| 1. |
|
|
| 2. |
|
|
| 3. |
|
|
| 4. |
- Anbäcken, Els-Marie, 1954-
(författare)
-
A Japanese Narrative 1992 - 2016. : Applying a Relational Perspective on Ageing, Life and Care
- 2019
-
Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- A Japanese Narrative 1992 - 2016.Applying a Relational Perspective on Ageing, Life and Care A qualitative longitudinal study evolved as I followed the Suzuki couple in Japan for more than two decades through life turning points and crises. Would the traditions of filial duty guide their choices, or would the Suzuki couples’ clearly voiced wish to live on their own and take care of themselves be respected? I have followed their temporary move to their daughter’s residence following upon the 1995 Hanshin Earthquake when they lost their house, their permanent move to a condominium purchased by son, and a couple of years thereafter, the sudden death of Mr Suzuki. Since his death, I met Ms Suzuki every or every other year, last time was in 2016 when she still lived at home (with dementia) and enjoyed regular visits to a day care centerThis paper will discuss views on ageing, care and life from a relational point of view and within a life course perspective. This paper also encounters death as part of life and relations Though a one case study, this paper will also draw on some previous studies in the fields of social and cross-cultural gerontology.
|
|
| 5. |
|
|
| 6. |
- Anbäcken, Els-Marie, 1954-
(författare)
-
`Best practice´ i äldreomsorg, vems perspektiv? : En kunskapsöversikt över metoder, faktorer och förhållanden som upplevs viktiga av äldre personer med demenssjukdom.
- 2020
-
Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Bakgrund och syfte: Uppdraget var att göra en kunskapsöversikt om `best practice´ i äldreomsorgen riktad till praktiker. Syftet blev att sammanställa och analysera forsknings-studier som på olika sätt belyser vad äldre personer med demenssjukdom ser som god omsorg och vård för ett gott liv i vardagen. Hur kommer de till tals i äldreomsorgen? Hur studeras de? Vilka förhållningssätt och metoder verkar upplevas meningsfulla? Hur ser evidensen ut för `best practice´ utifrån detta? Denna ansats valdes eftersom många studier utgår ifrån vårdgivarnas perspektiv och deras tolkningar av personer med demens.Metod och material: En litteraturstudie på 36 vetenskapliga studier som, med några undantag, hittades i databaser utifrån valda sökord och som därefter analyserades tematiskt.Resultat och analys: De fyra teman som resultatet sorterades i var Brukardeltagande och inkludering, Interventioner, Relationer samt Mångfacetterade perspektiv utifrån deltagande observationer och berättelser. Resultatet visade på gränsöverskridanden mellan de olika temana men med flera gemensamma nämnare. Personcentrerad vård och omsorg liksom psykosociala insatser fångar in resultatet där flera komponenter behöver ingå: Aktivt lyssnande på kommunikation i ord, kroppsspråk och handling; fullständig närvaro av vård och omsorgspersonal när de är tillsammans med personen med demens. Att behandlas med respekt för den man är och har varit, att uppleva tillhörighet till personer i livet nu och i livet som varit, att inkluderas i beslut framför allt i det som rör det dagliga livet. Att få leva i kontakt med omvärlden i olika mening, existentiellt men även konkret med nära och kära, med grannskapet, med naturen. Att uppleva välbefinnande, i glädje som i sorg kan stödjas i olika metoder av livsberättelser. För makar, att få stöd i sitt `parskap´ och för alla att behandlas från sitt `personskap´. För alla, men inte minst för ensamboende, är personalens roll stor för att grundläggande livskvalité ska kunna upprätthållas. Slutsatser och implikationer: Lyssna på, Lev med och Lär av personen med demens och dennes närstående i den dagliga omsorgen och vården Skapa rutiner i äldreomsorgen utifrån denna kunskap. Investera i tid för att möjliggöra detta.
|
|
| 7. |
|
|
| 8. |
- Anbäcken, Els-Marie, 1954-
(författare)
-
Dementia care and “best practice” - in everyday life until end of life
- 2018
-
Ingår i: International Conference Innovation, Prevention and Care for NCDs and Global Health.
