| 1. |
- Loeb, Carina, 1967-, et al.
(författare)
-
Att som vuxen leva med hjälp från en ställföreträdare : En förstudie om huvudmännens förväntningar och upplevelser i Eskilstuna och Strängnäs
- 2021
-
Rapport (övrigt vetenskapligt/konstnärligt)abstract
- De som har en ställföreträdare, vilka kallas för huvudmän, är en sårbar grupp eftersom de i många fall är beroende av andra för att kunna klara sig i sin vardag. Människor som av fysiska eller psykiska orsaker inte kan föra sin egen talan i rättsliga frågor kan få hjälp i form av en ställföreträdare enligt föräldrabalken. En ställföreträdare träder in i huvudmannens ställe i en rad situationer där huvudmannen behöver hjälp. Huvudmännens relationer till ställföreträdare har stor betydelse för huvudmännens levnadsvillkor i vardagen.Syftet med denna förstudie har varit att undersöka huvudmännens förväntningar på och erfarenheter av att leva med hjälp från god man eller förvaltare för att kunna klara sig i sin vardag. Förstudiens frågeställningar är följande: Vilka förväntningar har huvudmännen på sin ställföreträdare? Vilka erfarenheter har huvudmännen av hjälp från ställföreträdare i sin vardag? Hur upplever huvudmännen tilltron till sin egen förmåga att kunna klara sig på egen hand i sin vardag? Hur upplever huvudmännen tilltron till sin egen förmåga att kunna påverka vilken hjälp de kan få av sin ställföreträdare? Vilka utvecklingsområden finns avseende hjälp genom ställföreträdarskap och huvudmännens tilltro till sin egen förmåga?Ett praktiskt och erfarenhetsbaserat lärande och utveckling har stått i centrum i förstudiens design redan från början genom ett praktiknära och deltagarbaserat forskningsperspektiv. Både tematiskt öppna frågor och slutna frågor användes vid datainsamling. Beroende på deltagarnas behov och kognitiva funktionsnedsättning gavs kompletterande förklaringar av frågorna.Huvudmännens förväntningar på och erfarenheter av att leva med hjälp från god man eller förvaltare för att kunna klara sig i sin vardag visar intressanta resultat. Likheter och skillnader om hjälp från ställföreträdare ger en bra grund för vidare utvecklingsarbeten. En generell slutsats är att det görs en del goda arbeten för huvudmännen, men det behövs en del förbättringar också. Följande rekommendationer vill vi särskilt uppmärksamma:- Goda exempel och framgångsfaktorer i ställföreträdarskap bör tas tillvara och synliggöras- Vad som ingår i ställföreträdarskap enligt bestämmelser bör tydliggöras mer både för huvudmännen och ställföreträdare- Utbildningsinsatser för ställföreträdare bör ses över och kunskaper om olika typer av funktionsnedsättning som huvudmännen har ges tillräckligt- En heterogen grupp framträder där tilltron till förmågan och förväntningar och erfarenheter varierar till en viss del, vilket är ett tecken på att dialog, samråd och lyhördhet bör prioriteras i fortsatt utvecklingsarbeten
|
|
| 2. |
- Baudin, Katarina, 1971-
(författare)
-
Assistive technology and welfare technology explorations : Aspects of perception, utilisation and decision-making
- 2021
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Aims: The overall aim of this thesis was to explore decision makers’ and professionals’ perceptions, utilisation, and decision-making about assistive technology (AT) and welfare technology (WT) within the interprofessional field of care for older adults. Methods: A literature review was conducted, including nine peer-reviewed scientific articles (I), analysed with a qualitative descriptive method. A web-based questionnaire, answered by 393 officials and health care providers in municipal eldercare (II and III), was analysed using content analysis of the open-ended answers (II) and descriptive and inferential statistics of the closed-ended answers (III). A semi-structured interview with 24 decision makers was also conducted and analysed with thematic reflexive analysis. Results: The studies revealed a lack of evidence-based decision models to support assistive and welfare technology decisions, partly due to the context being complex and multifaceted. The technology was perceived as progressive and cutting-edge, while organizational structure and culture were perceived as regressive and resistant to change. The results revealed personnel working with WT were generally very positive toward new technology, although there were age, gender, participation, and professional differences. Study IV results revealed that supportive aspects, technology aspects, patient aspects, and knowledge aspects influence AT-organizations' decision-making. Although AT/WT has been portrayed to have the potential to solve the challenges of an aging population, the decision-making regarding AT/WT is complex and evolving. Increased communication between government, regions, and municipalities to support the development of guidelines would enhance the goal of a person-centred care. Conclusion: This thesis contributes to knowledge of decision-making models, focusing on GATE´s model (Khasnabis et al., 2015) applicable in AT/WT. Further development and deepen knowledge in the area of AT/WT appears as needed due to results showing that there is a lack of structured knowledge about the decision-making processes and evaluations of effects of AT/WT.
|
|
| 3. |
- Baudin, Katarina, et al.
