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  • 1.
    Göransson, Carina
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Eriksson, I.
    School of Health and Education, University of Skövde, Skövde, Sweden.
    Ziegert, Kristina
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Wengström, Y.
    Cancer Theme, Karolinska University Hospital, Stockholm, Sweden.
    Langius-Eklöf, Ann
    Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
    Brovall, M.
    School of Health and Education, University of Skövde, Skövde, Sweden.
    Kihlgren, A.
    Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden.
    Blomberg, K.
    Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden.
    Testing an app for reporting health concerns-Experiences from older people and home care nurses2018Inngår i: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 13, nr 2, artikkel-id e12181Artikkel i tidsskrift (Fagfellevurdert)
    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

  • 2. Göransson, Carina
    et al.
    Skärsäter, Ingela
    Göteborgs universitet, Göteborg, Sverige.
    Wijk, Helle
    Göteborgs universitet, Göteborg, Sverige.
    Kvalitetsutveckling inom hälso- och sjukvård2006Inngår i: Grundläggande omvårdnad. 4 / [ed] Nina Jahren Kristoffersen, Finn Nortvedt & Eli-Anne Skaug, Stockholm: Liber, 2006, 1, s. 152-171Kapittel i bok, del av antologi (Fagfellevurdert)
  • 3.
    Göransson, Carina
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsofrämjande processer. Örebro University, Örebro, Sweden.
    Wengström, Yvonne
    Karolinska Institutet, Stockholm, Sweden.
    Ziegert, Kristina
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Kihlgren, Annica
    Örebro University, Örebro, Sweden.
    Blomberg, Karin
    Örebro University, Örebro, Sweden.
    The elderly persons´ experiences of reporting health status in an ICT-platform2015Inngår i: 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, s. 19-20Konferansepaper (Fagfellevurdert)
    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.

  • 4.
    Göransson, Carina
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI). Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden.
    Wengström, Yvonne
    Cancer Theme, Karolinska University Hospital, Stockholm, Sweden & Department of Neurobiology, CareSciences and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden.
    Ziegert, Kristina
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Lagnius-Eklöf, Ann
    Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden.
    Blomberg, Karin
    Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden.
    Self-care ability and sense of security among older persons when using an app as a tool for support2019Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The study's rationale: The need for home care among older persons is increasing, and mHealth is evolving to help meet the challenge. When developing an app to help maintain their health, it is essential to incorporate older persons' preferences.

    Aims and objectives: To describe and evaluate the experiences of self-care support and sense of security among older persons using an interactive app to report health concerns.

    Methodological design and justification: The study had a descriptive and evaluative design. Qualitative and quantitative methods were applied to achieve a broader understanding.

    Ethical issues and approval: Ethical approval was obtained from the Regional Ethical Review Board. The older persons received verbal and oral information about the study and gave written informed consent.

    Research methods: Questionnaires (n = 17 older persons) answered at baseline, end of the intervention and at a 6-month follow-up were analysed with statistical analysis. Interviews (n = 17 older persons) conducted at the end of the intervention were analysed using a qualitative directed approach.

    Measurements and intervention: The questionnaire included the Appraisal of Self-care Agency Scale and a question concerning sense of security. For 3 months, the older persons used an app for regular reporting of health concerns. The app included self-care advice, graphs and a risk assessment model that generated alerts directly to the nurses.

    Results: The older persons described how self-care and sense of security increased at the end of intervention, but statistically, it was shown to decrease afterwards.

    Study limitations: The small sample size for statistical analysis.

    Conclusions: This study shows that an app can be a complementary tool to conventional home care that can increase older persons' sense of security and self-care ability. The results mirror the older persons' awareness that the support they received with the app was only temporary. Larger studies are needed for generalisation. 

    © 2019 Nordic College of Caring Science.