-
Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Title: Dementia care and “best practice” - in everyday life until end of life Background: This study is part of a project financed by Mälardalen Skill Centre for Health and Welfare (MKHV) 2016-2018, aiming at providing practitioners bases to develop evidence based activities in municipal eldercare. Aim: To search for “best practice” within municipal care for older persons with dementia (PWD), through a knowledge overview.Methods: Based on a literature review with search words taking a broad view, 36 articles were analyzed and categorized into three areas: 1. End of life care (EOL) 2. Education for staff and 3. Knowledge of caring and interacting from the perspectives of PWD, next of kin, care professionals and management. The results were presented at three seminars for practitioners who were invited to give feedback. Results: EOL: Findings show diversity between different care professionals, the PWD and next of kin. Care professionals and next of kin seldom regard dementia as the terminal illness it is. This makes the border between everyday life and end of life care blurred which complicates care and interactions. Education: Intervention studies with education program based on a learning philosophy and focusing on communication are promising. Interprofessional education may help staff to think outside the box. When structural reforms are included in interventions there is a potential for lasting change. Knowledge of caring and interacting showed diverse views on therapies, where intentions of therapies may clash with PWD´s perspectives, such as symptom control rather than adding quality of life. Care management assessments risk being discriminatory if PWD are treated as objects. Nuanced examples of life review and validation method challenge routines and show potentials to enrich life and care of PWD. Conclusions: A broad view on “best practice” informs dementia care with a holistic perspective encompassing art, communication skills, life history, interprofessional cooperation as well as environmental aspects of everyday life until end of life. More participant observation type of studies are welcome to capture the interplay between the actors: older PWD, their next of kin and care professionals. PWD´s voices are crucial to develop best practices.
|
|
| 9. |
|
|
| 10. |
|
|
| 11. |
|
|
| 12. |
|
|
| 13. |
|
|
| 14. |
|
|
| 15. |
|
|
| 16. |
- Anbäcken, Els-Marie, 1954-, et al.
(författare)
-
Older adults and care: reshaped family roles in societal change : A comparative study of Japan, South Korea, and Sweden
- 2021. - 1
-
Ingår i: Aging and the Family. - Bingley, UK : Emerald Group Publishing Limited. - 9781800714915 - 9781800714908 ; , s. 1-38
-
Bokkapitel (refereegranskat)abstract
- Purpose: The aim is to explore how family relations are affected by societalchanges in relation to informal and formal caregiving and self-determinationof older adults.Design/methodology/approach: Care managers (CMs)/social workers (SWs)(N = 124) participated in a comparative vignette study including Japan, SouthKorea, and Sweden. Systems theory was used.Findings: Japanese CMs/SWs clearly describe their efforts to create networksin a relational way between formal and informal actors in the community. SouthKorean CMs/SWs balance between suggesting interventions to support dailylife at home or a move to a nursing home, often acknowledging the family as themain caregiver. In Sweden, CMs/SWs highlight the juridical element in meetingthe older adult and the interventions offered, and families primarily give socialsupport. Regarding self-determination, the Japanese priority is for CMs/SWsto harmonize within the family and the community. South Korean CMs/SWsexpress ambivalent attitudes to older adults’ capability for self-determination inthe intersection between formal and family care. Swedish CMs/SWs adhere tothe older adult’s self-determination, while acknowledging the role of the familyin persuading the older adult to accept interventions. The results suggest emergingdefamilialization in South Korea, while tendencies to refamilialization arenoticed in Japan and Sweden, albeit in different ways.Research limitations/implications: In translation, nuances may be lost. Afocus on changing families shows that country-specific details in care serviceshave been reduced. For future research, perspectives of “care” need to be studiedon different levels.Originality/value: Using one vignette in three countries with different welfareregimes, discussing changing views on families’, communities’ and societal caregivingis unique. This captures changes in policy, influencing re- and defamilialization.
|
|
| 17. |
|
|
| 18. |
|
|
| 19. |
|
|
| 20. |
|
|
| 21. |
|
|
| 22. |
|
|
| 23. |
|
|
| 24. |
|
|
| 25. |
|
|
| 26. |
- Elfström, Magnus, 1971-, et al.
