hh.sePublications
Change search
Link to record
Permanent link

Direct link
BETA
Norell Pejner, MargarethaORCID iD iconorcid.org/0000-0002-1174-2523
Alternative names
Publications (10 of 17) Show all publications
Karlsson, S., Ridbäck, A., Brobeck, E. & Norell Pejner, M. (2020). Health Promotion Practices in Nursing for Elderly Persons in Municipal Home Care: An Integrative Literature Review. Home Health Care Management & Practice, 32(1), 53-61
Open this publication in new window or tab >>Health Promotion Practices in Nursing for Elderly Persons in Municipal Home Care: An Integrative Literature Review
2020 (English)In: Home Health Care Management & Practice, ISSN 1084-8223, E-ISSN 1552-6739, Vol. 32, no 1, p. 53-61Article in journal (Refereed) Published
Abstract [en]

Elderly patients sometimes seek emergency services unnecessarily. Emergency clinics can be detrimental to the elderly. The purpose of this study was to find health promotion practices that enable a registered nurse in community health to reduce the need for home care clients to seek emergency care. The method of integrative literature review was used. Through health promotion work in the home, the registered nurses in community health (in conjunction with other professionals) can strengthen patients’ self-esteem and reduce their emergency care visits. Patient involvement is part of this work, and the registered nurses in community health needs to get to know patients to learn their health needs, design individual care plans, and find out whether they need education about their own health and/or health care services available to them. Registered nurses in community health experience difficulties in performing health promotion because they perceive that other tasks have higher priority. Copyright © 2019 by SAGE Publications

Place, publisher, year, edition, pages
Thousand Oaks: Sage Publications, 2020
Keywords
health promotion, home care, elderly, self-management, individual care plan, nursing
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hh:diva-41296 (URN)10.1177/1084822319863308 (DOI)000504002900008 ()2-s2.0-85069050337 (Scopus ID)
Available from: 2019-12-23 Created: 2019-12-23 Last updated: 2020-01-21Bibliographically approved
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
James, I., Norell Pejner, M. & Kihlgren, A. (2019). Creating conditions for a sense of security during evenings and nights among older persons receiving home health care in ordinary housing: a participatory appreciative action and reflection study. BMC Geriatrics, 19(1), Article ID 351.
Open this publication in new window or tab >>Creating conditions for a sense of security during evenings and nights among older persons receiving home health care in ordinary housing: a participatory appreciative action and reflection study
2019 (English)In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 19, no 1, article id 351Article in journal (Refereed) Published
Abstract [en]

Background: Today many older persons in ordinary housing receive home health care. It is stipulated that the care is to provide security; however, deficiencies in home health care are reported in many countries. It may be difficult to implement a sense of security among older persons receiving home health care in ordinary housing, especially during the evenings and nights, due to a lack of knowledge.

Methods: This study is part of a larger project with a participatory appreciative action and reflection (PAAR) approach. We invited older persons, relatives, nurse assistants, registered nurses, and their managers to co-create knowledge with us on how conditions for a sense of security can be created during evenings and nights among older persons receiving home health care in ordinary housing. We performed thematic analysis of the data.

Results: Five subthemes were developed that gave structure to two main themes. The first main theme, To confirm the self-image, has the following subthemes: To see the home as a reflection of the person’s identity and To maintain self-determination. The second main theme, To create interaction in a sheltered place, has these subthemes: To undress the power, To create control and lifelines, and To create a good sleeping environment. The two themes interact and are each other’s conditions. The person’s self-image must be confirmed in order to create interaction in a sheltered place and through the interaction, the self-image is confirmed.

Conclusion: Conditions necessary for older persons to have a sense of security are living in a familiar environment, having habits and routines maintained, and having self-determination. Other conditions are equality, the prevention of falls, and an individualized sleeping environment. Older people’s self-determination should be honored, and they should not being excluded from decision-making. We need to ask them if the conditions are sufficient and their sense of security is great enough to allow them to continue living in their ordinary housing. © The Author(s). 2019

Place, publisher, year, edition, pages
London, UK: BioMed Central, 2019
Keywords
Evenings and nights, Home health care, Older persons, Ordinary housing, Participatory appreciative action and reflection, Sense of security
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hh:diva-41298 (URN)10.1186/s12877-019-1372-z (DOI)31842776 (PubMedID)2-s2.0-85076684734 (Scopus ID)
Note

Open access funding provided by Örebro University.

