard the intended health care chain of older people with multiple diagnoses-a critical incident study2022Inngår i: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 21, nr 1, artikkel-id 260Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 9.
    Gustafsson, Lena-Karin
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Östlund, Gunnel
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Zander, Viktoria
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Elfström, Magnus
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Anbäcken, Els-Marie
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    ‘Best fit’ caring skills of an interprofessional team inshort-term goal-directed reablement: older adults’perceptions2019Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 33, nr 2, s. 498-506Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 10.
    Hochwälder, Jacek
    et al.
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Gustafsson, Lena-Karin
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Östlund, Gunnel
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Zander, Viktoria
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Elfström, Magnus L.
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Psychometric evaluation of the subjective well-being measure GP-CORE in a group of older adults in Sweden.2022Inngår i: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 22, nr 1, artikkel-id 913Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: The world's growing population of older adults is one population that needs to be focused more regarding subjective well-being. It is therefore important to evaluate self-report instruments that measures general well-being for this specific group - older adults. The aim of the present study was to investigate psychometric properties of the Swedish translation of the GP-CORE (general population - Clinical Outcomes in Routine Evaluation) in a group of older adults (> 65 years).

    METHODS: In this study, a psychometric evaluation of the GP-CORE is presented for 247 Swedish older adults (> 65 years), 184 women and 63 men who applied for home care assistance for the first time.

    RESULTS: The psychometric evaluation showed high acceptability; provided norm values in terms of means, standard deviations and quartiles; showed satisfactory reliability in terms of both internal consistency and stability; showed satisfactory validity in terms of convergent and discriminant validity; provided a very preliminary cut-off value and quite low sensibility and sensitivity and showed results which indicated that this scale is sensitive to changes. One gender difference was identified in that women without a cohabitant had a higher well-being than men without a cohabitant (as measured by GP-CORE).

    CONCLUSIONS: The GP-CORE showed satisfactory psychometric properties to be used to measure and monitor subjective well-being in older adults (> 65 years) in the general population of community dwelling. Future studies should establish a cut-off value in relation to another well-being measure relevant for mental health in older adults.

  • 11.
    Johansson-Pajala, Rose-Marie
    et al.
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Zander, Viktoria
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Gustafsson, Christine
    Sopiahemmet Univ, Stockholm, Sweden..
    Gusdal, Annelie K
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    No thank you to humanized robots: attitudes to care robots in elder care services2022Inngår i: Home Health Care Services Quarterly, ISSN 0162-1424, E-ISSN 1545-0856, Vol. 41, nr 1, s. 40-53Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

  • 12.
    von Heideken Wågert, Petra
    et al.
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Florin, Ulrika
    Mälardalens universitet, Akademin för innovation, design och teknik, Innovation och produktrealisering.
    Gusdal, Annelie K
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Eklund, Caroline
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Johansson-Pajala, Rose-Marie
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Zander, Viktoria
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    FIK@RUMMET– en webb-plattform för minskad ensamhet och social isolering2022Inngår i: Ä, ISSN 2001-1164, nr 3, s. 12-14, artikkel-id oktoberArtikkel i tidsskrift (Annet (populærvitenskap, debatt, mm))
    Fulltekst (pdf)
    fulltext
  • 13.
    Zander, Viktoria
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Karolinska Institutet, Sweden.
    Eriksson, Henrik
    Röda korsets högskola, Sweden.
    Christensson, Kyllike
    Karolinska Institutet, Sweden.
    Müllersdorf, Maria
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Development of an Interview Guide Identifying the Rehabilitation Needs of Women from the Middle East Living with Chronic Pain2015Inngår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 12, nr 10, s. 12043-12056Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The purpose of this study was to develop an interview guide for use by primaryhealthcare professionals to support them in identifying the rehabilitation needs of forcedresettled women from the Middle East living with chronic pain. Previous findings togetherwith the existing literature were used as the basis for developing the interview guide in threesteps: item generation, cognitive interviews, and a pilot study. The study resulted in a16-item interview guide focusing on patients’ concerns and expectations, with considerationof pre-migration, migration, and post-migration factors that might affect their health. Withthe help of the guide, patients were also invited to identify difficulties in their daily activitiesand to take part in setting goals and planning their rehabilitation. The current interview guideprovides professional guidance to caretakers, taking a person-centered participative point ofdeparture when meeting and planning care, for and together, with representatives from dispersed ethnic populations in Sweden. It can be used together with the patient by all staffmembers working in primary healthcare, with the aim of contributing to continuity of careand multi-professional collaboration.

