| 1. |
- Johansson, Karin C, et al.
(författare)
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Narratives of care providers concerning picking behavior among institutionalized dementia sufferers
- 1999
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Ingår i: Geriatric Nursing. - 0197-4572 .- 1528-3984. ; 20:1, s. 29-32
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Tidskriftsartikel (refereegranskat)abstract
- To illuminate the meaning of picking behavior in institutionalized people with dementia, the narratives of 15 care providers were interpreted using a method inspired by Ricoeur's phenomenologic hermeneutics. The care providers saw the behavior as a form of meaningful communication. The behavior was described as occurring in combination with wandering and in connection with restlessness and stress related to fatigue, difficulty communicating, and lack of occupation. The behavior also was seen as an attempt to engage in meaningful activities. Some care providers reported that the picking behavior caused them strain, whereas others reported a more positive reaction because the behavior made the ward more alive. Most care providers perceived the meaning of the picking behavior relative to the dementia sufferer's previous life and said they reacted by diverting, allowing, or understanding the picking.
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| 2. |
- Almevall, Albin Dahlin, et al.
(författare)
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Associations between everyday physical activity and morale in older adults
- 2022
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Ingår i: Geriatric Nursing. - : Elsevier. - 0197-4572 .- 1528-3984. ; 48, s. 37-42
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Tidskriftsartikel (refereegranskat)abstract
- Studies that objectively investigate patterns of everyday physical activity in relation to well-being and that use measures specific to older adults are scarce. This study aimed to explore objectively measured everyday physical activity and sedentary behavior in relation to a morale measure specifically constructed for older adults. A total of 77 persons (42 women, 35 men) aged 80 years or older (84.3 ± 3.8) wore an accelerometer device for at least 5 days. Morale was measured with the Philadelphia Geriatric Center Morale Scale (PGCMS). PGCMS scores were significantly positively associated with number of steps, time spent stepping, and time spent stepping at >75 steps per minute. Sedentary behavior did not associate with PGCMS. Promoting PA in the form of walking at any intensity–or even spending time in an upright position—and in any quantity may be important for morale, or vice versa, or the influence may be bidirectional.
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| 3. |
- Borg, Christel, et al.
(författare)
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Life satisfaction in 6 European Countries : The Relationship to health, Self-Esteem, and Social and Financial Resources among People (Aged 65-89) with Reduced Functional Capacity
- 2008
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Ingår i: Geriatric Nursing. - New York : Mosby. - 0197-4572 .- 1528-3984. ; 29:1, s. 48-57
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to investigate how overall health, participation in physical activities, self-esteem and social and financial resources are related to life satisfaction among people (65+) with reduced Activities of Daily Living (ADL) capacity in six European countries. A subsample of the European Study of Adults’ Well-Being (ESAW), consisting of 2195 people with reduced ADL capacity from Sweden, the UK, the Netherlands, Luxembourg, Austria, and Italy, was included. The Older Americans’ Resources Schedule (OARS), the Life Satisfaction Index Z, and the Self-esteem scale were used. In all national samples, overall health, self-esteem and feeling worried, rather than ADL capacity, were significantly associated with life satisfaction. The findings indicate the importance of not only taking the reduction in functional capacity into account, but also the individual’s perception of health and self-esteem, when outlining health care and nursing aimed at improving life satisfaction. The study thus suggests that personal, rather than environmental, factors are important for life satisfaction among people with reduced ADL capacity living in Europe.
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| 4. |
- Bäckström, Josefin, Med dr, 1977-, et al.
(författare)
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Reliability and internal consistency of the Swedish version of the MAastrIcht Nurses Activities INventory (MAINtAIN(S)) - A pilot testing of the tool.
- 2020
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Ingår i: Geriatric Nursing. - NEW YORK, USA : Elsevier BV. - 0197-4572 .- 1528-3984. ; 41:6, s. 790-803
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVES: To evaluate the test-retest reliability and internal consistency of the Swedish version of the MAastrIcht Nurses Activities INventory (MAINtAIN(S)) developed to measure nursing staff perceived behaviours and barriers for promotion of everyday activities in nursing home residents.METHOD: Nursing staff completed the MAINtAIN(S) questionnaire on two occasions at 3-week intervals. Relative reliability, absolute reliability and internal consistency with Cronbach's alpha were calculated.RESULTS: The test--retest reliability of MAINtAIN(S)-behaviours subscales ranged from ICC2. = 0.78--0.91 and MAINtAIN(S)-barriers subscales from ICC2.1 = 0.60--0.84. Cronbach's alpha varied between 0.60 and 0.91 for the different subscales. The MAINtAIN(S) inventory shows acceptable reliability and internal consistency. MAINtAIN(S) seems to be a promising tool for identifying behaviours and barriers in promoting everyday activities in nursing home residents and can be used to develop ward specific interventions for promotion of daily physical activity level in the care of older adults.
