| 1. |
- Johansson, Karin C, et al.
(författare)
-
Narratives of care providers concerning picking behavior among institutionalized dementia sufferers
- 1999
-
Ingår i: Geriatric Nursing. - 0197-4572 .- 1528-3984. ; 20:1, s. 29-32
-
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.
|
|
| 2. |
- Almevall, Albin Dahlin, et al.
(författare)
-
Associations between everyday physical activity and morale in older adults
- 2022
-
Ingår i: Geriatric Nursing. - : Elsevier. - 0197-4572 .- 1528-3984. ; 48, s. 37-42
-
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.
|
|
| 3. |
- Borg, Christel, et al.
(författare)
-
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
-
Ingår i: Geriatric Nursing. - New York : Mosby. - 0197-4572 .- 1528-3984. ; 29:1, s. 48-57
-
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.
|
|
| 4. |
- Bäckström, Josefin, Med dr, 1977-, et al.
(författare)
-
Reliability and internal consistency of the Swedish version of the MAastrIcht Nurses Activities INventory (MAINtAIN(S)) - A pilot testing of the tool.
- 2020
-
Ingår i: Geriatric Nursing. - NEW YORK, USA : Elsevier BV. - 0197-4572 .- 1528-3984. ; 41:6, s. 790-803
-
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.
|
|
| 5. |
- Djukanovic, Ingrid, et al.
(författare)
-
The meaning of continuity of care from the perspective of older people with complex care needs - A scoping review
- 2024
-
Ingår i: Geriatric Nursing. - : Elsevier. - 0197-4572 .- 1528-3984. ; 55, s. 354-361
-
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/)
|
|
| 6. |
- Dorell, Åsa, et al.
(författare)
-
Becoming visible : Experiences from families participating in Family Health Conversations at residential homes for older people
- 2016
-
Ingår i: Geriatric Nursing. - : Elsevier BV. - 0197-4572 .- 1528-3984. ; 37:4, s. 260-265
-
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.
|
|
| 7. |
- Ebrahimi, Zahra, 1972, et al.
(författare)
-
A systematic review on implementation of person-centered care interventions for older people in out-of-hospital settings
- 2021
-
Ingår i: Geriatric Nursing. - : Elsevier BV. - 1528-3984 .- 0197-4572. ; 42:1, s. 213-224
-
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.
|
|
| 8. |
- Ebrahimi, Zahra, et al.
(författare)
-
Health despite frailty: Exploring influences on frail older adults’ experiences of health
- 2013
-
Ingår i: Geriatric Nursing. - 0197-4572 .- 1528-3984. ; 34:2013, s. 289-294
-
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.
|
|
| 9. |
- Ebrahimi, Zahra, et al.
(författare)
-
Key components in implementation of person-centred care för older people in out-of-hospital settings- A systematic review
- 2023
-
Ingår i: Geriatric Nursing. - 0197-4572 .- 1528-3984.
-
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.
|
|
| 10. |
- Falk, Hanna, 1977, et al.
(författare)
-
Frail Older Persons' Experiences of Interinstitutional Relocation
- 2011
-
Ingår i: Geriatric Nursing. - : Elsevier BV. - 0197-4572 .- 1528-3984. ; 32:4, s. 245-256
-
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.
|
|
| 11. |
|
|
| 12. |
- Hagedoorn, Ellen I, et al.
(författare)
-
Psychometric evaluation of a revised Family Collaboration Scale
- 2019
-
Ingår i: Geriatric Nursing. - : MOSBY-ELSEVIER. - 0197-4572 .- 1528-3984. ; 40:5, s. 463-472
-
Tidskriftsartikel (refereegranskat)abstract
- Measuring family caregivers experiences of collaboration with nurses is important in the context of health care reforms that advocate an increased role of families in care. The Family Collaboration Scale (FCS) measures collaboration between nurses and family caregivers, however, the scale has a broad scope. Thus, the aim of this study was to construct a measure that is focused on collaboration only. After revision, a 25-item version of the FCS was sent to 777 family caregivers of hospitalized patients (amp;gt;= 70 years). Psychometric evaluation was employed by the Non-Parametric Item Response Theory to evaluate how items of the revised FCS behave. In total, 302 (39%) family caregivers were found eligible, mean (SD) age 65 (13) and 71% female. A 20-item FCS is proposed showing good psychometric properties. This study contributes to the limited knowledge of measuring collaboration between family caregivers and nurses. (C) 2019 Elsevier Inc. All rights reserved.
|
|
| 13. |
- Hagedoorn, Ellen I, et al.
