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Gillsjö, Catharina, Senior LecturerORCID iD iconorcid.org/0000-0003-3970-1288
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Bouwmeester Stjernetun, B., Hallgren, J. & Gillsjö, C. (2024). Effects of an age suit simulation on nursing students’ perspectives on providing care to older persons - an education intervention study. Educational gerontology, 50(3), 240-253
Åpne denne publikasjonen i ny fane eller vindu >>Effects of an age suit simulation on nursing students’ perspectives on providing care to older persons - an education intervention study
2024 (engelsk)Inngår i: Educational gerontology, ISSN 0360-1277, E-ISSN 1521-0472, Vol. 50, nr 3, s. 240-253Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Nursing students are important future health care providers to the growing number of older persons in society. However, two barriers are their common ageist attitudes and lack of interest in geriatrics. This is a concern in light of the global demand for nurses and a challenge that need to be addressed in nurse education. Age suit simulation has been shown to affect the attitudes of students toward older persons, but the important context of home is often missing from studies. Accordingly, the present study employed a quantitative approach with the goal of investigating the effects of aging simulation with an age suit in a home context as a part of experiential learning among second-year nursing students. The age simulation allowed the students to experience both specific and common health problems from the patient’s point of view in a controlled environment and a relevant context: the home. Data were collected using a questionnaire in a quasi-experimental pretest – posttest design with a control group. Results showed that the intervention had a positive effect on various aspects of the nursing students’ perspectives on caring for older persons. Work experience was associated with more positive attitudes. The control group was more negative toward geriatrics as a career choice than the intervention group. In conclusion, age suit simulation can be an innovative part of nurse education because it raises awareness and understanding of the health challenges of older persons, which are important in combating ageism among future nurses.

sted, utgiver, år, opplag, sider
Taylor & Francis Group, 2024
HSV kategori
Forskningsprogram
Välbefinnande vid långvariga hälsoproblem (WeLHP)
Identifikatorer
urn:nbn:se:his:diva-23229 (URN)10.1080/03601277.2023.2258051 (DOI)001067372900001 ()2-s2.0-85171580015 (Scopus ID)
Forskningsfinansiär
The Kamprad Family Foundation, 20210227
Merknad

CC BY 4.0

Published online: 18 Sep 2023

Taylor & Francis Group an informa business

CONTACT Björn Bouwmeester Stjernetun bjorn.stjernetun@his.se School of Health and Education, University of Skövde, Box 408, Skövde SE-541 28, Sweden

This work was supported by the Kamprad Family Foundation for Entrepreneurship, Research & Charity in Sweden [grant number 20210227]. It was also supported by the School of Health Sciences, University of Skövde, Sweden

Tilgjengelig fra: 2023-09-20 Laget: 2023-09-20 Sist oppdatert: 2024-03-20bibliografisk kontrollert
Bouwmeester Stjernetun, B., Gillsjö, C., Odzakovic, E. & Hallgren, J. (2024). ”It´s like walking in a bubble”, nursing students´ perspectives on age suit simulation in a home environment – group interviews from reflection seminars. BMC Nursing, 23(1), Article ID 124.
Åpne denne publikasjonen i ny fane eller vindu >>”It´s like walking in a bubble”, nursing students´ perspectives on age suit simulation in a home environment – group interviews from reflection seminars
2024 (engelsk)Inngår i: BMC Nursing, E-ISSN 1472-6955, Vol. 23, nr 1, artikkel-id 124Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background

Older persons with age-related and complex health problems will increasingly depend on care provision from nurses in their own homes. However, a barrier to quality care is ageism and nursing students´ disinterest in geriatrics. In addition, nurse education often falls short in preparing students for the complexity of geriatric care. Welfare technology (WT) is progressively implemented in home care to help older persons live at home despite their health problems. However, this process is intricate and requires acceptance and digital literacy among caregivers and older persons. Despite these challenges, nurse education can address and change negative attitudes through innovative teaching methods such as age suit simulation. Therefore, the study aims to describe nursing students´ experiences of age suit simulation in a home-like environment with WT and technical aids, and will reveal their perspective on ageing and providing care to older adults.

Methods

A qualitative explorative design using semi-structured group interviews (n=39) among nursing students. Data was analysed through reflexive thematic analysis.

