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Ziegert, Kristina
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Publications (10 of 64) Show all publications
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
Lydell, M., Hildingh, C., Söderbom, A. & Ziegert, K. (2019). How to Promote Workplace Health in order to Work into Old Age: Experiences from Employees in an Industrial Setting. Scientifica, 2019, Article ID 3942569.
Open this publication in new window or tab >>How to Promote Workplace Health in order to Work into Old Age: Experiences from Employees in an Industrial Setting
2019 (English)In: Scientifica, ISSN 2090-908X, E-ISSN 2090-908X, Vol. 2019, article id 3942569Article in journal (Refereed) Published
Abstract [en]

Background. Health is important in workplaces. A good organisational climate in a workplace plays a major role in the employees’ well-being at work and is also associated with increased productivity. Today, employees are expected to work into older age and it is a challenge for companies to promote health and well-being for this growing group. Purpose. The purpose of this study was to explore how to promote workplace health at present time and for the end of working life in the perspective of employees. Design/Methodology/Approach. The study had an explorative design, and a thematic analysis was chosen. The inclusion criteria were persons 50 years and older, working in the company and planning to continue working into old age. A total of 21 coworkers (14 men) participated in the study. Three focus group interviews were conducted. Findings. The results from the focus group interviews are presented in four themes: handle change in a changeable workplace, take responsibility for health concerns, get confirmation for feeling needed, and support and tolerance adapted for each employee. Practical Implications. Promoting health should be an urgent mission for employees themselves as well as for managers in order to support employees in working into old age. The health promotion must be suitable for each employee and should be designed in such a way as to avoid inequality in workplace health. Originality/Value. There is a need for more health-promoting behaviours, support, and activities for employees in order to work into old age.

Place, publisher, year, edition, pages
New York, NY: Hindawi Publishing Corporation, 2019
National Category
Work Sciences
Identifiers
urn:nbn:se:hh:diva-39472 (URN)10.1155/2019/3942569 (DOI)000464811400001 ()2-s2.0-85065777787 (Scopus ID)
Funder
Knowledge Foundation
Available from: 2019-05-24 Created: 2019-05-24 Last updated: 2019-05-27Bibliographically approved
Ziegert, K. & Forsberg, E. (2019). “The happiness with dancing give power to life”: Qualitative analysis of Dance for Parkinson with a salutogenic perspective. In: The international fields of arts, health and wellbeing: . Paper presented at Nordic Arts and Health Conference, Malmö, Sweden, 21st May, 2019.
Open this publication in new window or tab >>“The happiness with dancing give power to life”: Qualitative analysis of Dance for Parkinson with a salutogenic perspective
2019 (English)In: The international fields of arts, health and wellbeing, 2019Conference paper, Oral presentation with published abstract (Refereed)
National Category
Other Health Sciences
Identifiers
urn:nbn:se:hh:diva-39503 (URN)
Conference
Nordic Arts and Health Conference, Malmö, Sweden, 21st May, 2019
Available from: 2019-05-28 Created: 2019-05-28 Last updated: 2019-05-29Bibliographically approved
Göransson, C., Eriksson, I., Ziegert, K., Wengström, Y., Langius-Eklöf, A., Brovall, M., . . . Blomberg, K. (2018). Testing an app for reporting health concerns-Experiences from older people and home care nurses. International Journal of Older People Nursing, 13(2), Article ID e12181.
Open this publication in new window or tab >>Testing an app for reporting health concerns-Experiences from older people and home care nurses
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2018 (English)In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 13, no 2, article id e12181Article in journal (Refereed) Published
Abstract [en]

