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Göransson, C., Wengström, Y., Ziegert, K., Langius-Eklöf, A., Eriksson, I., Kihlgren, A. & Blomberg, K. (2017). Perspectives of health and self-care among older persons – To be implemented in an interactive information and communication technology-platform. Journal of Clinical Nursing, 26(23-24), 4745-4755
Open this publication in new window or tab >>Perspectives of health and self-care among older persons – To be implemented in an interactive information and communication technology-platform
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2017 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 26, no 23-24, p. 4745-4755Article in journal (Refereed) Published
Abstract [en]

Aim and objectives: To acquire knowledge regarding the contents to be implemented in an interactive information and communication technology-platform perceived to be relevant to health and self-care among older persons based on the literature, healthcare professionals and the older persons themselves. Background: The growing ageing population places demands on the healthcare system to promote healthy ageing and to strengthen the older person's self-care ability. This requires innovative approaches to facilitate communication between the older person and healthcare professionals, and to increase the older person's participation in their care. An information and communication technology-platform could be used for this purpose, but the content needs to be relevant to both the older persons and the healthcare professionals. Design: Descriptive qualitative design. Methods: This study was based on three samplings: a scoping review of the literature (n = 20 articles), interviews with healthcare professionals (n = 5) and a secondary analysis of interviews with older persons (n = 8) and nursing assistants (n = 7). The data were analysed using qualitative content analysis. Results: Four areas were identified to be of relevance to older persons' perceived health: frame of mind, having relationships and social activities, physical ability and concerns, and maintaining self-care. Self-care was described in the literature and by the healthcare professionals more than by the older persons. Conclusions: The results show a concordance in the data samplings that give a clear indication of the areas relevant to older persons' health and self-care that can be integrated in an interactive information and communication technology-platform for use in regular daily care assessments. Descriptions of self-care were limited indicating a possible gap in knowledge that requires further research. Relevance to clinical practice: Areas relevant to older persons' health and self-care could be used for regular assessment to support and promote healthy ageing. © 2017 John Wiley & Sons Ltd

Place, publisher, year, edition, pages
Chichester: Wiley-Blackwell Publishing Inc., 2017
Keywords
healht status, information-communication technology, nursing care, older persons, qualitative content analysis, self-care
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-35119 (URN)10.1111/jocn.13827 (DOI)28334519 (PubMedID)2-s2.0-85019650723 (Scopus ID)
Note

Funding: The first author received funding from the Faculty of Medicine and Health, School of Health Sciences, Örebro University and School of Health and Welfare, Halmstad University.

Available from: 2017-10-02 Created: 2017-10-02 Last updated: 2017-12-01Bibliographically approved
Göransson, C., Ziegert, K., Wengström, Y., Kihlgren, A. & Blomberg, K. (2015). Feasibility and acceptability of an interactive ICT-platform in older adults for participatory care. In: Fintan Sheerin, Walter Sermeus & Anna Ehrenberg (Ed.), ACENDIO 2015: eHealth and Nursing: Knowledge for Patient Care. Paper presented at ACENDIO 2015, 10th Bennial Conference of the Association for Common European Diagnoses, Interventions and Outcomes, Bern, Switzerland, 16-18 April, 2015 (pp. 328-330). Dublin: Association for Common European Nursing Diagnoses, Interventions and Outcomes
Open this publication in new window or tab >>Feasibility and acceptability of an interactive ICT-platform in older adults for participatory care
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2015 (English)In: ACENDIO 2015: eHealth and Nursing: Knowledge for Patient Care / [ed] Fintan Sheerin, Walter Sermeus & Anna Ehrenberg, Dublin: Association for Common European Nursing Diagnoses, Interventions and Outcomes , 2015, p. 328-330Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Background

The increasing ageing population puts demands on society and particularly on health care system to promote a health related qualityof life. Thus, it is necessary to develop strategies that promote self-care among older adults that enable them to live in their own homes as long as possible and to make them feel safe and involved in their care. In order to encourage their participationin their care, new innovative solutions are needed. The market of information-and communication technology (ICT)-based platforms directed to the health care arena has exploded during recent years. Despite the large range of products few are developed withinteractive components. In collaboration within a multicenter research group and a Swedish health care company (Health Navigator) an ICT-platform is developed for use in a mobile phone or tablet that includes an interactive mobile application for reporting problems and concerns. This platform is unique through the real-time communication enabling rapid management of early-detected problems.

Aim

The aim with the project is to evaluate an ICT-platform by older adults living in own homes with assistance from home care nurses in a community in Sweden.