  • 14.
    Zander, Viktoria
    et al.
    Karolinska Institutet, Stockholm, Sweden .
    Eriksson, Henrik
    The Swedish Red Cross University College, Stockholm, Sweden.
    Christensson, Kyllike
    Karolinska Institutet, Stockholm, Sweden.
    Müllersdorf, Maria
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Rehabilitation of women from the Middle East living with chronic pain - perceptions from health care professionals2015Inngår i: Health Care for Women International, ISSN 0739-9332, E-ISSN 1096-4665, Vol. 36, nr 11Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Meeting patients from other countries constitutes a challenge for health care. The purpose of this study was to increase knowledge about tacit understandings of treatment in practice by determining the perceptions of chronic pain and rehabilitation directed to resettled women from the Middle East, from a variety of health care professionals within primary care. Based on the results, we find a need to support and increase knowledge among health care professionals to involve the patient and consider her beliefs, expectations, background, current life situation, and spirituality, and to involve family in rehabilitation.

  • 15.
    Zander, Viktoria
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Uppsala Univ, Ctr Clin Res Sormland, Eskilstuna, Sweden.
    Gustafsson, Christine
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Eskilstuna Municipal, Dept Hlth & Social Care, Eskilstuna, Sweden..
    Landerdahl Stridsberg, Sara
    Mälardalens högskola, Högskolebiblioteket.
    Borg, Johan
    Dalarna Univ, Sch Educ Hlth & Social Studies, Falun, Sweden..
    Implementation of welfare technology: a systematic review of barriers and facilitators2021Inngår i: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115Artikkel, forskningsoversikt (Fagfellevurdert)
    Abstract [en]

    Purpose Although studies addressing barriers to and facilitators of implementation of welfare technology have been published, no systematic review synthesising evidence on such factors has been found. The purpose of this study was therefore to identify and synthesise existing primary research on facilitators and barriers that influence the implementation of welfare technology for older people, people with disabilities and informal caregivers. Materials and methods A systematic search in 11 databases was performed using predefined inclusion and exclusion criteria to identify empirical studies that assess the implementation of welfare technology for older people, people with disabilities or informal caregivers. The search identified 33 publications with quantitative, qualitative and mixed method designs. The reported findings were thematically synthesised and conceptualised into themes. Results Six themes of facilitators and barriers that influence the implementation of welfare technology emerged: capacity, attitudes and values, health, expectations, participation and identity and lifestyle. These were presented from five perspectives: older persons and persons with disabilities, informal caregivers, health and care personnel, organisation and infrastructure and technology. The findings may be used as a means to structure the planning and evaluation of implementation processes of welfare technologies for older persons and persons with disabilities and to understand the complexities of implementation. Conclusions This knowledge generates deepened insights and structures to guide and evaluate the implementation processes of welfare technologies and engenders an understanding of the complexities of implementation.