Aims and objectives: To explore the experiences of using an app among older people with home-based health care and their nurses. Background: Few information and communication technology innovations have been developed and tested for older people with chronic conditions living at home with home-based health care support. Innovative ways to support older people's health and self-care are needed. Design: Explorative qualitative design. Methods: For 3 months to report health concerns, older people receiving home-based health care used an interactive app, which included direct access to self-care advice, graphs and a risk assessment model that sends alerts to nurses for rapid management. Interviews with older people (n = 17) and focus group discussions with home care nurses (n = 12) were conducted and analysed using thematic analysis. Results: The findings reveal that a process occurs. Using the app, the older people participated in their care, and the app enabled learning and a new way of communication. The interaction gave a sense of security and increased self-confidence among older people. The home care nurses viewed the alerts as appropriate for the management of health concerns. However, all participants experienced challenges in using new technology and had suggestions for improvement. Conclusions: The use of an app appears to increase the older people's participation in their health care and offers them an opportunity to be an active partner in their care. The app as a new way to interact with home care nurses increased the feeling of security. The older people were motivated to learn to use the app and described potential use for it in the future. Implications for practice: The use of an app should be considered as a useful information and communication technology innovation that can improve communication and accessibility for older people with home-based health care. © 2017 John Wiley & Sons Ltd

Place, publisher, year, edition, pages
Hoboken: Wiley-Blackwell, 2018
Keywords
adult, clinical article, female, home care, human, interview, learning, male, nurse, risk assessment, self care, thematic analysis
National Category
Nursing Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hh:diva-38706 (URN)10.1111/opn.12181 (DOI)000434118100005 ()2-s2.0-85037995107 (Scopus ID)
Available from: 2019-01-08 Created: 2019-01-08 Last updated: 2019-01-08Bibliographically approved
Larsson, G., Holmén, A. & Ziegert, K. (2017). Early prehospital assessment of non-urgent patients and outcomes at the appropriate level of care: A prospective exploratory study. International Emergency Nursing, 32, 45-49
Open this publication in new window or tab >>Early prehospital assessment of non-urgent patients and outcomes at the appropriate level of care: A prospective exploratory study
2017 (English)In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 32, p. 45-49Article in journal (Refereed) Published
Abstract [en]

Introduction: The Ambulance Organization of Sweden provides qualified medical assessment and treatment by ambulance nurses based on patient needs regarding appropriate levels of care. A new model for patients with non-urgent medical conditions has been introduced. The main objective of this study was to examine early prehospital assessment of non-urgent patients, and its impact on the choice of the appropriate level of care.

Methods: The study design was a 1-year, prospective study, involving an ambulance district in southwestern Sweden with a population of 78,000. Eligible patients were from18 years of age, assessed as priority GREEN by Rapid Emergency Triage and Treatment System (RETTS). Ambulance nurses contacted primary care physicians on decisions on whether a patient should be transported to a primary healthcare unit or an A&E. Data was collected from electronic health records from April 2014 to July 2015. A comparison was made with a retrospective control group without consulting a physician concerning the appropriate level of care.

Results: 394 patients were included, 184 in the intervention group, and 210 in the control group. There were statistically significant differences in favor of the study group (p < 0.001) regarding no transport, or transport and admission to an A&E. The groups did not differ significantly regarding transport to a primary care unit.

Conclusion: This prehospital assessment model indicates a decrease in ambulance transports to an A&E and admissions to a hospital ward. Collaboration between ambulance nurses and primary physicians affects the decision for the appropriate level of care for patients with a non-urgent condition. © 2017 Elsevier Ltd

Place, publisher, year, edition, pages
London: Elsevier, 2017
Keywords
Non-urgent patients, Prehospital assessment, Rapid emergency triage and treatment system, Appropriate level of care, Ambulance nurse, Primary care physicians
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hh:diva-33912 (URN)10.1016/j.ienj.2017.02.003 (DOI)000402650700009 ()28291697 (PubMedID)2-s2.0-85014769283 (Scopus ID)
Note

Founding source are Department of Prehospital Care and Scientific Council of Region Halland.

Available from: 2017-05-29 Created: 2017-05-29 Last updated: 2017-11-29Bibliographically approved
Lydell, M., Hildingh, C., Söderbom, A. & Ziegert, K. (2017). Future challenges for occupational health services can be prevented by proactive collaboration with the companies using the services: a participatory and reflection project. Journal of Multidisciplinary Healthcare, 10, 217-225
Open this publication in new window or tab >>Future challenges for occupational health services can be prevented by proactive collaboration with the companies using the services: a participatory and reflection project
2017 (English)In: Journal of Multidisciplinary Healthcare, ISSN 1178-2390, E-ISSN 1178-2390, Vol. 10, p. 217-225Article in journal (Refereed) Published
Abstract [en]

Background: There is clearly a need for research in the field of occupational health service (OHS) for applying new perspectives. Proactive collaboration is needed between the OHSs and the companies. The customers of the companies using the services should be able to safeguard themselves from the health problems caused by the work environment through proactive collaboration with the OHSs.

