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- Spang, Lisa, 1988-, et al.
(författare)
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Aging in place or in a nursing home : a case-control study comparing nursinghome applicants to matched non-applicants
- 2024
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Introduction Previous research has shown that nursing home applicants had negative experiences of living and receiving care in their ordinary housing due to several factors, such as difficulties in everyday activities and being depressed. However, whether these experiences stand solely for nursing home applicants, or are common in an older population in general needs to be investigated. Aim of this study was to compare nursing home applicants with matched older adults with respect to difficulties in everyday life, life satisfaction and depressive mood.Methods Using a case-control design, 34 participants (17 in each group) were compared using Wilcoxon signed rank test for continuous variables and McNemar test for binary variables. The magnitude of associations was explored using conditional logistic regression.Results Nursing home applicants experienced more difficulties in daily life and were more depressed than their matched peers, and this difference between groups was significant. To experience several difficulties in everyday life and being depressed increased the odds for a nursing home application.Conclusions As aging in place is the societal norm, older adults with increased likelihood of nursing home applications need to be identified and catered for in an early stage, to prevent nursing home admission.
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- Spang, Lisa, 1988-, et al.
(författare)
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Applying to a nursing home is a way to maintain control of life-Experiences from Swedish nursing home applicants
- 2023
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Ingår i: Scandinavian Journal of Caring Sciences. - : Blackwell Publishing. - 0283-9318 .- 1471-6712. ; 37:1, s. 106-116
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Swedish social policy enables ageing in place with support from home-based care services despite high age and/or declining health.AIM: This study aims to describe the daily life experiences behind the decision to apply for a nursing home placement in older adults ageing in place.MATERIALS AND METHODS: A qualitative design was chosen, and 11 semi-structured interviews were conducted and analysed using inductive qualitative content analysis.RESULTS: The participants described a feeling of dependence in which they had to ignore their personal privacy when receiving home-based care. They reached a turning point when ageing in place was, for several reasons, no longer considered an acceptable option. This influenced their choice to apply to a nursing home where they expected that they could maintain control over their lives.DISCUSSION AND CONCLUSION: The results indicate that when enhancing ageing in place it is important to enable older adults to receive support to maintain autonomy in daily activities and to have the opportunity to age in the right place.
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- Spang, Lisa, 1988-, et al.
(författare)
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Experiences of Close Relatives of Older Adults in Need of a Nursing Home : It Is We Who Manage Their Fragile Daily Life
- 2023
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Ingår i: Health & Social Care in the Community. - : John Wiley & Sons. - 0966-0410 .- 1365-2524. ; 2023
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Tidskriftsartikel (refereegranskat)abstract
- Home-based care is expanding, and we need to know more about what kind of support older adults need and how such support should be designed. One way to gain more knowledge is to study the experiences that underlie a nursing home application. However, older adults in need of nursing homes are often too weak to participate in research. Thus, this study aimed to describe the experiences of close relatives of the daily life of older adults in need of a nursing home. A qualitative approach was used, where fifteen relatives of nursing home applicants in central Sweden were interviewed using a study-specific interview guide. The interviews were analysed using thematic analysis. The findings are presented in one main theme "Being the person who manages a fragile life situation" with three underlying themes: Balancing and fulfilling expectations, striving to achieve a status quo, experiencing a breaking point, a change is inevitable, and waiting and moving into a nursing home, a period of tension. The main theme describes how the participants contributed to managing the older adults' life situation and acted as a representative in contacts with health and social care. They tried to offer support in their daily life but over time experienced a breaking point when ageing in place was no longer sustainable, resulting in a nursing home application. The rationale for a nursing home application was often a combination of the older adult's own wishes and the fact that their relatives felt there was a combined need for extensive care and physical proximity to staff, which cannot be provided in ordinary housing. Sometimes the decision to apply was also based on relatives no longer having the capacity to continue managing an older adult's fragile situation.
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- Spang, Lisa, 1988-, et al.
(författare)
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Factors in daily life leading to the need for moving to a nursing home : Experiences from nursing home applicants
- 2019
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Konferensbidrag (refereegranskat)abstract
- Background/Aim In Sweden, most people age in ordinary housing, called aging in place. To support aging in place, older people can apply for home-based care such as Meals on Wheels or response alarm .Despite this support, the municipalities receive applications to nursing homes on a daily basis, which indicates that aging in place does not fill everyone’s needs. The aim of this study was to describe what experiences in daily life that make older people aging in place apply for a nursing home.Method This study has a descriptive design. Face to face interviews were conducted with older people with declining physical health who had a granted application for a place in a nursing home and were waiting for a placement. Some waited in their homes with or without home-based care and some waited in a short-term facility run by the municipality. Interviews were analyzed by qualitative content analysis according to Elo and Kyngäs. Preliminary findings One main category emerged - “To move to a nursing home- a way to regain control over my life”. It was characterized by a feeling of decreasing level of independence which led to experiences of lack of social context or being in a state of dependence where someone else controlled decisions of their lives. The participants had reached a point where they strongly felt that something has to be done to change their situation. This was usually associated with a critical event such as a hospitalization or after been informed of a cancer diagnosis. These experiences are described by three generic categories with seven subcategories. The generic categories are “The opportunity to belong to a context”, “A state of dependence” and “Reaching a turning point”. Conclusions The findings show that a feeling of lost control due to perceived dependence, falling health or critical everyday life events may lead to a nursing home application. Therefore, in order to enhance aging in place it is important to enable older people to be socially involved, get support to stay as independent as possible in their daily activities and to handle critical events such as hospitalization.