Results

The analysis generated three main themes; “It’s like walking in a bubble”, “An eye opener” and “Concerns about ageing and the current structure of geriatric care”. The main themes included eight subthemes. Adapting to the sensory and physical limitations of the age suit was an immersive experience and caused feelings of frustration, loneliness and disconnection. A prominent result was a raised awareness of cognitive loss, especially impaired vision, and students felt the simulations had made them aware of the everyday challenges older persons faced. Students highlighted the importance of patience and giving enough time in care situations by being present and having a critical perspective of WT. The students were mostly negative towards their own ageing and could better relate to older persons´ vulnerability.

Conclusions

Age suit simulation was described as an embodied and eye-opening experience, raising nursing students´ awareness of older persons´ functional limitations and the consequences for dignity and independence. Coping with cognitive loss was especially difficult. Students were motivated to apply their new knowledge to clinical practice. Age suit simulation can complement geriatric education, preparing students for the complex care needs of older persons.

sted, utgiver, år, opplag, sider
BioMed Central (BMC), 2024
Emneord
Age suit simulation, Education, Nursing students, Ageism, Older persons, Welfare technology, Experiential learning theory
HSV kategori
Forskningsprogram
Välbefinnande vid långvariga hälsoproblem (WeLHP)
Identifikatorer
urn:nbn:se:his:diva-23620 (URN)10.1186/s12912-024-01792-5 (DOI)001163632800001 ()38365670 (PubMedID)2-s2.0-85185338217 (Scopus ID)
Forskningsfinansiär
University of SkövdeThe Kamprad Family Foundation, 20210227
Merknad

CC BY 4.0 DEED

Correspondence: Björn Bouwmeester Stjernetun Bjorn.stjernetun@his.se

© 2024 BioMed Central Ltd unless otherwise stated. Part of Springer Nature.

Open access funding provided by University of Skövde. This study was funded by the Kamprad Family Foundation for Entrepreneurship, Research & Charity in Sweden [grant number 20210227] and the University of Skövde.

Tilgjengelig fra: 2024-02-20 Laget: 2024-02-20 Sist oppdatert: 2024-03-01bibliografisk kontrollert
Tarvis, M., Ziegert, K., Forsberg, E., Andersson, J. & Gillsjö, C. (2023). From chaos to a new normal—the COVID-19 pandemic as experienced by municipal health and social care providers in Sweden: A qualitative study. Nordic journal of nursing research, 43(1), 1-9
Åpne denne publikasjonen i ny fane eller vindu >>From chaos to a new normal—the COVID-19 pandemic as experienced by municipal health and social care providers in Sweden: A qualitative study
Vise andre…
2023 (engelsk)Inngår i: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 43, nr 1, s. 1-9Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

When the COVID-19 pandemic began to spread around the world, Swedish municipalities were unprepared. Different guidelines on how to act in relation to the disease varied and protective equipment was lacking. This study aims to describe the experiences of health and social care providers of working at municipality level during the COVID-19 pandemic. A total of 12 assistant nurses, 13 registered nurses, and three physicians were interviewed, individually or in groups, between fall 2020 and spring 2021. The interviews were semi-structured and were analyzed using thematic analysis, utilizing a design following the COREQ-checklist. Three main themes were identified as follows: ‘Initial chaotic situation and uncertainty regarding how to deal with the pandemic’; ‘Continuous changes in organization and work routines’, and ‘Management of the pandemic has become the new normal’. Though health and social care workers eventually managed to embed dealing with COVID-19 as a routine feature of their daily work, municipalities must prepare for future crises. 

sted, utgiver, år, opplag, sider
Sage Publications, 2023
Emneord
COVID-19, home care, nursing homes, thematic analysis
HSV kategori
Forskningsprogram
Välbefinnande vid långvariga hälsoproblem (WeLHP)
Identifikatorer
urn:nbn:se:his:diva-21946 (URN)10.1177/20571585221124379 (DOI)2-s2.0-85139035227 (Scopus ID)
Merknad

CC BY 4.0

© The Author(s) 2022.

