| 1. |
- Zoffmann, Vibeke, et al.
(författare)
-
Translating person-centered care into practice : a comparative analysis of motivational interviewing, illness-integration support, and guided self-determination
- 2016
-
Ingår i: Patient Education and Counseling. - : Elsevier. - 0738-3991 .- 1873-5134. ; 99:3, s. 400-407
-
Tidskriftsartikel (refereegranskat)abstract
- Objective: Person-centred care [PCC] can engage people in living well with a chronic condition. However, translating PCC into practice is challenging. We aimed to compare the translational potentials of three approaches: motivational interviewing [MI], illness integration support [IIS] and guided self-determination [GSD]. Methods: Comparative analysis included eight components: (1) philosophical origin; (2) development in original clinical setting; (3) theoretical underpinnings; (4) overarching goal and supportive processes; (5) general principles, strategies or tools for engaging peoples; (6) health care professionals' background and training; (7) fidelity assessment; (8) reported effects. Results: Although all approaches promoted autonomous motivation, they differed in other ways. Their original settings explain why IIS and GSD strive for life-illness integration, whereas MI focuses on managing ambivalence. IIS and GSD were based on grounded theories, and MI was intuitively developed. All apply processes and strategies to advance professionals' communication skills and engagement; GSD includes context-specific reflection sheets. All offer training programs; MI and GSD include fidelity tools. Conclusion: Each approach has a primary application: MI, when ambivalence threatens positive change; IIS, when integrating newly diagnosed chronic conditions; and GSD, when problem solving is difficult, or deadlocked. Practice Implications: Professionals must critically consider the context in their choice of approach. (C) 2015 Elsevier Ireland Ltd. All rights reserved.
|
|
| 2. |
- Bergland, Adel, et al.
(författare)
-
Person-centred ward climate as experienced by mentally lucid residents in long-term care facilities
- 2015
-
Ingår i: Journal of Clinical Nursing. - : Wiley. - 0962-1067 .- 1365-2702. ; 24:3-4, s. 406-414
-
Tidskriftsartikel (refereegranskat)abstract
- Aims and objectives. To assess the content validity and reliability of the Person-centred Climate Questionnaire-Patient version in long-term care facilities, to describe residents' perceptions of the extent to which their ward climate was person-centred and to explore whether person-centredness was associated with facility and resident characteristics, such as facility and ward size, having a sensory garden and having a primary caregiver.Background. The importance of the physical environment to persons with dementia has been investigated. However, research is lacking regarding the extent to which mentally lucid residents experience their physical and psycho-social ward climate as person-centred and the factors influencing their experience.Design. Cross-sectional survey design.Methods. The Person-centred Climate Questionnaire-Patient version was translated into Norwegian with forward and backward translation. The content validity index for scales was assessed. The Person-centred Climate Questionnaire-Patient version was completed by 145 mentally lucid residents in 17 Norwegian long-term care facilities. Reliability was assessed by Cronbach's alpha and item-total correlations. Test-retest reliability was assessed by paired samples t-test and Spearman's correlation. To explore differences based on facility and resident characteristics, independent-samples t-test and one-way ANOVA were used.Results. The content validity index for scales was satisfactory. The Person-centred Climate Questionnaire-Patient version was internally consistent and had satisfactory test-retest reliability. The climate was experienced as highly person-centred. No significant differences were found, except that residents in larger facilities experienced the climate as more person-centred in relation to everyday activities (subscale 2) than residents in smaller facilities.Conclusion. The Norwegian version of the Person-centred Climate Questionnaire-Patient version can be regarded as reliable in a long-term care facility context. Perceived degree of person-centredness was not associated with facility or resident characteristics, such as the number of residents, having a sensory garden or knowing that one has a primary caregiver.Relevance to clinical practice. A person-centred climate can be attained in different kinds of long-term care facilities.
|
|
| 3. |
- Bergland, Ådel, et al.