(författare)
-
Reablement for older persons by an interprofessional home rehabilitation team : An ongoing RCT
- 2018
-
Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- The aim is to evaluate the effects of intensive home rehabilitation regarding multidimensional health perceptions and other quality of life domains, physical ability and capacity among older people (65+). The design is a randomized controlled study of a reablement intervention with controls receiving traditional home care. The intervention is goal- and user oriented, home-based, time limited (3 months), and organized by an interprofessional team consisting of the professions nurse, enrolled nurses, physiotherapists, social worker, and occupational therapists. The effects of the intervention are measured by self-reported health and quality of life (EQ-5D-5L, HACT) including psychological well-being (GP-CORE), physical capacity (SPPB, hand dynamometer test), activity performance (COPM), and home care hours needed. Data are collected at inclusion (T1; applying for home care), after the three months intervention (T2), and at six months (T3). Primary outcome analyses will be performed according to intention to treat; 2 x 3 mixed design (group x time) ANCOVA with each dependent variable at T1 as covariate. Based on a medium effect size in favour of the intervention in the pilot study, and a dropout of 20%, the power calculation indicated that 240 persons should be included. The project will contribute with evidence of the effects of interprofessional home rehabilitation for reablement, and consequences for older persons’ bio-psycho-social health. The project is ongoing with more than 120 persons included. The intervention may result in reduced costs for care, but especially individual gains in relation to reduced care needs, maintained independence and good health.
|
|
| 27. |
- Funkesson, Kajsa, 1953-, et al.
(författare)
-
Nurses' reasoning process during care planning taking pressure ulcer prevention as an example. A think-aloud study
- 2007
-
Ingår i: International Journal of Nursing Studies. - : Elsevier BV. - 0020-7489 .- 1873-491X. ; 44:7, s. 1109-1119
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Nurses' clinical reasoning is of great importance for the delivery of safe and efficient care. Pressure ulcer prevention allows a variety of aspects within nursing to be viewed. Objective: The aim of this study was to describe both the process and the content of nurses' reasoning during care planning at different nursing homes, using pressure ulcer prevention as an example. Design: A qualitative research design was chosen. Settings: Seven different nursing homes within one community were included. Participants: Eleven registered nurses were interviewed. Method: The methods used were think-aloud technique, protocol analysis and qualitative content analysis. Client simulation illustrating transition was used. The case used for care planning was in three parts covering the transition from hospital until 3 weeks in the nursing home. Result: Most nurses in this study conducted direct and indirect reasoning in a wide range of areas in connection with pressure ulcer prevention. The reasoning focused different parts of the nursing process depending on part of the case. Complex assertations as well as strategies aiming to reduce cognitive strain were rare. Nurses involved in direct nursing care held a broader reasoning than consultant nurses. Both explanations and actions based on older ideas and traditions occurred. Conclusions: Reasoning concerning pressure ulcer prevention while care planning was dominated by routine thinking. Knowing the person over a period of time made a more complex reasoning possible. The nurses' experience, knowledge together with how close to the elderly the nurses work seem to be important factors that affect the content of reasoning. © 2006 Elsevier Ltd. All rights reserved.
|
|
| 28. |
- Gustafsson, Lena-Karin, 1966-, et al.
(författare)
-
Actions taken to safeguard the intended health care chain of older people with multiple diagnoses-a critical incident study
- 2022
-
Ingår i: BMC Nursing. - : BMC. - 1472-6955. ; 21:1
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Older people with multiple diagnoses often have problems coping with their daily lives at home because of lack of coordination between various parts of the healthcare chain during the transit from hospital care to the home. To provide good care to those persons who have the most complex needs, regions and municipalities must work together. It is of importance to develop further empirical knowledge in relation to older persons with multiple diagnoses to illuminate possible obstacles to person-centred care during the transition between healthcare institutions and the persons livelihood. The aim of the present study was to describe nurses' experienced critical incidents in different parts of the intended healthcare chain of older people with multiple diagnoses.Methods: The sample consisted of 18 RNs in different parts of the healthcare system involved in the care of older people with multiple diagnoses. Data were collected by semi structured interviews and analysed according to Critical Incident Technique (CIT). A total of 169 critical incidents were identified describing experiences in recently experienced situations.Results: The result showed that organizational restrictions in providing care and limitations in collaboration were the main areas of experienced critical incidents. Actions took place due to the lack of preventive actions for care, difficulties in upholding patients' legal rights to participation in care, deficiencies in cooperation between organizations as well as ambiguous responsibilities and roles. The RNs experienced critical incidents that required moral actions to ensure continued person-centred nursing and provide evidence-based care. Both types of critical incidents required sole responsibility from the nurse. The RNs acted due to ethics, 'walking the extra mile', searching for person-centred information, and finding out own knowledge barriers.Conclusions: In conclusion and based on this critical incident study, home-based healthcare of older people with multiple diagnoses requires a nurse that is prepared to take personal and moral responsibility to ensure person-centred home-based healthcare. Furthermore, the development of in-between adjustments of organizations to secure cooperation, and transference of person-centred knowledge is needed.
|
|
| 29. |
- Gustafsson, Lena-Karin, 1966-, et al.