First published online September 28, 2022

Corresponding author(s): Maria Tarvis, Halmstad University, Kristian IVs väg 3, Box 823, 301 18 Halmstad, Sweden. Email: maria.tarvis@hh.se

This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

Tilgjengelig fra: 2022-10-13 Laget: 2022-10-13 Sist oppdatert: 2024-02-13bibliografisk kontrollert
Nässén, K., Gillsjö, C. & Berglund, M. (2023). Health care professionals' experiences of possibilities and constraints in caring for older adults living with long-term pain in community home care. Journal of Aging Studies, 65, Article ID 101134.
Åpne denne publikasjonen i ny fane eller vindu >>Health care professionals' experiences of possibilities and constraints in caring for older adults living with long-term pain in community home care
2023 (engelsk)Inngår i: Journal of Aging Studies, ISSN 0890-4065, E-ISSN 1879-193X, Vol. 65, artikkel-id 101134Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Caring for a growing population of older adults with complex health problems in their homes is part of every-day work for many health care professionals in the world. This qualitative interview study explores the way health care professionals perceive possibilities and constraints when caring for older adults living with long-term pain in community home care in Sweden. The study aims to understand the relationship between health care professionals' subjective experiences and social structures such as the organization of care and shared norms and values in regard to their perceived space of action. Findings provide insight into how institutional structures such as organization and time, conflate with cultural notions, norms, and ideals, and how these enable and constrain health care professionals in their daily work but also create dilemmas. Findings suggest centering the meaning of structuring aspects in social organizations as a tool for reflection on priorities, improvement, and development in care settings. 

sted, utgiver, år, opplag, sider
Elsevier, 2023
Emneord
Culture, Health care professionals' experiences, Home care, Institutional structures, Long-term pain, Norms, Older adults
HSV kategori
Forskningsprogram
Välbefinnande vid långvariga hälsoproblem (WeLHP)
Identifikatorer
urn:nbn:se:his:diva-22404 (URN)10.1016/j.jaging.2023.101134 (DOI)000982197800001 ()37268379 (PubMedID)2-s2.0-85151526681 (Scopus ID)
Merknad

CC BY 4.0

© 2023 The Authors

Corresponding author: kristina.nassen@hb.se (K. Nässén)

Acknowledgments to the School of Health and Education, Universityof Skövde, Sweden, and University of Borås, Faculty of Caring Science, Work Life and Social Welfare, Sweden for the support and grants. We thank all the participants for sharing their thoughts and experiences.

Tilgjengelig fra: 2023-04-13 Laget: 2023-04-13 Sist oppdatert: 2023-08-22bibliografisk kontrollert
Hovlin, L., Gillsjö, C., Dahl Aslan, A. K. & Hallgren, J. (2023). Mutual trust is a prerequisite for nurses’ sense of safety and work satisfaction – Mobile Integrated Care Model: A qualitative interview study. Nordic journal of nursing research, 43(1), 1-8
Åpne denne publikasjonen i ny fane eller vindu >>Mutual trust is a prerequisite for nurses’ sense of safety and work satisfaction – Mobile Integrated Care Model: A qualitative interview study
2023 (engelsk)Inngår i: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 43, nr 1, s. 1-8Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

An increasing number of older persons have complex health care needs. This, along with the organizational principle of remaining at home, emphasizes the need to develop collaborations among organizations caring for older persons. A health care model developed in Sweden, the Mobile Integrated Care Model aims to promote work in teams across organizations. The aim of the study was to describe nurses’ experiences in working and providing health care in the Mobile Integrated Care Model in the home with home health care physicians. Semi-structured interviews were conducted with 18 nurses and analyzed through qualitative content analysis. The method was compliant with the COREQ checklist. A mutually trusting collaboration with physicians, which formed person-centered care, created work satisfaction for the nurses. Working within the Mobile Integrated Care Model was negatively impacted by being employed by different organizations, lack of time to provide health care, and physicians’ person-centered work abilities.

sted, utgiver, år, opplag, sider
Sage Publications, 2023
Emneord
home care, home care physician, home nursing, integrated care, person-centered care
HSV kategori
Forskningsprogram
Välbefinnande vid långvariga hälsoproblem (WeLHP)
Identifikatorer
urn:nbn:se:his:diva-20924 (URN)10.1177/20571585211062166 (DOI)2-s2.0-85133410284 (Scopus ID)
Forskningsfinansiär
The Kamprad Family Foundation, 20190175
Merknad

CC BY 4.0

Corresponding author: Lina Hovlin, School of Health Sciences, University of Skövde, P.O. Box 408, SE-541 28 Skövde, Sweden. Email: lina.hovlin@his.se

Article first published online: December 21, 2021

The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was supported by a grant from The Kamprad Family Foundation for Entrepreneurship, Research & Charity in Sweden (20190175). It was also supported by the School of Health Sciences, University of Skövde, Sweden; the Skaraborg Institute for Research and Development; The foundation in memory of Gösta Svensson.

