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Ziegert, K., Karlsson, S., Kristén, L. & Ivarsson, A. (2019). Dancing Together for Social Sustainability from a Life Course Perspective - Integrating Children and Senior Citizens in Action Research Project. In: : . Paper presented at IAGG-ER 2019, International Association of Gerontology, Gothenburg, Sweden, 23rd - 25th May, 2019.
Open this publication in new window or tab >>Dancing Together for Social Sustainability from a Life Course Perspective - Integrating Children and Senior Citizens in Action Research Project
2019 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

This project has its starting-point in dance project with children and senior citizens. Children and senior citizen have their own health challenges. The Swedish culture does not encourage intergenerational activities in organizations and communities. Intergenerational contacts are in many terms referred to within families, except certain environments such as the educational institutions. Especially, the intergenerational contacts between children and senior citizens are neglected as an important factor in promoting knowledge and health in society. It does not need to be questioned, that both knowledge and health contributes to the sustainability in society. If individuals from different generations have the opportunity to exercise physical activities together, it is likely that it generates positive values for social sustainability. Social constructivism combined with a life course perspective is the fundamental theoretical standpoint for this project.  We will explain the complex matter of how theses processes of “constructed realities” are accomplish before approaching the central ideas of social constructivism in relation to our project.

The overall aim was to understand the knowledge of the social value of intergenerational physical activities, and how different age groups communicate their experiences in a life course perspective. There were many things we could learn in a life course perspective through activities among children and senior citizens, and how we could make use of this knowledge for implementations for social sustainability in general. This study included a three-stage process qualitative data from 48 stakeholders describing in individuals diaries about daily exercise, collected during one and a half year, with focus groups interviews with 24 children and 24 senior citizens. The third stage dancing activities was conducted, and follow up interviews with both participants. The thematic analysis was used emerge the results. We found a common joy for both children and senior citizens when performing the physical activities. Women believed physical activities improved their inclusion and social networks. The men found that the physical activities improved their wellbeing and health.

National Category
Other Health Sciences
Identifiers
urn:nbn:se:hh:diva-39502 (URN)
Conference
IAGG-ER 2019, International Association of Gerontology, Gothenburg, Sweden, 23rd - 25th May, 2019
Available from: 2019-05-28 Created: 2019-05-28 Last updated: 2019-05-29Bibliographically approved
Forsberg, E., Bäcklund, B., Hjort-Telhede, E. & Karlsson, S. (2019). Virtual Patient Cases for Active Student Participation in Nursing Education — Students’ Learning Experiences. Creative Education, 10(7), 1475-1491
Open this publication in new window or tab >>Virtual Patient Cases for Active Student Participation in Nursing Education — Students’ Learning Experiences
2019 (English)In: Creative Education, ISSN 2151-4755, E-ISSN 2151-4771, Vol. 10, no 7, p. 1475-1491Article in journal (Refereed) Published
Abstract [en]

Virtual Patient cases (VP cases) promote learning, teaching, and assessment of clinical reasoning and can stimulate and motivate active learning experiences in nursing education. The aim of the study was to investigate the use of VP cases for active student participation in nursing education regarding students’ learning experiences of clinical reasoning. After an intervention using VP cases in the graduate nursing program, 174 evaluation questionnaires were collected from the students. The questionnaire consisted of open-ended questions that covered students’ learning experiences using VP cases. Deductive content analysis was used with a focus on the students’ learning experiences. The results showed that the use of the VP cases provided a comprehensive view of the patient and encouraged the students to broaden their thinking and helped them in drawing conclusions and in structuring their problem-solving. The VP cases also stimulated their learning process and reflection. Their knowledge was challenged, and this motivated them to search for more knowledge that was then followed up in the VP cases. The students found that the VP cases provided support in translating theoretical knowledge into clinical reasoning, and they facilitated the application of theory in practice and encouraged the students to use their clinical reasoning. The VP cases allowed for self-evaluation, which was a motivating force and increased their awareness of their abilities for clinical reasoning. Learning experiences from VP cases seem to be applicable in higher education and seem especially useful in enabling nursing students to apply theory in their clinical practice. Experiential learning theory supports the learning experiences from VP cases in clinical reasoning. In addition, working with VP cases seems to promote active student participation. Copyright © 2019 by author(s) and Scientific Research Publishing Inc.

