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Gillsjö, Catharina, Senior LecturerORCID iD iconorcid.org/0000-0003-3970-1288
Publications (10 of 18) Show all publications
Eriksson, I., Lindblad, M., Möller, U. & Gillsjö, C. (2018). Holistic health care: Patients' experiences of health care provided by an Advanced Practice Nurse. International Journal of Nursing Practice, 24(1), Article ID e12603.
Open this publication in new window or tab >>Holistic health care: Patients' experiences of health care provided by an Advanced Practice Nurse
2018 (English)In: International Journal of Nursing Practice, ISSN 1322-7114, E-ISSN 1440-172X, Vol. 24, no 1, article id e12603Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: Advanced Practice Nurse (APN) is a fairly new role in the Swedish health care system.

AIM: To describe patients' experiences of health care provided by an APN in primary health care.

METHODS: An inductive, descriptive qualitative approach with qualitative open-ended interviews was chosen to obtain descriptions from 10 participants regarding their experiences of health care provided by an APN. The data were collected during the spring 2012, and a qualitative approach was used for analyze.

RESULTS: The APNs had knowledge and skills to provide safe and secure individual and holistic health care with high quality, and a respectful and flexible approach. The APNs conveyed trust and safety and provided health care that satisfied the patients' needs of accessibility and appropriateness in level of care.

CONCLUSION: The APNs way of providing health care and promoting health seems beneficial in many ways for the patients. The individual and holistic approach that characterizes the health care provided by the APNs is a key aspect in the prevailing change of health care practice. The transfer of care and the increasing number of older adults, often with a variety of complex health problems, call for development of the new role in this context.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2018
Keywords
Advanced Practice Nurse, experience, holistic, patient satisfaction, primary health care, qualitative
National Category
Nursing
Research subject
Wellbeing in long-term health problems (WeLHP)
Identifiers
urn:nbn:se:his:diva-14285 (URN)10.1111/ijn.12603 (DOI)000424142400003 ()29071766 (PubMedID)2-s2.0-85032172592 (Scopus ID)
Available from: 2017-11-01 Created: 2017-11-01 Last updated: 2018-02-22Bibliographically approved
Berglund, M., Gillsjö, C. & Svanström, R. (2018). Keys to person-centred care to persons living with dementia: Experiences from an educational program in Sweden. Dementia, 1-15
Open this publication in new window or tab >>Keys to person-centred care to persons living with dementia: Experiences from an educational program in Sweden
2018 (English)In: Dementia, ISSN 1471-3012, E-ISSN 1741-2684, p. 1-15Article in journal (Refereed) Epub ahead of print
Abstract [en]

Growing old entails an increased risk of disabilities and illnesses such as dementia. The orientation in Sweden on national level is that individuals remain in their own homes if desired and receive person-centred home care. The aim of this study was to describe the experience of an educational program and its influence on daily provision of care to persons with dementia. A lifeworld approach was used. Data were collected through group interviews with care providers in the context of home. The findings are presented in five themes: Increased knowledge about dementia and treatment, Relationship-building in order to provide good care, Open and flexible approach conveys calm, Continuity and flexibility are cornerstones in the care and Perceived improvements. This person-centred educational intervention resulted in a care that was based on each individual’s personality, preferences and priorities in life. Education given with continuity over time is key to improving provision of care to person with dementia.

Keywords
dementia, education, experience, home health care, person-centred care
National Category
Medical and Health Sciences Nursing
Research subject
Wellbeing in long-term health problems (WeLHP)
Identifiers
urn:nbn:se:his:diva-14695 (URN)10.1177/1471301218754454 (DOI)29368533 (PubMedID)
Available from: 2018-01-30 Created: 2018-01-30 Last updated: 2018-06-15Bibliographically approved
Curtin, A., Martins, D. C., Gillsjö, C. & Schwartz-Barcott, D. (2017). Ageing out of place: The meaning of home among hispanic older persons living in the United States. International Journal of Older People Nursing, 12(3), Article ID e12150.
Open this publication in new window or tab >>Ageing out of place: The meaning of home among hispanic older persons living in the United States
2017 (English)In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 12, no 3, article id e12150Article in journal (Refereed) Published
Abstract [en]

Aim

To explore the meaning of home among older Hispanic immigrants who are “aging out of place.”

Background

Emerging evidence supports the concept of older persons ageing in place. Nurse researchers have demonstrated that older person who age in place have better physical, psychological and cognitive outcomes. Less, however, is known about older persons who are “aging out of place,” meaning out of their country of origin. With the growth of home health care, there is a need to understand the older immigrants' meaning of home when ageing out of their country of origin.