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| 5. |
- Djukanovic, Ingrid, et al.
(författare)
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The meaning of continuity of care from the perspective of older people with complex care needs - A scoping review
- 2024
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Ingår i: Geriatric Nursing. - : Elsevier. - 0197-4572 .- 1528-3984. ; 55, s. 354-361
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Tidskriftsartikel (refereegranskat)abstract
- People aged 65 years or older with complex care needs are at risk of fragmented care. This may jeopardise patient safety. Complex care needs are defined as care needs that require the performance of time-consuming processes such as reviewing medical history, providing counselling, and prescribing medications. A scoping review was conducted with the aim of mapping the literature regarding continuity of care from the perspective of older people with complex care needs. Search results from seven databases (PubMed, Cinahl, PsycInfo, ASSIA, Web of Science, Google Scholar, Scopus, DOAJ), grey literature (BASE), and a hand-search search of key journals were used. A deductive analysis based on aspects of continuity of care was performed. The search resulted in 5704 records. After a title and abstract screening, 93 records remained. In total, 18 articles met the inclusion criteria and were included in the scoping review. Older people's sense of continuity of care increases when fewer healthcare workers are involved in their care but help from skilled professionals is more important than meeting the same person. It is vital for older people's feeling of continuity of care that discharge planning involves them, their families, and care providers in an organised way. (c) 2023 The Author(s). Published by Elsevier Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/)
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| 6. |
- Dorell, Åsa, et al.
(författare)
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Becoming visible : Experiences from families participating in Family Health Conversations at residential homes for older people
- 2016
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Ingår i: Geriatric Nursing. - : Elsevier BV. - 0197-4572 .- 1528-3984. ; 37:4, s. 260-265
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Tidskriftsartikel (refereegranskat)abstract
- Having a sick family member living at a residential home for older people can be difficult for families, who as a result often suffer from feelings of forsakenness and powerlessness. In response, the purpose of this study was to illuminate family members' experiences with participating in Family Health Conversations at residential homes for older persons 6 months after concluding the conversation series. Twenty-two family members who participated in the conversations later took part in group interviews, the texts of which were analyzed according to qualitative content analysis. Findings showed that participating in Family Health Conversations mediated consolation, since within such a liberating communicative interaction, family members for the first time felt visible as persons with individual significance. Family members reported a positive experience involving both being open to each other and speaking and listening to each other in a new, structured way. As a result, families were able to discover their family members' problems and suffering, as well as to identify their family's resources and strengths.
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| 7. |
- Ebrahimi, Zahra, 1972, et al.
(författare)
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A systematic review on implementation of person-centered care interventions for older people in out-of-hospital settings
- 2021
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Ingår i: Geriatric Nursing. - : Elsevier BV. - 1528-3984 .- 0197-4572. ; 42:1, s. 213-224
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Tidskriftsartikel (refereegranskat)abstract
- The purpose: of this study was to explore the content and essential components of implemented person-centered care in the out-of-hospital context for older people (65+). Method: A systematic review was conducted, searching for published research in electronic databases: PubMed, CINAHL, Scopus, PsycInfo, Web of Science and Embase between 2017 and 2019. Original studies with both qualitative and quantitative methods were included and assessed according to the quality assessment tools EPHPP and CASP. The review was limited to studies published in English, Swedish, Danish, Norwegian and Spanish. Results: In total, 63 original articles were included from 1772 hits. The results of the final synthesis revealed the following four interrelated themes, which are crucial for implementing person-centered care: (1) Knowing and confirming the patient as a whole person; (2) Co-creating a tailored personal health plan; (3) Inter-professional teamwork and collaboration with and for the older person and his/her relatives; and (4) Building a person-centered foundation. Conclusion: Approaching an interpersonal and inter-professional teamwork and consultation with focus on preventive and health promoting actions is a crucial prerequisite to co-create optimal health care practice with and for older people and their relatives in their unique context.
