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Nyberg, M., Olsson, V., Örtman, G., Pajalic, Z., Andersson, H. S., Blücher, A., . . . Westergren, A. (2018). The meal as a performance: food and meal practices beyond health and nutrition. Ageing & Society, 38(1), 83-107
Open this publication in new window or tab >>The meal as a performance: food and meal practices beyond health and nutrition
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2018 (English)In: Ageing & Society, ISSN 0144-686X, E-ISSN 1469-1779, Vol. 38, no 1, p. 83-107Article in journal (Refereed) Published
Abstract [en]

The proportion of elderly people in the population is increasing, presenting a number of new challenges in society. The purpose of this qualitative study was to investigate how elderly persons with motoric eating difficulties perceive and perform their food and meal practices in everyday life. By using Goffman's concept of performance as a theoretical framework together with Bourdieu's thinking on habitus, a deeper understanding of food and meal practices is obtained. Semi-structured interviews were conducted with 14 elderly people (aged between 67 and 87 years) and meal observations were carried out with 11 of these people. Participants were found to manage food and meal practices by continuously adjusting and adapting to the new conditions arising as a result of eating difficulties. This was displayed by conscious planning of what to eat and when, avoiding certain foods and beverages, using simple eating aids, but also withdrawing socially during the meals. All these adjustments were important in order to be able to demonstrate proper food and meal behaviour, to maintain the façade and to act according to the perceived norms. As well as being a pleasurable event, food and meals were also perceived in terms of being important for maintaining health and as ‘fuel’ where the main purpose is to sustain life. This was strongly connected to the social context and the ability to enjoy food and meals with family members and friends, which appeared to be particularly crucial due to the impending risk of failing the meal performance.

Keywords
Elderly people, eating difficulties, food and meal practices, meals
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hkr:diva-16088 (URN)10.1017/S0144686X16000945 (DOI)000418332500005 ()
Available from: 2016-09-28 Created: 2016-09-28 Last updated: 2018-01-09Bibliographically approved
Hagell, P., Alvariza, A., Westergren, A. & Kristofer, Å. (2017). Assessment of burden among family caregivers of people with Parkinson’s disease using the Zarit Burden Interview. Journal of Pain and Symptom Management, 53(2), 272-278
Open this publication in new window or tab >>Assessment of burden among family caregivers of people with Parkinson’s disease using the Zarit Burden Interview
2017 (English)In: Journal of Pain and Symptom Management, ISSN 0885-3924, E-ISSN 1873-6513, Vol. 53, no 2, p. 272-278Article in journal (Refereed) Published
Abstract [en]

Context: Previous studies have supported the psychometric properties of the 22-item Zarit Burden Interview (ZBI-22) scale among family caregivers of people with various disorders, including Parkinson´s disease (PD). However, its short-forms have not been psychometrically tested among PD family caregivers, and available psychometric analyses have not accounted for the ordinal nature of item-level data.

Objectives: To assess the psychometric properties of the ZBI-22 and its short forms among family caregivers of people with PD, while taking account for the ordinal nature of data.

Methods: Cross-sectional postal survey ZBI-22 data from 66 family caregiver members (59% women; mean age, 69.6 years) of a local Swedish PD society branch were analysed according to classical test theory methods based on polychoric/polyserial correlations.

Results: Missing item responses were ≤5%. Corrected item-total correlations were ≥0.42 and floor-/ceiling effects were <20%, besides for the briefest (4- and 1-item) short-forms (20% and 40% floor effects, respectively). Reliability was good for all scales (ordinal alpha, 0.89-0.95).  External construct validity was in general accordance with a priori expectations. Short-forms demonstrated good criterion-related validity (rs 0.87-0.99) and discriminative ability (AUC, 0.91-0.98) relative to the full ZBI-22.

Conclusion: This study provides support for the reliability and validity of the ZBI-22 and its various short forms for use among PD family caregivers. In studies where caregiver burden is a central outcome, either ZBI-22 or -12 is suggested for use; other short-forms can be used when caregiver burden is of less central focus or for clinical screening.

Keywords
Burden, family caregivers, Parkinson disease, psychometrics, validation
National Category
Health Sciences
Identifiers
urn:nbn:se:hkr:diva-15972 (URN)10.1016/j.jpainsymman.2016.09.007 (DOI)000397118300018 ()27810571 (PubMedID)
Funder
Swedish Research Council
Available from: 2016-09-14 Created: 2016-09-14 Last updated: 2017-08-11Bibliographically approved
Westergren, A. & Stuhr Olsson, G. (2017). Kost och näring borde ta en större del av diskussionen om äldres livskvalitet. Landskronaposten (12 oktober), pp. A3
Open this publication in new window or tab >>Kost och näring borde ta en större del av diskussionen om äldres livskvalitet
2017 (Swedish)In: Landskronaposten, ISSN 2001-7162, no 12 oktober, p. A3-Article in journal, News item (Other (popular science, discussion, etc.)) Published
Abstract [sv]

Fokus på motion och läkemedel är givetvis bra för att förebygga fallolyckor bland äldre. Tyvärr har kost- och näringsaspekten fallit bort ur diskussionen. Det skriver Albert Westergren, professor vid Högskolan Kristianstad och Gunnel Stuhr Olsson, Findus Sverige AB.

