| 1. |
- Wongsala, Manothai
(författare)
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Active ageing among older Thai adults in north-eastern Thailand – implementing the Plan-Do-Study-Act cycle
- 2023
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Active ageing is agreed as the national agenda by the Thai Government to sustain the older population to live well in society as a valued resource. Activities to promote active ageing are often provided in group formats, initiated by health providers, and often without promoting capacity and responsibility to enhance active ageing by older adults themselves. Therefore, a model which encourages this capacity and responsibility in older adults and suits Thai healthcare traditions is needed. This thesis aims to explore and describe older Thai adults’ experiences of enhancing active ageing by implementing the Plan-Do-Study-Act (PDSA) cycle. The cycle was applied to group meetings named Lomwong Saangsook (LS) meetings. Study I explored how older Thai adults experience and describe active ageing through its basic pillars of health, participation, and security based on individual interviews which were analysed with qualitative content analysis. Active ageing was described related to local culture and living context. Health was described as the ability to maintain daily living and an adaptive mindset. Participation was described as maintaining social networks, being valuable and respected. Security was described in relation to children and having manageable living conditions as well as managing to finalize life well. Study II explored interactions among older adults during participating in LS-meetings. Participant observation with thematic analysis was used. The PDSA cycle supported them to reach their individual goals of lifestyle change to enhance active ageing in group contexts. Study III explored experiences of applying the PDSA cycle among older Thai adults through focus group interviews which were analysed with thematic analysis. The PDSA cycle provided the environment to learn in a group dynamic with the support of moderators. Study IV described older adults´ experiences of lifestyle changes six months after finishing carrying out the meetings. Individual interviews were conducted and analysed with qualitative content analysis. Some older Thai adults kept their individual goals and adjusted the routes to reach these goals so they were suited to their own context. They also formed other new goals inspired by knowledge gained during the LS-meetings and the success of other members. Older Thai adults have their own perspectives on active ageing through its three basic pillars. They have capacity and responsibility to take the initiative to enhance their own active ageing by applying the PDSA cycle. Findings can be applied to create practices to support enhancing active ageing for the older Thai population. Keywords: Active ageing, lifestyle change, PDSA cycle, qualitative, Thailand
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| 2. |
- Wongsala, Manothai, 1971-, et al.
(författare)
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Experiences of lifestyle changes among Thai older adults six months after applying the PDSA cycle
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Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
- Background: Thai older adults are valuable resources in their society. The Thai health service system is challenged when it comes to ensuring that older Thai adults can continue to live healthy and independent lives in society. It is of great value to support independence and improve older people's active ageing. Promoting lifestyle changes by applying the Plan-Do-Study-Act cycle (PDSA cycle), at group meetings in a municipality context, is a way of focusing on active ageing. Objectives: To describe older adults´ experiences of lifestyle change six months after finishing group meetings applying the PDSA cycle. Methods: A qualitative approach with individual interviews and a qualitative content analysis were used with 12 Thai older adults who participated in the meetings applying the PDSA cycle. Results: Three categories and six sub-categories emerged: Keeping individual goals, influenced by the surroundings, and formulation of additional goals were the overall categories. Discussion: These Thai older adults showed that they had the ability to make lifestyle changes with the support of the PDSA cycle, but not all maintained their planned activities after six months. The question is how healthcare professionals and the surroundings, may further support and motivate these people to maintain these changes based on their own preferences in a sustainable way.
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| 3. |
- Pietilä Rosendahl, Sirpa, PhD, Associate Professor, Senior Lecturer, et al.
(författare)
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Twinship experienced by twins reared apart versus together
- 2014
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Ingår i: The Gerontologist. - : Oxford University Press. - 0016-9013 .- 1758-5341. ; 54:Suppl_2, s. 111-112
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Tidskriftsartikel (refereegranskat)abstract
- The aim was to explore and describe how older twins reared apart and reared together experience the twin relationship over a life course. Method: The life stories of 30 Swedish older (70+) identical and fraternal twins were analyzed with qualitative content analysis. Results: The relationship patterns among twins reared apart were related to the time of separation, family upbringing, time together after re-union and over the life course. Twins who spent their first years in the biological family and thereafter separated could continue their relationship over the life course, showing the same kind of relationship patterns as twins reared together. Twins who were separated during their first year after birth and reunited several years later showed a more complex relationship pattern, where some lacked an emotionally close relationship and others gradually developed such a relationship over the years. This finding challenges popular views on twins reared apart being emotionally close.
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| 4. |
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| 5. |
- Rosendahl, Dan, et al.