Place, publisher, year, edition, pages
Irvine, CA: Scientific Research Publishing, 2019
Keywords
Virtual Patient, Active Student Participation, Nursing Education, Learning Experiences, Clinical Reasoning
National Category
Learning
Identifiers
urn:nbn:se:hh:diva-40385 (URN)10.4236/ce.2019.107108 (DOI)
Available from: 2019-08-12 Created: 2019-08-12 Last updated: 2019-08-12Bibliographically approved
Helldén, J., Bergström, L. & Karlsson, S. (2018). Experiences of living with persisting post-stroke dysphagia and of dysphagia management – a qualitative study. International Journal of Qualitative Studies on Health and Well-being, 13(sup1), Article ID 1522194.
Open this publication in new window or tab >>Experiences of living with persisting post-stroke dysphagia and of dysphagia management – a qualitative study
2018 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 13, no sup1, article id 1522194Article in journal (Refereed) Published
Abstract [en]

Purpose: The aim of this study was to investigate people’s experiences of living with dysphagia after stroke, and their experiences of dysphagia management.

Methods: The study design was qualitative, and an open-ended approach to data collection was used, with follow-up probing questions to gain more information as needed. Personal interviews were conducted with five persons who had persisting moderate to severe dysphagia after stroke, living in the south-west part of Sweden. The data were analysed with qualitative content analysis.

Results: When analysing the data, the following theme emerged; “Dysphagia impacts life situations negatively and requires individually adapted, long term support from skilled health care professionals”. The theme consists of three categories: “Learning to manage dysphagia and its complications”, “Professional support with dysphagia varies” and “Finding small moments of joy despite large restrictions in life situations”.

Conclusions: Findings indicated that people with dysphagia experienced a lack of support from health care professionals. Better health care support following discharge from hospital is required to ensure an optimal quality of life. Actions to achieve this may include developing national guidelines for adequate dysphagia follow-up and establishing multidisciplinary dysphagia teams in hospitals and long-term care facilities.

Place, publisher, year, edition, pages
Abingdon: Taylor & Francis, 2018
Keywords
Swallowing difficulties, speech–language pathology, life situations, patient reported outcome, qualitative research
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-38080 (URN)10.1080/17482631.2018.1522194 (DOI)30257150 (PubMedID)
Note

Partial funding was received by the second author (Liza Bergström), from the Research and Development Department, Västra Götaland Regional Council.

Available from: 2018-09-30 Created: 2018-09-30 Last updated: 2018-10-01Bibliographically approved
Karlsson, S., Arvidsson, S., Cuesta, M., Millberg German, L. & Nilsson, C. (2018). HICube Kompetenta vården, Delrapport: Välfärdsteknik ur ett etiskt perspektiv, Varbergs kommun.
Open this publication in new window or tab >>HICube Kompetenta vården, Delrapport: Välfärdsteknik ur ett etiskt perspektiv, Varbergs kommun
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2018 (Swedish)Report (Other academic)
Publisher
p. 35
National Category
Other Health Sciences
Identifiers
urn:nbn:se:hh:diva-38081 (URN)
Projects
HICube Kompetenta vården
Funder
European Social Fund (ESF)
Available from: 2018-09-30 Created: 2018-09-30 Last updated: 2018-10-02Bibliographically approved
Karlsson, S. (2018). Older people´s health and well-being in the Nordic countries. In: : . Paper presented at International forum on social security frontier issues & 9th Shanghai postgraduate academic forum, Shanghai, China, 20 October, 2018.
Open this publication in new window or tab >>Older people´s health and well-being in the Nordic countries
2018 (English)Conference paper, Oral presentation only (Other academic)
National Category
Health Sciences
Identifiers
urn:nbn:se:hh:diva-38455 (URN)
Conference
International forum on social security frontier issues & 9th Shanghai postgraduate academic forum, Shanghai, China, 20 October, 2018
Note

Keynote speak

Available from: 2018-11-30 Created: 2018-11-30 Last updated: 2018-12-18Bibliographically approved
Karlsson, S., Ziegert, K. & Kristén, L. (2018). Perspectives on equal health and well-being. International Journal of Qualitative Studies on Health and Well-being, 13(1), Article ID 1679589.
Open this publication in new window or tab >>Perspectives on equal health and well-being
2018 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 13, no 1, article id 1679589Article in journal, Editorial material (Refereed) Published
Place, publisher, year, edition, pages
Abingdon: Taylor & Francis, 2018
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hh:diva-41029 (URN)10.1080/17482631.2019.1679589 (DOI)31713470 (PubMedID)2-s2.0-85074849084 (Scopus ID)
Available from: 2019-11-25 Created: 2019-11-25 Last updated: 2019-11-25Bibliographically approved
Lethin, C., Leino-Kilpi, H., Bleijlevens, M. H., Stephan, A., Soto Martin, M., Zabalegui, A. & Karlsson, S. (2018). Predicting caregiver burden in informal caregivers caring for persons with dementia living at home – A follow-up cohort study. Dementia
Open this publication in new window or tab >>Predicting caregiver burden in informal caregivers caring for persons with dementia living at home – A follow-up cohort study
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2018 (English)In: Dementia, ISSN 1471-3012, E-ISSN 1741-2684Article in journal (Refereed) Epub ahead of print
Abstract [en]