(författare)
-
‘Best fit’ caring skills of an interprofessional team inshort-term goal-directed reablement : older adults’perceptions
- 2019
-
Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 33:2, s. 498-506
-
Tidskriftsartikel (refereegranskat)abstract
- This paper reports a study conducted to illuminate older adults’ perceptions of multiproffesional team's caring skills as success factors for health support in short-term goal-directed reablement. The fact that older adults are given perquisites to live in their own homes puts great demands on the professional care given them at home. An option offered could be short-term goal-directed reablement delivered by an interprofessional team. This means after periods in hospitals to strengthen their multidimensional health, older adults’ reablement processes are supported to return to their daily life as soon as possible. Crucial in making these intentions a reality seems to be identifying the professional's approach that works as success factors for health support in the reablement process. A descriptive qualitative design with a phenomenographic approach based on interviews with 23 older persons who had received short-term goal-directed reablement at home after a period at hospital was used. The study was approved by an ethical board. The analysis revealed four major referential aspects of multiproffesional team's caring skills as success factors for health-support in short-term goal-directed reablement: a motivating caregiver, a positive atmosphere-creating caregiver, a human fellowship-oriented caregiver and a caregiver that goes beyond the expected. In this study, all caring skills in the continuum are perceived as positively loaded necessities in different situations during the reablement process. Caring skills as success factors are initially shown at a practical level, such as how the professional caregivers encourage and motivate the older persons in different training situations. At a deeper level, the caregivers open their hearts and have the capacity to go beyond the expected in the professional caregiver–patient relationship. The multiproffesional team's best fit caring skills during the home reablement process need to be addressed as evidence base in the area of elderly home care.
|
|
| 30. |
- Gustafsson, Lena-Karin, Docent, 1966-, et al.
(författare)
-
Implementation of a New Integrated Healthcare Model; Quality Aspects to Support the Complex Home Care of Older Adults with Multiple Needs
- 2024
-
Ingår i: Journal of Multidisciplinary Healthcare. - : DOVE MEDICAL PRESS LTD. - 1178-2390. ; 17, s. 2879-2890
-
Tidskriftsartikel (refereegranskat)abstract
- Aim: This study aims to describe experiences of the implementation of a new integrated healthcare model for older adults with complex care needs due to multimorbidity, living at home, from a health and welfare personnel perspective. The goal was to diminish hospitalization and still carry out high quality care at home for older adults living with multimorbidity. The model was implemented by two organizations working in cooperation, the municipality, and the region that handles interprofessional social care and healthcare in people's homes. Materials and Method: Open-ended group interviews with personnel were carried out, three of the group interviews preimplementations of the model, and three of the group interviews post -implementation. The interviews were audiotaped and analysed according to the procedure of thematic analysis. Results: The quality of the integrated care model was based on care -chain cooperation, shared professionalism, and creating relations with the patient including closeness to next of kin, which was underlined by the participants. Unencumbered time gave the professionals the possibility to develop quality in integrated healthcare as part of integrated and person -centred care. The coproduction of education, research interviews and the follow-up meeting identified successes in diminishing hospitalization rates according to the participants' experiences of the post -implementation interviews. An identified failure was, however, that shared professionalism was not developed over time, rather the different responsibilities were accentuated according to the information retrieved at the follow-up meeting. Conclusion: Quality aspects of the model were identified in the present study. However, when implementation of a new model is completed, the organizations always have their own interpretation of how to further understand the model in question. Plain language summary: The intention of the present study was to follow the process of working with a new model of providing care at home, thus preventing increased numbers of hospital readmissions, based on the professionals point of view of what quality care is for older adults with complex care needs due to multimorbidity, living in their own home. The professionals were interviewed in group settings on several occasions during the implementation. The result showed hopeful expectations expressed by the professionals before the new model was implemented, such as a hope for getting more time for high -quality care for the older adults with multimorbidity. During the teamwork, the conversation within the team members was praised as a key factor that included shared professionalism from professionals with different levels of education and focus on their work. According to the staff, unnecessary hospital stays were reduced, while the interprofessional care -chain cooperation was improved through the work of the integrated care team. For many team members, the positive difference in both work and care satisfaction was highlighted in comparison to regular home care as they were able to use their multi -disciplinary skills and support.
|
|
| 31. |
- Gustafsson, Lena-Karin, 1966-, et al.