Available from: 2019-12-23 Created: 2019-12-23 Last updated: 2020-01-10Bibliographically approved
Norell Pejner, M. & Kihlgren, A. (2019). Reporting adverse events—Swedish Registered Nurses experience in a municipal home care context. Nursing Open, 6(2), 426-433
Open this publication in new window or tab >>Reporting adverse events—Swedish Registered Nurses experience in a municipal home care context
2019 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 6, no 2, p. 426-433Article in journal (Refereed) Published
Abstract [en]

Aim: To describe how Registered Nurses in a municipal home care context experience adverse event reports.

Design: A qualitative design was used.

Method: Twelve semistructured individual interviews with Registered Nurses in a municipal home care context were collected on two occasions and analysed with qualitative content analysis.

Results: The results show that conflicts exist between being able to trust the managers and their feedback, being loyal to colleagues and retaining professional pride. These are described in the theme “Contradiction” and the three categories: “Awareness”; “Uncertainty”; and “Concealment.” © 2018 The Authors.

Place, publisher, year, edition, pages
Chichester: John Wiley & Sons, 2019
Keywords
adverse event reports, home care, risk analysis
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-38477 (URN)10.1002/nop2.223 (DOI)000461835600022 ()
Available from: 2018-12-04 Created: 2018-12-04 Last updated: 2020-01-31Bibliographically approved
Norell Pejner, M. & Brobeck, E. (2018). Couples in Need of Home Care Services: Experiences With Support From Care Professionals. Home Health Care Management & Practice, 30(3), 116-121
Open this publication in new window or tab >>Couples in Need of Home Care Services: Experiences With Support From Care Professionals
2018 (English)In: Home Health Care Management & Practice, ISSN 1084-8223, E-ISSN 1552-6739, Vol. 30, no 3, p. 116-121Article in journal (Refereed) Published
Abstract [en]

Many older people desire to remain in their homes and be cared for by a family member, but this arrangement requires support from care professionals. The aim was to describe how couples in need of home care services experienced the received support from care professionals. A qualitative design with content analysis was used. Data were collected through diaries and focus groups consisting of eight couples between 65 and 80 years, and two registered nurses. The main findings are described by the following categories: Organizational adaptedWithholdingBeing in a gap, resulting in the theme Lack of professional support. Couples experienced shortcomings that were related to the organization, the care professionals, and the couples themselves. The theme Lack of professional support requires more knowledge. © The Author(s) 2018

Place, publisher, year, edition, pages
Thousand Oaks, CA: Sage Publications, 2018
Keywords
care organization, chronically ill, home care, informal carer, older persons, support
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hh:diva-36200 (URN)10.1177/1084822318755379 (DOI)000438914200003 ()2-s2.0-85049878064 (Scopus ID)
Available from: 2018-01-31 Created: 2018-01-31 Last updated: 2020-02-03Bibliographically approved
Norell Pejner, M., Lundström, J., Ourique de Morais, W., Laurell, H., Isaksson, A., Stranne, F. & Skärsäter, I. (2017). Smart medication organizer – one way to promote self-management and safety in drug administration in elderly people. In: : . Paper presented at Medicinteknikdagarna 2017, Västerås, Sweden, 10-11 October, 2017.
Open this publication in new window or tab >>Smart medication organizer – one way to promote self-management and safety in drug administration in elderly people
Show others...
2017 (English)Conference paper, Oral presentation only (Refereed)
National Category
Medical Engineering Other Medical Engineering
Identifiers
urn:nbn:se:hh:diva-35738 (URN)
Conference
Medicinteknikdagarna 2017, Västerås, Sweden, 10-11 October, 2017
Available from: 2017-12-05 Created: 2017-12-05 Last updated: 2017-12-11Bibliographically approved
Norell Pejner, M., Ziegert, K. & Kihlgren, A. (2014). Older patients’ in Sweden and their experience of the emotional support received from the registered nurse – a grounded theory study. Aging & Mental Health, 19(1), 79-85
Open this publication in new window or tab >>Older patients’ in Sweden and their experience of the emotional support received from the registered nurse – a grounded theory study
2014 (English)In: Aging & Mental Health, ISSN 1360-7863, E-ISSN 1364-6915, Vol. 19, no 1, p. 79-85Article in journal (Refereed) Published
Abstract [en]

Objectives: This study intends to explore older patients’ experiences of the emotional support received from registered nurses (RNs). We also aimed to gain deeper knowledge about the process of how getting the support they need is managed by the patient.

