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Nivestam, A., Haak, M., Westergren, A. & Petersson, P. (2021). Give older persons a voice in the society: By using information compiled during preventive home visits on a societal level. International Journal of Environmental Research and Public Health, 18(14), 1-17, Article ID 7433.
Open this publication in new window or tab >>Give older persons a voice in the society: By using information compiled during preventive home visits on a societal level
2021 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 18, no 14, p. 1-17, article id 7433Article in journal (Refereed) Published
Abstract [en]

Preventive home visits (PHVs) are offered to older persons with the purpose of promoting health and preventing risks on an individual level. However, aspects of health need to be considered on a societal level as well. This study aims to get a deeper understanding of perceptions of the usability of the information compiled during the PHVs to promote health, among older persons, on a societal level. Three online focus groups were conducted with heads of unit of PHVs, heads of department, and politicians responsible for health and welfare in seven municipalities in Sweden (n = 12). The findings were visualised in the core category Enable an inclusive society and the interrelated categories Monitoring determinants of health and Enabling exchange of information. The information from the PHVs could be used to monitor determinants of health by identifying assets, challenges, shifts, trends, and future needs in the society. Moreover, exchange of information from the PHVs could occur within and outside the health and welfare organisation. However, the potential use was affected by hindrances illustrated in the category Obstacles to interpreting and communicating the information. To conclude, using the information from the PHVs could possibly contribute to an inclusive society, where persons not usually represented in decision making are given a voice. 

Keywords
aged, communication, decision makers, determinants of health, health promotion, inclusive society, monitoring, older people, old age policy, participation in society
National Category
Nursing Social Work
Identifiers
urn:nbn:se:hkr:diva-22235 (URN)10.3390/ijerph18147433 (DOI)000676181700001 ()34299882 (PubMedID)
Note

No external grants received. Kristianstad University financially support a doctoral education for A.N. The funding body had no role in the design and conduct of the study. The study received open-access funding from the ‘Swedish National Graduate School for Competitive Science on Ageing and Health’ (SWEAH)

Available from: 2021-07-23 Created: 2021-07-23 Last updated: 2021-08-09Bibliographically approved
Nivestam, A., Haak, M., Westergren, A. & Petersson, P. (2021). Information from preventive home visits can give older persons a voice in the society. In: : . Paper presented at SWEAH (The Swedish National Graduate School for Competitive Science on Ageing and Health) Milestone Conference, Lund university, Online conference, October 19-20, 2021.
Open this publication in new window or tab >>Information from preventive home visits can give older persons a voice in the society
2021 (English)Conference paper, Oral presentation only (Other academic)
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hkr:diva-22618 (URN)
Conference
SWEAH (The Swedish National Graduate School for Competitive Science on Ageing and Health) Milestone Conference, Lund university, Online conference, October 19-20, 2021
Available from: 2021-10-21 Created: 2021-10-21 Last updated: 2021-10-22Bibliographically approved
Westergren, A., Ahlström, G., Persson, M. & Behm, L. (2021). Next of kin participation in the care of older persons in nursing homes: a pre-post non-randomised educational evaluation, using within-group and individual person-level comparisons.. PLOS ONE, 16(1), 1-15, Article ID e0244600.
Open this publication in new window or tab >>Next of kin participation in the care of older persons in nursing homes: a pre-post non-randomised educational evaluation, using within-group and individual person-level comparisons.
2021 (English)In: PLOS ONE, E-ISSN 1932-6203, Vol. 16, no 1, p. 1-15, article id e0244600Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Next of kin participation in care is a cornerstone of palliative care and is thus important in nursing homes, and outcomes following interventions need to be evaluated using robust methods.

OBJECTIVE: To use within-group and within-individual analytical approaches to evaluate the participation of next of kin in care following an intervention and to compare the outcome between the intervention and control groups.

METHODS: A pre-post intervention/control group study design was used. The educational intervention, directed towards staff members, focused on palliative care. The Next of Kin Participation in Care scale comprises the Communication and Trust subscale and the Collaboration in Care subscale, with nine items each. In total, 203 persons (intervention group: n = 95; control group: n = 108) were included. Three different analytical approaches were used: 1) traditional within-group comparison of raw ordinal scores and linearly transformed interval scores; 2) modern within-individual (person-level) interval score comparisons; 3) comparisons between the intervention group and control group based on individual person-level outcomes.

RESULTS: Within-group comparisons of change revealed no change in any of the groups, whether based on raw or transformed scores. Despite this, significant improvements at the individual level were found in 32.9% of the intervention group and 11.6% of the control group for the total scale (p = 0.0024), in 25% of the intervention group and 10.5% of the control group for the Communication and Trust subscale (p = 0.0018), and in 31.2% of the intervention group and 10.5% of the control group for the Collaboration in Care subscale (p = 0.0016). However, a significant worsening at the individual level in Collaboration in Care was found in 35.1% of the intervention group but only among 8.4% of the control group (p < 0.0005).