(författare)
-
Working with short-term goal-directed reablement with older adults : strengthened by a collaborative approach
- 2019
-
Ingår i: Nordic journal of nursing research. - : Sage Publications. - 2057-1585 .- 2057-1593. ; 39:4, s. 178-185
-
Tidskriftsartikel (refereegranskat)abstract
- The increased number of older adults who experience longevity requires increased investment in healthcare services. Short-term goal-directed reablement is expected to strengthen the functional capacity and quality of life of older adults, while homecare hours, and thus municipal expenditures, decrease. Facilitation of successful interprofessional collaboration includes not only enhancing coordination structurally, but also establishing a commitment regarding culture that overcomes professionally differentiated attitudes. Nurses have an obvious role in these multi-professional teams and the study explores some aspects' of working in this type of collaboration. The aim was to illuminate the meaning of working with short-term goal-directed reablement of older adults as experienced by an interprofessional team. Data were collected after an intervention with goal-directed time-limited reablement of older people. Written narratives from an interprofessional team were analyzed using a phenomenological-hermeneutic approach. Findings identified four major thematic structures that characterized the meaning: 1) Reliable relationship; including the aspects ‘Confidence between the older adult and staff’, ‘A sense of security’ and ‘Continuity’, 2) Empowered participation, including the following aspects: ‘Listen to the older adult’s desires’ and ‘Put the person in control’, 3) Team with a negotiated approach, including the aspects: ‘Closeness’, ‘Same direction and overarching goal’, ‘Learning from interprofessional dialogue’, 4) Time for growth with the aspects ‘Creating harmony’ and ‘Building the older adult’s self-confidence’. The process of reablement seemed strengthened by the collaborative approach of different professions and their combined efforts. The present study argues that teamwork gives confidence both in terms of general knowledge of reablement but also specific confidence in one’s profession.
|
|
| 32. |
|
|
| 33. |
- Wilinska, Monika, 1982-, et al.
(författare)
-
Ageism in a cross-cultural perspective : Reflections from the research field
- 2018
-
Ingår i: Contemporary perspectives on ageism. - Cham : Springer Publishing Company. - 9783319738192 - 9783319738208 ; , s. 425-440
-
Bokkapitel (refereegranskat)abstract
- In this chapter, we discuss the opportunities and challenges of researching ageism from a cross-cultural perspective. We discuss the complexity of exploring diverse ageist practices as performed in different parts of the world. We also reflect upon the socio-cultural backgrounds through which researchers filter the experiences of fieldwork and research on various enactments of ageism. The key tenet of our argument is that these two dimensions interact during the fieldwork to create unique frameworks that researchers apply in their studies.We confront our experiences of researching ageism in Japan, Poland, Sweden, and West Papua to explore the notion that the socio-cultural context matters to the following aspects of ageism: diversity of ageist practices, societal images of later life, and the researchers’ socio-cultural understandings of ageism. We explore the position of researchers who, on the one hand, apply the privileged perspective of a stranger to their fieldwork, and on the other hand, are deeply embedded in their own socio-cultural background, which affects their way of approaching later life and ageism. We conclude with a notion of establishing a “sense of touch” within the field and a discussion recognizing the potential changes that such an approach can bring to the ways we study ageism worldwide.
|
|
| 34. |
- Wilinska, Monika, et al.
(författare)
-
In Search of the Everyday Life of Older People in Japan : Reflections based on Scholarly Literature
- 2013
-
Ingår i: Journal of Cross-Cultural Gerontology. - : Springer Science and Business Media LLC. - 0169-3816 .- 1573-0719. ; 28:4, s. 435-451
-
Tidskriftsartikel (refereegranskat)abstract
- The main objective of this paper is to critically examine discourses about old age in Japan, a country with perspectives that are culturally different from the European and American perspectives that tend to dominate the scholarly discourse on ageing. We focus our inquiry on the scientific discourse as representative of a system of knowledge that has a crucial role in determining ways of thinking and perceiving old age. Our literature review is based on a study of academic articles, within the field of gerontology, about the everyday life of older people in Japan that were published in the 10-year period between 1999 and 2009. We apply a Foucauldian gerontology perspective as our analytical tool. The results of our study indicate that there is insufficient knowledge about the everyday life of older people in Japan in gerontological research. We identify a number of discursive practices applied in various research projects that present a one-sided story of old age in Japan. In theconclusion of this paper, we identify a need for interdisciplinary and qualitative studies of old age in Japan that would include voices of older people
|
|
| 35. |
- Wongsala, Manothai
(författare)
-
Active ageing among older Thai adults in north-eastern Thailand – implementing the Plan-Do-Study-Act cycle
- 2023
-
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
|
|
| 36. |
- Wongsala, Manothai, et al.
