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  • 51.
    Snöljung, Asa
    et al.
    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.
    Physiotherapy: How to work with evidence in daily practice2019In: Journal of Evaluation In Clinical Practice, ISSN 1356-1294, E-ISSN 1365-2753, Vol. 25, no 2, p. 216-223Article in journal (Refereed)
    Abstract [en]

    Rationale, aims, and objectives The concept of evidence-based health care has gained increasing currency over the past decades; however, questions persist regarding how to overcome the gap between research and health care practice. The question arises whether this gap derives from a true knowledge deficit or from physiotherapists' perception of working with evidence. The aim of the current study was to illuminate changes to the meaning of working with evidence experienced by a cohort of physiotherapists following an education program. Methods A phenomenological hermeneutic design with open-ended group interviews was carried out with physiotherapists who had participated in an education program about evidence and how to implement evidence-based practice (EBP) in day-to-day practice. Findings The interviews provided descriptions of working with evidence according to three major themes: "Confidence with the concept of evidence in relation to a way of working"; "Experience of EBP as a duty to seek evidence for individual patients"; and "EBP experienced as an integrated and patient-oriented activity". Conclusions The physiotherapists' lived experiences demonstrated that the participants' perception of the concept of evidence mainly concerned a broadening of the definition of evidence, and this altered perception of evidence could interpreted as the physiotherapists viewing EBP as a more integrated and patient-oriented activity than before.

  • 52.
    Snöljung, Åsa
    et al.
    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.
    Mattsson, Karin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    The diverging perception among physiotherapists of how to work with the concept of evidence: A phenomenographic analysis2014In: Journal of Evaluation In Clinical Practice, ISSN 1356-1294, E-ISSN 1365-2753, Vol. 20, no 6, p. 759-766Article in journal (Refereed)
    Abstract [en]

    Rationale, aims and objectives

    Changes in Sweden's municipal care have impacted the situation of physiotherapists by the adoption of practice based on research evidence. Even if physiotherapists appear to be in favour of the idea of evidence-based practice, barriers still exist that prevent many from keeping up with current research. The aim of this study was to identify and describe the different ways in which physiotherapists in municipal care perceive the concept of evidence in rehabilitation.

    Methods

    A phenomenographic design with semi-structured interviews was carried out with physiotherapists working with frail older people in three municipal care units in two neighbouring municipalities in Sweden. The physiotherapists' perceptions of evidence were explored in 12 interviews.

    Results

    Distinct perceptions of the concept of evidence are identified in three categories: ‘Confidence with the concept of evidence in relation to measurement instruments’; ‘Perception of evidence-based practice as a duty, condition and demand of the profession’; and ‘Evidence-based work as a separate rather than directly patient-oriented activity’.

    Conclusions

    Physiotherapists take full responsibility to comply with what they perceive to be the demands of their profession. However, what evidence actually meant, and therefore what the practical element of this responsibility consisted of, was not as clear.

  • 53.
    Söderman, Mirkka
    et al.
    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.
    Gustafsson, Lena-Karin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    “Intensive-Home-Rehabilitation” Intervention for Older Persons: A Follow-Up Study of Team Members’ Perceptions2023In: Journal of Multidisciplinary Healthcare, ISSN 1178-2390, E-ISSN 1178-2390, Vol. 16, p. 2207-2216Article in journal (Refereed)
    Abstract [en]

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

  • 54.
    Söderman, Mirkka
    et al.
    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.
    Older persons’ experiences of intensive home rehabilitation: a follow-up study of the interventio2022Conference paper (Refereed)
  • 55.
    Söderman, Mirkka
    et al.
    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.
    Respite care for ageing in dignity when suffering from dementia - a interdisciplinary mixed method project2023Conference paper (Refereed)
  • 56.
    Söderman, Mirkka
    et al.
    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.
    The variety of dilemmas in the rehabilitation process and the older persons' strategies to face them – A follow up study of a IHR intervention2023Conference paper (Refereed)
  • 57.
    Söderman, Mirkka
    et al.
    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. Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Uppföljning IHR FORSKNINGSRAPPORT2022Report (Other academic)
    Abstract [sv]