Method

The study is prospective and has a mixed methods approach advocated for the evaluation of new technologies within healthcare. This includes a quantitative approach to evaluate effects, qualitative methods such as interviews and focus group discussions to evaluate how patients and health care professionals perceive the intervention. The design is underpinned by the Medical Research Council’s complex intervention evaluation framework. Thirty older adults >65 years or above, living in their own homes, with assistance from home care nurses have through an application in a tablet reported health status twice a week and when needed during three months. They have continuous access to evidence based self-care advice directly related to their reported problems and concerns. The risk assessment model sends alarms to involved nurses via text messaging (SMS). This initiates an interaction between the nurse and the older adult who is contacted by telephone to discuss the reported problems. Furthermore, the nurses in charge can also log into a web-interface and view the reports of the participants. Individually interviews with the older adults and focus groups interviews with nurses are conducted after the study period. Questionnaires are given to the older adults before intervention, after the study ́s completed and after six months with primarily main outcomes as self-care, health literacy and well-being. A control group with older adults 65 years and above is used as a comparison.

Results

Preliminary results will be presented with focus on feasibility, acceptability and benefit of the ICT-platform from the perspective of older adults and home care nurses. Additional logged data on the frequency of symptom reports, alerts, and page views will also be presented.

Summary

An interactive ICT-platform is developed and used by older adults to report problems and concerns which enabling rapid management of early-detected problems. This study aims to evaluate the ICT-platform by thirty older adults living in own home with assistance from home care nurses.

Place, publisher, year, edition, pages
Dublin: Association for Common European Nursing Diagnoses, Interventions and Outcomes, 2015
Keywords
ICT-platform, Nurses, Older adults
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-28813 (URN)978-1-78280-517-5 (ISBN)
Conference
ACENDIO 2015, 10th Bennial Conference of the Association for Common European Diagnoses, Interventions and Outcomes, Bern, Switzerland, 16-18 April, 2015
Available from: 2015-06-24 Created: 2015-06-24 Last updated: 2018-03-22Bibliographically approved
Göransson, C., Wengström, Y., Ziegert, K., Kihlgren, A. & Blomberg, K. (2015). The elderly persons´ experiences of reporting health status in an ICT-platform. In: Abstracts: 19th International Philosophy of Nursing Society (IPONS) conference: August 24-26, 2015 Karolinska Institutet, Stockholm, Sweden: Technology, Health Care and Person-centeredness: Beyond Utopia and Dystopia. Thinking the Future. Paper presented at 19th International Philosophy of Nursing Society (IPONS) conference: Technology, Health Care and Person-centeredness: Beyond Utopia and Dystopia. Thinking the Future, Karolinska Institutet, Stockholm, Sweden, August 24-26, 2015 (pp. 19-20). Stockholm: Karolinska Institutet
Open this publication in new window or tab >>The elderly persons´ experiences of reporting health status in an ICT-platform
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2015 (English)In: Abstracts: 19th International Philosophy of Nursing Society (IPONS) conference: August 24-26, 2015 Karolinska Institutet, Stockholm, Sweden: Technology, Health Care and Person-centeredness: Beyond Utopia and Dystopia. Thinking the Future, Stockholm: Karolinska Institutet , 2015, p. 19-20Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Background

More and more elderly persons are living in their own home and with support from home care due to health deterioration. This puts demands on society and especially health care to support health and self-care for the elderly persons. Therefore its essential to develop new innovative solutions which both enhance communication between the elderly person and the nurse and also increase the elderly persons´ involvement in their everyday care. An information- and communication technology (ICT)-platform was developed with content from the perspective from elderly persons, health care professionals and the literature. The platform is developed in collaboration with a Swedish company specialized in health care management consulting and new innovative care (Health Navigator). The aim with the project is to describe experiences an ICT-platform with focus on user friendly and acceptability by elderly persons living in own homes with assistance of home care nurses.

Method

The study has a mixed methods approach advocated for the evaluation of new technologies within health care. The design is underpinned by the Medical Research Council´s complex intervention framework.

Elderly persons > 65 years, living in own homes, with assistance from home care nurses have regularly reported health status for three months. They have also access to evidence-based self-care advice with links to web-based pages and graph on reported health status. The home care nurse receive an alarm according to a risk assessment model and can instant  contact the elderly persons for discussion the health concerns.

Individual interviews with the elderly persons are conducted after the intervention on the experience of using the ICT-platform, with focus on user friendly and acceptability .

