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Janlöv, Ann-ChristinORCID iD iconorcid.org/0000-0002-2795-1899
Publications (10 of 14) Show all publications
Janlöv, A.-C., Ainalem, I., Andersson, A.-C. & Berg, A. (2016). An improvement program as a way to intensify inter-professional collaboration in the community for people with mental disabilities: a follow-up. Issues in Mental Health Nursing, 37(12), 885-893
Open this publication in new window or tab >>An improvement program as a way to intensify inter-professional collaboration in the community for people with mental disabilities: a follow-up
2016 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 37, no 12, p. 885-893Article in journal (Refereed) Published
Abstract [en]

The aim of the study was to follow up inter-professional experiences of improvement work one year after a completed CII improvement program aiming at improve health care and social services for people with mental disabilities living in ordinary housing. This study was performed with a qualitative descriptive approach which employed six focus group interviews followed by a thematic analysis. The results revealed four themes; Self-awareness and insights; Behavior and actions in daily practice; Organizational cultures and subcultures; and Organizational practices, using Ken Wilbers' integral theory of four quadrants of realities as a holistic frame in the discussion.

National Category
Nursing
Identifiers
urn:nbn:se:hkr:diva-16302 (URN)10.1080/01612840.2016.1236863 (DOI)000391702700002 ()27911240 (PubMedID)
Available from: 2016-12-08 Created: 2016-12-08 Last updated: 2017-11-29Bibliographically approved
Lethin, C., Hallberg, I. R., Karlsson, S. & Janlöv, A.-C. (2016). Family caregivers experiences of formal care when caring for persons with dementia through the process of the disease. Scandinavian Journal of Caring Sciences, 30(3), 526-534
Open this publication in new window or tab >>Family caregivers experiences of formal care when caring for persons with dementia through the process of the disease
2016 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 30, no 3, p. 526-534Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Family caregivers' experiences of formal care when caring for persons with dementia through the process of the disease is sparsely investigated.

AIMS: To investigate family caregivers' experiences of formal care when caring for a person with dementia, through the stages of the disease.

DESIGN: A qualitative approach with focus group interviews.

METHODS: Four focus group interviews were conducted in October 2011 with 23 spouses and adult children of persons with dementia and analysed with content analysis.

RESULTS: The participants' experiences of formal care when caring for a person with dementia were captured in the theme 'Family caregiving requires collaboration with formal care to get support adjusted to needs specific to the stages of dementia'. This can be broken down into the categories 'The dementia diagnosis - entry into formal care as a novice family caregiver', 'Needing expanded collaboration with formal care to continue care at home' and 'Being dependent on a nursing home and trying to maintain involvement'.

CONCLUSION: Family caregiving requires collaboration with formal care to get support adjusted to the individual's needs, specific to the stages of dementia. Caregivers experience a transition process with three main turning points: the dementia diagnosis; when they realise increased need for formal care to continue caring at home; and when the person with dementia is moved into a nursing home. The interviewed caregivers experience formal care reactive to their needs and this often promoted unhealthy transitions. Formal care needs to be proactive and deliver available care and support early on in the dementia trajectory. Interventions should focus on facilitating a healthy transition for family caregivers through the trajectory of the dementia disease to ensure their well-being.

Keywords
Alzheimer's disease, dementia, experiences, family caregivers, focus groups, formal care, nursing, qualitative research, trajectory, transition theory.
National Category
Nursing
Identifiers
urn:nbn:se:hkr:diva-14567 (URN)10.1111/scs.12275 (DOI)000383803300011 ()26346507 (PubMedID)
Funder
EU, FP7, Seventh Framework ProgrammeVårdal Foundation
Available from: 2015-09-14 Created: 2015-09-14 Last updated: 2017-07-31Bibliographically approved
Janlöv, A.-C., Granskar, M. & Berg, A. (2015). Challenges highlighted during peer supervision by mental health nurses and social workers recently trained as case managers in Sweden. Issues in Mental Health Nursing, 36(10), 809-816
Open this publication in new window or tab >>Challenges highlighted during peer supervision by mental health nurses and social workers recently trained as case managers in Sweden
2015 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 36, no 10, p. 809-816Article in journal (Refereed) Published
Abstract [en]

This study looked at 13 mental health nurses and social workers who were recently trained as case managers (CMs) and the work-related challenges they faced in community mental health services. Data were collected during ten peer supervisions sessions. Participants expressed pride and enthusiasm about their new function as CMs, but they also acknowledged that their new position meant they had to confront existing systems and posed several challenges, including organizational hindrances, economic prerequisites, nominated administrators, role function, and model fidelity. We conclude that the existing organizations seemed to be unprepared to hold and facilitate more person-centered approaches, such as designating CMs. The model fidelity is important, but has to be flexible according to clients' daily state.