  • 5.
    Göransson, Carina
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI). Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden.
    Wengström, Yvonne
    Division of Nursing, Department of Neurobiology, Care Science and Society, Karolinska Institutet, Stockholm, Sweden.
    Ziegert, Kristina
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Langius-Eklöf, Ann
    Division of Nursing, Department of Neurobiology, Care Science and Society, Karolinska Institutet, Stockholm, Sweden.
    Eriksson, Irene
    School of Life Sciences, University of Skövde, Skövde, Sweden.
    Kihlgren, Annica
    Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden.
    Blomberg, Karin
    Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden.
    Perspectives of health and self-care among older persons – To be implemented in an interactive information and communication technology-platform2017Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 26, nr 23-24, s. 4745-4755Artikkel i tidsskrift (Fagfellevurdert)
    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

  • 6.
    Göransson, Carina
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsofrämjande processer. School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Ziegert, Kristina
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsofrämjande processer.
    Kihlgren, Annica
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Wengström, Yvonne
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden & Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden.
    Blomberg, Karin
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Increased well-being and participatory care for older adults with support of an interactive web-based platform2014Inngår i: Book of Abstracts: Nobel Day Festivities 10th of December 2014, 2014, s. 12-12Konferansepaper (Fagfellevurdert)
  • 7.
    Göransson, Carina
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsofrämjande processer.
    Ziegert, Kristina
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Wengström, Yvonne
    Karolinska institutet, Huddinge, Sweden.
    Kihlgren, Annica
    Örebro University, Örebro, Sweden.
    Blomberg, Karin
    Örebro University, Örebro, Sweden.
    Feasibility and acceptability of an interactive ICT-platform in older adults for participatory care2015Inngår i: 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, s. 328-330Konferansepaper (Fagfellevurdert)
    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.

  • 8.
    Göransson, Carina
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsofrämjande processer. Institutionen för hälsovetenskap och medicin, Örebro universitet, Örebro, Sverige.
    Ziegert, Kristina
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsofrämjande processer.
    Wengström, Yvonne
    Sektionen för omvårdnad, Institutionen för neurobiologi, vårdvetenskap och samhälle, Karolinska Institutet, Stockholm, Sverige & Institutionen för hälsovetenskap och medicin, Örebro universitet, Örebro, Sverige.
    Kihlgren, Annica
    Institutionen för hälsovetenskap och medicin, Örebro universitet, Örebro, Sverige.
    Blomberg, Karin
    Institutionen för hälsovetenskap och medicin, Örebro universitet, Örebro, Sverige.
    Ökat välbefinnande och delaktighet hos äldre personer via en interaktiv webbaserad plattform2014Inngår i: De ska va gôtt å leva: Vårdforskningens dag: 16 oktober 2014, 2014, s. 18-18Konferansepaper (Fagfellevurdert)
    Fulltekst (pdf)
    fulltext
  • 9.
    Göransson, Carina
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsofrämjande processer. Institutionen för hälsovetenskap och medicin, Örebro universitet, Örebro, Sverige.
    Ziegert, Kristina
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsofrämjande processer.
    Wengström, Yvonne
    Örebro universitet, Örebro, Sverige & Karolinska Institutet, Stockholm, Sverige.
    Kihlgren, Annica
    Örebro universitet, Örebro, Sverige.
    Blomberg, Karin
    Örebro universitet, Örebro, Sverige.
    Ökat välbefinnande och delaktighet hos äldre personer via interaktiv webbaserad plattform2014Inngår i: FoUU-dagen 2014: En upptäcktsfärd genom hallänningens liv, 2014, s. 21-21Konferansepaper (Fagfellevurdert)
    Fulltekst (pdf)
    fulltext
  • 10.
    Göransson, Carina
    et al.
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Öman, Anders
    Medicinkliniken, Länssjukhuset Halmstad.
    Ziegert, Kristina
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    När söker patienter med kroniskt obstruktiv lungsjukdom för akuta exacerbationer?2010Annet (Annet vitenskapelig)
    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.

    Fulltekst (pdf)
    FULLTEXT05
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