(författare)
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Role-stress : Experiences of Non-Lutheran Clergy
- 2020
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Ingår i: European Journal of Social Sciences. - : European Center for Science Education and Research. - 2601-8632 .- 2601-8640. ; 3:1, s. 108-118
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Tidskriftsartikel (refereegranskat)abstract
- Background: About fifty percent of Swedish Non-Lutheran Clergy leave the vocation before retirement resulting in huge personal, financial, psychological, emotional, spiritual and social costs. The factors behind this substantial flood out has scarcely been researched. From the multifaceted problematic aspects of pastoral work, the aim of this study was to explore the clergy’s experiences of work stressors with the focus on Role-stress. Method: A qualitative approach with 19 open ended interviews was used and the interview material underwent qualitative content analysis. Results: Multiple external role-senders together with the individual pastor’s experienced, internal expectations and demands, generated different types of Clergy role-categories that surfaced during the analysis. These roles were accompanied by several role-stressors as apparent with the roles Servants of men and Servants of God and the presence of Vision Conflict. Further the pastor as the Church’s ultimately responsible person is plagued by Role-ambiguity and Role-confusion, and as the Proven trustworthy administrator struggling with Role-conflict. Family-work and Work-family conflicts, especially for female pastors, contributed to Work overload, this consequence also effecting the male colleagues during the generic attempts to meet as many of the Church members’ expectations as possible. The accumulated Work overload, together with a lowered level of Work Satisfaction, boosted the Turnover intentions. Conclusions: Mutual succinct information between employer and employee, active continuous communication and refined and updated organizational structure need to be coordinated in order to lower the level of experienced role stress and thus reduce the present substantial number of Clergy leaving the vocation prematurely.
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| 6. |
- Goodyear, Ann-Christine, et al.
(författare)
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‘I wish I had asked for support earlier’ : Immigrant family caregivers' experiences of living with a person with dementia
- 2023
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Ingår i: Scandinavian Journal of Caring Sciences. - : John Wiley & Sons. - 0283-9318 .- 1471-6712. ; 37:3, s. 710-719
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: Immigrant family caregivers are increasing worldwide, likewise the number of older people with dementia. Caring for a person with dementia is demanding, with the carer's own life put on hold. Immigrant family caregivers have been less studied. Therefore, the aim of this study was to explore immigrant family caregivers' experiences of living with an older person with dementia.Method: A qualitative approach was chosen, consisting of open-ended interviews analysed using qualitative content analysis. The ethical principles of the Helsinki Declaration were applied in the study, which was duly approved by a regional ethics review board.Results: The content analysis resulted in three main categories: (i) the diverse roles of a family caregiver; (ii) the impact of language and culture on daily life and (iii) wish for support from society.Conclusions: Living with a person with dementia is demanding and burdensome and the consequences of working without any rest may increase social isolation and impair quality of life. Immigrants and country-born family caregivers living with a person with dementia seem to have similar care experiences, but immigrant family caregivers seem to receive help rather late due to a lack of information about the services available, language barriers and to financial reasons. A wish for support earlier on in the caring process was expressed, likewise for care services in the participants' native language. The various Finnish associations and peer support were important sources of information about support services. Together with culturally adjusted care services, these could contribute to better access to care, to quality and to equal care.
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| 7. |
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| 8. |
- Mattsson, Karin, et al.
(författare)
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Teaching gerontology in globalized academics : a qualitative study of Thai nursing students' views on ageing when studying abroad.
- 2017
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Ingår i: Contemporary Nurse. - : Informa UK Limited. - 1037-6178 .- 1839-3535. ; 53:1, s. 36-47
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Negative views towards ageing and older adults may be a reason why nurses do not choose to work in gerontological nursing. Studying in another cultural context can challenge these views. The Objective was to explore nursing students' views on ageing and older adults before and after a gerontology course held abroad.DESIGN AND METHOD: A qualitative approach based on content analysis of responses to open-ended questions by 30 Thai nursing students studying a gerontology course in Sweden.RESULTS: Three main categories: positive imprints of ageing, ageing takes its toll, and knowledge leading to action, emerged through sub-categories carrying a view of older adults as not only in need of care, but also as resourceful and competent. Professional healthcare, besides family was seen as potential caregivers in old age.CONCLUSIONS: Studying gerontology abroad can widen views towards ageing and older adults, inspiring nurses to work in gerontological nursing.
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| 9. |
- Mattsson, Karin, et al.
(författare)
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Teaching Gerontology in Transcultural Academics : A Phenomenographic Study of Thai and Swedish Nurse Educators' Conceptions of Gerontological Nursing
- 2022
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Ingår i: Journal of Transcultural Nursing. - : Sage Publications. - 1043-6596 .- 1552-7832. ; 33:3, s. 446-455
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Tidskriftsartikel (refereegranskat)abstract
- INTRODUCTION: There is an urgent need for registered nurses with gerontological competence within long-term care (LTC) of older adults. Despite increases of life expectancy, LTC for older adults is not emphasized in nursing curricula in neither Sweden nor Thailand. Thus, the aim was to explore conceptions on gerontological nursing (GN) among Swedish and Thai nurse educators.METHOD: A qualitative phenomenographic method, based on open-ended interviews with five Thai and nine Swedish nurse educators was conducted.RESULTS: The results indicate a paradox between the educators' knowledge about the implications of global aging, their hope of own aging, and LTC. The ethical responsibility of being credible and a source of inspiration in teaching about aging are focused, while GN seem to be less important.DISCUSSION: To increase students' interest in GN, measures need to be taken within the educational arenas, where the educators' own conceptions toward GN, cultural aspects of aging, and LTC are discussed.
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| 10. |
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