Results

Preliminary results will be presented of the elderly persons experiences with focus on user friendly and acceptability of using an ICT-platform from reporting health status, using self-care advice and graph of reported health status.

Place, publisher, year, edition, pages
Stockholm: Karolinska Institutet, 2015
Keywords
elderly persons, experiences, health status, self-care advice, ICT-platform
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-29465 (URN)
Conference
19th International Philosophy of Nursing Society (IPONS) conference: Technology, Health Care and Person-centeredness: Beyond Utopia and Dystopia. Thinking the Future, Karolinska Institutet, Stockholm, Sweden, August 24-26, 2015
Available from: 2015-09-15 Created: 2015-09-15 Last updated: 2018-03-22Bibliographically approved
Göransson, C., Ziegert, K., Kihlgren, A., Wengström, Y. & Blomberg, K. (2014). Increased well-being and participatory care for older adults with support of an interactive web-based platform. In: Book of Abstracts: Nobel Day Festivities 10th of December 2014. Paper presented at Nobel Day Festivities, School of Health and Medical Sciences, Örebro University, Örebro, Sweden (pp. 12-12).
Open this publication in new window or tab >>Increased well-being and participatory care for older adults with support of an interactive web-based platform
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2014 (English)In: Book of Abstracts: Nobel Day Festivities 10th of December 2014, 2014, p. 12-12Conference paper, Poster (with or without abstract) (Refereed)
Keywords
participatory care, older adults
National Category
Health Sciences
Identifiers
urn:nbn:se:hh:diva-27281 (URN)
Conference
Nobel Day Festivities, School of Health and Medical Sciences, Örebro University, Örebro, Sweden
Available from: 2014-12-15 Created: 2014-12-15 Last updated: 2018-03-22Bibliographically approved
Göransson, C., Ziegert, K., Wengström, Y., Kihlgren, A. & Blomberg, K. (2014). Ökat välbefinnande och delaktighet hos äldre personer via en interaktiv webbaserad plattform. In: De ska va gôtt å leva: Vårdforskningens dag: 16 oktober 2014. Paper presented at Vårdforskningens dag, Örebro universitet och Örebro sjukhus, Örebro, Sverige, 16 oktober, 2014 (pp. 18-18).
Open this publication in new window or tab >>Ökat välbefinnande och delaktighet hos äldre personer via en interaktiv webbaserad plattform
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2014 (Swedish)In: De ska va gôtt å leva: Vårdforskningens dag: 16 oktober 2014, 2014, p. 18-18Conference paper, Oral presentation with published abstract (Refereed)
Keywords
delaktighet, äldre personer, informations- och kommunikationsteknologi
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-27279 (URN)
Conference
Vårdforskningens dag, Örebro universitet och Örebro sjukhus, Örebro, Sverige, 16 oktober, 2014
Available from: 2014-12-15 Created: 2014-12-15 Last updated: 2018-03-22Bibliographically approved
Göransson, C., Ziegert, K., Wengström, Y., Kihlgren, A. & Blomberg, K. (2014). Ökat välbefinnande och delaktighet hos äldre personer via interaktiv webbaserad plattform. In: FoUU-dagen 2014: En upptäcktsfärd genom hallänningens liv. Paper presented at FoUU-dag, Falkenberg, Sverige, 13 november, 2014 (pp. 21-21).
Open this publication in new window or tab >>Ökat välbefinnande och delaktighet hos äldre personer via interaktiv webbaserad plattform
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2014 (Swedish)In: FoUU-dagen 2014: En upptäcktsfärd genom hallänningens liv, 2014, p. 21-21Conference paper, Oral presentation with published abstract (Refereed)
Keywords
delaktighet, informations- och kommunikationsteknologi, äldre
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-27280 (URN)
Conference
FoUU-dag, Falkenberg, Sverige, 13 november, 2014
Available from: 2014-12-15 Created: 2014-12-15 Last updated: 2018-03-22Bibliographically approved
Göransson, C., Öman, A. & Ziegert, K. (2010). När söker patienter med kroniskt obstruktiv lungsjukdom för akuta exacerbationer?. Halmstad: Högskolan i Halmstad
Open this publication in new window or tab >>När söker patienter med kroniskt obstruktiv lungsjukdom för akuta exacerbationer?
2010 (Swedish)Other (Other academic)
Abstract [sv]