(författare)
-
The association of collaboration between family caregivers and nurses in the hospital and their preparedness for caregiving at home
- 2020
-
Ingår i: Geriatric Nursing. - : MOSBY-ELSEVIER. - 0197-4572 .- 1528-3984. ; 41:4, s. 373-380
-
Tidskriftsartikel (refereegranskat)abstract
- Family caregivers of an older person who was recently hospitalized often feel unprepared for their new or expanded tasks. Quality and continuity of care for older people is expected to improve when nurses collaborate with family caregivers as partners in care. The aim of this study was to explore the unique contribution of collaboration between family caregivers of older patients and hospital nurses as a possible predictor for preparedness of caregiving after hospital discharge. With a cross sectional design, a postal survey was sent to 777 family caregivers of home-dwelling hospitalized patients (>= 70 years). Regression analyses were used to test the association between collaboration and preparedness for caregiving. In total, 506 (68%) family caregivers responded of whom 281 (38%) were eligible. Their mean (SD) age was 65 (13) and 71% were female. Family caregivers level of collaboration with nurses was significantly associated with their preparedness for caregiving. (C) 2019 Elsevier Inc. All rights reserved.
|
|
| 14. |
- Hallgren, Jenny, 1978-, et al.
(författare)
-
In Hospital We Trust : Experiences of older peoples' decision to seek hospital care
- 2015
-
Ingår i: Geriatric Nursing. - : Elsevier. - 0197-4572 .- 1528-3984. ; 36:4, s. 306-311
-
Tidskriftsartikel (refereegranskat)abstract
- The purpose of this study was to explore how older people experience and perceive decisions to seek hospital care while receiving home health care. Twenty-two Swedish older persons were interviewed about their experiences of decision to seek hospital while receiving home health care. The interviews were analyzed using qualitative content analysis. The findings consist of one interpretative theme describing an overall confidence in hospital staff to deliver both medical and psychosocial health care, In Hospital We Trust, with three underlying categories: Superior Health Care, People's Worries, and Biomedical Needs. Findings indicate a need for establishing confidence and ensuring sufficient qualifications, both medical and psychological, in home health care staff to meet the needs of older people. Understanding older peoples' arguments for seeking hospital care may have implications for how home care staff address individuals' perceived needs. Fulfillment of perceived health needs may reduce avoidable hospitalizations and consequently improve quality of life.
|
|
| 15. |
- Heikkilä, Kristiina, 1958-, et al.
(författare)
-
Mealtime interventions and their outcomes in care homes for older people considering the five aspects meal model : An integrative review
- 2022
-
Ingår i: Geriatric Nursing. - : Elsevier. - 0197-4572 .- 1528-3984. ; 47, s. 171-182
-
Tidskriftsartikel (refereegranskat)abstract
- Mealtimes are important events in care homes for physical and social well-being. However, residents usually have little input concerning meal timings, what food is offered, and how it is served. This integrative review explored mealtime interventions and their outcomes in care homes related to the Five Aspects Meal Model (FAMM). Research articles published 2010–2021 were searched for in ASSIA, CINAHL, PsycINFO, PubMed, and SveMed+ and resulted in 13 articles focusing on interventions. The analysis was based on the aspects of FAMM: room, meeting, product, management control system, and atmosphere. The result shows that even though interventions specifically focused on one aspect, they often evaluated outcomes related to several aspects. Different aspects can work together to foster effective mealtimes. FAMM eased to visualise the usefulness of mealtime interventions from a broad perspective and can be a useful tool for assessing and improving mealtime situations in clinical practice.
|
|
| 16. |
- Horttana, Britt-Marie, et al.
