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- Laustsen, Christine E., et al.
(författare)
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Involvement of professionals in research: knowledge integration, development of practice, and challenges : a group concept mapping study
- 2021
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Ingår i: Health Research Policy and Systems. - 1478-4505 .- 1478-4505. ; 19:1, s. 1-17
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Research and practice are often considered as two different worlds with different values, which causes a gap between them. Involving professionals such as practitioners, managers, decision-makers, and policy-makers in research on ageing and health might address the gap between research and practice, strengthen the healthcare system, and increase older people's possibilities for healthy ageing. The aim of this study was to conceptualize professionals' involvement in research on ageing and health from the perspective of the professionals themselves.METHODS: A mixed method called group concept mapping was used. Professionals with experience being involved in research on ageing and health participated in qualitative data collection through brainstorming sessions (n = 29) and by sorting statements (n = 29). Afterwards, they participated in a quantitative data collection by rating statements according to how much each statement strengthened practice (n = 30) and strengthened research (n = 28). Multidimensional scaling analysis and hierarchical cluster analysis were used to conduct quantitative analysis. Latent qualitative analysis was also conducted.RESULTS: Analysis resulted in eight clusters which illustrated conceptual areas of professionals' involvement in research projects. The qualitative latent construct of the cluster map resulted in the themes: challenges for professionals; prerequisites and professionals' learning can contribute to development of practice; and integrated knowledge benefits older people. There was a strong correlation between what strengthens practice and research (r = 0.92).CONCLUSIONS: This study illustrates conceptual areas of professionals' own perspectives on what their involvement in research can lead to. Their involvement may lead to knowledge being integrated, and the professionals may learn through their involvement, which can contribute to the development of practice. However, there can also be challenges that need to be handled when professionals are involved in research. The study can be useful for improving the understanding of and actual involvement of professionals in research, and for optimizing the involvement of professionals.
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- Nivestam, Anna, et al.
(författare)
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Give older persons a voice in the society : By using information compiled during preventive home visits on a societal level
- 2021
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Ingår i: International Journal of Environmental Research and Public Health. - 1661-7827 .- 1660-4601. ; 18:14, s. 1-17
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Tidskriftsartikel (refereegranskat)abstract
- Preventive home visits (PHVs) are offered to older persons with the purpose of promoting health and preventing risks on an individual level. However, aspects of health need to be considered on a societal level as well. This study aims to get a deeper understanding of perceptions of the usability of the information compiled during the PHVs to promote health, among older persons, on a societal level. Three online focus groups were conducted with heads of unit of PHVs, heads of department, and politicians responsible for health and welfare in seven municipalities in Sweden (n = 12). The findings were visualised in the core category Enable an inclusive society and the interrelated categories Monitoring determinants of health and Enabling exchange of information. The information from the PHVs could be used to monitor determinants of health by identifying assets, challenges, shifts, trends, and future needs in the society. Moreover, exchange of information from the PHVs could occur within and outside the health and welfare organisation. However, the potential use was affected by hindrances illustrated in the category Obstacles to interpreting and communicating the information. To conclude, using the information from the PHVs could possibly contribute to an inclusive society, where persons not usually represented in decision making are given a voice.
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- Nivestam, Anna, et al.
(författare)
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Older person's experience of the gains from the support and advice given during the preventive home visit
- 2021
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Background: In order to maintain good health in old age, a comprehensive perspective including both health promotion and risk prevention is crucial. Preventive home visit is one intervention with the purpose to prevent risks and promote health among older persons. Support and advice given during the preventive home visit needs to be tailored towards the older person’s needs. In order to give advice and support that is targeting older persons prerequisites there is a need for more research about how older persons experience support and advice given during a preventive home visit. Therefore, the aim of this study was to explore older person’s experiences of the gains from the support and advice given in a preventive home visit program developed in collaboration between several municipalities, a county council and researchers.Method: Individual semi-structured interviews were conducted with 13 older persons, mean age 79 years old, living at home who had received a preventive home visit. The interviews were analysed with content analysis.Findings: The overarching preliminary theme Being empowered and recognised as a person reviled the participants feeling of that the support and advice given encountered all aspects of health and the whole person. The support and advice generated conditions for the person to be empowered by contributing to a feeling of control and preparedness for the future. Further the support and advice given contributed to a feeling of being recognised when health, behaviour and the surrounding environment were assessed.Conclusion: Being empowered and recognised as a person might be central gains from the support and advice given during the preventive home visits, which enables good health among older persons.
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- Nivestam, Anna, et al.
(författare)
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Promote social participation among older persons by identifying physical challenges : an important aspect of preventive home visits
- 2021
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Ingår i: Archives of gerontology and geriatrics (Print). - 0167-4943 .- 1872-6976. ; 93, s. 1-6
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: Social participation can have a positive impact on health; however, physical challenges can be hindrances. During a preventive home visit a health professional (visitor) assesses different aspects of physical, mental and social health. However, there might be a challenge for the visitor to discover the interrelationship between physical factors that hinder social participation. Therefore, the aim of this study was, in the context of preventive home visits, to identify physical factors which can hinder older persons from taking part in social contexts. Methods: Cross-sectional register data from preventive home visits to older persons (n=1,245, ≥77 years old, without home care) was used. Data was collected during a period of 17 months, in seven Swedish municipalities. Logistic regression was used to analyse the association between physical factors and the item physical problems hindering social participation. Results: The mean age was 78.8 (standard deviation 1.8 years), and 55% were women. The physical factors significantly associated with physical problems hindering taking part in social contexts were: having urinary incontinence (women only), having pain, impaired endurance and using a mobility device. Conclusions: This study provides insights into how to make the best use of the questions asked during preventive home visits, in order to enable older persons to take part in social contexts. The results recognise the importance of taking into account physical challenges to be able to support social participation. Furthermore, considering physical challenges for social participation on both an individual and a societal level might reduce inequalities among older persons.
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