(författare)
-
Decision-Making Is in the Making! Aspects of Decision-Making in the Area of Assistive and Welfare Technology : A Qualitative Study
- 2021
-
Ingår i: International Journal of Environmental Research and Public Health. - : MDPI. - 1661-7827 .- 1660-4601. ; 18:8
-
Tidskriftsartikel (refereegranskat)abstract
- Assistive and welfare technology (AT/WT) has been introduced as a way of facing an ageing population and providing support for older adults in their daily lives. There is much research concerning the assessment and recommendation of AT/WT to individual end-users. However, few studies have explored AT/WT decision-making from a managerial perspective. This study explores what aspects influence decision-making in assistive technology organizations concerning new technology procurements. The study is based on interviews with 24 managers engaged in assistive technology organizations, representing 13 of 21 regions in Sweden. The interview data consisted of the participants’ experiences deciding on AT/WT procurement. A reflexive inductive thematic analysis was used to identify aspects that influenced decision-making. The main findings show that decision-making is in the making, meaning that decision-making is a constant on-going managerial process. Furthermore, the findings show that managers experience uncertainty in the decision-making, sometimes make ad hoc decisions and request an evidence-based, person-centred approach to improve decision-making. The study concludes that supportive, technology, patient, and knowledge aspects influence managers’ decisions.
|
|
| 4. |
|
|
| 5. |
|
|
| 6. |
- Baudin, Katarina, et al.
(författare)
-
The Policies of Provision of Assistive and Welfare Technology : A Literature Review
- 2020
-
Ingår i: Societies. - : MDPI. - 2075-4698. ; 10:1
-
Forskningsöversikt (refereegranskat)abstract
- Background: Due to the increasing ageing population worldwide, humanity is facing global demographic challenges. For many people, their later years are often lived with changed functioning and the need for support in daily living activities. Assistive technology and welfare technology (AT/WT) constitute a partial solution to the demographic challenges. Objectives: The purpose of this literature review is to identify the policy features, such as decision models and guidance for the provision of AT/WT as reported in the current scientific literature. Methods: A literature review with a deductive approach using the structure of the Global Cooperation on Assistive Technology (GATE) model was conducted. The data were searched from the databases: PubMed, Cinahl Plus, and the Web of Science, resulting in nine included articles. Results: The findings are presented according to the structure of the eight domains from the GATE model— policy, assessment, procurement, technology, environment, usability, sustainability and rights— which are further grouped into categories exploring the variations in every domain. Conclusion: The review reveals a nascent and growing interest in the area; however, evidence-based decision models and other guidance on AT/WT are lacking. Recent scholarships and policy reforms can form the basis of stronger guidance to organise complex AT/WT systems, but further and future research is needed.
|
|
| 7. |
- Baudin, Katarina, et al.
(författare)
-
Views of Swedish Elder Care Personnel on Ongoing Digital Transformation : Cross-Sectional Study
- 2020
-
Ingår i: Journal of Medical Internet Research. - Toronto : JMIR Publications. - 1438-8871. ; 22:6
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Swedish municipalities are facing demographic challenges due to the growing number of older people and the resulting increased need for health care services. Welfare technologies are being launched as possible solutions for meeting some of these challenges.Objective: The aim of this study was to explore the perception, experimentation, evaluation, and procurement of welfare technology practices among professionals working in municipal elder care in relation to their gender, age, and profession.Methods: Data for this explorative cross-sectional study were collected from 393 responses to a web-based survey on municipal elder care in Sweden. Chi square tests were performed to determine the associations.Results: The results revealed gender, age, and professional differences in perspectives of municipal elder care workers. Differences were particularly evident in attitudes toward technology, both the use of technology in general and in the workplace, and involvement and participation in decision making regarding the procurement of new welfare technologies. Men (37/53, 70%) expressed a more positive attitude toward and curiosity regarding new technologies than women (157/336, 46.7%) (P=.03). Regarding age, the younger respondents (18-24 years old) perceived the digital transformation in the workplace as "too slow" (4/4, 100%), whereas the majority of older respondents (65-74 years old) perceived it as happening at the "right pace" (4/7, 57%). The elder care personnel felt encouraged by management to explore and experiment with new welfare technologies, but never did so either for management or with patients. Even though the majority of the respondents were women, more men (4/7, 57%) were involved in the procurement process for welfare technology devices and solutions than women (98/336, 29.2%) (P<.001).Conclusions: Personnel working within municipal elder care were generally very positive toward new technologies. However, both gender and age differences may influence these perspectives such as the personnel's resistance to welfare technology and patients' participation in welfare technology usage and deployment. Different levels of participation in the decision-making process regarding new technology deployment may negatively affect the overall digital transformation within municipal elder care.
|
|
| 8. |
- Borg, Johan, et al.
(författare)
-
Implementation of welfare technology : a state-of-the-art review of knowledge gaps and research needs
- 2022
-
Ingår i: Disability and Rehabilitation. - : TAYLOR & FRANCIS INC. - 1748-3107 .- 1748-3115.