CONCLUSION: The intervention seems to have a positive impact on next of kin participation in care in nursing homes, especially for communication and trust. However, some next of kin reported decreased participation in care after the intervention. Modern individual person-level approaches for the analysis of intervention outcomes revealed individual significant changes beyond traditional group-level comparisons that would otherwise be hidden. The findings are relevant for future outcome studies and may also necessitate a re-evaluation of previous studies that have not used individual person-level comparisons.

TRIAL REGISTRATION: This study is part of the intervention project registered under Clinical Trials Registration NCT02708498.

Keywords
nursing care facilities, older people, educational evaluation, care of people, nursing home care, clinical trial registries, aged, controlled study, female, human, major clinical study, male, nursing home, outcome assessment, palliative therapy, randomized controlled trial, staff, trust
National Category
Health Sciences Nursing
Identifiers
urn:nbn:se:hkr:diva-21587 (URN)10.1371/journal.pone.0244600 (DOI)33493153 (PubMedID)
Funder
Vårdal Foundation, 2014-0071Swedish Research Council, 2014-2759
Available from: 2021-01-27 Created: 2021-01-27 Last updated: 2021-06-14Bibliographically approved
Nivestam, A., Petersson, P., Westergren, A. & Haak, M. (2021). Older person's experience of the gains from the support and advice given during the preventive home visit. In: : . Paper presented at Nordic Conference in Nursing Research 2021, Copenhagen, October 4-6, 2021..
Open this publication in new window or tab >>Older person's experience of the gains from the support and advice given during the preventive home visit
2021 (English)Conference paper, Oral presentation with published abstract (Other academic)
Abstract [en]

Background: In order to maintain good health in old age, a comprehensive perspective including both health promotion and risk prevention is crucial. Preventive home visit is one intervention with the purpose to prevent risks and promote health among older persons. Support and advice given during the preventive home visit needs to be tailored towards the older person’s needs. In order to give advice and support that is targeting older persons prerequisites there is a need for more research about how older persons experience support and advice given during a preventive home visit. Therefore, the aim of this study was to explore older person’s experiences of the gains from the support and advice given in a preventive home visit program developed in collaboration between several municipalities, a county council and researchers.

Method: Individual semi-structured interviews were conducted with 13 older persons, mean age 79 years old, living at home who had received a preventive home visit. The interviews were analysed with content analysis.

Findings: The overarching preliminary theme Being empowered and recognised as a person reviled the participants feeling of that the support and advice given encountered all aspects of health and the whole person. The support and advice generated conditions for the person to be empowered by contributing to a feeling of control and preparedness for the future. Further the support and advice given contributed to a feeling of being recognised when health, behaviour and the surrounding environment were assessed.

Conclusion: Being empowered and recognised as a person might be central gains from the support and advice given during the preventive home visits, which enables good health among older persons.

National Category
Health Sciences
Identifiers
urn:nbn:se:hkr:diva-22603 (URN)
Conference
Nordic Conference in Nursing Research 2021, Copenhagen, October 4-6, 2021.
Available from: 2021-10-07 Created: 2021-10-07 Last updated: 2021-10-08Bibliographically approved
Nivestam, A., Westergren, A., Petersson, P. & Haak, M. (2021). Promote social participation among older persons by identifying physical challenges: an important aspect of preventive home visits. Archives of gerontology and geriatrics (Print), 93, 1-6, Article ID 104316.
Open this publication in new window or tab >>Promote social participation among older persons by identifying physical challenges: an important aspect of preventive home visits
2021 (English)In: Archives of gerontology and geriatrics (Print), ISSN 0167-4943, E-ISSN 1872-6976, Vol. 93, p. 1-6, article id 104316Article in journal (Refereed) Published
Abstract [en]

Introduction: Social participation  can have a positive  impact  on  health; however, physical challenges  can be hindrances. During a preventive  home  visit a health  professional (visitor) assesses different aspects of  physical,  mental and social health. However,  there might  be a challenge  for the  visitor  to discover  the interrelationship  between physical  factors that hinder social  participation. Therefore,  the aim  of this  study was, in  the context  of preventive  home visits, to identify  physical  factors which  can hinder  older  persons from taking  part in  social contexts.  Methods: Cross-sectional  register  data from  preventive  home  visits  to older  persons (n=1,245, ≥77 years old,  without  home care) was used. Data was collected during a period of 17 months, in  seven Swedish  municipalities. Logistic  regression  was used to analyse  the association between physical factors and the item physical problems hindering social participation. Results: The mean age was 78.8  (standard  deviation 1.8 years), and 55% were women. The physical  factors significantly  associated with  physical  problems  hindering  taking  part in  social contexts were: having urinary  incontinence (women  only),  having  pain,  impaired  endurance and using  a mobility  device.  Conclusions: This study  provides  insights  into  how to  make the best use of  the questions asked during preventive  home  visits, in  order to enable  older  persons to  take part in  social contexts. The  results recognise  the importance  of taking  into  account physical  challenges  to be able  to support  social  participation. Furthermore, considering physical challenges for social participation on both  an individual  and  a societal  level  might  reduce inequalities  among  older persons.

