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- Tavemark, Sofia, 1988-, et al.
(author)
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Enabling activity in palliative care : focus groups among occupational therapists
- 2019
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In: BMC Palliative Care. - : BioMed Central. - 1472-684X. ; 18:1
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Journal article (peer-reviewed)abstract
- Background: Activity participation may support clients in palliative care to maintain dignity and quality of life. Literature and policy documents state that occupational therapists should be part of the team in palliative care, but give limited guidance on how interventions should be employed. Thus, the aim was to describe occupational therapists’ experiences of enabling activity for seriously ill and dying clients.Methods: In a descriptive, qualitative study, three focus groups with occupational therapists (n = 14) were conducted. The data were analysed using qualitative content analysis.Results: The findings showed that occupational therapists were enabling activity in clients in palliative care whilst considering the client’s individual preferences. Motivation was seen to facilitate activity, while environmental restrictions act as barriers. The occupational therapists wanted to bring activities physically closer to the clients and felt a need for more client contact to enable activity.Conclusions: Occupational therapists’ interventions in palliative care includes prioritizing and planning activities according to clients’ preferences and capacities. The individual nature of these activities makes it impossible to create standardised protocol for interventions, but the study results can be used to describe occupational therapists’ strategies and to guide their work, especially unexperienced occupational therapists in palliative care.
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- Tavemark, Sofia, 1988-, et al.
(author)
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Individual goal-setting in municipal homecare : A participatory appreciative action and reflection study
- 2023
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In: Journal of Public Health Research. - : Sage Publications. - 2279-9028 .- 2279-9036. ; 12:2
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Journal article (peer-reviewed)abstract
- BACKGROUND: There is a need for structural change in municipal homecare to shift power to older persons and to center the individuals in need. To make this change, the individual older persons should have enough self-determination to formulate their own individual homecare goals. Our aim was to explore how stakeholders reason about individual goal-setting in homecare. DESIGN AND METHODS: We theoretically and methodologically used a participatory appreciative action and reflection (PAAR) design. The stakeholders, that is, the older persons, the older persons' relatives, and the multi-professional team, were seen as co-researchers. Data were collected between 2019 and 2020 through in depth-interviews, focus group discussions, and reference groups. The data were analyzed using thematic analysis.RESULTS: We learned from the stakeholders that it was a struggle to sustain the individual's goal to continue life as usual, that is, being an ordinary human being with an ordinary everyday life and maintaining individual roles. The individual wants to improve health, be active, and enjoying life. The individuals were struggling against the homecare organization, which tended to overshadow the individual's goals. The individual's goals fall under several legal jurisdictions and come to be overshadowed by the professionals' dominant goal. The organization is rigid, with finances and resources creating the framework.CONCLUSION: We learned that older persons receiving homecare must have the same rights as other citizens in society, which is in line with public health goals.
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- Tavemark, Sofia, 1988-, et al.
(author)
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Tensions between infection control regulations and the home care working environment: An interview study with health care providers early during the COVID-19 pandemic
- 2022
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In: Journal of Public Health Research. - : SAGE Publications. - 2279-9028 .- 2279-9036. ; 11:2
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Journal article (peer-reviewed)abstract
- Background: Therefore, the objective of this study was to elucidate caregivers' experiences of ordinary homes as a working environment in home care and home health care during the COVID-19 pandemic. At the beginning of the pandemic, hospital care was in focus and the care of older adults was criticized around the world. Design and methods: Semi-structured qualitative interviews were conducted in two municipalities in Sweden between March 2020 and May 2021. One large municipality (population 155,000) with experience of care recipients with COVID-19, and a smaller municipality (population 32,000) were included; both had a focus on preventing the spread of the infection. A total of 27 participants working in home care were interviewed; these were occupational therapists, physical therapists, nurses, and assistant nurses. The interview material was analyzed using content analysis. Results: The interviews provided a comprehensive insight into the complex work environment in municipal home care during the pandemic. The staff had to deal with constantly changing information and new guidelines. They were also given new tasks and work routines that demanded more planning and were time-consuming. The staff experienced higher workload and pressure during the pandemic and did not have enough time to recover. Conclusions: During a pandemic situation, the information must be comprehensive and gathered in one place, and the managers must ensure sufficient staffing levels, time for reflection, and support for prioritization. The managers must also ensure the mental health of staff and meet their needs for recovery, both at and outside work.
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