Design and Method

An inductive, qualitative descriptive research design was used. Seventeen Hispanic participants, ranging in age from 65 to 83 years were interviewed using a semi-structured interview protocol.

Findings

Two major finding of the study focused on participants' descriptions of home in their country of origin and in the USA. The majority of participants described their home in their native country as the community, countryside or town (pueblo) and in the U.S.A. as family. The level of social isolation and loneliness among participants was evident.

Conclusions

Older Hispanic immigrants who are “aging out of place” integrate their past experiences of sense of place in their native country with their present experiences of home in the USA. The need to understand the role of the community and the family in the provision of nursing care in the home may be more important than the physical structure or setting in which it is delivered. Further intra- and cross-national studies are needed to provide a framework for understanding the issues of ageing and immigration globally.

Implications for Practice

Gerontological nurses need to recognise the complexity of family relationships for older Hispanic persons who are ageing out of place of origin and their risk of depression, social isolation, and loneliness.

Keywords
ageing out of place, hispanics, home, immigrants, older persons, sense of place
National Category
Nursing
Research subject
Age and Ageing
Identifiers
urn:nbn:se:his:diva-13492 (URN)10.1111/opn.12150 (DOI)000407843000007 ()28393460 (PubMedID)2-s2.0-85017632767 (Scopus ID)
Projects
Ageing in Place
Available from: 2017-05-25 Created: 2017-05-25 Last updated: 2017-11-27Bibliographically approved
Berglund, M. & Gillsjö, C. (2017). Reflekterande KRAFT-givande samtal (1ed.). In: Karin Dahlberg, Inger Ekman (Ed.), Vägen till patientens värld och personcentrerad vård: Att bli lyssnad på och förstådd (pp. 317-334). Stockholm: Liber
Open this publication in new window or tab >>Reflekterande KRAFT-givande samtal
2017 (Swedish)In: Vägen till patientens värld och personcentrerad vård: Att bli lyssnad på och förstådd / [ed] Karin Dahlberg, Inger Ekman, Stockholm: Liber, 2017, 1, p. 317-334Chapter in book (Refereed)
Place, publisher, year, edition, pages
Stockholm: Liber, 2017 Edition: 1
National Category
Nursing
Research subject
Wellbeing in long-term health problems (WeLHP)
Identifiers
urn:nbn:se:his:diva-14223 (URN)978-91-47-11271-5 (ISBN)
Available from: 2017-10-11 Created: 2017-10-11 Last updated: 2018-02-16Bibliographically approved
Berglund, M., Nässén, K., Hedén, L. & Gillsjö, C. (2016). Older Adults' Experiences of Reflective STRENGTH-Giving Dialogues: An Interview Study. Journal of Gerontology & Geriatric Research, 5(3), Article ID 1000304.
Open this publication in new window or tab >>Older Adults' Experiences of Reflective STRENGTH-Giving Dialogues: An Interview Study
2016 (English)In: Journal of Gerontology & Geriatric Research, ISSN 2167-7182, Vol. 5, no 3, article id 1000304Article in journal (Refereed) Published
Abstract [en]

Background: A major health problem that frequently accompanies old age is long-term pain, but pain must be acknowledged by older adults and health care providers. Interventions are needed to alleviate pain and suffering’ while holistically providing health care that promotes wellbeing. The intervention project, Reflective STRENGTHGiving Dialogues© (STRENGTH) was implemented to increase health and wellbeing among community dwelling older adults living with long-term musculoskeletal pain at home.

Aim: The aim of this study was to describe the older adults’ experiences of the intervention Reflective STRENGTH-Giving Dialogue.

Method: A life world hermeneutic approach was used in collection and analysis of data. Twenty community dwelling older adults participated were interviewed in their homes after the intervention.

Findings: The findings consisted of five themes and showed that the older adults experienced the Reflective STRENGTH-Giving Dialogues as a continuous and trusting relationship that alleviates the pain and breaks the loneliness. They expressed it as a new way to talk about life with pain. The dialogues supported reflection and memory and resulted in a transition in orientation in life.

Conclusion: The Reflective STRENGTH-Giving Dialogues helped the older adults to increase their intellectual, emotional, and physical engagement in daily living. The dialogues facilitated a transition in orientation from past to present, to the future, and from obstacles to opportunities. The dialogues were oriented towards enjoyments, meaning, courage and strength in life as a whole which promoted the older adults’ sense of well-being and vitality. The dialogues also facilitated carrying out small and large life projects. The Reflective STRENGTH-Giving Dialogues created a deepened caring relationship that contributed to an increased sense of security, strength and courage, all of which enhanced the potential for better health and wellbeing.

