| 1. |
- Boström, Martina, et al.
(author)
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Senior alert : a tool for better care collaboration
- 2022
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Conference paper (peer-reviewed)abstract
- The increasing prevalence of negative events among older frail adults is a challenge for society which calls for pro-active and preventive actions. Senior Alert (SA) is a quality-registry focusing pro-actively on 5 risk areas common among older adults: malnutrition, pressure ulcers, falls, oral health and bladder dysfunction among people = 65 years. It is mandatory to assess risks in all risk areas. SA plays an unique roll among the more than 100 national quality registries in Sweden used for quality improvements, in aspect that it also stimulate staff to perform screening, action taking, and follow-up. However, the overall potential of the register to improve the care of older adults has so far not been recognized. Although the risks are registered to a high degree, the underlying causes are not identified to the same extent. If the need for intervention is not identified, the possibilities for an effective preventive care process and effective collaboration between different actors are missed. We want to study the factors that constitute support or obstacles to the preventive care process to contribute to an effective and robust preventive care process that promotes effective collaboration between different actors for best practice care of older frail adults. The project has an interdisciplinary approach and is based on a mixed method design meaning using both quantitative and qualitative methods
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| 2. |
- Boström, Martina, et al.
(author)
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Senior alert – ett medel för bättre vård i samverkan (SeSam) : Hälsoriksdagen
- 2022
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Conference paper (peer-reviewed)abstract
- Vården och omsorgen av sköra äldre behöver stärkas. Senior alert är ett nationellt kommunalt kvalitetsregister som med evidensbaserade bedömningsinstrument värderar risker bland äldre inom riskområdena fall, trycksår, nutrition, munhälsa och blåsdysfunktion. Cirka 90 000 riskbedömningar görs per år. Registret är unikt då det har ett vårdpreventivt fokus och omfattar såväl riskbedömning som bakomliggande orsaker och åtgärder. Vi har tilldelats närmare 6 miljoner från Forte för att beforska stöd och hinder för den vårdpreventiva processen inom Senior alerts. Syfte: att studera samverkan inom och mellan huvudmän för äldreomsorg, hälso- och sjukvård och tandvård med avseende på vård prevention (VP) i Senior alert, och att identifiera faktorer som utgör stöd respektive hinder inom och mellan huvudmän för att fullfölja VP. Metod: Projektet består av 3 delstudier och bygger på en mixad metod. Delstudie 1 är en kvantitativ studie inom vård och omsorgsboende för att studera om det finns det skillnader mellan kommuner med god respektive bristande registrering i Senior alert med avseende på faktorer som invånarantal, socio-demografi, -ekonomi, organisation av äldreomsorgen, och politisk majoritet? Delstudie 2 är kvalitativ och ska studera uppfattningar om hinder och stöd för en god samverkan inom och mellan huvudmän för VP inom Senior altert. Detta görs genom enskilda intervjuer med personer i ledande ställning samt fokusgruppsintervjuer med tvärprofessionella arbetsgrupper, samt med äldre och deras närstående gällande deras syn på hur Senior alter bidrar till god vård. Delstudie 3 är en pilotstudie för att testa implementering av resultatet från den båda tidigare studierna. Tidsram 2022 - 2025 Elisabet Rothenberg, biträdande professor, fakulteten för hälsovetenskap, Högskolan Kristianstad
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| 3. |
- Elleby, Charlotta, et al.
(author)
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Long term association of hip fractures by questions of physical health in a cohort of men and women
- 2023
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In: PLoS ONE. - : Public Library of Science (PLoS). - 1932-6203. ; 18:3 MARCH
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Journal article (peer-reviewed)abstract
- We do not know if fracture predicting factors are constant throughout life, if they can be assessed earlier in life, and for how long. The aim was to study the association between questions about health status and mobility and fragility fractures in a cohort during a 35-year follow-up. A cohort of 16,536 men and women in two age groups, 26–45 and 46–65 years old, who answered five questions of their physical health status in postal surveys in 1969–1970. We obtained data on hip fractures from 1970 to the end of 2016. We found most significant results when restricting the follow-up to age 60–85 years, 35 for the younger age group and 20 years for the older. Men of both age groups considered “at risk” according to their answers had a 2.69 (CI 1.85–3.90)– 3.30 (CI 1.51–7.23) increased risk of having a hip fracture during a follow-up. Women in the younger age group had a 2.69 (CI 1.85–3.90) increased risk, but there was no elevated risk for women in the older age group. This study shows that questions/index of physical health status may be associated with hip fractures that occur many years later in life, and that there is a time span when the predictive value of the questions can be used, before other, age-related, factors dominate. Our interpretation of the results is that we are studying the most vulnerable, who have hip fractures relatively early in life, and that hip fractures are so common among older women that the questions in the survey lose their predictive value.
