hh.sePublications
Change search
Link to record
Permanent link

Direct link
BETA
Publications (10 of 103) Show all publications
Pejner, N. M., Ourique de Morais, W., Lundström, J., Laurell, H. & Skärsäter, I. (2019). A Smart Home System for Information Sharing, Health Assessments, and Medication Self-Management for Older People: Protocol for a Mixed-Methods Study. JMIR Research Protocols, 8(4), Article ID e12447.
Open this publication in new window or tab >>A Smart Home System for Information Sharing, Health Assessments, and Medication Self-Management for Older People: Protocol for a Mixed-Methods Study
Show others...
2019 (English)In: JMIR Research Protocols, ISSN 1929-0748, E-ISSN 1929-0748, Vol. 8, no 4, article id e12447Article in journal (Refereed) Published
Abstract [en]

Background: Older adults often want to stay in a familiar place, such as their home, as they get older. This so-called aging in place, which may involve support from relatives or care professionals, can promote older people’s independence and well-being. The combination of aging and disease, however, can lead to complex medication regimes, and difficulties for care providers in correctly assessing the older person's health. In addition, the organization of the health care is fragmented, which makes it difficult for health professionals to encourage older people to participate in their care. It is also a challenge to perform adequate health assessment and appropriate communication between health care professionals.

Objective: The purpose of this paper is to describe the design for an integrated home-based system that can acquire and compile health-related evidence for guidance and information sharing among care providers and care receivers in order to support and promote medication self-management among older people.

Methods: The authors used a participatory design (PD) approach for this mixed-method project, which was divided into four phases: Phase I, Conceptualization, consisted of the conceptualization of a system to support medication self- management, objective health assessments, and communication between health care professionals. Phase II, Development of a System, consisted of building and bringing together the conceptualized systems from phase I. Phases III (pilot study) and IV (a full-scale study) are described briefly.

Results: Our participants in phase I were people who were involved in some way in the care of older adults, and included older adults themselves, relatives of older adults, care professionals, and industrial partners. With input from phase I participants, we identified two relevant concepts for promoting medication self-management, both of which related to systems that participants believed could provide guidance for the older adults themselves, relatives of older adults, and care professionals. The system will also encourage information sharing between care providers and care receivers. The first is the concept of the Intelligent Friendly Home (IAFH), defined as an integrated residential system that evolves to sense, reason and act in response to individual needs, preferences and behaviors as these change over time. The second concept is the MedOP system, a system that would be supported by the IAFH, and which consists of three related components: one that assess health behaviors, another that communicates health data, and a third that promotes medication self-management.

Conclusions: The participants in this project were older adults, relatives of older adults, care professionals, and our industrial partners. With input from the participants, we identified two main concepts that could comprise a system for health assessment, communication and medication self-management: the Intelligent Friendly Home (IAFH), and the MedOP system. These concepts will be tested in this study to determine whether they can facilitate and promote medication self-management in older people. © The authors. All rights reserved. 