Place, publisher, year, edition, pages
Omics Publishing Group, 2016
National Category
Nursing
Identifiers
urn:nbn:se:his:diva-13029 (URN)10.4172/2167-7182.1000304 (DOI)
Available from: 2016-10-13 Created: 2016-10-13 Last updated: 2017-11-27Bibliographically approved
Berglund, M., Nässén, K. & Gillsjö, C. (2015). Fluctuation between Powerlessness and Sense of Meaning: A Qualitative Study of Health Care Professionals’ Experiences of Providing Health Care to Older Adults with Long-Term Musculoskeletal Pain. BMC Geriatrics, 15, Article ID 96.
Open this publication in new window or tab >>Fluctuation between Powerlessness and Sense of Meaning: A Qualitative Study of Health Care Professionals’ Experiences of Providing Health Care to Older Adults with Long-Term Musculoskeletal Pain
2015 (English)In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 15, article id 96Article in journal (Refereed) Published
Abstract [en]

Background: There is an increasing number of older adults living with long-term musculoskeletal pain and related disabilities. These problems are frequently unrecognized, underreported, and inadequately treated. Since many older adults desire to remain at home for as long as possible, it is important that individualized and holistically tailored care is provided in these settings. However, there is a complexity in providing care in this context.

The aim of this study was to describe health care professionals’ experiences of providing health care to older adults living with long-term musculoskeletal pain at home.

Methods: The phenomenon, “To provide health care to older adults living with long-term musculoskeletal pain at home”, was studied using reflective lifeworld research (RLR) which is based on phenomenological epistemology. Ten health care providers (nurse, physiotherapists, and occupational therapists) were interviewed and data was analysed.

Results: The health care professional’s emotions fluctuated between powerlessness and meaningfulness. Needs, opportunities, understanding and respect had to be balanced in the striving to do good in the provision of health care in differing situations. Caring for older adults with long-term pain required courage to remain in the encounter despite feelings of insecurity and uncertainty about the direction of the dialogue. The essence of caring for older adults with long-term pain consisted of the following constituents: Sense of powerlessness; striving to provide good health care; and understanding and respect.

Conclusions: The findings indicated that the health care professionals strived to do good and to provide health care that was holistic and sensitive to the older adults’ needs. A significant sense of powerlessness in the situation was experienced by the health care professionals. These findings address and support the need to develop methods that can be used to guide health care providers who support older adults in the context of their homes.

Place, publisher, year, edition, pages
BioMed Central, 2015
Keywords
Health care providers, Experiences, Older adults, Long-term musculoskeletal pain, Home
National Category
Nursing
Research subject
Medical sciences
Identifiers
urn:nbn:se:his:diva-11406 (URN)10.1186/s12877-015-0088-y (DOI)000358904200001 ()26238106 (PubMedID)2-s2.0-84938603721 (Scopus ID)
Available from: 2015-08-24 Created: 2015-08-24 Last updated: 2017-12-04Bibliographically approved
Berglund, M. & Gillsjö, C. (2015). Reflekterande KRAFT-givande samtal i vården av äldre som lever med långvarig smärta i hemmet. Ä. Riksföreningen för Sjuksköterskan inom äldrevård (1), 14-16
Open this publication in new window or tab >>Reflekterande KRAFT-givande samtal i vården av äldre som lever med långvarig smärta i hemmet
2015 (Swedish)In: Ä. Riksföreningen för Sjuksköterskan inom äldrevård, ISSN 2001-1164, no 1, p. 14-16Article in journal (Other (popular science, discussion, etc.)) Published
Abstract [sv]

Reflekterande KRAFT-givande samtal är en metod utvecklad för att användas som ett verktyg i vården. Syftet är att stärka människors hälsa och välbefinnande samt den egna förmågan att bemästra sin situation på ett sätt som ger glädje och mening i livet. För den äldre kan det innebära en möjlighet att kunna bo kvar längre i det egna hemmet. Metoden har utvecklats utifrån resultaten av två avhandlingar, en om hemmets betydelse och att leva med långvarig smärta samt en om lärande vid långvarig sjukdom.