(författare)
-
Patterns of and reasons for relocation in dementia care
- 2007
-
Ingår i: Geriatric Nursing. - : Elsevier BV. - 0197-4572 .- 1528-3984. ; 28:3, s. 193-200
-
Tidskriftsartikel (refereegranskat)abstract
- Because dementia is a progressive disease, the need for care in municipal shelter accommodations might change over time, raising the crucial question whether to relocate an individual. The aim of the study was to investigate the number of relocations between municipal dementia housing units and to examine the patterns and reasons for relocation, together with the various municipal prerequisites for carrying out relocation. Thirty-three managers of 101 dementia care units in 12 municipalities in Sweden were interviewed, and records of persons who had moved into or out of the dementia care units during the year 2002 were reviewed retrospectively. The results showed that turnover occurred in 35% of the 865 rooms during the year. Of those relocations, 78 (9%) were persons who moved to another accommodation-either into (59), between (13), or out of (6) a dementia care unit. This finding indicates that there are situations in which remaining in place was considered less appropriate than relocating a single individual with dementia to other accommodations with or without dementia specialization. The most common reason for relocation within the municipal shelters was an increased need for care.
|
|
| 17. |
- Johansson, Karin C, et al.
(författare)
-
Family members' and care providers' interpretations of picking behavior
- 2002
-
Ingår i: Geriatric Nursing. - : Elsevier BV. - 0197-4572 .- 1528-3984. ; 23:5, s. 258-261
-
Tidskriftsartikel (refereegranskat)abstract
- The meaning of so-called "behavior disturbances" among people with dementia is often difficult to interpret. In this exploratory study, the aim was to explore family members' and care providers' descriptions of picking behavior in people with severe dementia and their interpretations of the behavior's meaning. Three threads of meaning were identified in these interpretations: striving for an ordinary, everyday life, striving for control, and striving to be in touch with others. The possibilities of uniting the past and the present by means of collaboration among family members and care providers are discussed.
|
|
| 18. |
- Kim, Hyejin, et al.
(författare)
-
In-home online music-based intervention for stress, coping, and depression among family caregivers of persons with dementia : A pilot study
- 2022
-
Ingår i: Geriatric Nursing. - : Elsevier BV. - 0197-4572 .- 1528-3984. ; 46, s. 137-143
-
Tidskriftsartikel (refereegranskat)abstract
- Little is known about how music affects family caregivers who provide care to persons with dementia at home. We examined the effects of an 8-week online music-based intervention on self-reported stress, coping, and depression among dementia family caregivers. Mann-Whitney U test and Wilcoxon signed-ranked tests were performed to examine between- and within-group differences between intervention (n = 24) and comparison (n = 11) groups from baseline to post-test. The coping subscale yielded a significant difference between the groups at post-test (U=76.50, Z=-1.978, p=0.048), indicating the intervention group had better coping than the comparison group at post-test. Significant within-group differences in overall stress (Z=-2.200, p=0.028) and coping subscale (Z=-1.997, p=0.046) in the comparison group at post-test suggest that overall stress and coping were maintained throughout the study in the intervention group, whereas the comparison group had higher overall stress and lower coping at post-test. Our in-home music-based intervention showed potential benefits for dementia family caregivers.
|
|
| 19. |
- Kullberg, E, et al.
(författare)
-
Dental hygiene education for nursing staff
- 2009
-
Ingår i: Geriatric nursing (New York, N.Y.). - : Elsevier BV. - 1528-3984 .- 0197-4572. ; 30:5, s. 329-333
-
Tidskriftsartikel (refereegranskat)
|
|
| 20. |
- Liljeroos, Maria, et al.
(författare)
-
Older heart failure patients' experiences of follow-up in primary care after discharge from hospital
- 2024
-
Ingår i: Geriatric Nursing. - : Elsevier. - 0197-4572 .- 1528-3984. ; 59, s. 458-462
-
Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: Heart failure (HF) is the leading cause of hospitalizations among the older population. However, the need for healthcare persists after hospitalization due to the fluctuating nature of HF, which includes stable, unstable, and acute phases. The aim of this study was to explore older individuals' experiences of receiving follow-up care in the primary care setting after being discharged from hospital with HF.DESIGN: This study used a qualitative design with interviews; qualitative content analysis with a manifest, inductive approach was used for data analysis.SETTING: The study was conducted in primary healthcare within one Swedish healthcare region.RESULTS: The analysis revealed a central category, ‟Inside or Outside the Safe Sphere of Care", with two sub-categories: ‟A Safety Net" and "A Sense of Abandonment".CONCLUSION: The result showed that for some patients the chain of care worked well, and they felt safe and cared for. For others the current system of care sometimes might be too complicated for these older comorbid patients to understand and manage.
|
|
| 21. |
- Lundman, Berit, et al.