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| 4. |
- Eric, Larsson, et al.
(author)
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Study Environments – A Neglected Leadership Concern
- 2020
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In: Re-centering the Critical Potential of Nordic School Leadership Research. - Cham : Springer Nature. - 9783030550264 - 9783030550271 ; , s. 89-105
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Book chapter (peer-reviewed)abstract
- Principals have been identified as key actors for students’ performance. Accordingly, how leaders affect classroom activities has also emerged as a research field. One basic argument is that principals should focus on activities that can affect students’ learning outcomes. In particular, they should develop their instructional leadership, close to the core activities of teaching. However, schooling does not only consist of classroom activities – students, teachers and other professionals spend a lot of time in school long after the bell has rung. In this chapter we explore the potential benefits of considering schools not only as places for knowledge production towards academic achievement, but as a whole study environment that includes multiple spheres of activity and learning. We argue that, while the inner sphere is given a lot of leadership attention, there are several reasons for principals to also discover what we call the outer and middle spheres of schools and education. We consider the complexity of the local school context as the fundamental but forgotten, or unexplored, aspect of school leadership.
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| 5. |
- Harcke, Katri, et al.
(author)
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Observational study of selective screening for prediabetes and diabetes in a real-world setting : an interprofessional collaboration method between public dental services and primary health care in Sweden
- 2024
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In: Scandinavian Journal of Primary Health Care. - : Taylor & Francis. - 0281-3432 .- 1502-7724. ; 42:1, s. 170-177
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Journal article (peer-reviewed)abstract
- Objective: Describe a method in a real-world setting to identify persons with undiagnosed prediabetes and type 2 diabetes through an interprofessional collaboration between Public Dental Services and Primary Health Care in Regions Stockholm.Design: A descriptive observational study.Setting: The study was conducted at seven sites in the region of Stockholm, Sweden. Each collaborating site consisted of a primary health clinic and dental clinic.Subjects: Study participants included adults over 18 years of age who visited the Public Dental Services and did not have a medical history of prediabetes or type 2 diabetes.Main outcome measures: Selective screening is conducted in accordance with a risk assessment protocol at the Public Dental Services. In the investigated method, DentDi (Dental and Diabetes), adults diagnosed with caries and/or periodontitis over a cut-off value are referred to the Primary Health Care clinic for screening of prediabetes and type 2 diabetes.Results: DentDi, introduced at seven sites, between the years 2017 and 2020, all of which continue to use the method today. A total of 863 participants from the Public Dental Services were referred to the Primary Health Care. Of those 396 accepted the invitation to undergo screening at the primary health care centre. Twenty-four individuals did not meet the inclusion criteria, resulting in a total of 372 persons being included in the study. Among the 372 participants, 27% (101) had elevated glucose levels, of which 12 were diagnosed with type 2 diabetes and 89 with prediabetes according to the study classification.Conclusions: DentDi is a feasible method of interprofessional collaboration where each profession contributes with the competence included in everyday clinical practice for early identification of persons with prediabetes and type 2 diabetes with a complete chain of care. The goal is to disseminate this method throughout Stockholm County and even other regions in Sweden.
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| 6. |
- Hedberg, Linn, et al.