Longitudinal studies of caregiver burden when caring for persons with dementia living at home are sparse. The aim of the study was to identify factors associated with caregiver burden and predicting increased burden related to caregivers, persons with dementia and formal care. Data were collected through interviews with 1223 caregivers in eight European countries. Bivariate and multivariate regression analyses were performed. Factors associated with caregiver burden included extensive informal care provision, decreased well-being and reduced quality of life for the caregiver and reduced cognition, decreased quality of life, severe neuropsychiatric symptoms and depression in the person with dementia and caregivers’ negative experience of quality of care. Factors predicting an increased burden were diminished caregiver well-being, severe neuropsychiatric symptoms of the person with dementia and caregivers’ negative perception of quality of care. The knowledge gained in this study may be useful in developing more adequate service systems and interventions to improve dementia care. © 2018, The Author(s) 2018.

Place, publisher, year, edition, pages
London: Sage Publications, 2018
Keywords
caregiver burden, care provision, dementia, home care, quality of care
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-36715 (URN)10.1177/1471301218782502 (DOI)29929383 (PubMedID)2-s2.0-85048872839 (Scopus ID)
Projects
RightTimePlaceCare
Funder
EU, FP7, Seventh Framework Programme, 242153
Available from: 2018-05-03 Created: 2018-05-03 Last updated: 2018-12-17Bibliographically approved
Bökberg, C., Ahlström, G. & Karlsson, S. (2018). Utilisation of formal and informal care and services at home among persons with dementia: a cross-sectional study. Scandinavian Journal of Caring Sciences, 32(2), 843-851
Open this publication in new window or tab >>Utilisation of formal and informal care and services at home among persons with dementia: a cross-sectional study
2018 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 32, no 2, p. 843-851Article in journal (Refereed) Published
Abstract [en]

Background

The progression of dementia disease implies increasing needs for both informal and formal care and services but also risk of institutionalisation. To better adjust care and services in the phase preceding institutionalisation it is important to find out whether utilisation of formal and informal care and services is determined by increased needs and by who meets the needs.Aim

The aim was to compare persons with dementia (65+) with different levels of cognitive impairment, regarding utilisation of formal and informal care and service at home.Methods

The participants consisted of 177 persons with dementia ≥65 years old and at risk of nursing home admission, divided into groups according to their cognitive function. Structured interviews were conducted based on questionnaires about type and amount of formal and informal care utilised, as well as questions regarding cognitive impairment, dependency in activities of daily living (ADLs) and neuropsychiatric symptoms. To analyse the data, descriptive and comparative statistics were used.Results

The findings revealed that the group with severe dementia used significantly more help with ADLs and supervision in terms of time (number of hours and days) provided by the informal caregiver, compared with the group with moderate dementia. Utilisation of formal care and services was highest in the group with the most severe cognitive impairments (Standardized Mini-Mental State Examination score of <9). The group with severe dementia were more dependent in ADLs and had more neuropsychiatric symptoms (hallucinations and motor disturbances). They were younger and more often cohabitated with the informal caregiver, compared with the group with moderate dementia.Conclusion

This study shows that in the phase preceding institutionalisation the ADL and supervision needs due to progression of dementia appear to tend to be met first and foremost by the informal caregivers. © 2017 Nordic College of Caring Science.

Place, publisher, year, edition, pages
Chichester: Wiley-Blackwell Publishing Inc., 2018
Keywords
care and services at home, dementia
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hh:diva-34832 (URN)10.1111/scs.12515 (DOI)28869661 (PubMedID)
Projects
RightTimePlaceCare
Funder
EU, FP7, Seventh Framework Programme, 242153Swedish Research Council
Note

The study was a part of the RightTimePlaceCare project supported by a grant from the European Commission within the 7th Framework Programme (project 242153). We would like to acknowledge the support from the Gyllenstierna Krapperup's Foundation. We would also like to acknowledge the support of the Department of Health Sciences, Lund University, Lund, Sweden. This study was accomplished while Christina Bökberg was affiliated with the Swedish National Graduate School for Competitive Science on Ageing and Health (SWEAH), which is funded by the Swedish Research Council.