(författare)
-
Inner strength in relation to functional status, disease, living arrangements, and social relationships among people aged 85 years and older
- 2012
-
Ingår i: Geriatric Nursing. - : Elsevier BV. - 0197-4572 .- 1528-3984. ; 33:3, s. 167-176
-
Tidskriftsartikel (refereegranskat)abstract
- Inner strength is described as an important resource that promotes well-being. We used data from a sample of 185 people in the Umeå 85+ cohort study to relate inner strength and its attributes to objective health variables. The Resilience, Sense of Coherence, Purpose in Life, and Self-Transcendence scales were used to assess aspects of inner strength, and strong correlations between the scales were found. Prevalence of heart failure, chronic obstructive pulmonary disorder, osteoporosis, or diagnosed depression was associated with low inner strength. Significant relationships were also found between high inner strength and various measures of social relationships. Participants with a higher degree of inner strength had better physical health and more satisfying social relationships. The promotion of inner strength should be a major aim of geriatric nursing.
|
|
| 22. |
- Nordlinder, Carolina, et al.
(författare)
-
Individual, family, job, and organizational factors associated with retirement intentions among older long-term care workers: A systematic review
- 2024
-
Ingår i: Geriatric Nursing. - : Elsevier. - 0197-4572 .- 1528-3984. ; 56, s. 83-93
-
Forskningsöversikt (refereegranskat)abstract
- This systematic review synthesized prior quantitative research on individual, family, job, and organizational factors associated with retirement intentions (RI) among older long-term care (LTC) workers. Seven databases were searched for peer-reviewed studies. RI were defined as early (<65 years) or late (>65 years). To assess the methodological quality, we used JBI's checklists. The PRISMA statement guided this review. After duplicates were removed, 4 489 records were identified. A final sample of six articles was selected as eligible for inclusion. Current findings show weak social support, high physical job demands, and type of LTC occupation as important determinants for early RI. Strong social support and good job resources are important determinants fore late RI. In contrast to earlier research on other groups of older workers, this review shows no statistically associations between health nor emotional job demands and early RI for LTC workers. The results are discussed using the JD-R theory.
|
|
| 23. |
- Olsson, Annakarin, et al.
(författare)
-
“Longing to be independent again” – A qualitative study on older adults’ experiences of life after hospitalization
- 2020
-
Ingår i: Geriatric Nursing. - : Elsevier BV. - 0197-4572 .- 1528-3984. ; 41:6, s. 942-948
-
Tidskriftsartikel (refereegranskat)abstract
- It is important to support older adults’ independence after hospitalization and, thus, to increase their perceived quality of life. The present descriptive study took a qualitative approach and aimed to describe older adults’ experiences of their life situation after hospital discharge. Fifteen individuals (≥65 years) from two regional hospitals in central Sweden were interviewed between October 2015 and January 2016 in their own home following hospital discharge. The interview data were analyzed using manifest and latent qualitative content analysis. The analysis revealed one theme: "Longing to be independent again” based on four categories: `Dependent on other people and aids´, `Obstacles, impediments and limitations in daily life´, Adapt to the situation´ and `Psychological and physical values´. Understanding older adults’ experiences of life after hospitalization is also a prerequisite for being able to provide person-centered care.
|
|
| 24. |
- Rasmussen, Hege, et al.
(författare)
-
Family caregivers experiences of the pre-diagnostic stage in frontotemporal dementia
- 2019
-
Ingår i: Geriatric Nursing. - : Elsevier. - 0197-4572 .- 1528-3984. ; 40:3, s. 246-251
-
Tidskriftsartikel (refereegranskat)abstract
- Frontotemporal dementia (FTD) is a neurodegenerative disease with symptoms that differs from other dementias. Commonly early symptoms in FTD are changes in personality and behavior, which can be interpreted as psychiatric disease. The delay in FTD diagnosis contributes to the burden of family caregivers. Therefore, it is important to have more knowledge about the pre-diagnostic stage. In this qualitative interview study, we explored fourteen family caregiver's experiences of the pre-diagnostic stage of frontotemporal dementia (FTD). Our findings suggest that the family caregivers experienced the pre-diagnostic stage of FTD as changes in the interpersonal relationship with their loved one. These changes were often subtle and difficult for family caregivers to explain to others. The findings from our study illuminate the importance of medical staff paying attention when a next of kin is concerned about subtle changes in a loved one. The findings also illuminate that awareness of FTD should be raised.
|
|
| 25. |
- Sallfeldt, Ellen S., et al.