Methods: The study was conducted using the grounded theory method. Data were collected by interviewing 18 patients between 80 and 96 years old.

Results: Reasons why older patients experienced the emotional support received from the RN are reflected in the categories ‘Meets my needs when I am irresolute’, ‘Meets my needs when I am vulnerable’ and ‘Meets my needs when I am in need of sympathy’. Reasons to the emotional support resulted in that patients experienced ‘A sense of being able to hand over’, which is therefore the core category of this study.

Conclusion: Older patients’ experiences of emotional support are about obtaining relief. Patients were active participants and had strategies for which they wanted to share their emotions with the RN. In order to develop participatory care for older patients, we need more knowledge about how emotional support can be used as a nursing intervention. © 2014 Taylor & Francis.

Place, publisher, year, edition, pages
Abingdon, United Kingdom: Routledge, 2014
Keywords
emotion, needs, relief, social, support
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-25937 (URN)10.1080/13607863.2014.917605 (DOI)000344866100009 ()24963781 (PubMedID)2-s2.0-84911361255 (Scopus ID)
Available from: 2014-06-27 Created: 2014-06-27 Last updated: 2018-03-22Bibliographically approved
Norell Pejner, M. (2014). The bright side of life - Emotional support in elderly care. Paper presented at 2nd International Conference on Nursing & Healthcare, November 17-19, 2014, Chicago, USA. Journal of Nursing & Care, 3(7), 75-75
Open this publication in new window or tab >>The bright side of life - Emotional support in elderly care
2014 (English)In: Journal of Nursing & Care, ISSN 2167-1168, Vol. 3, no 7, p. 75-75Article in journal, Meeting abstract (Refereed) Published
Abstract [en]

Introduction: When older patients are in need of care the desire for help is often related to practical duties, but they also express a preference for support with the emotional difficulties that disease and illness cause. The concept of support in nursing is widely used and in nursing practice it is seldom specified which kind of support that has been performed.

Aim: Aim was to explore and describe which supportive intervention registered nurses use in municipal elderly home care settings and if it is in agreement with the patient’s preferences.

Methods: One retrospective descriptive study (I) were conducted and followed up by three qualitative studies using Grounded Theory as a method (II-IV). Grounded Theory allowed to explore actions/interactions and processes that occur between complex social phenomena. A process is seen as a continuous action in relation to a determinate purpose to reach a goal with a problem or a situation and actors can choose actions to influence the course of events.

Data collection and sampling: I/Using a web based form describing 7053 interventions given to patients 80 years or older during the months of April and October 2004-2008. II/ Observation of 12 registered nurses supportive interventions during the home visit of 36 patients between 80 and 102 years. III/ Interviews with 16 registered nurses. IV/Interviews with 18 patients between 80 and 96 years.

Results: Combined, the four studies show in a substantive theory that supportive interventions were based on patient’s preferences and guided by their emotions. The emotional support resulted in that the patient could experience serenity. Serenity is a state of relief and the moment required for the patient to be able to move forward. Patients lost or reduced ability to process their emotions makes that they get stuck in a state, which fatigue them with additional experience of disease and illness. To get out of their state the patient searched the registered nurse whose mission is to identify their needs in order that they could find relief. The theory also shows the strengths and weaknesses in the process. Emotional support should be developed as a nursing intervention and be integrated as a part of nursing. 