Place, publisher, year, edition, pages
Toronto: J M I R Publications, Inc., 2019
Keywords
assessments, medication, mixed methods, older people, self-management, smart homes
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-39753 (URN)10.2196/12447 (DOI)000466496800024 ()31038459 (PubMedID)2-s2.0-85067859310 (Scopus ID)
Available from: 2019-06-13 Created: 2019-06-13 Last updated: 2019-09-04Bibliographically approved
Skärsäter, I. (2019). Att möta människor som sörjer (3ed.). In: Lena Wiklund Gustin (Ed.), Vårdande vid psykisk ohälsa – på avancerad nivå: (pp. 451-469). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Att möta människor som sörjer
2019 (Swedish)In: Vårdande vid psykisk ohälsa – på avancerad nivå / [ed] Lena Wiklund Gustin, Lund: Studentlitteratur AB, 2019, 3, p. 451-469Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2019 Edition: 3
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-41243 (URN)978-91-44-12368-4 (ISBN)
Available from: 2019-12-12 Created: 2019-12-12 Last updated: 2019-12-17Bibliographically approved
Skärsäter, I. (2019). Förstämningssyndrom (3ed.). In: Ingela Skärsäter & Lena Wiklund Gustin (Ed.), Omvårdnad vid psykisk ohälsa – på grundnivå: (pp. 109-163). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Förstämningssyndrom
2019 (Swedish)In: Omvårdnad vid psykisk ohälsa – på grundnivå / [ed] Ingela Skärsäter & Lena Wiklund Gustin, Lund: Studentlitteratur AB, 2019, 3, p. 109-163Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2019 Edition: 3
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-41242 (URN)978-91-44-12369-1 (ISBN)
Available from: 2019-12-12 Created: 2019-12-12 Last updated: 2019-12-17Bibliographically approved
Lundström, S., Jormfeldt, H., Hedman Ahlström, B. & Skärsäter, I. (2019). Health-related lifestyle and perceived health among people with severe mental illness: Gender differences and degree of sense of coherence. Archives of Psychiatric Nursing, 33(2), 182-188
Open this publication in new window or tab >>Health-related lifestyle and perceived health among people with severe mental illness: Gender differences and degree of sense of coherence
2019 (English)In: Archives of Psychiatric Nursing, ISSN 0883-9417, E-ISSN 1532-8228, Vol. 33, no 2, p. 182-188Article in journal (Refereed) Published
Abstract [en]

People with severe mental illness (SMI) experience an increased risk of physical ill health and premature death, which appears to be partly related to unhealthy lifestyle habits. The aim of this study was to describe the distribution of health-related lifestyle habits and perceived health among people with severe mental illness. A further aim was to explore if there were any gender differences or differences based on degree of sense of coherence. The study adopted a cross-sectional design based on data from 65 people with SMI. The results show that degree of Sense of Coherence (SOC) does have relevance for perceived health and for dimensions of Quality of Life (QOL). Furthermore, among the participants with strong SOC, there were less daily smokers and they seemed to have less sedentary leisure time than those with low SOC. Men reported more anxiety/depression than women and women ate fruit more often than men, otherwise there were no gender differences. In comparison with the general population, people with SMI show a higher Body Mass Index are more sedentary, more often daily smokers, have lower SOC and perceive a lower QOL. This emphasizes the importance of health-promotion support that focuses on lifestyle changes, and support for strengthening SOC and QOL for people with SMI. © 2018 Elsevier Inc. All rights reserved

Place, publisher, year, edition, pages
Maryland Heights, Missoury: Saunders Elsevier, 2019
Keywords
Health, Lifestyle, Sense of Coherence, Severe mental illness, Quality of Life
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-39481 (URN)10.1016/j.apnu.2018.12.002 (DOI)000466833600008 ()30927988 (PubMedID)2-s2.0-85059175396 (Scopus ID)
Available from: 2019-05-27 Created: 2019-05-27 Last updated: 2020-02-03Bibliographically approved
de Ruiter, H. & Skärsäter, I. (2019). Introducing a Future-Oriented Approach to Healthcare Technologies and Welfare Techniques: A Swedish innovative ethics project. Creative Nursing, 26(1), e35
Open this publication in new window or tab >>Introducing a Future-Oriented Approach to Healthcare Technologies and Welfare Techniques: A Swedish innovative ethics project
2019 (English)In: Creative Nursing, ISSN 1078-4535, E-ISSN 1946-1895, Creative Nursing, ISSN 1078-4535, Vol. 26, no 1, p. e35-Article in journal (Refereed) Published
Place, publisher, year, edition, pages
New York, NY: Springer Publishing Company, 2019
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-40921 (URN)
Funder
Knowledge Foundation, 240009
Available from: 2019-11-13 Created: 2019-11-13 Last updated: 2020-02-24
Lundström, S., Jormfeldt, H., Hedman Ahlström, B. & Skärsäter, I. (2019). Mental health nurses’ experience of physical health care and health promotion initiatives for people with severe mental illness. International Journal of Mental Health Nursing
Open this publication in new window or tab >>Mental health nurses’ experience of physical health care and health promotion initiatives for people with severe mental illness
2019 (English)In: International Journal of Mental Health Nursing, ISSN 1445-8330, E-ISSN 1447-0349Article in journal (Refereed) Published
Abstract [en]