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| 8. |
- Ebrahimi, Zahra, et al.
(författare)
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Health despite frailty: Exploring influences on frail older adults’ experiences of health
- 2013
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Ingår i: Geriatric Nursing. - 0197-4572 .- 1528-3984. ; 34:2013, s. 289-294
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to explore and identify influences on frail older adults’ experience of health. A sample of older adults, 11 men and 11 women aged 67e92, with diverse ratings of self-perceived health ranging from poor to excellent were selected through a purposeful strategic sampling of frail older adults taken from a broader sample from a quantitative study on health. In total, 22 individual qualitative interviews were analyzed using qualitative content analysis in which themes were developed from raw data through a systematic reading, categorization of selected text, theme development and interpretation. To feel assured and capable was the main theme, which consisted of five subthemes: managing the unpredictable body, reinforcing a positive outlook, remaining in familiar surroundings, managing everyday life, and having a sense of belonging and connection to the whole. The importance of supporting frail older adults in subjective resilience in their context is emphasized.
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| 9. |
- Ebrahimi, Zahra, et al.
(författare)
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Key components in implementation of person-centred care för older people in out-of-hospital settings- A systematic review
- 2023
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Ingår i: Geriatric Nursing. - 0197-4572 .- 1528-3984.
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Konferensbidrag (refereegranskat)abstract
- Background This systematic review has previously been published in Geriatric Nursing [1], (http://creativecommons.org/licenses/by/4.0/ ). As the global population ages, the demand for healthcare services for older people outside of hospital has grown significantly. This study is contemporary in the time of an ongoing reform to an integrated and person-centred care in Sweden. It provides a holistic overview of the current state of person-centered care interventions for older people in out-of-hospital settings. The review encompasses various healthcare settings, including primary care, home care, long-term care, and community-based services. Objective The aim of this systematic review was to explore the content and essential components of implemented person-centered care in the out-of-hospital context for people aged 65 and older. Method A systematic review was conducted, searching for published research in several electronic databases between 2017 and 2019. Original studies with both qualitative and quantitative methods were included and assessed according to the quality assessment tools EPHPP and CASP. Results The results underscored four interconnected themes crucial to the implementation of person-centered care: 1.Recognizing and validating the patient as a whole person. 2.Co-creating a tailored health plan. 3.Engaging in teamwork across various healthcare professionals and fostering cooperation with both the older persons and their relatives. 4.Establishing a person-centered base with focus on preventive and health-promoting actions. Conclusion Practicing a person-centred ethic, approaching an interpersonal and inter-professional teamwork is a crucial prerequisite to co-create integrated and person-centred care practice with and for older people and their relatives in their unique context. The importance of preventive and health-promoting actions is emphasized in teamwork and consultation. It underscores the need for continued research, policy development, and practice innovation, to promote the adoption of person-centered care as a standard approach to caring for older adults in diverse healthcare settings. Reference 1.Ebrahimi, Z., Patel, H., Wijk, H., Ekman, I., Olaya-Contreras, P., A systematic review on implementation of person-centered care interventions for older people in out-of-hospital settings. Geriatric Nursing, 2020. 8: p. 1-12.
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| 10. |
- Falk, Hanna, 1977, et al.
(författare)
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Frail Older Persons' Experiences of Interinstitutional Relocation
- 2011
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Ingår i: Geriatric Nursing. - : Elsevier BV. - 0197-4572 .- 1528-3984. ; 32:4, s. 245-256
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Tidskriftsartikel (refereegranskat)abstract
- This study examined the effects and experiences of an interinstitutional relocation on older persons' quality of life, wellbeing, and perceived person-centeredness. A pre-test/post-test mixed method design, with an equivalent reference group, was used to examine relationships between variables and to explore personal meaning. Results indicate a significantly larger deterioration in perceived person centeredness among those cognitively intact residents that moved compared to the non-movers. Interviews with moving residents revealed that the relocation was experienced as uncontrollable, un-affectable, and uncertain. However, no significant relocation effects were found from the proxy ratings of the cognitively impaired residents. Nursing interventions that involve, inform, and prepare older persons prior to interinstitutional relocation to enhance their sense of control of the move might minimize adverse relocation effects. Further research is needed on the effects of interinstitutional relocations, which procedures that should be used, as well as effects of preparatory interventions.
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