Kroniskt obstruktiv lungsjukdom (KOL) förväntas bli den tredje vanligaste sjukdomen i världen och tredje vanligaste dödsorsaken i Sverige 2020. Huvudorsaken är ciggarettrökning och utvecklar en irreversibel obstruktion av de små bronkiolerna. Efterhand får en del patienter frekventa akuta exacerbationer som kräver omhändertagande inom hälso-och sjukvården. Studier har påvisat olika invidivd-och organisationsfaktorer som kan inverka på patientens behov av vård pga akuta exacerbationer. Denna studiens syfte var att undersöka sambandet för patienter med KOL när de sökte pga akuta exacerbationer och deras vårdbehov.Datainsamling var mellan januari-maj 2009. Alla konsekutiva patienter som sökte akutmottagning pga akut exacerbation var inkluderade. Patienternas journaler undersöktes för socio-demografisk och sjukdomskarakteristiska, vilken tid de sökte och tidigare vårdbehov. Ett frågefromulär utarbetades baserat på tidigare litteratur och egen erfarenhet. Endast inskrivna patienter har ingått pga bristande registreringsrutiner för de som blev direkt utskrivna. 160 hade aktuella diagnoskoder av vilka 98 hade COPD och 30 patienter uppfyllde inklusionskriterierna. Fördelades på 17 kvinnor och 13 män. Flest patienter sökte dagtid och nästan lika ofta vardagar som helg. Patienter med kortare sjukdomshistoria sökte dag och natt medan de med längre sökte dagtid.Denna studien baseras på ett litet urval och kan endast påvisa några trender. Dock visar den på ny aspekt när patienter med KOL söker pga akuta exacerbationer. Fortsatt forskning behövs för att förbättra patienternas copingförmåga och optimera hälso-och sjukvårdsorganisationen.

Abstract [en]

Chronic obstructive pulmonary disease (COPD) is expected to be the third common disease worldvide and third common cause of death in Sweden 2020.The main cuase is smoking and build up an irreversible respiratory obstruction of the small bronchioles. With time some patiens have frequent acute exacerbations wich demand repeatedly need of treatment. Studies have shown different factors of individual-and organization which influence on patients needs of care due to acute exacerbation.The aim of this study was to investigate connection for patients with COPD when they seek emergency ward due to acute exacerbation and their early need for care. Data was collected between january-may 2009. All consecutive patients who seek acute to emergency ward due to acute exacerbation was included. Patient´s medical records was examined for socio-demographic and clinical characteristics, which time they seek and early care. A questionnaire was constructed based on literature and own empirical experience.Only in-patiens have sureyed regard to lack of registratin routine for patients who was directly discharged. 160 patients seek of current diagnosis related groups of whom 98 had COPD and 30 meet inclusionscriteria. Distributed on 17 women and 13 men. Most patients seek daytimes and nearly as often weekdays as weekends. Patients with shorter duration of disease seek day and night while patiens with longer duration seek daytime. This studie is based on a small sample and only discern some trends. However,it show new aspect regarding timeaspect when patients with COPD seek due to acute exacerbation. Further research is required for improve patients coping and optimize organization

 

Place, publisher, year, pages
Halmstad: Högskolan i Halmstad, 2010
Keywords
COPD, acute exacerbation, Kroniskt obstruktiv lungsjukdom, akuta exacerbationer, vårdbehov
National Category
Respiratory Medicine and Allergy
Identifiers
urn:nbn:se:hh:diva-5430 (URN)
Available from: 2010-11-08 Created: 2010-08-26 Last updated: 2018-03-23Bibliographically approved
Göransson, C., Skärsäter, I. & Wijk, H. (2006). Kvalitetsutveckling inom hälso- och sjukvård (1ed.). In: Nina Jahren Kristoffersen, Finn Nortvedt & Eli-Anne Skaug (Ed.), Grundläggande omvårdnad. 4: (pp. 152-171). Stockholm: Liber
Open this publication in new window or tab >>Kvalitetsutveckling inom hälso- och sjukvård
2006 (Swedish)In: Grundläggande omvårdnad. 4 / [ed] Nina Jahren Kristoffersen, Finn Nortvedt & Eli-Anne Skaug, Stockholm: Liber, 2006, 1, p. 152-171Chapter in book (Refereed)
Place, publisher, year, edition, pages
Stockholm: Liber, 2006 Edition: 1
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-23850 (URN)91-47-05277-5 (ISBN)978-91-47-05277-6 (ISBN)
Note

Kapitlet bygger på text av Karen Bjøro och Marit Kirkevold. 2. tr., 2007.

Available from: 2013-10-22 Created: 2013-10-22 Last updated: 2018-03-22Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-6215-2032

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