Health care for people with severe mental illness is often divided into physical health care and mental health care despite the importance of a holistic approach to caring for the whole person. Mental health nurses have an important role not only in preventing ill health, but also in promoting health, to improve the overall health among people with severe mental illness and to develop a more person-centred, integrated physical and mental health care. Thus, the aim of this study was to describe mental health nurses’ experiences of facilitating aspects that promote physical health and support a healthy lifestyle for people with severe mental illness. Interviews were conducted with mental health nurses (n = 15), and a qualitative content analysis was used to capture the nurse’s experiences. Analysis of the interviews generated three categories: (i) to have a health promotion focus in every encounter, (ii) to support with each person’s unique prerequisites in mind and (iii) to take responsibility for health promotion in every level of the organization. The results show the importance of a health promotion focus that permeates the entire organization of mental health care. Shared responsibility for health and health promotion activities should exist at all levels: in the person-centred care in the relation with the patient, embedded in a joint vision within the working unit, and in decisions at management level. © 2019 Australian College of Mental Health Nurses Inc.

Place, publisher, year, edition, pages
Richmond: Wiley-Blackwell, 2019
Keywords
health promotion, lifestyle, mental health nursing, person-centred care, severe mental illness
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-40958 (URN)10.1111/inm.12669 (DOI)31663262 (PubMedID)2-s2.0-85074834866 (Scopus ID)
Available from: 2019-11-15 Created: 2019-11-15 Last updated: 2019-12-10Bibliographically approved
Skärsäter, I. & Wiklund Gustin, L. (Eds.). (2019). Omvårdnad vid psykisk ohälsa – på grundnivå (3ed.). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Omvårdnad vid psykisk ohälsa – på grundnivå
2019 (Swedish)Collection (editor) (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2019. p. 654 Edition: 3
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-41240 (URN)978-91-44-12369-1 (ISBN)
Available from: 2019-12-12 Created: 2019-12-12 Last updated: 2019-12-17Bibliographically approved
Skärsäter, I. & Sjöström, N. (2019). Ångestsyndrom (3ed.). In: Ingela Skärsäter & Lena Wiklund Gustin (Ed.), Omvårdnad vid psykisk ohälsa – på grundnivå: (pp. 87-107). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Ångestsyndrom
2019 (Swedish)In: Omvårdnad vid psykisk ohälsa – på grundnivå / [ed] Ingela Skärsäter & Lena Wiklund Gustin, Lund: Studentlitteratur AB, 2019, 3, p. 87-107Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2019 Edition: 3
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-41241 (URN)978-91-44-12369-1 (ISBN)
Available from: 2019-12-12 Created: 2019-12-12 Last updated: 2019-12-17Bibliographically approved
Melin, K., Skarphedinsson, G., Skärsäter, I., Storm Mowatt Haugland, B. & Ivarsson, T. (2018). A solid majority remit following evidence-based OCD treatments: a 3-year naturalistic outcome study in pediatric OCD. European Child and Adolescent Psychiatry, 27(10), 1373-1381
Open this publication in new window or tab >>A solid majority remit following evidence-based OCD treatments: a 3-year naturalistic outcome study in pediatric OCD
Show others...
2018 (English)In: European Child and Adolescent Psychiatry, ISSN 1018-8827, E-ISSN 1435-165X, Vol. 27, no 10, p. 1373-1381Article in journal (Refereed) Published
Abstract [en]