(författare)
-
Sarcopenia prevalence and incidence in older men-a MrOs Sweden study
- 2023
-
Ingår i: Geriatric Nursing. - : Elsevier BV. - 0197-4572 .- 1528-3984. ; 50, s. 102-108
-
Tidskriftsartikel (refereegranskat)abstract
- Introduction: The European Working Group on Sarcopenia in Older People (EWGSOP) published a revised definition of sarcopenia in 2018. There are few incidence studies of sarcopenia following the latest definition. Objective: To study prevalence, incidence proportion and incidence rate of sarcopenia in a simple random sample of older Swedish men using the EWGSOP2 definition. Methods: Men aged 69-81 were invited to participate in the Osteoporotic Fractures in Men (MrOs) Sweden study. Of 2,004 included participants, 1,266 participants (mean age 75.1, SD 3.1 years) completed baseline and 5-year follow-up measurements. We assessed muscle strength by measuring grip strength and chair stands test, lean mass by dual energy X-ray absorptiometry and physical performance by gait speed at baseline and follow-up. Sarcopenia prevalence and incidence were calculated according to the EWGSOP2 definition.Results: Sarcopenia prevalence increased from 5.6% at baseline to 12.0% at follow-up. During the mean 5.2year follow-up period, 9.1% developed sarcopenia (incidence proportion), corresponding to an incidence rate of 1.8 per 100 person-years at risk while 39.4% of the participants with sarcopenia at baseline participating in follow-up reversed to no longer having confirmed sarcopenia at 5-year follow-up.Conclusion: The prevalence of sarcopenia defined along EWGSOP2 criteria doubled within 5 years in older men, and more than a third of the study participants with sarcopenia at baseline did not have sarcopenia at follow-up. We conclude that sarcopenia is not a static condition.(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/)
|
|
| 26. |
- Santana-Berlanga, Nicia del Rocío, et al.
(författare)
-
Thriving of Older People Assessment Scale (TOPAS) : Transcultural adaptation, psychometric evaluation, and refinement in a Spanish sample
- 2024
-
Ingår i: Geriatric Nursing. - : Elsevier. - 0197-4572 .- 1528-3984. ; 59, s. 431-439
-
Tidskriftsartikel (refereegranskat)abstract
- The objective of this study was to culturally adapt the Thriving of Older People Assessment Scale (TOPAS) instrument and evaluate its psychometric properties. The study was carried out in two phases: cross-cultural adaptation and psychometric validation and refinement through a cross-sectional study conducted between 2018 and 2020 with 314 participants. The refinement resulted in an abbreviated version of TOPAS, maintaining the original 5 factors with 16 items. Cronbach alpha was 0.91. Composite reliability (0.72–0.89) and average variance extracted (0.57–0.81), supporting discriminant validity. Maximum shared variance for the factors (0.22–0.50) and average shared variance (0.16–0.31), demonstrating discriminant validity. The abbreviated version of TOPAS showed evidence of being a valid and reliable instrument for measuring the adaptability of elderly residents in institutions. Implementing this instrument in Spanish nursing homes allows for a continuous evaluation of residents' well-being in relation to their environment, a construct not previously assessed with available scales.
|
|
| 27. |
- Schüttengruber, Gerhilde, et al.
(författare)
-
Understanding ageism towards older nursing staff and service users: A systematic mapping review from the perspective of clinical leaders and healthcare managers
- 2024
-
Ingår i: Geriatric Nursing. - 0197-4572 .- 1528-3984.