(författare)
-
The thriving of older people assessment scale : validity and reliability assessments
- 2015
-
Ingår i: Journal of Advanced Nursing. - : Wiley. - 0309-2402 .- 1365-2648. ; 71:4, s. 942-951
-
Tidskriftsartikel (refereegranskat)abstract
- AimTo explore construct validity and reliability of the Thriving of Older People Assessment Scale. BackgroundThe concept of thriving emphasizes person-environment interaction in relation to well-being. The Thriving of Older People Assessment Scale has been developed and evaluated as a self-report and proxy scale based on the theory of thriving. DesignCross-sectional survey design. MethodThe Thriving of Older People Assessment Scale was completed by a sample of 259 residents, 146 family members and 52 staff from 13 long-term care facilities in Norway and Sweden. Data were collected between April 2010-December 2011. Exploratory factor analysis was applied to explore construct validity in terms of factor structure and dimensionality of the 32-item scale in relation to the thriving theory. Reliability was explored through internal consistency estimation using Cronbach's alpha and through homogeneity evaluation using corrected item-total correlations. ResultsExploratory factor analysis resulted in five factors (subscales) that corresponded meaningfully with the thriving theory and were labelled 1: Resident' attitudes towards being in long-term care; 2: Quality of care and caregivers; 3: Resident engagement and peer relationships; 4: Keeping in touch with people and places; and 5: Quality of the physical environment. The scale had satisfactory internal consistency and homogeneity estimates. ConclusionThe 32-item Thriving of Older People Assessment Scale can be regarded as construct valid and reliable. Its factor structure corresponded logically to the thriving theory and its factors showed satisfactory internal consistency and homogeneity. Nevertheless, the TOPAS would benefit from further testing in other populations and contexts.
|
|
| 4. |
- Edvardsson, David, et al.
(författare)
-
A person-centred and thriving-promoting intervention in nursing homes - study protocol for the U-Age nursing home multi-centre, non-equivalent controlled group before-after trial
- 2017
-
Ingår i: BMC Geriatrics. - : Springer Science and Business Media LLC. - 1471-2318 .- 1471-2318. ; 17
-
Tidskriftsartikel (refereegranskat)abstract
- Background: The literature suggests that person-centred care can contribute to quality of life and wellbeing of nursing home residents, relatives and staff. However, there is sparse research evidence on how person-centred care can be operationalised and implemented in practice, and the extent to which it may promote wellbeing and satisfaction. Therefore, the U-Age nursing home study was initiated to deepen the understanding of how to integrate person-centred care into daily practice and to explore the effects and meanings of this.Methods: The study aims to evaluate effects and meanings of a person-centred and thriving-promoting intervention in nursing homes through a multi-centre, non-equivalent controlled group before-after trial design. Three nursing homes across three international sites have been allocated to a person-centred and thriving-promoting intervention group, and three nursing homes have been allocated to an inert control group. Staff at intervention sites will participate in a 12-month interactive educational programme that operationalises thriving-promoting and person-centred care three dimensions: 1) Doing a little extra, 2) Developing a caring environment, and 3) Assessing and meeting highly prioritised psychosocial needs. A pedagogical framework will guide the intervention. The primary study endpoints are; residents’ thriving, relatives’ satisfaction with care and staff job satisfaction. Secondary endpoints are; resident, relative and staff experiences of the caring environment, relatives’ experience of visiting their relative and the nursing home, as well as staff stress of conscience and perceived person-centredness of care. Data on study endpoints will be collected pre-intervention, post-intervention, and at a six-month follow up. Interviews will be conducted with relatives and staff to explore experiences and meanings of the intervention.Discussion: The study is expected to provide evidence that can inform further research, policy and practice development on if and how person-centred care may improve wellbeing, thriving and satisfaction for people who reside in, visit or work in nursing homes. The combination of quantitative and qualitative data will illuminate the operationalisation, effects and meaning of person-centred and thriving-promoting care.
|
|
| 5. |
- Edvardsson, David, et al.
(författare)
-
The Umeå Ageing and health research programme (U-age) : exploring person-centred care and health promoting living conditions for an ageing population
- 2016
-
Ingår i: Nordic journal of nursing research. - : Sage Publications. - 2057-1585 .- 2057-1593. ; 36:3, s. 168-174
-
Tidskriftsartikel (refereegranskat)abstract
- The aim of this article is to describe the Umeå ageing and health research programme that explores person-centred care and health-promoting living conditions for an ageing population in Sweden, and to place this research programme in a national and international context of available research evidence and trends in aged care policy and practice. Contemporary trends in aged care policy includes facilitating ageing in place and providing person-centred care across home and aged care settings, despite limited evidence on how person-centred care can be operationalised in home care services and sheltered housing accommodation for older people. The Umeå ageing and health research programme consists of four research projects employing controlled, cross-sectional and longitudinal designs across ageing in place, sheltered housing, and nursing homes. The research programme is expected to provide translational knowledge on the structure, content and outcomes of person-centred care and health-promoting living conditions in home care, sheltered housing models, and nursing homes for older people and people with dementia.
|
|
| 6. |
|
|
| 7. |
- Lood, Qarin, et al.