Keywords
Health promotion, inequality, older adult, prevention, society
National Category
Nursing
Identifiers
urn:nbn:se:hkr:diva-21406 (URN)10.1016/j.archger.2020.104316 (DOI)000620900800033 ()33321387 (PubMedID)
Funder
Swedish Research CouncilRegion Skåne
Available from: 2020-12-10 Created: 2020-12-10 Last updated: 2021-03-25Bibliographically approved
Argento, D., Einarson, D., Mårtensson, L., Persson, C., Wendin, K. & Westergren, A. (2020). Integrating sustainability in higher education: a Swedish case. International Journal of Sustainability in Higher Education, 21(6), 1131-1150
Open this publication in new window or tab >>Integrating sustainability in higher education: a Swedish case
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2020 (English)In: International Journal of Sustainability in Higher Education, ISSN 1467-6370, Vol. 21, no 6, p. 1131-1150Article in journal (Refereed) Published
Abstract [en]

Purpose – This paper aims to unveil how sustainability is integrated into the courses/programmes ofhigher education institutions. The research question addressed is: how do academics representing differentdisciplines cooperate and engage in the work of integrating sustainability into their teaching programmes.Design/methodology/approach – This paper draws upon the notions of practise variation andinstitutional work from institutional theory and empirically focusses on the case of Kristianstad University(Sweden). This case is based on an autoethnographic approach and illustrates the experiences shared by sixcolleagues, representing different disciplines, engaged in implementing sustainability in their courses/programmes.Findings – The findings highlight how academics representing different disciplines, with specific traditionsand characteristics, face the sustainability challenge. Despite being bound by similar sustainable developmentgoals, differences across disciplines need to be acknowledged and used as an asset if trans-disciplinarity is theultimate goal.Research limitations/implications – Although the intrinsic motivation of individuals to work withsustainability might be a strong driver, the implementation of sustainability within courses/programmes andacross disciplines requires joint efforts and collective institutional work.Practical implications – By highlighting how academics engage in the work of integratingsustainability, this study emphasizes that managers of higher education institutions need to account for thetime and additional resources needed to ensure that academics effectively cope with sustainability. Intrinsicmotivation may not last if organizational structures and leadership are not supportive on a practical level andin the long run.

Keywords
Higher education, Sustainability, Sustainable development goals, Institutional work, Inter-disciplinarity, Trans-disciplinarity
National Category
Pedagogical Work
Identifiers
urn:nbn:se:hkr:diva-20951 (URN)10.1108/IJSHE-10-2019-0292 (DOI)000556904000001 ()
Available from: 2020-08-10 Created: 2020-08-10 Last updated: 2021-03-11Bibliographically approved
Westergren, A., Petersson, P., Nivestam, A. & Haak, M. (2020). Mat och måltider för äldre personers hälsa: reflektioner under Covid-19-pandemin. Ä, 4, 22-23
Open this publication in new window or tab >>Mat och måltider för äldre personers hälsa: reflektioner under Covid-19-pandemin
2020 (Swedish)In: Ä, ISSN 2001-1164, Vol. 4, p. 22-23Article in journal (Other (popular science, discussion, etc.)) Published
National Category
Nutrition and Dietetics Nursing
Identifiers
urn:nbn:se:hkr:diva-21469 (URN)
Available from: 2020-12-28 Created: 2020-12-28 Last updated: 2021-01-14Bibliographically approved
Hedin, G., Hagell, P., Tönnesen, H., Norell-Clarke, A., Westergren, A. & Garmy, P. (2020). Teenagers' views of a good night's sleep. In: : . Paper presented at Sömn - i hälsans frontlinje, 12-14 feb 2020, Malmö.
Open this publication in new window or tab >>Teenagers' views of a good night's sleep
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2020 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hkr:diva-20509 (URN)
Conference
Sömn - i hälsans frontlinje, 12-14 feb 2020, Malmö
Available from: 2020-03-26 Created: 2020-03-26 Last updated: 2020-03-27Bibliographically approved
Westergren, A. & Sundquist, F. (2020). Verksamhetsberättelse 2020: Forskningsplattformen för Hälsa i Samverkan. Kristianstad: Kristianstad University Press
Open this publication in new window or tab >>Verksamhetsberättelse 2020: Forskningsplattformen för Hälsa i Samverkan
2020 (Swedish)Report (Other (popular science, discussion, etc.))
Place, publisher, year, edition, pages
Kristianstad: Kristianstad University Press, 2020. p. 44
Series
Forskningsplattformen Hälsa i Samverkan
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hkr:diva-21926 (URN)
Available from: 2021-05-26 Created: 2021-05-26 Last updated: 2021-05-27Bibliographically approved
Hedin, G., Hagell, P., Norell-Clarke, A., Westergren, A. & Garmy, P. (2019). Adolescent´s experiences of sleep and electronic media use. In: : . Paper presented at Adolescens Health Initiative, Michigan, Detroit, 11-12 april.
Open this publication in new window or tab >>Adolescent´s experiences of sleep and electronic media use
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2019 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Health Sciences
Identifiers
urn:nbn:se:hkr:diva-19301 (URN)
Conference
Adolescens Health Initiative, Michigan, Detroit, 11-12 april
Available from: 2019-05-15 Created: 2019-05-15 Last updated: 2019-08-27Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-4820-6203

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