This study reports follow-up 2 and 3 years after the initial assessment of a sample of youth with a primary diagnosis of OCD. Participants were 109 children and adolescents, aged 5-17 years, recruited from a specialized, outpatient OCD clinic in Sweden. Patients were treated with cognitive behavioral therapy (CBT), augmented when indicated by selective serotonin reuptake inhibitor (SSRI). In cases where SSRIs were insufficient, augmentation with a second-generation antipsychotic (SGA) was applied. Participants were assessed with the Children's Yale-Brown Obsessive-Compulsive Scale (CY-BOCS), Children's OCD Impact Scale (COIS), and Children's Depressive Inventory (CDI) at follow-ups 2 and 3 years after baseline assessment. Treatment response was defined as CY-BOCS total score ≤ 15, and remission was defined as CY-BOCS total score ≤ 10. Analyzing the outcomes with linear mixed-effects models (LME) showed a decrease in OCD symptom load from 23 to 6.9 at the 3-year follow-up. Moreover, two of three (66.1%) participants were in remission, and another 19.2% had responded to treatment at the 3-year follow-up. Thus, 85.3% of participants responded to treatment. Moreover, during the follow-up period, participants' psychosocial functioning had significantly improved, and depressive symptoms had significantly decreased. The results suggest that evidence-based treatment for pediatric OCD, following expert consensus guidelines, has long-term positive effects for most children and adolescents diagnosed with OCD. The results also indicate that improvements are maintained over a 3-year period, at least, and that improvement is also found with regard to psychosocial functioning and depressive symptoms. © 2018 Springer International Publishing AG

Place, publisher, year, edition, pages
Heidelberg: Springer, 2018
Keywords
Cognitive behavioral therapy, Follow-up, Long term, Obsessive–compulsive disorder, Pediatric, Serotonin uptake inhibitors, Treatment outcome
National Category
Psychiatry
Identifiers
urn:nbn:se:hh:diva-36379 (URN)10.1007/s00787-018-1137-9 (DOI)000445887500011 ()29502315 (PubMedID)2-s2.0-85045036176 (Scopus ID)
Available from: 2018-03-04 Created: 2018-03-04 Last updated: 2020-02-03Bibliographically approved
Skärsäter, I., Keogh, B., Doyle, L., Ellilä, H., Jormfeldt, H., Lahti, M., . . . Kilkku, N. (2018). Advancing the knowledge, skills and attitudes of mental health nurses working with families and caregivers: A critical review of the literature. Nurse Education in Practice, 32, 138-146
Open this publication in new window or tab >>Advancing the knowledge, skills and attitudes of mental health nurses working with families and caregivers: A critical review of the literature
Show others...
2018 (English)In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 32, p. 138-146Article, review/survey (Refereed) Published
Abstract [en]

Involving and supporting the family members and caregivers of people with mental illness is essential to high-quality mental health services. However, literature suggests that there is a lack of engagement between family members and mental health nurses (MHNs). Lack of knowledge among MHNs is often cited as one of the main reasons for this lack of engagement. The aim of this review was to explore the knowledge, skills and attitudes that are required by MHNs to enable to them to work more effectively with families affected by mental illness. A literature based critical review was used to access and review 35 papers in order to extract concepts that could inform the design of eLearning materials to assist MHNs advance their knowledge in this area. Two overarching themes were identified; ‘Mental health problems and the family’ and ‘Working with the family’. From these themes, the knowledge, skills and attitudes required to work more effectively with families are described. The findings from this review provide a descriptive account of the knowledge skills and attitudes that are required for effective family work. In addition, the review provides an empirical foundation for education programmes in the area. © 2018 Elsevier Ltd

Place, publisher, year, edition, pages
Amsterdam: Elsevier, 2018
Keywords
Caregivers, Family, Health Knowledge, Attitudes, Practice, Humans, Mental Disorders, Psychiatric Nursing
National Category
Nursing Medical Ethics Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hh:diva-38737 (URN)10.1016/j.nepr.2018.07.002 (DOI)000447570600024 ()2-s2.0-85049647108 (Scopus ID)
Available from: 2019-01-09 Created: 2019-01-09 Last updated: 2019-02-11Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-7838-6802

Search in DiVA

Show all publications