Place, publisher, year, edition, pages
Sigtuna: Jld & Kompani, 2015
National Category
Medical and Health Sciences
Research subject
Medical sciences
Identifiers
urn:nbn:se:his:diva-10734 (URN)
Available from: 2015-03-10 Created: 2015-03-10 Last updated: 2017-11-27Bibliographically approved
Gillsjö, C. & Berglund, M. (2014). Reflective STRENGTH-Giving Dialogue Developed to Support Older Adults in Learning to Live with Long-Term Pain: A Method and a Study Design. Journal of Gerontology & Geriatric Research, 3(5), Article ID 187.
Open this publication in new window or tab >>Reflective STRENGTH-Giving Dialogue Developed to Support Older Adults in Learning to Live with Long-Term Pain: A Method and a Study Design
2014 (English)In: Journal of Gerontology & Geriatric Research, ISSN 2167-7182, Vol. 3, no 5, article id 187Article in journal (Refereed) Published
Abstract [en]

Background: Long-term musculoskeletal pain is a major health problem that significantly impacts quality of life among older adults. Many lack professional guidance and must learn on their own to live with pain. This calls for a holistic method that addresses older adults’ needs in their situations. The developed method has its foundation in the didactic model: “The challenge – to take control of one’s life with long-term illness.

Aim: The aim was to describe the method, Reflective STRENGTH-Giving Dialogue, and present a study design where the method is learned and used by health care providers to support older adults in learning to live their lives with long-term pain at home in a way that promotes health, well-being, meaning and strength in life.

Methods: The pilot study design consists of an educational program including continuous supervision to health care providers during the accomplishment of dialogues with community dwelling older adults. The key dimensions in Reflective STRENGTH-Giving Dialogue are:

Situation: Confront and ascertain the facticity in the current situation; Transition from “one to I” and Take charge in the situation; Reflect upon possibilities and choices; Engagement in fulfilling small and large life projects that gives joy and meaning in life; Get inner strength and courage; Tactful and challenging approach and Holistic perspective. Data will be collected through interviews and questionnaires. Qualitative and quantitative methods (NRS, BPI-SF, GDS, KASAM, MSQ) will be used for analysis. A control-group will be enrolled.

Discussion and Relevance of Study: STRENGTH can be used to secure and enhance the quality of personcentered care. The method for dialogues can be a way to holistically and individually guide and support older adults in finding ways to live a meaningful life despite pain and to fulfill their desire to remain at home as long as possible .

Place, publisher, year, edition, pages
OMICS Group, 2014
National Category
Medical and Health Sciences
Research subject
Medical sciences
Identifiers
urn:nbn:se:his:diva-10733 (URN)10.4172/2167-7182.1000187 (DOI)
Available from: 2015-03-10 Created: 2015-03-10 Last updated: 2017-11-27Bibliographically approved
Gillsjö, C., Schwartz-Barcott, D. & Bergh, I. (2013). Learning to Endure Long-Term Musculoskeletal Pain in Daily Life at Home: A Qualitative Interview Study of the Older Adult’s Experience. Gerontology & Geriatric Research, 2(4), Article ID 1000136.
Open this publication in new window or tab >>Learning to Endure Long-Term Musculoskeletal Pain in Daily Life at Home: A Qualitative Interview Study of the Older Adult’s Experience
2013 (English)In: Gerontology & Geriatric Research, ISSN 2167-7182, Vol. 2, no 4, article id 1000136Article in journal (Refereed) Published
Place, publisher, year, edition, pages
OMICS Publishing Group, 2013
Keywords
Older adults, Long-term pain, Musculoskeletal pain, Home, Nursing, Home health care, Qualitative content analysis
National Category
Health Sciences Nursing
Research subject
Medical sciences; Humanities and Social sciences
Identifiers
urn:nbn:se:his:diva-8691 (URN)10.4172/2167-7182.1000136 (DOI)
Available from: 2013-12-19 Created: 2013-12-19 Last updated: 2017-11-27Bibliographically approved
Gillsjö, C. (2013). Äldre personers erfarenheter av att leva med långvarig muskeloskeletal smärta i hemmet. Smärta (4), 11-14
Open this publication in new window or tab >>Äldre personers erfarenheter av att leva med långvarig muskeloskeletal smärta i hemmet
2013 (Swedish)In: Smärta, ISSN 1402-1048, no 4, p. 11-14Article in journal (Other (popular science, discussion, etc.)) Published
Keywords
Muskeloskeletal smärta, Äldre, Hemmet, Omvårdnad
National Category
Medical and Health Sciences
Research subject
Medical sciences
Identifiers
urn:nbn:se:his:diva-8692 (URN)
Available from: 2013-12-19 Created: 2013-12-19 Last updated: 2017-11-27Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-3970-1288

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