-
Forskningsöversikt (refereegranskat)abstract
- Introduction: Ageist attitudes negatively affect the quality of care for service users and the working conditions of older nursing staff. Clinical leaders’ perceptions of older service users and nursing staff are unknown. Aim: To mapresearch evidence onageist attitudes in healthcare towards service users and older nursing staff, from the leadership perspective. Material and Methods: A systematic mapping review with database searches in March 2021 and May 2023). Nineteen articles (qualitative n = 13, quantitative n = 3, mixed methods n = 3) were analysed and mapped to the Nurse Executive Capability Framework. Results: Future planning, team building, and self-awareness are leadership categories requiring consideration. Guidelines and policies addressing the holistic needs of older service users and older nursing staff are lacking. Conclusions: Organizational planning, team building, and self-awareness are crucial for the holistic care of older service users and for creating attractive workplaces for older nursing staff.
|
|
| 28. |
- Sentandreu-Man, Trinidad, et al.
(författare)
-
Correlates of musculoskeletal pain and kinesiophobia in older adults with heart failure: A structural equation model
- 2023
-
Ingår i: Geriatric Nursing. - : MOSBY-ELSEVIER. - 0197-4572 .- 1528-3984. ; 53, s. 72-77
-
Tidskriftsartikel (refereegranskat)abstract
- The study aimed to study the influence of musculoskeletal pain on kinesiophobia in patients with heart failure. This cross-sectional study recruited 107 heart failure patients aged 73.18</n>12.68 years (57% men) from an outpatient setting. Participants self-reported pain using the Musculoskeletal System Assessment Inventory and the Cornell Musculoskeletal Discomfort Questionnaire. Kinesiophobia was assessed with the Tampa Scale for Kinesiophobia-11. About 62% reported musculoskeletal pain, with knees (16.8%) and lower back (12.%) being the most painful locations. About 31% reported moderate levels and 24% indicated high levels of kinesiophobia. There were positive and significant associations between the indicators of pain and kinesiophobia. Results showed an adequate structural equation model fit to the data with musculoskeletal pain factors explaining 22.09% of the variance in kinesiophobia. Assessment of kinesiophobia in patients with heart failure with musculoskeletal pain is essential to improve self-care and overall quality of life. & COPY; 2023 Elsevier Inc. All rights reserved.
|
|
| 29. |
- Silén, Marit, et al.
(författare)
-
Relationships between structural and psychological empowerment, mediated by person-centred processes and thriving for nursing home staff
- 2019
-
Ingår i: Geriatric Nursing. - : Elsevier BV. - 0197-4572 .- 1528-3984. ; 40:1, s. 67-71
-
Tidskriftsartikel (refereegranskat)abstract
- Person-centred care has been shown to have positive outcomes for patients and for staff. However, the complexity of the link between structural conditions, work in a person-centred manner and outcomes for staff is insufficiently described. We tested the relationship between structural empowerment and psychological empowerment, as mediated by nursing home staff members’ self-ratings of working in a person-centred manner, the person-centred climate and thriving. Questionnaires were distributed to staff working in 12 nursing homes in Sweden. A serial mediation model was tested. The results showed that higher access to structural empowerment was related to higher psychological empowerment mediated by staff working in a more person-centred manner, improved person-centred climate, and improved staff ratings of thriving. These results point to the importance of strengthening the preconditions for staff to work in a person-centred manner and nursing home managers play an important role in this.
|
|
| 30. |
|
|
| 31. |
- Thilo, Friederike JS, et al.
(författare)
-
Facilitating the use of personal safety alerting device with older adults: The views, experiences and roles of relatives and health care professionals
- 2021
-
Ingår i: Geriatric Nursing. - : Elsevier BV. - 0197-4572 .- 1528-3984. ; 42:4, s. 935-942
-
Tidskriftsartikel (refereegranskat)abstract
- To explore relatives’, community nurses’ and general practitioners’ perspectives and experiences in promoting Personal Safety Alerting Device (PSAD) use among community-dwelling older adults, we applied a qualitative study design. Altogether 15 focus groups and 11 semi-structured interviews were conducted. Data-analysis followed the Qualitative Analysis Guide of Leuven. PSAD use was considered to be complex. Relatives and health care professionals are involved in a negotiation process comprising three phases: A) waiting for a critical event in the older adult's everyday life; B) introducing the idea of a PSAD; C) deciding on and supporting PSAD use. In conclusion, the actors involved in PSAD use should be aware of the negotiation process, which is complex, dynamic, iterative and needs time. While nurses play a crucial role, they lack sufficient knowledge for comprehensive PSAD counselling. The negotiation process could serve as an example for other technologies in the context of aging in place.
|
|
| 32. |
- Trevisan, Caterina, et al.