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- Spang, Lisa, 1988-, et al.
(författare)
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Occupational therapy practice in emergency care : occupational therapists' perspectives
- 2015
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Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa UK Limited. - 1103-8128 .- 1651-2014. ; 22:5, s. 345-354
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Tidskriftsartikel (refereegranskat)abstract
- Objective: Emergency care takes place in a complex work environment that is characterized by critically ill patients, short hospital stays, and a wide variety of different healthcare professionals. Studies of occupational therapists’ (OTs) experiences of working within emergency care have shown that they often experience difficulties in explaining the essence of occupational therapy and have to justify their approaches. Much effort has been made in Sweden to help OTs dispel the notion that occupational therapy is difficult to explain, and the aim of this study was to describe how Swedish OTs perceive their work in emergency care.Method: A qualitative descriptive approach was taken, and 14 interviews were conducted with OTs working in emergency care. Qualitative content analysis was used to analyse the data.Results: The overall theme that emerged was “Feeling established through deliberate occupation-based work”. The underlying categories showed different strategies used by the OTs to provide occupational therapy in an emergency care context. Deliberate strategies were used to demonstrate the effectiveness of occupational therapy and its approaches to patients and other health care professionals, and this resulted in the OTs feeling both established and needed. Unlike the OTs in previous studies, the Swedish OTs experienced no difficulties in explaining occupational therapy and could make convincing arguments for their interventions. Parallel to their clinical work, the OTs worked with on-going development to find ways to improve their approaches.Conclusions: In summary, these Swedish OTs seem to have been provided with a professional language and the knowledge required to establish themselves in an emergency care setting.
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- Spang, Lisa, 1988-, et al.
(författare)
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Older adults’ reasons for applying to a nursing home admission : a document analysis
- 2024
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Introduction Societal norms and policies encourage older adults to age and receive care in their home, referred to as ageing in place. Nevertheless, Swedish older adults apply for nursing home admission. To understand how ageing in place better could be supported, the aim was to study descriptions of older adults’ reasons for applying to a nursing home in documents of granted nursing home decisions.Methods 160 granted nursing home decisions underwent document analysis, to study if reasons occurred due to person, environmental or occupational factors according to occupational theory model Canadian Model of Occupation Performance- Engagement.Result Several factors in different parts of life were experienced to lead to a nursing home application, e.g., multiple impairments, anxiety, loneliness, or longing to be closer to relatives or healthcare staff. Additionally, reasons could also be recommendations from healthcare staff or that a spouse didn´t want to live together with support from home-based care.Conclusions The results highlight societal injustices that occurred for older adults who age in place, which expedited the applications. The documents described how ageing in place shrunk their opportunities for activity, social cohesion, and the possibility to proximity to staff.
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| 10. |
- Spang, Lisa, 1988-
(författare)
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Perspectives on the daily life of older adults applying for a nursing home
- 2024
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Background: Ageing in place is a societal norm in most European countries, Sweden included. Consequently, accommodations in nursing homes are limited and older adults with somatic disease but without a dementia diagnosis are expected to be able to age in place. Nevertheless, nursing home applications are submitted daily to Swedish municipalities. Hence, the overall aim of the dissertation was to study different perspectives of the daily life of older adults who have applied for admission to a nursing home.Methods: Interviewing 11 older adults waiting for nursing home admission (Study I), interviewing 15 relatives (Study II), analysing 160 granted nursing home decisions (Study III) and comparing 17 nursing home applicants with 17 non-nursing home applicants with respect to difficulties in everyday life, life satisfaction, and depression (StudyIV).Results: By identifying and clustering the recurring aspects of daily life in all four studies, eight aspects of daily life emerged. These aspects affected the older adult’s daily life and contributed to the nursing home application. They were: Difficulties in performing everyday activities; Dependency in daily life; Lack of social cohesion; Being in a depressive mood; Having anxiety that affected daily life, The impact of relatives, Not having proximity to care staff, and Suffering from a life-changing event.Discussion: This dissertation showed how the treatment from staff in home-based care was a crucial aspect of why older adults applied for a place in a nursing home. Another crucial aspect was proximity to staff, which addresses the need for an additional ordinary housing alternative. Additionally, there is a need to improve information on housing alternatives and their level of care, as this dissertation showed how older adults, and their relatives considered a nursing home application as the only solution to their current life situation.
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