(författare)
-
Active ageing – perspectives on health, participation, and security among older adults in northeastern Thailand : A qualitative study
- 2021
-
Ingår i: BMC Geriatrics. - : BioMed Central. - 1471-2318. ; 21:1
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Health, participation, and security are the basic pillars of active ageing suggested by the WHO. The concept is used by professionals but requires exploration from the perspectives of older people themselves. This study aims to explore how older adults experience and describe health, participation, and security. Methods: A qualitative research approach was used based on open-ended interviews with 20 older Thai adults aged 60–92 years. The interviews were analysed using qualitative content analysis. Results: The results showed perspectives related to experiences of daily life and local culture. Health while ageing, was described as the absence of barriers to continued daily living, combined with a peaceful and adaptive mindset. Participation was described as maintaining social networks and being a formal volunteer, with an emphasis on the “making of merits”, of meaningful activities and being respected. Security was described as manageable living conditions and managing to finalize life well by balancing dependency and independency in relation to children to sustain the traditional value of gratitude between generations. Conclusions: These understandings will support healthy policy planning by providing resources and activities that relate to older Thai adults’ perspectives of health, participation and security and ultimately contribute to a better quality of life.
|
|
| 37. |
- Wongsala, Manothai, et al.
(författare)
-
Applying the PDSA cycle to a group activity promoting lifestyle change for the active ageing of older Thai adults - a focused ethnography
- 2022
-
Ingår i: BMC Geriatrics. - : NLM (Medline). - 1471-2318. ; 22:1
-
Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: The proportion of the older Thai population is increasing rapidly. Lifestyle may impact active ageing in later life. Interventions that empower older Thai adults to initiate and carry out lifestyle changes are needed. This study applied the Plan-Do-Study-Act (PDSA) cycle, a tool for improving lifestyle changes, with the aim of exploring interactions among older Thai adults when participating in group activities. METHOD: Focused ethnography was used based on participant observations, field notes and video recordings of 15 older Thai adults aged 62-78 years. RESULTS: Older Thai adults faced difficulties at the beginning since they were unfamiliar with initiating and carrying out lifestyle changes according to the PDSA concept. This provided a learning opportunity enabling older Thai adults to reach their individual goals of lifestyle change. CONCLUSIONS: The PDSA cycle has the potential to empower older adults in group contexts to promote lifestyle changes related to active ageing.
|
|
| 38. |
- Wongsala, Manothai, 1971-, et al.
(författare)
-
Experiences of lifestyle changes among Thai older adults six months after applying the PDSA cycle
-
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.
|
|
| 39. |
|
|
| 40. |
|
|
| 41. |
|
|
| 42. |
- Östlund, Gunnel, 1956-, et al.
(författare)
-
Older adults’ experiences of a reablement process. : "To be treated like an adult, and ask for what I want and how I want it"
- 2019
-
Ingår i: Educational gerontology. - : Informa UK Limited. - 0360-1277 .- 1521-0472. ; 45:8
-
Tidskriftsartikel (refereegranskat)abstract
- This is a follow-up study of intensive home-based rehabilitation from older people’s perspectives. The aim was to explore older adults’ descriptions of interactional needs related to autonomy in life. The purpose was also to explore the importance of significant others in the reablement process.Method: The sample consisted of 23 women aged 72–92 who were included consecutively in the first project year. Data were collected through face-to-face semi-structured interviews that were recorded, transcribed, and analyzed using qualitative latent content analysis. Results: Regaining autonomy through reablement was achieved by the interviewees although not always to the same extent as before. Three themes related to interactional needs were identified: (1) Transitional relations, referring to encounters with staff in time-limited relations. (2) More stable relations with significant others without limitation of time. (3) The acceptance of growing older and of death as a “natural departure”. Transitional relations with professionals, and more stable relations with significant others, are important parts of the reablement process according to older adults.In conclusion: Professionals within gerontology need to recognize the social and historical context including the symbolic meanings each older person gives to life’s necessaries. Older adults appreciate reablement which includes rehabilitation goals related to the person’s stable relationships and larger life context.
|
|