Objective: The main purpose of this interdisciplinary study was to explore how the stakeholders reflected to create and agree on core values for future challenges in OHS, as seen from the perspectives of OHS professionals and customer companies.

Methodology: An action research process was conducted. This study was divided into three phases. In phase I, the data were collected from interviews and diaries of interdisciplinary occupational health professionals (n=12). A focus group that sampled the eight managers of the customer companies was also included. In phase II, a questionnaire was developed with 24 questions focusing on examining the future challenges for OHS. The questionnaire was sent to customer companies (n=116). In phase III, a scoping review was undertaken.

Results: Three categories emerged from the analysis: “Balancing complex situations” clarified the complexity regarding senior employees; “Working with a proactive approach” indicated the need for working with a new proactive approach supporting sustainable health; and “Collaborate internally and externally” showed good relationships between the customer and the OHS, which is a mutual responsibility to both the partners.

Conclusion: The results outlined that it is necessary to take action to apply new proactive health promotions, with a focus on workplace health promotion. The results also indicated that interventions for senior employees are of importance. This study was done in collaboration with the stakeholders from the occupational health care service center and the managers from the customer companies. The use of a participatory research design, including close collaboration with the participants, allows the researchers to see the challenges.

 

Place, publisher, year, edition, pages
Macclesfield: Dove Medical Press Ltd. (Dovepress), 2017
Keywords
health-promoting workplace, managers, future challenges
National Category
Work Sciences Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hh:diva-33911 (URN)10.2147/JMDH.S131382 (DOI)000402175300001 ()2-s2.0-85020846105 (Scopus ID)
Available from: 2017-05-29 Created: 2017-05-29 Last updated: 2019-05-27Bibliographically approved
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
Forsberg, E., Ziegert, K., Hult, H. & Fors, U. (2016). Assessing progression of clinical reasoning through virtual patients: An exploratory study. Nurse Education in Practice, 16(1), 97-103
Open this publication in new window or tab >>Assessing progression of clinical reasoning through virtual patients: An exploratory study
2016 (English)In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 16, no 1, p. 97-103Article in journal (Refereed) Published
Abstract [en]

To avoid test-driven learning, there have been discussions regarding the use of more formative assessments in health care education to promote students' deep learning. Feedback is important in formative assessment, but many students ignore it; therefore, interventions should be introduced which stimulate them to reflect on the new knowledge.

The aim for this study was to explore if Virtual Patient (VP)-based formative assessments, in connection with self-evaluations, had an impact on postgraduate pediatric nursing students' development of clinical reasoning abilities. Students' self-evaluations served as the basis for measuring progress. Data was analysed using deductive content analysis.

The findings showed a clear progression of the clinical reasoning ability of the students. After the first assessment, the students described feelings of uncertainty and that their knowledge gaps were exposed. At the mid-course assessment the awareness of improved clinical reasoning was obvious and the students were more certain of knowing how to solve the VP cases. In the final assessment, self-efficacy was expressed.

VP-based assessments, in connection with self-evaluations, early in the education resulted in a gain of students' own identification of the concept of clinical reasoning, awareness of what to focus on during clinical practice and visualised expected clinical competence. © 2015 Elsevier Ltd. All rights reserved.

Place, publisher, year, edition, pages
Kidlington: Churchill Livingstone, 2016
Keywords
Clinical reasoning, Formative assessment, Postgraduate pediatric nurse education, Virtual patients
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-30008 (URN)10.1016/j.nepr.2015.09.006 (DOI)000370769000016 ()26482401 (PubMedID)2-s2.0-84951856464 (Scopus ID)
Available from: 2015-12-11 Created: 2015-12-11 Last updated: 2018-03-22Bibliographically approved
Ziegert, K. (2016). Changes and transitions of responsibility when next of kin becomes the caregivers. In: : . Paper presented at The 2nd International Time Geography Conference, Linköping University, Linköping, Sweden, Sept. 21-23, 2016.
Open this publication in new window or tab >>Changes and transitions of responsibility when next of kin becomes the caregivers
2016 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Background