Tilgjengelig fra: 2022-02-21 Laget: 2022-02-21 Sist oppdatert: 2023-12-13bibliografisk kontrollert
Leonardsen, A.-C. L., Hardeland, C., Hallgren, J., Femdal, I., Thapa, D. R., Helgesen, A. K., . . . Gillsjö, C. (2023). Nursing students’ attitudes towards the use of digital technology in the healthcare of older adults- a cross-sectional study in Norway and Sweden. BMC Nursing, 22(1), Article ID 428.
Åpne denne publikasjonen i ny fane eller vindu >>Nursing students’ attitudes towards the use of digital technology in the healthcare of older adults- a cross-sectional study in Norway and Sweden
Vise andre…
2023 (engelsk)Inngår i: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 22, nr 1, artikkel-id 428Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background

Implementation of digital technology has been suggested as a potential solution to future healthcare challenges. Healthcare personnel’s attitudes are important in the acceptance and implementation of digital technologies.

Aim

The aims of this study were to (1) translate and validate two different questionnaires to Norwegian and Swedish respectively, and then (2) use these to examine nursing students’ attitudes towards digital technology in healthcare, as well as their attitudes towards older adults’ abilities to use digital technology.

Design

Cross-sectional.

Methods

A web-based questionnaire was distributed in first year nursing students in a Norwegian and a Swedish university college, respectively. The questionnaire consisted of the short form of the ‘Information Technology Attitude Scales for Health (ITASH)’ and the ‘Attitudes Towards Older Adults Using Digital technology (ATOAUT-11)’ questionnaire. The questionnaires were translated and validated in both countries. Frequencies, Student’s t-test, and one-way ANOVA were used to analyze the data.

Results

In total 236 students responded to the questionnaire in the period September 2022 to April 2023. Students mainly reported positive attitudes towards digital technology use in general. They most agreed with the items ‘Using digital technology devices makes my communication with other health professionals faster’, ‘The sort of information I can get from the digital technology devices helps me give better care to patient’, and ‘Digital technology skills are becoming more and more necessary for healthcare professionals’. However, they reported more negative attitudes towards older adults using digital technology. They most agreed with the items ‘One needs a lot of patience to explain to an older adult how to use digital technologies’, ‘It’s hard to explain to older adults how to use digital technology’, ‘Using digital technology is harder for most older adults’, and ‘Most older adults fear using digital technology because they fear of being scammed or cheated’.

Conclusion

The ITASH and the ATOAUT-11 is appropriate for use in a Norwegian and Swedish setting. Even if nursing students are positive to digital technology in healthcare in general, they are sceptical to older adults using digital technology. This may impact on their attitudes to using digital technology in the healthcare of older adults. These aspects need emphasis when revising nursing education curricula focusing on developing technological competencies in nursing, and gaining knowledge regarding older adults’ use of digital technology.

sted, utgiver, år, opplag, sider
BioMed Central (BMC), 2023
HSV kategori
Forskningsprogram
Välbefinnande vid långvariga hälsoproblem (WeLHP); Medborgarcentrerad hälsa (Mech)
Identifikatorer
urn:nbn:se:his:diva-23377 (URN)10.1186/s12912-023-01600-6 (DOI)001105001700001 ()37964266 (PubMedID)2-s2.0-85176395709 (Scopus ID)
Forskningsfinansiär
University of Skövde
Merknad

CC BY 4.0

© The Author(s) 2023. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

© 2023 BioMed Central Ltd unless otherwise stated. Part of Springer Nature.

Correspondence: Ann-Chatrin Linqvist Leonardsen ann.c.leonardsen@hiof.no

The study was funded by strategic fundings from Østfold University College, and by University of Skövde. The funding bodies did not take part in planning or conduction of the study, or in writing of the article.