(author)
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White matter abnormalities mediate the association between masticatory dysfunction and cognition among older adults
- 2023
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In: Journal of Oral Rehabilitation. - : John Wiley & Sons. - 1365-2842. ; 50:12, s. 1422-1431
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Journal article (peer-reviewed)abstract
- Background: Masticatory parameters, such as reduced number of teeth and posterior contacts, have been shown to be associated with reduced cognitive status. The underlying mechanisms that affect these associations, are however, not well understood. Objectives: The study aims to investigate the association between masticatory dysfunction and cognition and explore the mediating effect of brain structure. Methods: In this cross-sectional study, 45 older adults with subjective masticatory dysfunction (mean age 72.3 +/- 4.0 years) were included. Mini-Mental State Examination score <25, brain trauma, neurological disease, neurodegenerative disorders, depression or poor Swedish language skills were criteria for exclusion. Cognitive functions (executive function and episodic memory) and masticatory dysfunction defined by functional occluding status (FOS; the number of occluding units and number of remaining teeth) were analysed with partial correlation models. Structural magnetic resonance imaging was performed on 28 feasible participants. Multiple regression analyses were performed to evaluate the predictive value of brain structure and white matter hypointensities (WM-hypo) on cognitive functions. A mediation analysis was applied to assess significant predictor/s of the association between FOS and cognition. Results: Both episodic memory and executive functions were positively correlated with FOS. WM-hypo predicted cognitive status (executive function, p = .01). WM-hypo mediated 66.6% (p = 0.06) of the association between FOS and executive functions. Conclusion: Associations between FOS and cognitive functions are reported, where FOS, a potential modifiable risk factor, was related to both episodic memory and executive functions. The mediating effect of WM-hypo on the association between FOS and executive functions highlights the impact of the vascularisation of the brain on the link between mastication and cognition. The present study provides increased knowledge that bridges the gap between masticatory dysfunction and cognition.
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| 7. |
- Hylander, Ingrid, et al.
(author)
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Samordning för ett hållbart elevhälsoarbete
- 2020
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Reports (other academic/artistic)abstract
- Den här rapporten är en uppföljande studie efter att elevhälsoteam och rektorer från 19 skolor deltagit i Specialpedagogiska skolmyndighetens kurs ”Att höja skolans elevhälsokompetens – ett processarbete för likvärdig utbildning”. Studien visar att kursen fungerar som ett betydelsefullt stöd för att utveckla ett hälsofrämjande och förebyggande elevhälsoarbete.Studien tar sina teoretiska utgångspunkter i teorier om ledarskap i skolan och teorier om teamutveckling. I rapporten beskrivs två modeller: en för samordning av skolans elevhälsoarbete och en för utveckling av elevhälsoteam. Avslutningsvis beskrivs hur dessa kan användas för att förstå och identifiera grundläggande förutsättningar för ett främjande och förebyggande elevhälsoarbete som uppfattas positivt av såväl elevhälsoteam som rektorer, lärare och övrig skolpersonal.Studien pekar på vikten av samordning av alla delar för att kunna utveckla ett mer förebyggande och hälsofrämjande arbetssätt i hela skolan. Resultatet visar att elevhälsoarbetets komplexitet och kontext behöver ligga till grund för skolors utvecklingsarbete. Rektors ledarskap, elevhälsoteamens utveckling samt samverkan mellan elevhälsoteam, lärare och övrig skolpersonal är centrala delar som behöver synkroniseras. För ett mer hållbart elevhälsoarbete över tid blir det även viktigt att fokusera på huvudmannens ansvar och delaktighet i utvecklingsarbetet.
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| 8. |
- Lundahl, Christian, et al.
(author)
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Skolutveckling för hållbart lärande
- 2022
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Book (other academic/artistic)abstract
- Skolutveckling för hållbart lärande utgår från ett helhetsperspektiv på skolutveckling. Det handlar om att se till elevens hela lärandesituation där både välbefinnande och bildning står i centrum, men också om att engagera hela skolan i ett multiprofessionellt utvecklingsarbete. I boken beaktas såväl betydelsen av styrdokument, lokala förutsättningar och en utbildning på vetenskaplig grund och utifrån beprövad erfarenhet. Syftet är att medverka till hållbara kunskaper och människor samt bidra till en hälsofrämjande arbetsplats. Boken innehåller både teoretiska och praktiska perspektiv på skolutveckling integrerat med ett konkret exempel från ett forsknings- och utvecklingsprojekt om hållbart lärande. Den vänder sig till verksamma på alla nivåer som arbetar med skolutveckling och till rektors- och lärarutbildningen.
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