Place, publisher, year, edition, pages
Los Angeles: Journal of Nursing & Care, 2014
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-27171 (URN)10.4172/2167-1168.S1.006 (DOI)
Conference
2nd International Conference on Nursing & Healthcare, November 17-19, 2014, Chicago, USA
Available from: 2014-12-05 Created: 2014-12-05 Last updated: 2017-12-05Bibliographically approved
Norell Pejner, M. (2014). The bright side of life: support in municipal elderly home care. (Doctoral dissertation). Örebro: Örebro universitet
Open this publication in new window or tab >>The bright side of life: support in municipal elderly home care
2014 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Registered nurses in municipal elderly home care have in some occasionsdifficulties in identifying the patients’ needs and prioritize intervention inaccordance with the patients’ preferences, which is to obtain social and emotional support. The overall aim was to explore and describe which supportive interventions registered nurses use in municipal elderly home care settings and if it is in agreement with the patient’s preferences. Methods: A retrospective descriptive study (I ) were conducted and followed up by a qualitative approach with Grounded Theory as a method (II IV ). Sample to study; I , registered nurses (62) performed interventions to 6138 patients between 80- 109 years. II , 12 registered nurses, who performed 36 home visits to patients between 80- 102 years. III , 16 registered nurses. IV , 18 patients between 80- 96 years. Data was collected by; I , between 2004- 2008, during the months of April and October using a web- based form which was filled in by registered nurses. II , through nonparticipant observations when the registered nurse made a home visit. III and IV , using informal conversational interviews. Results: Combined, the four studies show that emotional support is important to a group of older patients because it helps them to experience serenity. Serenity is a state of relief and the moment required for the patient to be able to move forward in a dignify way. Patients lost or reduced ability to process their emotions makes so that they get stuck in a state, which fatigue them with additional experience of disease and illness. To get out of their state the patient uses the registered nurse as a reliever whose mission is to identify their needs and guide them into a state of serenity. Registered nurses on the other hand, makes priorities based on patients preferences. Registered nurses strengths was their profession that contributed to the patient's emotions became available to them. Weaknesses was registered nurses workload and lack of knowledge about the identification of emotions. Emotional support should be developed as a nursing intervention and be integrated as a part of nursing.

Place, publisher, year, edition, pages
Örebro: Örebro universitet, 2014. p. 70
Series
Örebro Studies in Care Sciences 45, ISSN 1652-1153 ; 45
Keywords
Emotion, elderly home care, intervention, priorities, support, registered nurse, older patients, serenity
National Category
Medical and Health Sciences Nursing
Identifiers
urn:nbn:se:hh:diva-25804 (URN)978-91-7668-940-0 (ISBN)
Public defence
2013-06-14, Hörsal 2 Prismahuset, HSP2, Örebro universitet, Fakultetsgatan 1, Örebro, 14:10 (English)
Opponent
Available from: 2014-06-27 Created: 2014-06-23 Last updated: 2015-02-18Bibliographically approved
Norell Pejner, M. (2014). The bright side of life Support in municipal elderly home care. In: : . Paper presented at Nordic Conference in Nursing Research - Methods and Networks for the future, 10-12 June 2014, Odense, Denmark.
Open this publication in new window or tab >>The bright side of life Support in municipal elderly home care
2014 (English)Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

Registered nurses in municipal elderly home care have in some oc-casions difficulties in identifying the patients’ needs and prioritize intervention in accordance with the patients’ preferences. The overall aim was to explore and describe which supportive intervention regis-tered nurses use in municipal elderly home care settings and if it is in agreement with the patient’s preferences. Methods: One retrospective descriptive study (I) were conducted and followed up by three qualitative studies using Grounded Theory as a method (II-IV). Grounded Theory allow to explore actions/ interac-tions and processes that occur between complex social phenomena. A process is seen as a continuous action in relation to a determinate purpose to reach a goal with a problem or a situation and actors can choose actions to influence the course of events. Results: Combined, the four studies show in a substantive theory that supportive interventions were based on patients preferences and guided by their emotions. The aim with the emotional support was that the patient would experience serenity. Serenity is a state of relief and the moment required for the patient to be able to move forward with dignity. Patients lost or reduced ability to process their emotions makes that they get stuck in a state, which fatigue them with additional experience of disease and illness. To get out of their state the patient uses the registered nurse as a reliever whose mis-sion is to identify their needs and guide them into a state of serenity. The theory also shows the strengths and weaknesses in the process. Emotional support should be developed as a nursing intervention and be integrated as a part of nursing.

National Category
Health Sciences
Identifiers
urn:nbn:se:hh:diva-25803 (URN)
Conference
Nordic Conference in Nursing Research - Methods and Networks for the future, 10-12 June 2014, Odense, Denmark
Available from: 2014-06-23 Created: 2014-06-23 Last updated: 2015-02-18Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-1174-2523

Search in DiVA

Show all publications