Tilgjengelig fra: 2023-11-21 Laget: 2023-11-21 Sist oppdatert: 2023-12-11bibliografisk kontrollert
Emmesjö, L., Gillsjö, C., Dahl Aslan, A. K. & Hallgren, J. (2023). Patients’ and next of kin’s expectations and experiences of a mobile integrated care model with a home health care physician – a qualitative thematic study. BMC Health Services Research, 23(1), Article ID 921.
Åpne denne publikasjonen i ny fane eller vindu >>Patients’ and next of kin’s expectations and experiences of a mobile integrated care model with a home health care physician – a qualitative thematic study
2023 (engelsk)Inngår i: BMC Health Services Research, E-ISSN 1472-6963, Vol. 23, nr 1, artikkel-id 921Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background

The organizational principle of remaining at home has offset care from the hospital to the home of the older person where care from formal and informal caregivers is needed. Globally, formal care is often organized to handle singular and sporadic health problems, leading to the need for several health care providers. The need for an integrated care model was therefore recognized by health care authorities in one county in Sweden, who created a cross-organisational integrated care model to meet these challenges. The Mobile integrated care model with a home health care physician (MICM) is a collaboration between regional and municipal health care. Descriptions of patients’ and next of kin’s experiences of integrated care is however lacking, motivating exploration.

Method

A qualitative thematic study. Data collection was done before the patients met the MICM physician, and again six months later.

Results

The participants expected a sense of relief when admitted to MICM, and hoped for shared responsibility, building a personal contact and continuity but experienced lack of information about what MICM was. At the follow-up interview, participants described having an easier daily life. The increased access to the health care personnel (HCP) allowed participants to let go of responsibility, and created a sense of safety through the personalised contact and continuity. However, some felt ignored and that the personnel teamed up against the patient. The MICM structure was experienced as hierarchical, which influenced the possibility to participate. However, the home visits opened up the possibility for shared decision making.

Conclusion

Participants had an expectation of receiving safe and coherent health care, to share responsibility, personal contact and continuity. After six months, the participants expressed that MICM had provided an easier daily life. The direct access to HCP reduced their responsibility and they had created a personalised contact with the HCP and that the individual HCP mattered to them, which could be perceived as in line with the goals in the shift to local health care. The MICM was experienced as a hierarchic structure with impact on participation, indicating that all dimensions of person-centred care were not fulfilled.

sted, utgiver, år, opplag, sider
BioMed Central (BMC), 2023
Emneord
Patient, Next of kin, Home health care, Home health care physician, Nursing, Municipal care, Thematic analysis, Qualitative
HSV kategori
Forskningsprogram
Välbefinnande vid långvariga hälsoproblem (WeLHP)
Identifikatorer
urn:nbn:se:his:diva-23151 (URN)10.1186/s12913-023-09932-4 (DOI)001057696200008 ()37644455 (PubMedID)2-s2.0-85168928826 (Scopus ID)
Forskningsfinansiär
University of SkövdeThe Kamprad Family Foundation
Merknad

CC BY 4.0

Correspondence: Lina Emmesjö lina.hovlin@his.se

BMC part of Springer Nature

Open access funding provided by University of Skövde. This study was supported by a grant from the Kamprad Family Foundation for Entrepreneurship, Research, & Charity in Sweden (20190175). It was also supported by the School of Health Sciences, University of Skövde, Sweden, Agneta Prytz-Folkes and Gösta Folke’s Foundation, Gösta Svenssons Foundation and The Foundation of Ragnhild and Einar Lundström’s Memory.

Tilgjengelig fra: 2023-08-30 Laget: 2023-08-30 Sist oppdatert: 2023-10-10bibliografisk kontrollert
Emmesjö, L., Hallgren, J. & Gillsjö, C. (2022). Home health care professionals’ experiences of working in integrated teams during the COVID-19 pandemic: a qualitative thematic study. BMC Primary Care, 23(1), Article ID 325.
Åpne denne publikasjonen i ny fane eller vindu >>Home health care professionals’ experiences of working in integrated teams during the COVID-19 pandemic: a qualitative thematic study
2022 (engelsk)Inngår i: BMC Primary Care, E-ISSN 2731-4553, Vol. 23, nr 1, artikkel-id 325Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background

Since COVID-19 emerged, over 514 million COVID-19 cases and 6 million COVID-19-related deaths have been reported worldwide. Older persons receiving home health care often have co-morbidities that require advanced medical care, and are at risk of becoming severely ill or dying from COVID-19. In Sweden, over 10,000 COVID-19-related deaths have been reported among persons receiving municipal home health and social care. Home health care professionals have been working with the patients most at risk if infected. Most research has focused on the experiences of professionals in hospitals and assistant nurses in a home care setting. It is therefore valuable to study the experiences of the registered nurses and physicians working in home health care during the COVID-19 pandemic to learn lessons to inform future work.