    Sammanfattning

    En forskargrupp på HVV genomförde 2015-2019 ett forskningsprojekt i samarbete med Eskilstuna Kommun och MKHV. Intensiv hemrehabilitering (IHR) designades som en intervention där forskningspersonerna, äldre personer (65+), som ansökt om omvårdnadsinsatser i den kommunala hemtjänsten fått intensiv hemrehabilitering utfört av ett interprofessionellt team. Resultaten jämfördes med en kontrollgrupp som fått sedvanlig hemtjänst. Intervjuer genomfördes 2016 med 24 av de äldre personerna som ingick i projektet. Framgångsfaktorer för IHR har visat sig vara att vårdaren är motiverande, skapar en positiv atmosfär, känner av den gemensamma rytmen och gör något utöver det förväntade i strävan att stödja personen. Däremot saknas det kunskap om varför vissa personer inte återhämtar sig trots att de fått IHR. Nu när det gått några sedan de senaste mätningarna finns en önskan om att följa upp patienter/brukares erfarenheter av den intensiva hemrehabiliteringen. Syfte: Forskningsprojektet avser att genom uppföljning belysa äldres erfarenheter av en IHR-intervention samt beskriva eventuella hinder för återhämtning. Frågeställningar är bland andra: Vilka upplevelser av omsorgsinsatser i hemmet beskriver deltagarna efter interventionen intensiv hemrehabilitering? Vilka dilemman framträder i rehabiliteringsprocessen? Metod: En fallkontrollundersökning genom journalgranskning, protokoll med kvalitativa frågeställningar och kvalitativ analys. Urvalet utgick från ett rimligt material att utöva en kvalitativ uppföljning för att beskriva situationen för de äldre personerna som fått IHR. Personer som fått IHR inkluderades. Detta är ett kvalitativt projekt och räknar inte statistisk styrka. Materialet består av 19 journaler/brukardokumentationer samt 11 djupintervjuer. Resultat: I journaltexterna framkom bakgrundsfaktorer som kan påverka behov av hjälp såsom att ha tilläggsdiagnoser och att vara ensamboende. De äldre personerna upplevde sig dels behöva mer tid för att kunna nå målet med interventionen, dels att målet inte kunde uppnås då fysiska besvär som försvårar träningen och förlänger rehabiliteringsprocessen. Detta kunde vara smärta, ostadighet och rädsla för att ramla. Psykiska faktorer som försvårar träningen och förlänger rehabiliteringsprocessen kunde vara kommunikativa brister som att inte vara införstådd med vad IHR innebar eller den äldre personens kognitiva förmåga att uppfatta information. Slutsatser: Förutom fysiska faktorer finns det psykiska faktorer som kan försvåra träningen och förlänga rehabiliteringsprocessen. Exklusionskriterierna till IHR kan behöva ses över så att inte i denna typ av interventioner enbart exkludera personer med allvarlig kognitiv dysfunktion utan att även mildare kognitiv dysfunktion tas med i beaktningen. Likväl när det gäller personer med vissa typer av psykiska sjukdomar som kan påverka förmågan att ta till sig interventionen. Övriga slutsatser rapporteras förutom till Eskilstuna kommun i vetenskapliga publikationer under våren.

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  • 58.
    Söderman, Mirkka
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Rylander, Annelie
    Mälardalen University, School of Health, Care and Social Welfare.
    Gustafsson, Lena-Karin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    The path of recovery towards a new way of living among cancer survivors2022Conference paper (Refereed)
  • 59.
    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)
  • 60.
    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)
  • 61.
    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.

  • 62.
    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)
12 51 - 62 of 62
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