Available from: 2017-08-30 Created: 2017-08-30 Last updated: 2018-07-03Bibliographically approved
Forsberg, E., Bäcklund, B., Hjort-Telhede, E. & Karlsson, S. (2018). Virtual patient cases for active student participation in nursing education. Paper presented at 3rd World Congress on Nursing Education, Practice & Research, May 16-17, 2018, Montreal, Canada. Journal of Nursing & Care, 7, 63-63
Open this publication in new window or tab >>Virtual patient cases for active student participation in nursing education
2018 (English)In: Journal of Nursing & Care, ISSN 2167-1168, Vol. 7, p. 63-63Article in journal, Meeting abstract (Refereed) Published
Abstract [en]

A didactive method which promote a more active student participation (ASP), Virtual Patient (VP) cases  may be a valuable intervention. VP cases are defined as interactive computer simulations of real-life clinical scenarios for healthcare education. VP cases are excellent for training clinical reasoning skills.

The aim of the study was to investigate utilization of VP cases for ASP in nursing education, regarding student’s learning experience.

The design was an intervention study, 58 students in the third semester of six in the nursing program were included in the study. In 2016-2017, interventions have been conducted in the Human Biomedicine course with the purpose to develop a course concept that included didactic methods that promoted ASP. The students performed four VP cases individually at home. Before solving  the VP cases, the students had lectures in medicine science for example concerning chest organs diseases. In order to be a complement to that lecture the VP case was about chronic obstructive pulmonary disease. The lectures were followed up with seminars where the students were able to ask questions regarding conducted VP cases. After each performed VP case, the student answered a self -evaluation form with open ended questions.  Data was conducted using content analysis.

The result showed that the students found the VP cases challenging and motivational. The VPs taught them to think wide and stimulated to search for more knowledge. Finally they thought it was a good way to test themselves and appreciated the direct feedback, lack of knowledge became visible at once. © 2018 OMICS International

Place, publisher, year, edition, pages
Henderson: OMICS International, 2018
Keywords
Virtual Patiens, nursing, active student participation
National Category
Learning
Identifiers
urn:nbn:se:hh:diva-37039 (URN)10.4172/2167-1168-C3-071 (DOI)
Conference
3rd World Congress on Nursing Education, Practice & Research, May 16-17, 2018, Montreal, Canada
Available from: 2018-06-13 Created: 2018-06-13 Last updated: 2018-06-14Bibliographically approved
Karlsson, S., Fagerström, C., Midlöv, P. & Hallberg, I. R. (2017). Antipsychotic medication in relation to national directives in people with dementia in Sweden. In: IAGG 2017 Abstract Book: . Paper presented at 21st IAGG World Congress of Gerontology and Geriatrics, in San Francisco, USA, July 23-27, 2017 (pp. 349-350). Washington, DC: The Gerontological Society of America
Open this publication in new window or tab >>Antipsychotic medication in relation to national directives in people with dementia in Sweden
2017 (English)In: IAGG 2017 Abstract Book, Washington, DC: The Gerontological Society of America , 2017, p. 349-350Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

The aim of this study was to explore trends in treatment with antipsychotic medication in Swedish dementia care as reported in the most recent empirical studies on the topic, and to relate these trends to directives and recommendations from national authorities.

The study included two scoping review studies and two empirical studies. The scoping studies reviewed published data in electronic databases as well as Swedish recommendations and directives in the field.

During the past decade, recommendations have been developed regarding antipsychotic medication in Sweden. These recommendations were generic at first, but have become increasingly specific and restrictive with time. The scoping review showed that treatment with antipsychotic drugs varied between 6% and 38%, and was higher in younger older persons and those with moderate cognitive impairment and living in nursing homes for people with dementia. A trend towards a decrease in antipsychotic use has been seen over the last 15 years. The empirical studies showed that the medication with antipsychotics decreased from 23.4% in 2001 to 11.5% in 2007, for older people in general as well as for older people with dementia. Among older people with dementia, 10% were utilizing antipsychotic medication, with no difference between those cared for at home and those in nursing homes.

Directives from Swedish national authorities seem to have had an impact on antipsychotic medication for people with dementia. Treatment with antipsychotic medication has decreased, while other psychotropic medication has increased. National directives may possibly be even more effective, if applied in combination with systematic follow-ups.

Place, publisher, year, edition, pages
Washington, DC: The Gerontological Society of America, 2017
Series
Innovation in aging, E-ISSN 2399-5300 ; Suppl. 1
Keywords
Dementia, Antipsychotic medication, Drug utilization, Directive
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-36007 (URN)
Conference
21st IAGG World Congress of Gerontology and Geriatrics, in San Francisco, USA, July 23-27, 2017
Available from: 2017-12-29 Created: 2017-12-29 Last updated: 2018-01-10Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-6624-9963

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