Method

A thematic qualitative study design using a semi-structured interview guide.

Results

The health care professionals experienced being forced into changed ways of working, which disrupted building and maintaining relationships with other health care professionals, and interrupted home health care. The health care professionals described being forced into digital and phone communication instead of in-person meetings, which negatively influenced the quality of care. The COVID-19 pandemic brought worry about illness for the health care professionals, including worrying about infecting patients, co-workers, and themselves, as well as worry about upholding the provision of health care because of increasing sick leave. The health care professionals felt powerless in the face of their patients’ declining health. They also faced worry and guilt from the patients’ next of kin.

Conclusion

Home health care professionals have faced the COVID-19 pandemic while working across organizational borders, caring for older patients who have been isolated during the pandemic and trying to prevent declining health and feelings of isolation. Due to the forced use of digital and phone communication instead of in-person visits, the home health care professionals experienced a reduction in the patients’ quality of care and difficulty maintaining good communication between the professions.

sted, utgiver, år, opplag, sider
BioMed Central (BMC), 2022
HSV kategori
Forskningsprogram
Välbefinnande vid långvariga hälsoproblem (WeLHP)
Identifikatorer
urn:nbn:se:his:diva-22161 (URN)10.1186/s12875-022-01934-1 (DOI)000899229300002 ()36517792 (PubMedID)2-s2.0-85144217881 (Scopus ID)
Forskningsfinansiär
University of SkövdeThe Kamprad Family Foundation
Merknad

CC BY 4.0

© 2022 BioMed Central Ltd unless otherwise stated. Part of Springer Nature.

Correspondence: lina.hovlin@his.se

© The Author(s) 2022. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/ by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creat ivecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

Open access funding provided by University of Skövde. This study was supported by a grant from the Kamprad Family Foundation for Entrepreneurship, Research, & Charity in Sweden (20190175). It was also supported by the School of Health Sciences, University of Skövde, Sweden, the Skaraborg Institute for Research and Development, and the foundation in memory of Gösta Svensson.

Tilgjengelig fra: 2022-12-22 Laget: 2022-12-22 Sist oppdatert: 2024-04-05bibliografisk kontrollert
Hovlin, L., Hallgren, J., Dahl Aslan, A. K. & Gillsjö, C. (2022). The role of the home health care physician in mobile integrated care: a qualitative phenomenograpic study. BMC Geriatrics, 22(1), Article ID 554.
Åpne denne publikasjonen i ny fane eller vindu >>The role of the home health care physician in mobile integrated care: a qualitative phenomenograpic study
2022 (engelsk)Inngår i: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 22, nr 1, artikkel-id 554Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background: An increasing older population, along with the organizational principle of remaining at home, has moved health care from institutions into the older person’s home, where several health care providers facilitate care. The Mobile Integrated Care Model strives to provide cost-efficient, coherent, person-centered health care in the home. In the integrated care team, where the home health care physician is the medical authority, several health care professions work across organizational borders. Therefore, the aim of this study was to describe Home Health Care Physicians perceptions of working and providing health care in the Mobile Integrated Care Model, as well as perceptions of participating in and forming health care.

Methods: A phenomenographic qualitative study design, with semi-structured interviews using an interview guide.

Results: Working within Mobile Integrated Care Model was a different way of working as a physician. The physicians’ role was to support the patient by making safe medical decisions. Physicians described themselves as a piece in the team puzzle, where the professional knowledge of others was crucial to give quality health care. Being in the patients’ homes was expressed as adding a unique dimension in the provision of health care, and the physicians learned more about the patients by meeting them in their homes than at an institution. This aided the physicians in respecting patient autonomy in medical decision making, even though the physicians sometimes disregarded patient autonomy in favor of their own medical experience. There was a divided view on next of kin participation among the home health care physicians, ranging from always including to total absence of involving next of kin in decision making.