(författare)
-
Trajectories of cognitive and physical performance after accidental falls in nursing home residents : A prospective study
- 2022
-
Ingår i: Geriatric Nursing. - : Elsevier BV. - 0197-4572 .- 1528-3984. ; 47, s. 100-106
-
Tidskriftsartikel (refereegranskat)abstract
- This prospective study evaluated cognitive and physical trajectories of nursing home (NH) residents after fall occurrence and their predictors. In 167 residents aged ≥60, we considered the closest pre-fall assessment and up to the first three post-fall assessments of cognitive and physical functions performed through Mini-Mental State Examination (MMSE) and Tinetti tests. Mixture models identified three post-fall cognitive and physical trajectories: stability, slow decline, and rapid decline. At logistic regression, older age, fewer informal visits, and falls within one month from institutionalization increased the probability of experiencing a decline in MMSE and Tinetti scores. Worse pre-fall cognitive function increased the likelihood of cognitive and physical decline, while worse pre-fall Tinetti score negatively impacted only physical decline.In conclusion, the impact of falls on the cognitive and physical health of NH residents may be modulated by their pre-fall cognitive function and some modifiable factors, such as social interactions and physical function.
|
|
| 33. |
- Voraroon, Supaporn, 1977-, et al.
(författare)
-
The impact of shareholding networks for facilitating care in rural Thailand.
- 2019
-
Ingår i: Geriatric Nursing. - : Elsevier BV. - 0197-4572 .- 1528-3984. ; 40:4, s. 392-398
-
Tidskriftsartikel (refereegranskat)abstract
- This study explored the existential meaning of being a participant in shareholding networks for the care of older people in Thailand. Ten older persons were interviewed about their experiences of participating in the networks. A reflective lifeworld perspective based on phenomenological philosophy was used. The findings show that participating in shareholding network activities entails an always-present existence of aging intertwined with life. Its constituents further describe the essential meaning of the phenomenon: "experience of improved self-management", "feeling of increased self-esteem", and "bridging a gap in the care of older people". Participation in shareholding network activities means keeping contact with oneself and being able to have a life that corresponds to how one perceives oneself to be and must therefore be understood from a holistic perspective. The present study recommends that older persons' need for support include places where safe and profound reflection on existential issues.; Copyright © 2019. Published by Elsevier Inc.
|
|
| 34. |
- Wiitavaara, Birgitta, 1959-, et al.
(författare)
-
Like a fire brigade, but without pay - Experiences of temporary employment among workers in Swedish elderly care
- 2022
-
Ingår i: Geriatric Nursing. - : Taylor & Francis. - 0197-4572 .- 1528-3984.
-
Tidskriftsartikel (refereegranskat)abstract
- This study investigates experiences of temporary work among care personnel in elderly care. Semi-structured interviews were performed with fifteen temporarily employed men and women working as care personnel in municipal nursing homes or home care and analyzed using a phenomenographic approach. The informants’ experiences of having a temporary employment were characterized by either a sense of flexibility or, more common, uncertainty, lack of control over life, time and economy, as well as difficulties associated with always being available. The informants’ experiences of working as a temporary employed were characterized by enjoyment of work and job satisfaction, differing experiences regarding the division of work and communication, but also being in an exposed position. The results presented reflect an experience of temporary employment as being in a vulnerable position. This vulnerability varies with resources and can take different forms.
|
|
| 35. |
|
|
| 36. |
- Zidén, Lena, 1954, et al.