-
Forskningsöversikt (refereegranskat)abstract
- Purpose: To offer guidance for future welfare technology research, this review provides an overview of current knowledge gaps and research needs as reported in primary scientific studies addressing the implementation of welfare technology for older people, people with disabilities and informal caregivers.Materials and methods: This paper conducted a state-of-the-art review based on systematic searches in 11 databases followed by a descriptive qualitative analysis of 21 selected articles.Results: Knowledge gaps and research needs were identified concerning two categories: research designs and populations and focus of research. The articles reported needs for comparative studies, longitudinal studies, and demonstration trials as well as the development of co-design processes involving technology users. They also called for studies applying a social system theory approach, involving healthy and frail older adults, representative samples of users within and across countries, informal and formal caregivers, inter-and multidisciplinary teams, and care organizations. Moreover, there are reported needs for studies of acquirement, adoption and acceptance of welfare technology, attitudes, beliefs, and context related to welfare technology, caregiver perspectives on welfare technology, services to provide welfare technology and welfare technology itself.Conclusions: There are considerable knowledge gaps and research needs concerning the implementation of welfare technology. They relate not only to the research focus but also to research designs, a social system theory approach and study populations.
|
|
| 9. |
- Gusdal, Annelie K, 1963-, et al.
(författare)
-
Using a Rocking Chair in the Care of People with Dementia : A Single-Case Research Study
- 2020
-
Ingår i: OBM Geriatrics. - : LIDSEN Publishing Inc. - 2638-1311. ; 4:2
-
Tidskriftsartikel (refereegranskat)abstract
- The people with dementia experience a progressive loss of cognition, while more than 90% of them develop behavioral and psychological symptoms of dementia (BPSD). BPSD may result in physical injuries and psychological distress among people with dementia and their family/caregivers. First-line care strategies in dementia care should not unthinkingly involve pharmacological interventions to avert or reduce the behavior, and should rather consider the person and their unique requirements. Therefore, a combination of pharmacological and non-pharmacological interventions is strongly recommended. Since the care staff in dementia care is required to be informed regarding the non-pharmacological approaches to address BPSD, the present study was aimed to evaluate the use of a rocking chair in the context of BPSD, quality of life, and medication usage among people with dementia at individual level. The secondary aim of the present study was to describe care staff’s experiences related to the feasibility and usability of rocking chair in providing care for PwD in a nursing home setting. The present research is a single-case study, performed using a mixed-methods approach, with six people having dementia and 11 care staff members in a nursing home setting. The people with dementia used the ErgoNova Rocking chair® for a mean number of five times/week, for eight weeks in total. Quantitative and qualitative data were collected prior to, during, and post-intervention (A-B-A design). The quantitative and qualitative data were consistent with each other. The mean, median, and relative change measures indicated a decrease in the BPSD symptoms, such as aberrant motor behavior, agitation, apathy, depression, irritability, and night-time behavior disturbances, and increased quality of life upon using the ErgoNova Rocking chair®. It was also considered to be feasible, usable, and non-labor-intensive intervention by the care staff. The obtained data suggested that the use of ErgoNova Rocking chair® provided short-term relief from aberrant motor behavior, agitation, apathy, depression, irritability, and night-time behavior disturbances, along with an increase in the quality of life of the person with dementia. The use of ErgoNova Rocking chair® may serve as a complementary tool to the non-pharmacological management techniques for people with dementia in nursing homes.
|
|
| 10. |
- Gusdal, Annelie K, 1963-, et al.
(författare)
-
Virtual Reality in the Care of People with Dementia: A Single-Case Research Study
- 2020
-
Ingår i: Journal of Patient Care and Services. - : OpenAccessPub. ; 1:1, s. 4-31
-
Tidskriftsartikel (refereegranskat)abstract
- More than 90% of people with dementia develop behavioral and psychological symptoms of dementia. First-line care strategies in dementia care should consider a combination of pharmacological and non-pharmacological interventions. The present single-case research study aimed to evaluate the use of virtual reality in the context of behavioral and psychological symptoms of dementia, quality of life, and medication use among people with dementia. Ten persons with dementia used virtual reality for a mean of twice per week for eight weeks. In each virtual reality session, lasting for a maximum of 30 minutes, the persons with dementia chose one to three short films from 11 different films: a hen run, a farm with animals, two cafés, an old-fashioned grocery shop, a local river, a square in the local city, a museum, a castle, a fishing boat and an Austrian mountain scenery. Quantitative and qualitative data were collected pre-, during, and post-intervention. No major differences in the quantitative data in terms of behavioral and psychological symptoms of dementia, quality of life, or medication use were observed. However, the qualitative data showed that the use of virtual reality provided the persons with dementia with short-term enjoyment, heightened energy and alertness, and an experience of reminiscence. The use of virtual reality may therefore serve as a complementary tool to the existing non-pharmacological management techniques of people with dementia in nursing homes.
|
|