Conclusions: The home health care physicians described the Mobile Integrated Care Model as the best way to work, but there was still a need for additional resources and structure when working in different organizations. The need for full-time employment, additional time or hours, more equipment, access to each other’s medical records, and additional collaboration with other health care providers were expressed, which could contribute to increased work satisfaction and facilitate further development of person-centered care in the Mobile Integrated Care Model. 

sted, utgiver, år, opplag, sider
BioMed Central (BMC), 2022
Emneord
aged, article, controlled study, decision making, full time employment, health care personnel, health care quality, home care, human, job satisfaction, medical decision making, medical record, organization, patient autonomy, perception, physician, professional knowledge, qualitative research, semi structured interview, Home health care, Home health care physician, Integrated care, Municipality care, Person-centered care, Phenomenography, Qualitative
HSV kategori
Forskningsprogram
Välbefinnande vid långvariga hälsoproblem (WeLHP)
Identifikatorer
urn:nbn:se:his:diva-21625 (URN)10.1186/s12877-022-03211-3 (DOI)000820628000002 ()35787260 (PubMedID)2-s2.0-85133286268 (Scopus ID)
Merknad

CC BY 4.0

© The Author(s) 2022. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1. 0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

© 2022 BioMed Central Ltd unless otherwise stated. Part of Springer Nature. 

Correspondence: lina.hovlin@his.se

The project was approved by the Swedish Ethical Review Authority (Dnr 1020-17; 2019–02563; 2020–04324), and conducted according to the ethical guidelines of the Declaration of Helsinki. All participants received written and oral information about what the data would be used for and gave informed consent.

Tilgjengelig fra: 2022-07-14 Laget: 2022-07-14 Sist oppdatert: 2022-10-17bibliografisk kontrollert
Gillsjö, C., Nyström, M., Palmér, L., Carlsson, G., Dalheim-Englund, A.-C. & Eriksson, I. (2021). Balance in life as a prerequisite for community-dwelling older adults’ sense of health and well-being after retirement: an interview-based study. International Journal of Qualitative Studies on Health and Well-being, 16(1), Article ID 1984376.
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2021 (engelsk)Inngår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 16, nr 1, artikkel-id 1984376Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Purpose: This study aimed to describe community-dwelling older adults’ perceptions of health and well-being in life after retirement. Methods: This study is part of a larger project using a mixed-methods design to address lifestyles’ influence on community-dwelling older adults’ health. Individual semi-structured interviews were conducted with 18 older adults in age 70 to 95 years. Data were analysed according to a phenomenographic approach. Results: The results encompass four categories describing variations in community-dwelling older adults’ perceptions of health and well-being after retirement: feeling well despite illness and disease, interacting with and being useful for oneself and others, independently embracing opportunities and engaging in life, and maintaining a healthy lifestyle. Conclusions: The absence of illness and disease is not a clear prerequisite for a sense of health and well-being. To promote and preserve health and well-being after retirement, older adults strived for—and coached themselves to uphold—a balance in life, focusing on not burdening others. This life orientation after retirement must be acknowledged by society at large, especially from an ageist perspective, and in health and social care to preserve and promote health and well-being. 

sted, utgiver, år, opplag, sider
Taylor & Francis, 2021
Emneord
community, Health, life balance, lifestyle, older adults, phenomenography, qualitative, retirement, well-being
HSV kategori
Forskningsprogram
Välbefinnande vid långvariga hälsoproblem (WeLHP); Familjecentrerad hälsa (FamCeH)
Identifikatorer
urn:nbn:se:his:diva-20663 (URN)10.1080/17482631.2021.1984376 (DOI)000706099300001 ()34633914 (PubMedID)2-s2.0-85116918944 (Scopus ID)
Merknad

CC BY 4.0

© 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

CONTACT Irene Eriksson irene.eriksson@his.se School of Health Sciences, Box 408, University of Skövde, SE- 541 28 Skövde, Sweden

Tilgjengelig fra: 2021-10-21 Laget: 2021-10-21 Sist oppdatert: 2022-04-11bibliografisk kontrollert
Organisasjoner
Identifikatorer
ORCID-id: ORCID iD iconorcid.org/0000-0003-3970-1288