National Category
Nutrition and Dietetics
Identifiers
urn:nbn:se:hkr:diva-17423 (URN)
Available from: 2017-10-12 Created: 2017-10-12 Last updated: 2017-10-13Bibliographically approved
Hommel, A., Edberg, A.-K., Ekman, I., Gunningberg, L., Kristensson Hallström, I., Rasumssen, B., . . . Öhlén, J. (2017). Öka satsningarna på forskning i omvårdnad. Dagens Medicin (19 januari)
Open this publication in new window or tab >>Öka satsningarna på forskning i omvårdnad
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2017 (Swedish)In: Dagens Medicin, ISSN 1104-7488, no 19 januariArticle in journal (Other (popular science, discussion, etc.)) Published
Abstract [sv]

Långsiktiga satsningar för välfärdsforskning är bra, men för att nå ända fram och minimera hälsoklyftorna är det nödvändigt att även forskning inom omvårdnad prioriteras, skriver tio debattörer.

National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hkr:diva-16619 (URN)
Available from: 2017-03-29 Created: 2017-03-29 Last updated: 2017-03-29Bibliographically approved
Westergren, A., Hagell, P., Wendin, K. & Sjödahl Hammarlund, C. (2016). Conceptual relationships between the ICF and experiences of mealtimes and related tasks among persons with Parkinson’s disease. Nordic journal of nursing research, 36(4), 201-208
Open this publication in new window or tab >>Conceptual relationships between the ICF and experiences of mealtimes and related tasks among persons with Parkinson’s disease
2016 (English)In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 36, no 4, p. 201-208Article in journal (Refereed) Published
Abstract [en]

The aim was to investigate experiences of mealtimes and related tasks among people with Parkinson’s disease (PD) and to link these conceptually to the International Classification of Functioning, Disability and Health (ICF). Data were collected by use of semi-structured interviews of 19 people with PD. Inductive content analysis resulted in five categories: 1) Managing mealtime preparations and related tasks, 2) Compromised physical control, 3) Difficulties enjoying meals, 4) Difficulties eating together with others, and 5) Strategies to maintain conventional norms and independence. Deductive content analysis linked the categories to the ICF categories: body functions (mental, sensory, neuromusculoskeletal and movement-related functions); activities (self-determination and chores); participation (interpersonal interactions and relationships); and environmental factors (conventional norms, attitudes of friends and strangers). Emotional and involuntary movement functions were represented in all five inductively derived categories. Eating difficulties may have negative consequences on participation and the emotional wellbeing of people with Parkinson’s disease.

Keywords
content analysis, cooking, eating difficulties, ICF, mealtime, Parkinson’s disease
National Category
Nursing
Identifiers
urn:nbn:se:hkr:diva-15373 (URN)10.1177/2057158516642386 (DOI)
Funder
Swedish Research CouncilVårdal Foundation
Available from: 2016-04-05 Created: 2016-04-05 Last updated: 2017-11-30Bibliographically approved
Sjödahl Hammarlund, C., Hagell, P. & Westergren, A. (2016). Fall risk and its associated factors among older adults without home help services in a Swedish municipality. Journal of Community Health Nursing, 33(4), 181-189
Open this publication in new window or tab >>Fall risk and its associated factors among older adults without home help services in a Swedish municipality
2016 (English)In: Journal of Community Health Nursing, ISSN 0737-0016, E-ISSN 1532-7655, Vol. 33, no 4, p. 181-189Article in journal (Refereed) Published
Abstract [en]

During preventive home visits, the purpose of this study was, to identify the prevalence of fall risk and any associated factors. Participants (n=1471) were cognitively sound community-dwelling older adults (≥ 70 years) without home-help service, living in a Swedish municipality. The Downton Fall Risk Index and nine single items were used. Tiredness/fatigue, age ≥ 80, inability to walk one hour, inability to climb stairs and worrying were significantly associated with fall risk. Preventive home visits incorporating fall risk screening proved valuable, providing information for interventions aimed at preventing falls, maintaining independence and facilitating health among community dwelling participants.

