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Sökning: LAR1:esh > (2010-2014)

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31.
  • Björkman Randström, Kerstin, et al. (författare)
  • Activity and participation in home rehabilitation : Older people's and family members perspectives
  • 2013
  • Ingår i: Journal of Rehabilitation Medicine. - : Medical Journals Sweden AB. - 1650-1977 .- 1651-2081. ; 45:2, s. 211-216
  • Tidskriftsartikel (refereegranskat)abstract
    • Objective: To explore the experiences of older people and their supporting family members in relation to home rehabilitation, with a focus on activity and participation. Methods: Qualitative interviews were carried out with 6 older people and 6 family members at 1 and 6 months after the older person’s discharge to their home. Qualitative content analysis of the data was carried out. The International Classification of Functioning, Disability and Health provides a guiding framework for rehabilitation. Results: Informants’ experiences of home rehabilitation contributed to the formation of 6 categories: (i) living with a frail body; (ii) striving for well-being in daily life; (iii) being close at hand; (iv) feeling dependent in daily life; (v) struggling to carry on; and (vi) striving to be at home. Conclusion: Older people’s goals were to return to daily routines and to perform meaningful activities without feeling dependent on other people. Family members’ participation was crucial. Psychosocial support and autonomy were essential for facilitating activity and participation. Healthcare professionals should consider each individual’s unique experiences along with the significance of being at home.
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32.
  • Björkman Randström, Kerstin, et al. (författare)
  • "I have to be patient" - A longitudinal case study of an older man's rehabilitation experience after a hip replacement surgery
  • 2013
  • Ingår i: Journal of Nursing Education and Practice. - : Sciedu Press. - 1925-4040 .- 1925-4059. ; 3:8, s. 160-169
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Aging can bring about an increased risk of disability. Following illness or injures, rehabilitation is essentialif the individual affected is to attain and maintain independence. Performing rehabilitation with a person-centeredapproach is vital for positive outcomes. Health providers are increasingly interested in developing rehabilitation servicesin outpatient settings for older people in their own homes. Aim: The aim of this study was to describe an older man’s rehabilitation experience after a hip replacement surgery.Design: A longitudinal qualitative descriptive single case study.Methods: Interviews were conducted on four occasions with the participant in his own home. The interviews wereconducted one month, seven months, one year, and five years after the patient was discharged from the hospital. The datawere analyzed using qualitative content analysis.Results: Three categories emerged: (i) having feelings of despair, (ii) being in charge, and (iii) having rehabilitative support. The results demonstrate the participant’s decreased ability to walk after a complicated hip surgery, and his physical and psychological struggle for well-being in everyday life. A strong motivation to return to as normal a life aspossible facilitated the rehabilitation. Also, a supportive family and accessible health care professionals were essential tothe positive outcome of the home rehabilitation.Conclusion: Rehabilitation can extend over a long period to maintain and improve mobility. Also, living with a disability causes feelings of despair. The home can be a source of energy but also a place of challenges during rehabilitation. To support older people in achieving their rehabilitation goals and engaging in meaningful activities, professionals should focus on personal factors, psychosocial support and on influential factors in the home environment and in society in general.
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33.
  • Björkman Randström, Kerstin, et al. (författare)
  • Impact of environmental factors in home rehabilitation − a qualitative study from the perspective of older persons using the International Classification of Functioning, Disability and Health to describe facilitators and barriers
  • 2012
  • Ingår i: Disability and Rehabilitation. - : Informa UK Limited. - 0963-8288 .- 1464-5165. ; 34:9, s. 779-787
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose: The aim of this study was to explore older people’s experience of environmental factors that impact on their activity and participation in home rehabilitation. Method: Older people aged between 68 and 93 years and receiving home rehabilitation were interviewed. A qualitative content analysis was performed on the interview text using the predetermined structure of the International Classification of Functioning, Disability and Health (ICF) environmental domain. The text was linked to the closest ICF category. Results: The results identified environmental facilitators and barriers that influenced activity and participation among older people receiving home rehabilitation. Approaches that provided a facilitative environment were access to assistive products and technologies, alterations to the physical environment, social support and relationships, and adjusted health and social care services. Conclusions: A qualitative study using ICF-listed environmental factors contributed a holistic view of facilitators and barriers in home rehabilitation for older people. Awareness of the importance of the impact of the social environment on activities and participation could improve home rehabilitation services for older people. The study represents an important step towards a holistic approach using the ICF, which aims to enable all health care professionals to describe, plan and evaluate rehabilitation services together with older people across the health and social care sectors.
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34.
  • Björkman Randström, Kerstin, et al. (författare)
  • Working with 'hands-off' support: a qualitative study of multidisciplinary teams' experiences of home rehabilitation for older people
  • 2014
  • Ingår i: International Journal of Older People Nursing. - : Wiley. - 1748-3735 .- 1748-3743. ; 9:1, s. 25-33
  • Tidskriftsartikel (refereegranskat)abstract
    • BackgroundThere is a move towards the provision of rehabilitation for older people in their homes. It is essential to ensure that rehabilitation services promote independence of older people.AimThe aim of the study was to explore multidisciplinary teams' experiences of home rehabilitation for older people.MethodsFive focus groups were conducted with multidisciplinary teams based in a municipality in Sweden, covering seven different professions. In total, 28 participants volunteered to participate in these interviews. Interviews were transcribed verbatim and analysed according to content analysis.ResultsTwo main categories, as well as four subcategories, emerged. The first main category, having a rehabilitative approach in everyday life, consisted of the subcategories: ‘giving ‘hands-off’ support’ and ‘being in a home environment’. The second main category, working across professional boundaries, consisted of the subcategories: ‘coordinating resources’ and ‘learning from each other’.ConclusionCommon goals, communication skills and role understanding contributed to facilitating the teams' performances of rehabilitation. A potential benefit of home rehabilitation, because the older person is in a familiar environment, is to work a rehabilitative approach into each individual's activity in their everyday life in order to meet their specific needs. At an organisational level, there is a need for developing services to further support older people's psychosocial needs during rehabilitation.Implications for practiceTeam performance towards an individual's rehabilitation should come from an emerged whole and not only from the performance of a specific professional approach depending on the traditional role of each profession. A rehabilitative approach is based on ‘hands-off’ support in order to incorporate an individual's everyday activities as a part of their rehabilitation.
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35.
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36.
  • Blennberger, Erik (författare)
  • Bemötandets etik
  • 2013
  • Bok (övrigt vetenskapligt/konstnärligt)
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37.
  • Blennberger, Erik, 1948- (författare)
  • Chefen och det goda livet
  • 2012. - 1
  • Ingår i: Chefsarbetets etik. - Stockholm : SNS förlag. - 9789186203948 ; , s. 208-223
  • Bokkapitel (populärvet., debatt m.m.)
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38.
  • Blennberger, Erik, 1948- (författare)
  • Chefens bemötande
  • 2012. - 1
  • Ingår i: Chefsarbetets etik. - Stockholm : SNS förlag. - 9789186203948 ; , s. 120-145
  • Bokkapitel (populärvet., debatt m.m.)
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39.
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40.
  • Blennberger, Erik, 1948- (författare)
  • Meningen med livet
  • 2010
  • Ingår i: Hela människan-hjulet. - Lund : Studentlitteratur AB. ; , s. 131-154
  • Bokkapitel (övrigt vetenskapligt/konstnärligt)
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