(författare)
-
Person-centered care as a tool to reduce behavioral and psychological symptoms in older adults with dementia living in residential care facilities
- 2024
-
Ingår i: Geriatric Nursing. - 1528-3984 .- 0197-4572. ; 57, s. 51-57
-
Tidskriftsartikel (refereegranskat)abstract
- Among older adults living in dementia residential care facilities (RCF) behavioral and psychological symptoms (BPSD) are common, affecting the quality of life (QOL) for the residents as well as being challenging for the staff. The person-centered care (PCC) approach addresses BPSD by giving trained staff mandate to focus on the relation and to adapt the encounter and the environment to increase QoL for the person with dementia. The aims with this study were to improve PCC, decrease BPSD and improve QOL among older persons with dementia living in RCFs, and to explore leaders' and healthcare staff's experiences of a PCC intervention. An educational program was implemented at two RCFs. Data was collected through questionnaires, from national quality registries and through focus group interviews. A significant increase in PCC and QOL at three months was seen. However, no significant difference in BPSD was seen. The interviews showed the importance of a trust-based relationship, and support from an active management to improve PCC, as well as changing old patterns and recognising competence among staff. Factors that affect implementation of PCC in RCF are discussed in the article.
|
|
| 37. |
- Åkerlind, Charlotta, 1964-, et al.
(författare)
-
eHomecare and safety : The experiences of older patients and their relatives
- 2018
-
Ingår i: Geriatric Nursing. - : Elsevier BV. - 0197-4572 .- 1528-3984. ; :2, s. 178-185
-
Tidskriftsartikel (refereegranskat)abstract
- The study's aim was to extend descriptions of how older patients with granted eHomecare and their relatives understand safety, and further to describe how they experience safety in everyday life. The study was conducted in Sweden. The participants were 12 older patients who had been provided with eHomecare and 8 relatives. Data were collected by semi-structured individual interviews. A conceptual framework of safety was used and a qualitative content analysis was conducted in a deductive and an inductive phase. The deductive results are presented in predefined categories: perceived sense of safety, disturbance and threats, re-establishing safety, and new safety. The inductive analysis resulted in two main categories: safety as part of everyday life and eHomecare as safety. The results show that eHomecare can promote safety for older patients and their relatives. Existing doubts and ethical concerns about the service can be minimized by providing adequate information.
|
|
| 38. |
|
|
| 39. |
|
|
| 40. |
- Miyazaki, Ryo, et al.
(författare)
-
Associations between dairy consumption and the physical function in Japanese community-dwelling older adults : The Shimane CoHRE study
- 2023
-
Ingår i: Geriatric Nursing. - 0197-4572. ; 53, s. 19-24
-
Tidskriftsartikel (refereegranskat)abstract
- Objectives: We investigated sex differences in the associations between dairy consumption and the physical function among community-dwelling older adults. Methods: Six hundred and fifty-six older adults (75.6 ± 6.4 years old) participated in this study. Dairy consumption (5-item Likert score) and the physical function (gait speed, handgrip strength, and skeletal muscle mass) were measured. The linear and quadratic associations between dairy consumption and the physical function measures were examined by a multiple linear regression analysis adjusted for covariates. Results: Among women, an increased dairy consumption was significantly linearly associated with greater hand-grip strength and faster gait speed (both p<0.05) after adjusting for covariates. Among men, dairy consumption was not associated with the physical function measures. Dairy consumption was not associated with the muscle mass in either sex. Conclusions: Increased dairy consumption was associated with a superior physical function in older women.
|
|
| 41. |
- Samuel, Laura J., et al.
(författare)
-
Community-dwelling older adults who are low-income and disabled weathering financial challenges
- 2021
-
Ingår i: Geriatric Nursing. - : Elsevier BV. - 0197-4572. ; 42:4, s. 901-907
-
Tidskriftsartikel (refereegranskat)abstract
- Despite interventions aiming to improve outcomes among older adults experiencing financial challenges, the challenges and strategies employed to handle them are poorly understood. This study examined the experiences of financial challenges among low-income adults aged ≥65 years. Eleven semi-structured interviews were analyzed using thematic analyses. An overarching theme was “I guess it balances”, capturing attempts to maintain hope and proactively address challenges despite stress, uncertainty and limitations. Balancing was demonstrated within four domains, including cognitive bandwidth (“think a lot” versus “I don't dwell on that”), emotional experience (“depressing” versus “be thankful”), learned resilience (“that was a shock” versus “there's always a way”), and meeting daily needs (“we learned to do without” versus “take a dollar and stretch it”). Participants described being weathered by challenges and using predominately high-effort coping strategies to weather the challenges. These findings call for strengthening the safety net for older adults facing financial challenges.
|
|
