| 1. |
- Hovde, Boel, et al.
(författare)
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Older immigrants' experiences of their life situation in the context of receiving public care in Sweden
- 2008
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Ingår i: International Journal of Older People Nursing. - : Wiley-Blackwell. - 1748-3735 .- 1748-3743. ; 3:2, s. 104-112
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Tidskriftsartikel (refereegranskat)abstract
- Objectives. The aim of this study was to illuminate older immigrants' experience of their life situation in the context of receiving public care in Sweden. Background. To meet the varying needs from the growing number of older immigrants, more knowledge about the experience of their life situation, health, illness and family ties is needed, especially in the context of receiving public health care and service. Methods. Data were collected through interviews with sixteen immigrants aged 65 years and older, originally from nine different countries, living in Southern Sweden and receiving continuous care and service. The texts were analysed using qualitative content analysis. Results. The overall impression from the texts was that the informants expressed a debt of gratitude to Swedish society. Their experience could be understood as - being burdened with health complaints; experiencing painful losses; wanting to manage by oneself and feeling exposed and deserted. Conclusions. The results show that older immigrants are vulnerable when receiving public care. This was related to previous life events, cultural differences as well as communication difficulties. When planning for and providing care for older immigrants, it is important to be aware of their exposed situation and to acknowledge their life history and family context.
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| 2. |
- Hovde, Boel, et al.
(författare)
-
Older immigrants' experiences of their life situation in the context of receiving public care in Sweden
- 2007
-
Ingår i: International journal of older people nursing. - : Wiley. - 1748-3743 .- 1748-3735. ; 3:2, s. 104-112
-
Tidskriftsartikel (refereegranskat)abstract
- Objectives. The aim of this study was to illuminate older immigrants' experience of their life situation in the context of receiving public care in Sweden. Background. To meet the varying needs from the growing number of older immigrants, more knowledge about the experience of their life situation, health, illness and family ties is needed, especially in the context of receiving public health care and service. Methods. Data were collected through interviews with sixteen immigrants aged 65 years and older, originally from nine different countries, living in Southern Sweden and receiving continuous care and service. The texts were analysed using qualitative content analysis. Results. The overall impression from the texts was that the informants expressed a debt of gratitude to Swedish society. Their experience could be understood as – being burdened with health complaints; experiencing painful losses; wanting to manage by oneself and feeling exposed and deserted. Conclusions. The results show that older immigrants are vulnerable when receiving public care. This was related to previous life events, cultural differences as well as communication difficulties. When planning for and providing care for older immigrants, it is important to be aware of their exposed situation and to acknowledge their life history and family context.
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| 3. |
- Hovde, Boel
(författare)
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Older non-Nordic immigrants living in Sweden and receiving municipal care
- 2006
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Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Older immigrants in need of public care will increase in the future. It is therefore important to increase the knowledge of their situation in order to meet their varying care needs. The overall aim of this thesis was to explore the situation of older non-Nordic immigrants, aged 65 years and older, living in Sweden and receiving municipal care with the focus on care provided, care-related needs and their experience of their life situation. The specific aims were to describe the formal care provided by the municipality and the staff’s description of care-related needs among older non-Nordic immigrants compared to older Nordic-born persons, and to describe the informal care provided (paper I). In paper II the specific aim was to illuminate the experience of the life situation in the context of receiving public care among older non-Nordic immigrants. This thesis had a descriptive and explorative design using both quantitative and qualitative approaches. In paper I, cross-sectional data concerning provision of care and service collected from a longitudinal study (Good Aging in Skåne, GAS) were used. Data were compared between 111 older non-Nordic immigrants, mainly originating from Europe, and 111 older Nordic-born people (comparison group) using chi-square test. In paper II qualitative interviews were performed with 16 older non-Nordic immigrants. The transcribed text was analysed using qualitative manifest and latent content analysis. The findings showed that significantly more of the non-Nordic immigrants were married and lived together with their partner or children compared to the comparison group. Of the older non-Nordic immigrants, 32.4% were living in special accommodation compared to 45% in the comparison group. The non-Nordic immigrants had rehabilitation at home significantly more often and had more home nursing care during the daytime than the comparison group had. Significantly more non-Nordic immigrants had family members employed as caregivers than among the comparison group. The non-Nordic immigrants also received more informal help than the comparison group, in IADL as well as in PADL. The staff reported significantly more behaviours perceived to be difficult to handle as well as needs of special care in the non-Nordic immigrants, mainly related to anxiety, psychosocial symptoms and language problems than in the comparison group. The use of APO-dose medication (medication prepared at the pharmacy) was reported to be significantly lower among the non-Nordic immigrants, and so too was the use of visual aids, despite more severe visual impairment than the comparison group. The staff used the alternative ‘do not know’ more frequently concerning the older non-Nordic immigrants than the Nordic-born (paper I). The overall theme in the older immigrants’ narratives was ‘Owing a debt of gratitude to Swedish society’, as the older immigrants were grateful to the society that had taken care of them and provided satisfactory care and service. The prevailing impression of their stories was that they did not want to be viewed as being ungrateful. The immigrants’ experience of their life situation in the context of receiving public care and service could be understood in four categories: Having to pay with their own health, embracing the experience of having physical as well as mental complaints that affected their everyday life; Experiencing painful losses, including having to live with history, being outside the familiar context and waiting without a future; Wanting to manage by oneself, where caring was seen as a family matter and they did not want to be a charge to anyone; and Feeling exposed and deserted, meaning being limited by language barriers and experiencing that nursing staff just passed by (paper II). It is thus important to be aware of the older immigrants’ vulnerable situation, in the context of municipal care, and take into consideration the need to recognise aspects related to language, life history and the familiar context.
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| 4. |
- Hovde, Boel, et al.
(författare)
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Public care among older non-Nordic immigrants in Sweden in comparison with Nordic born controls
- 2008
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Ingår i: Vård i Norden. - 0107-4083 .- 1890-4238. ; 28:90, s. 9-13
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to describe the formal care provided by the municipality and the staff’s description of care-related needs among non-Nordic older immigrants compared to older Nordic-born persons in Sweden. A further aim was to describe the occurrence of informal care provided. Cross-sectional data were collected concerning 111 non-Nordic immigrants from the longitudinal study «Good Ageing in Skåne» (GAS). Comparisons were made between them and a group consisting of Nordic born older people (n=111) with the same age and gender distribution. The findings showed that the non-Nordic immigrants to a higher extent cohabited with children or partners, had family members employed as caregivers, received help with Instrumental Activities in Daily Living (IADL) and Personal Activities in Daily Living (PADL) from their family, received more rehabilitation at home and more daytime home health care and were reported to have special care needs than the comparison group. Furthermore, the health care personnel had less knowledge about the non-Nordic immigrants, which in turn could mean that they do not receive the care they need.
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