(författare)
-
Associations between person-centred climate and perceived quality of care in nursing homes : a cross-sectional study of relatives' experiences
- 2019
-
Ingår i: Journal of Advanced Nursing. - : John Wiley & Sons. - 0309-2402 .- 1365-2648. ; 75:11, s. 2526-2534
-
Tidskriftsartikel (refereegranskat)abstract
- AIMS: To explore the extent to which a more person-centred climate could explain the variation in quality of care, as rated by relatives to nursing home residents in three countries.DESIGN: A cross-sectional, correlational, anonymous questionnaire study.METHODS: Questionnaires were administered to 346 relatives to residents in six nursing homes in Australia, Norway and Sweden between April-June 2016. Relatives (N = 178) agreed to participate. Data were analysed using descriptive statistics and hierarchical multiple regression.RESULTS: The results showed that the relatives' experiences of a more person-centred climate were associated with higher ratings of the quality of care. A person-centred climate of safety had the strongest unique association with the quality of care, explaining 14% of the variance in quality of care. In addition, the results indicated that the relatives in general were satisfied with the quality of care and that children to the residents rated the quality of care higher than partners or other relatives.CONCLUSION: This study advances the understanding of the relationship between person-centredness in nursing homes and quality of care, showing that person-centred climate aspects of safety and hospitality have a significant role in the quality of care as perceived by relatives.IMPACT: Person-centredness in nursing homes is often mentioned as a quality of care indicator, but the empirical evidence for this suggestion is limited. This study expanded the evidence-base for person-centredness as a significant aspect of relatives' experiences of the quality of care in nursing homes.
|
|
| 8. |
- Öhlén, Joakim, 1958, et al.
(författare)
-
FÖRESTÄLLNINGAR OM OMVÅRDNAD SOM ÄMNE – ett ämnesdidaktiskt utvecklingsprojekt
- 2019
-
Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Det pedagogiska utvecklingsprojekt som rapporteras här har fokus på studenters, sjuksköterskors och lärares föreställningar om omvårdnad som ämne. Problematisering av variationer i föreställningar om omvårdnad kan ses som en central fråga för att lära om omvårdnad. Lärande sker genom att se och erfara variationer i objektet för det som ska läras. För att få kunskap om föreställningar om omvårdnad (som har betydelse för att lära omvårdnad) är det därför av betydelse att få kunskap om hur omvårdnad erfars, hur olika föreställningar om omvårdnad urskiljs, vad variationer kan utgöras av och hur de kan skifta mellan olika situationer. Projektet utgår från ett antagande om att föreställningar om omvårdnad som ämne har förändrats över tid och att det kan finnas varierande föreställningar inom och mellan olika intressegrupper. Detta kan relateras till att omvårdnad som ämne är komplext och beskrivet med skiftande filosofiska utgångspunkter. Projektets syfte var därför att analysera föreställningar om omvårdnad som ämne bland studenter i omvårdnad och kliniskt verksamma sjuksköterskor i syfte att påverka ämnesutveckling i omvårdnad. I första steget genomfördes fokusgrupper med studenter i omvårdnad på såväl grund, avancerad som forskarutbildningsnivå samt yrkesverksamma sjuksköterskor och specialistsjuksköterskor inom flera typer a verksamheter. Totalt genomfördes 17 fokusgrupper med 77 deltagare. Därefter genomfördes tre seminarier där de identifierade föreställningarna presenterades åtföljt av diskussion med olika målgrupper: a. handledare till studenter i VFU vid institutionens sjuksköterske- och specialistsjuksköterskeprogram, b. handledare och lärare till studenter i svenska sjuksköterske- och specialistsjuksköterskeprogram (vid nationell konferens, c. lärare i sjuksköterskeprogrammet vid institutionen samt d. studenter i sjuksköterskeprogrammet vid institutionen. Nio distinkta föreställningar om omvårdnad som speglar aspekter av omvårdnad som deltagarna framhöll som utmärkande och viktiga för att förstå och tala om vad omvårdnad handlar om. Föreställningarna fokuserade bildspråk, vilket vi utnyttjade till att ta fram illustrationer till vardera av föreställningarna. Några spänningsfält blev särskilt framträdande i analysen: - att studenter, sjuksköterskor och lärare till största del har delar föreställningar om omvårdnad som ämne och att de mest laddade föreställningarna handlar om att omvårdnad är att prioritera och omvårdnad är att vara ensam med ansvaret - att utmaningar kring ämnet handlar om hur det görs tydligt och tillämpas – hur gå från teori till handling (aktiviteter, ”verktyg”) - att medvetenhet om hur omvårdnad utvecklats historiskt kan behöva stärkas i utbildningarna, både vad gäller praktisk (i samhället, hälso- och sjukvården liksom inom professionen) och teoretisk (nationellt och internationellt) utveckling.
|
|