In the ordinary everyday existence of individuals, life usually goes by without them reflecting on its fragility or their relationships. Individuals in a close relationship are united with each other in a mutual dependency and share memories from the past, perceptions of the present and dreams and hopes for the future. When one of them suddenly seriously ill and thereby assumes the role of seriously ill patient while the other takes on the role of close relative, their normal life is changed into an extraordinary situation. Everyday life can be complex when next of kin are preoccupied with taking responsibility of the care, which in turn lead to a changed life situation and restrictions in everyday life. The summary of the current knowledge highlighted the importance of understanding of next of kin´ coping approaches during responsibility for caring at home. 

Aim and method

This study explores the process of changes for next of kin´ in a care home for older relatives from the perspectives of the responsibility for caring. Data were collected using narrative interview with 8 next of kin’ at home. The following questions were asked: Please describe the changed situation you have gone through, when you having the difficult care situation and what did you do to cope with your situation? The individual interviews were nearly all transcribed verbatim, a few were listen to and taking notes during listening. The data set were analyzed by using thematic analysis.

Findings and conclusion

Four themes revealed from narrative interviews with the next of kin´. The four themes were: Sources of responsibility related to family interaction; Consequences of changes for everyday; Importance on maintaining their own conditions; Roles and relationships over time. Based on a synthesis of data the themes and basic transitions that emerged were termed “re-constructing roles and relationships”. This highlights the subtle and dynamic way of changes and reinforces the importance of understanding the transitions from multiple perspectives. The results of the study may encourage people to engage themselves in self-help activities and strengthen them to believe they are to care for each other.

National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-32277 (URN)
Conference
The 2nd International Time Geography Conference, Linköping University, Linköping, Sweden, Sept. 21-23, 2016
Available from: 2016-10-24 Created: 2016-10-24 Last updated: 2018-03-23Bibliographically approved
Larsson, G., Holmén, A. & Ziegert, K. (2016). Early Assessment of Patient´s Medical Condition in Ambulance Care Affects the Level of Care of Non Urgent Patients. In: Walter Sermeus, Paula M. Procter & Patrick Weber (Ed.), Nursing Informatics 2016: eHealth for All: Every Level Collaboration – From Project to Realization. Paper presented at 13th International Congress in Nursing Informatics (NI2016), Geneva, Switzerland, June 25-29, 2016 (pp. 893-894). Amsterdam: IOS Press, 225
Open this publication in new window or tab >>Early Assessment of Patient´s Medical Condition in Ambulance Care Affects the Level of Care of Non Urgent Patients
2016 (English)In: Nursing Informatics 2016: eHealth for All: Every Level Collaboration – From Project to Realization / [ed] Walter Sermeus, Paula M. Procter & Patrick Weber, Amsterdam: IOS Press, 2016, Vol. 225, p. 893-894Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

The Rapid Emergency Triage and Treatment System (RETTS) is used by the Swedish ambulance care organization for assessment of patients medicalcondition. The aim of the present study was to evaluate prehospital assessment in collaboration with the ambulance nurse and primary health care physicians. If the patient's condition was priority GREEN by RETTS then the ambulance nurse decided to contact the primary care physicians for a dialogue and together they decided which level of care was the most appropriate for the patient's condition. 

© 2016 IMIA and IOS Press

Place, publisher, year, edition, pages
Amsterdam: IOS Press, 2016
Series
Studies in health technology and informatics, ISSN 0926-9630 ; 225
Keywords
Triage Classification (RETTS), emergency nursing, prospective cohort study
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-30548 (URN)10.3233/978-1-61499-658-3-893 (DOI)000385238600237 ()27332396 (PubMedID)2-s2.0-84978758929 (Scopus ID)978-1-61499-657-6 (ISBN)978-1-61499-658-3 (ISBN)
Conference
13th International Congress in Nursing Informatics (NI2016), Geneva, Switzerland, June 25-29, 2016
Available from: 2016-03-18 Created: 2016-03-18 Last updated: 2018-03-22Bibliographically approved
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