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- Melander-Wikman, Anita, et al.
(författare)
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Patient empowerment in rehabilitation : "somebody told me to get rehabilitated"
- 2006
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Ingår i: Advances in Physiotherapy. - : Informa UK Limited. - 1403-8196 .- 1651-1948. ; 8:1, s. 23-32
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Tidskriftsartikel (refereegranskat)abstract
- Within healthcare, there is a growing interest in patient influence and participation. The aim of this study is to describe patients' experience of participation in and influence on rehabilitation with the focus on physiotherapy. Interviews with patients from three different primary healthcare centres were conducted. The result indicated low patient participation in and influence on the rehabilitation process within the hospital. The informants trusted the competence of the caregivers and tried to be as compliant as possible. Their experiences were that training must be supported and followed up. Information about rights was requested. The informants felt that they were listened to and confirmed by the physiotherapists. The positive attitude was combined with low demands and a great feeling of gratitude as a matter of course. Using information and support from the physiotherapist, together with friends and next of kin, the informants had learned to cope with the new situation. In this paper, these results are understood and described in terms of the parallel process of rehabilitation, based on traditional and individual models, and implying that the patient copes with the situation by shifting between being compliant and adopting more self-regulatory behaviour, for example. Attitudes are changing in society and this study reflects the patient of today, and is confirmed by recent studies
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| 2. |
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| 3. |
- Melander-Wikman, Anita, et al.
(författare)
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Safety versus privacy : elderly persons' experiences of a mobile safety alarm
- 2007
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Ingår i: 15th International Congress of the World Confederation for Physical Therapy. - : WCPT.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- PURPOSE: The purpose was to develop and test mobile information and communication technology (mICT), in the form of a mobile safety alarm, and to explore how this mobile safety alarm was experienced from an empowerment perspective. RELEVANCE: Future demographic development means an increased elderly population in Sweden. One of the greatest challenges for a society with an ageing population is to provide high-quality health and social care. Many elderly people stay active and healthy at higher ages; however, an increased mean age does not always mean increased health. The demographic development is often described as a huge problem but there is also an approach where "the elderly boom", seen as a cluster, also can be seen as an opportunity for growth. New information and communication technology (ICT) and services aiming at the improvement of the health, comfort and safety of elderly people are being developed and tested. From research it is well known that dimensions of empowerment have an impact on preserving health; and it is also important for the individual to feel safe. In order to enable elderly people to stay at home as long as possible, various kinds of assisted technology are often used: safety alarms are common and are used by elderly people and also by those with functional limitations. PARTICIPANTS: The participants that tested the mobile safety alarm were five elderly people with functional limitation (for example, after a stroke) and four healthy elderly people from a pensioners' organisation. METHODS: The methodology used was an intervention with a mobile alarm containing a drop sensor and a positioning device, as well as qualitative interviews with the research persons. ANALYSIS: In order to analyse the results, qualitative content analysis was used. RESULTS: The result showed that the mobile safety alarm that was developed and tested was seen as offering increased opportunity for mobility, both in terms of being able to be more active and as an aid to self-determination. The fact that the test participants were located by means of the positioning device was not experienced as violating privacy as long as it was clear that the person her/himself could decide to use the alarm. The mobile safety alarm that was tested was a prototype in development and the research persons saw themselves as participants closely and actively involved in the development process, who contributed their recommendations for improvement. CONCLUSIONS: Conclusions that can be drawn are that it is important for elderly persons to actively participate in the development process of new assistive technologies. In development, methodologies for empowerment of the elderly should be used. IMPLICATIONS: Mobile safety alarms can in the future make it easier for elderly persons to be active and mobile and this might increase the options for elderly people to stay healthy.
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| 4. |
- Melander-Wikman, Anita, et al.
(författare)
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Safety vs. privacy : elderly persons' experiences of a mobile safety alarm
- 2008
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Ingår i: Health & Social Care in the Community. - : Hindawi Limited. - 0966-0410 .- 1365-2524. ; 16:4, s. 337-346
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Tidskriftsartikel (refereegranskat)abstract
- The demographic development indicates an increased elderly population in Sweden in the future. One of the greatest challenges for a society with an ageing population is to provide high-quality health and social care. New information and communication technology (ICT) and services can be used to further improve health care. To enable elderly persons to stay at home as long as possible, various kinds of technology, such as safety alarms, are used at home. The aim of this study was to describe the experiences of elderly persons through testing a mobile safety alarm and their reasoning about safety, privacy and mobility. The mobile safety alarm tested was a prototype in development. Five elderly persons with functional limitations and four healthy elderly persons from a pensioner's organisation tested the alarm. The mobile alarm with a drop sensor and a positioning device was tested for six weeks. This intervention was evaluated with qualitative interviews, and analysed with latent content analysis. The result showed four main categories: feeling safe, being positioned and supervised, being mobile and reflecting on new technology. From these categories, the overarching category "Safety and mobility are more important than privacy" emerged. The mobile safety alarm was perceived to offer an increased opportunity for mobility in terms of being more active and as an aid for self-determination. The fact that the informants were located by means of the positioning device was not experienced as violating privacy as long as they could decide how to use the alarm. Conclusions: This mobile safety alarm was experienced as a tool to be active and mobile. As a way to promote self-determination and empowerment, the individual has to make a "cost-benefit" analysis where privacy is sacrificed to the benefit of mobility and safety. The participants were actively contributing to the development process.
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