Keywords
Community dwelling, cross-sectional, older adults, fall risk, fatigue, prevalence, preventive home visits, worry
National Category
Health Sciences
Identifiers
urn:nbn:se:hkr:diva-15971 (URN)10.1080/07370016.2016.1227211 (DOI)000386584600002 ()27749090 (PubMedID)
Available from: 2016-09-14 Created: 2016-09-14 Last updated: 2017-10-03Bibliographically approved
Hagell, P., Edfors, E., Hedin, G., Westergren, A. & Sjödahl Hammarlund, C. (2016). Group concept mapping for evaluation and development in nursing education. Nurse Education in Practice, 20, 147-153
Open this publication in new window or tab >>Group concept mapping for evaluation and development in nursing education
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2016 (English)In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 20, p. 147-153Article in journal (Refereed) Published
Abstract [en]

The value of course evaluations has been debated since they frequently fail to capture the complexity of education and learning. Group Concept Mapping (GCM), a participant-centred mixed-method was explored as a tool for evaluation and development in nursing education and to better understand students' learning experiences, using data from a GCM-based evaluation of a research training assignment integrating clinical practice and research data collection within a Swedish university nursing program. Student nurses (n = 47) participated in a one-day GCM exercise. Focus group brainstorming regarding experiences from the assignment that the students considered important and instructive yielded 98 statements that were individually sorted based on their student-perceived relationships, and rated regarding their importance/instructiveness and need for development. Quantitative analysis of sort data produced a 2-dimensional map representing their conceptual relationships, and eight conceptual areas. Average cluster ratings were plotted relative to each other and provided a decision aid for development and planning by identifying areas (i.e., "Research methodology", "Patients' perspectives", and "Interviewer role") considered highly important/instructive and in high need for development. These experiences illustrate the use and potential of GCM as an interactive participant-centred approach to evaluation, planning and development in nursing and other higher health science educations.

National Category
Health Sciences Educational Sciences
Identifiers
urn:nbn:se:hkr:diva-15974 (URN)10.1016/j.nepr.2016.08.006 (DOI)000385322200021 ()27591400 (PubMedID)
Available from: 2016-09-14 Created: 2016-09-14 Last updated: 2017-08-15Bibliographically approved
Westergren, A. (2016). Nutrition: inte bara vikt och BMI utan även förmågan att äta!. SårMagasinet (4), 36-39
Open this publication in new window or tab >>Nutrition: inte bara vikt och BMI utan även förmågan att äta!
2016 (Swedish)In: SårMagasinet, ISSN 2001-9920, no 4, p. 36-39Article, review/survey (Other academic) Published
Keywords
Nutrition, BMI, ätproblem
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hkr:diva-16383 (URN)
Available from: 2017-01-02 Created: 2017-01-02 Last updated: 2017-01-04Bibliographically approved
Smith, S., Westergren, A., Saunders, J. & Hagell, P. (2016). Nutritional screening: a user-friendly tool adapted from Sweden. British Journal of Nursing, 25(4), 208-211
Open this publication in new window or tab >>Nutritional screening: a user-friendly tool adapted from Sweden
2016 (English)In: British Journal of Nursing, ISSN 0966-0461, E-ISSN 2052-2819, Vol. 25, no 4, p. 208-211Article in journal (Refereed) Published
Abstract [en]

Screening for undernutrition is highly important and may reduce morbidity and mortality. The Minimal Eating Observation and Nutrition Form Version II (MEONF-II) is a nutritional screening tool specifically developed for use by nurses. The authors describe the translation, performance and appropriateness of MEONF-II for the UK. Following translation from Swedish to British English, the user-friendliness and appropriateness of the British MEONF-II was tested by 29 registered nurses and final-year student nurses on 266 hospital inpatients. The new British MEONF-II was perceived as highly user-friendly and appropriate. Assessors found MEONF-II to compare favourably with other similar tools in terms of preference, usefulness and helpfulness in providing good nutritional care. Dependency in activities and poorer subjective health were associated with a higher risk of undernutrition. These findings support the appropriateness of the British MEONF-II version and suggest it may act as a user-friendly facilitator for good nutritional nursing care.

Keywords
MEONF-II, nutrition, screening, translation, undernutrition
National Category
Health Sciences
Identifiers
urn:nbn:se:hkr:diva-15975 (URN)10.12968/bjon.2016.25.4.208 (DOI)26911166 (PubMedID)
Available from: 2016-09-14 Created: 2016-09-14 Last updated: 2017-08-23Bibliographically approved
Westergren, A. & Nyberg, M. (2016). När villkoren för ätandet förändras. Svensk Geriatrik (4), 32-34
Open this publication in new window or tab >>När villkoren för ätandet förändras
2016 (Swedish)In: Svensk Geriatrik, ISSN 2001-2047, no 4, p. 32-34Article, review/survey (Other academic) Published
Keywords
Habitus, nutrition, äta
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hkr:diva-16384 (URN)
Available from: 2017-01-02 Created: 2017-01-02 Last updated: 2017-06-12Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-4820-6203

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