  • 16.
    Zander, Viktoria
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Johansson-Pajala, Rose-Marie
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Gustafsson, Christine
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Methods to evaluate perspectives of safety, independence, activity, and participation in older persons using welfare technology. A systematic review2019Inngår i: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115, Vol. 15, nr 4, s. 373-393Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose: To conduct a systematic review of existing methods to evaluate the individual aspects of welfare technology from the perspectives of independence, safety, activity, and participation. Furthermore, the study aimed to describe outcomes that have been the focus of previous research to evaluate individual aspects of welfare technology in older persons living in ordinary housing. Materials and methods: A systematic literature review in PubMed, CINAHL Plus, PsycINFO, Scopus, and Web of Science. Studies selected were those that explored the use of assistive and welfare technology devices from older persons’ perspectives, and which considered the concepts of independence, safety, activity and participation, and quality of life. Results: A broad spectrum of instruments was applied in the studies. For independence, three questionnaires were used in the identified studies. For safety, one instrument was used in two versions. To study activity and participation as well as quality of life, several scales were used. Additionally, several studies included qualitative approaches for evaluation, such as interviews, or posed one or more questions regarding the effects of welfare technology. Conclusions: The integration of digital assistive and welfare technology should be based on the needs of older persons, and those needs must be assessed using reliable and relevant instruments. The heterogeneity of the target group, i.e., older persons, together with the fact that assessments must give consideration to identifying goals, obstacles, and risks as well as users’ preferences, implies a person-centred approach.

  • 17.
    Zander, Viktoria
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Karolinska Institutet, Sweden.
    Müllersdorf, Maria
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Christensson, Kyllike
    Karolinska Institutet, Sweden.
    Eriksson, Henrik
    Röda korsets högskola, Sweden.
    Struggling for sense of control - everyday life with chronic pain for women of the Iraqi diaspora in Sweden.2013Inngår i: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 41, s. 799-807Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: As dispersed ethnic populations in Swedish society expand, the healthcare system need to adapt rehabilitationservices according to their needs. The experiences of trauma and forced resettlement have a continuing impact on healthand musculoskeletal pain, as well as the intersecting structures that prerequisite the possibilities in the new country. Tounderstand the specific needs of women from the Iraqi diaspora in Sweden, there is a need to elucidate the effects of painon their everyday life. Aims: To elucidate everyday life with chronic pain from the perspective of women from the Iraqidiaspora in Sweden. Methods: Qualitative interview study according to Glaser’s grounded theory. Results: The results from11 interviews suggest that pain was associated with dependency on society as well as on family. It resulted in a strugglefor sense of control, framed by faith in God, influenced by the healthcare system, and with support from family. Thewomen’s testimony of lack of continuity of care, resulting in recollection of lived traumas in every visit, is a vital sign of theunconscious power relations within health care and how representatives from health care, instead of being the ones whohelp the women forward, become the ones who hold them back.Conclusions: The results show the importance ofchallenging the normative assumptions embedded in health care and treatment for patients with chronic painand of including the voice of “others”.

  • 18.
    Östlund, Gunnel
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Anbäcken, Els-Marie
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Gustafsson, Lena-Karin
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Zander, Viktoria
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Elfström, Magnus
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Interprofessional homebased reablement intervention of older adults - reflecting on possible trends based on the RCT pilot study.2019Konferansepaper (Fagfellevurdert)
  • 19.
    Östlund, Gunnel
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Zander, Viktoria
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Elfström, Magnus
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Gustafsson, Lena-Karin
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Anbäcken, Els-Marie
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    “It gets easier when the sun is shining”: a follow-up study after a reablement intervention2017Konferansepaper (Fagfellevurdert)
  • 20.
    Östlund, Gunnel
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Zander, Viktoria
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Elfström, Magnus
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Gustafsson, Lena-Karin
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Anbäcken, Els-Marie
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Older adults’ experiences of a reablement process.: "To be treated like an adult, and ask for what I want and how I want it"2019Inngår i: Educational gerontology, ISSN 0360-1277, E-ISSN 1521-0472, Vol. 45, nr 8, artikkel-id https://doi.org/10.1080/03601277.2019.1666525Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 21.
    Östlund, Gunnel
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Zander, Viktoria
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Elfström, Magnus, L.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Gustafsson, Lena-Karin
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Anbäcken, Els-Marie
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    ´Nothing to do about it, simply hang on´ - Older women´s experiences of social and existential health after a reablement intervention2018Konferansepaper (Fagfellevurdert)
1 - 21 of 21
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