| 41. |
- Högberg, Håkan, et al.
(författare)
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Stress och skräck inför byråkratin
- 2011
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Ingår i: Debattartikel i Norrländska Socialdemokraten (NSD) den 13 maj 2011..
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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| 44. |
- Järbrink, Hanna, et al.
(författare)
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Recovering from physical trauma in late life, a struggle to recapture autonomy: A grounded theory study
- 2023
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Ingår i: Journal of Advanced Nursing. - : John Wiley & Sons. - 0309-2402 .- 1365-2648. ; , s. 1-12
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Tidskriftsartikel (refereegranskat)abstract
- Aim: The study aimed to explore the experiences of care and recovery among older patients treated for physical trauma. Design: A qualitative study with a constructivist grounded theory design. Methods: Fifteen in-depth interviews with older adults recovering from physical trauma were conducted and analysed between 2019 and 2023, in accordance with grounded theory methodology. Results: The findings show that for older patients who suffered physical trauma, the core category was the strive to recapture autonomy. This was achieved by means of Adaptation, Reflection and Interactions, which constitute the three main categories. Recovery involves facing and navigating various new life challenges, such as increased dependency on others, managing difficult symptoms and adapting in various ways to everyday life. The recovery process was influenced by fear, hope and the attitude towards new challenges. Conclusion: Older adults being cared for after a traumatic event have a difficult path to recovery ahead of them. Dealing with increased unwanted dependency on others was a main concern for the participants. Undertreated symptoms can lead to undesired isolation, delayed recovery and further increase unwanted dependency. On the other hand, hope, which was defined as having a positive approach to life and longing for the future, was a strong accelerating factor in the recovery process. Impact: As a result of this study, we have established that older patients experience the initial period after trauma as difficult and that support in the initial phase can be helpful when returning home. As healthcare services are under increasing pressure because of an ageing population, this study contributes by addressing an understudied population and clarifying their concerns. Reporting Method: Reporting adheres to the COREQ (COnsolidated criteria for REporting Qualitative research) Checklist. Patient or Public Contribution: No patient or public involvement
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| 45. |
- Järbrink, Hanna, et al.
(författare)
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Trauma in older adults: Family members´experiences of becoming a caregiver
- 2024
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Ingår i: RCN (Royal College of Nursing) International Nursing Research Conference, 10-12 September 2024. Northumria University, Newcastle Upon Tyne..
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Aims: To explore the experiences of family members of older persons affected by physical trauma. Introduction: The population of older adults is growing rapidly and it is estimated that the number of people >85 and over will have nearly doubled by 2050(1). As the number of older adults increases, so does the burden on healthcare systems from diseases and injuries associated with ageing as well as decreased overall health (2). Limited resources and staffing compound these challenges, affecting the provision of quality care. The trend towards shorter hospital stays necessitates increased patient responsibility after discharge, highlighting the crucial role of family and social networks in the caregiving process. Design: Employing a qualitative approach with an inductive descriptive design, the study was conducted at a level 1 trauma center. Methods: Nine focus group interviews involving 24 family members were conducted between January 2022 and November 2022. The data were the analyzed using qualitative content analysis. This study was approved by the Swedish Ethical Review Authority. Results: Family members of older trauma patients (aged >65 years) highlighted significant challenges within the healthcare system, particularly related to insufficient information provision. The trauma and recovery journey of older patients substantially impacted the lives of their family members, evoking feelings of anxiety and personal disruption. In addition to emotional strain, family caregivers had to adapt their living and work arrangements and navigate the complexities of healthcare, alongside uncertainties regarding their loved one’s care and recovery. Conclusion: The study reveals deficiencies in the care of older trauma patients, notably in information dissemination and family involvement. It emphasizes the need for educating and coaching family caregivers to advocate for both the patient and themselves, manage stressors effectively, and adjust to their roles as informal caregivers. Nurses can play a pivotal role in alleviating these burdens by actively engaging family members in the care process.
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