National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hkr:diva-15322 (URN)10.3109/01612840.2015.1047073 (DOI)000369967400008 ()26514259 (PubMedID)
Available from: 2016-03-08 Created: 2016-03-08 Last updated: 2017-11-30Bibliographically approved
Clausson, E. K., Berg, A. & Janlöv, A.-C. (2015). Challenges of documenting schoolchildren's psychosocial health: a qualitative study. Journal of School Nursing, 31(3), 205-211
Open this publication in new window or tab >>Challenges of documenting schoolchildren's psychosocial health: a qualitative study
2015 (English)In: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364, Vol. 31, no 3, p. 205-211Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to explore school nurses’ experience of challenges related to documenting schoolchildren’s psychosocial health in Sweden. Six focus group discussions were carried out. Areas for discussions included questions about situations, especially challenging to document as well as what constrains and/or facilitates documenting psychosocial health problem issues. Qualitative content analysis was used for interpreting the data. The analysis resulted in one overarching theme: having to do one’s duty and being afraid of doing wrong; and three subthemes: uncertainty related to one’s own ability, concerns related to future consequences, and strategies to handle the documentation. School nurses relying on their intuition and using a structured documentation model may increase the opportunities for a reliable documentation. To further develop their professional skills with regular, clinical supervision can be of great importance. This in turn may increase contributions to research and development for the benefit of schoolchildren’s psychosocial health.

 

 

Keywords
mental health, documentation, legal/ethical issues, school nurse, knowledge/perceptions/self-efficacy, qualitative research, psykisk hälsa, dokumentation, etik, skolsköterska, uppfattning, kvalitativ forskning
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hkr:diva-12513 (URN)10.1177/1059840514543525 (DOI)000353984700006 ()25061093 (PubMedID)
Available from: 2014-08-05 Created: 2014-08-05 Last updated: 2017-12-05Bibliographically approved
Forsén, L. & Janlöv, A.-C. (2015). De äldstas erfarenhet av att leva i närsamhället: en fokusgruppsstudie i Kristianstad kommun. Kristianstad: Kristianstad University Press
Open this publication in new window or tab >>De äldstas erfarenhet av att leva i närsamhället: en fokusgruppsstudie i Kristianstad kommun
2015 (Swedish)Report (Other academic)
Abstract [sv]

En stor och snabb ökning av en äldre befolkning ses i nästan hela världen vilket utmanarsamhällen att anpassa sig och planera i syfte att maximera deras hälsa och funktionsförmåga.Ett åldersvänligt samhälle har stödjande miljöer och kultur av delaktighet med möjlighetatt fullt ut delta i samhället. Syftet med denna studie är att studera upplevelsen avKristianstads kommuns äldre invånare över 75 år ur hälso- och aktivitet perspektiv. Studienanvänder empiriska data som samlats in från två fokusgruppsintervjuer med sammanlagt14 informanter och kvalitativ induktiv innehållsanalys. Seniorerna beskrev oberoendeoch självständighet, samt social delaktighet och känslan av att vara till nytta både för sigsjälv och samhället som helhet som viktiga faktorer i åldrandet och hälsa. Självständigtboende med tillgång till service, samhällsresurser och infrastruktur ger möjlighet att behållaoberoendet. Rikligt med aktiviteter och umgänge samt känslan av trygghet var centralt försocial delaktighet. För att behålla känslan av att vara till nytta och en resurs beskrev informanternavikten av att delta i och påverka sina levnadsvillkor. Sammanfattningsvis ger denväxande äldre befolkningen tydliga signaler om att arbeta för hälsofrämjande och sjukdomsförebyggandeåtgärder skapar möjlighet till friskt och aktivt åldrande. Analysresultatetska ingå i Kristianstad kommun WHO Age-friendly cities projekt vars syfte är att göra enförvaltningsövergripande plan med fokus på framtiden för ett aktivt och hälsosamt åldrandesamt även med förhoppning om att denna rapport kan bidra till diskussion i kommuner ochlandsting om utmaningar och möjligheter till förbättringar av de äldstas livsvillkor och hälsa.

Place, publisher, year, edition, pages
Kristianstad: Kristianstad University Press, 2015. p. 44
Series
Forskningsplattformen för Hälsa i samverkan, ISSN 1652-9979 ; 2015:2
Keywords
De äldsta, 75+, hälsosamt och aktivt åldrande, samhällsplanering
National Category
Nursing
Identifiers
urn:nbn:se:hkr:diva-16138 (URN)
Available from: 2016-10-11 Created: 2016-10-06 Last updated: 2017-02-07Bibliographically approved
Törnquist Agosti, M., Andersson, I., Ejlertsson, G. & Janlöv, A.-C. (2015). Shift work to balance everyday life: a salutogenic nursing perspective in home help service in Sweden. BMC Nursing, 14(1), 2
Open this publication in new window or tab >>Shift work to balance everyday life: a salutogenic nursing perspective in home help service in Sweden
2015 (English)In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 14, no 1, p. 2-Article in journal (Refereed) Published
Abstract [en]

Background: Nurses in Sweden have a high absence due to illness and many retire before the age of sixty. Factors at work as well as in private life may contribute to health problems. To maintain a healthy work–force there is a need for actions on work-life balance in a salutogenic perspective. The aim of this study was to explore perceptions of resources in everyday life to balance work and private life among nurses in home help service.

Methods: Thirteen semi-structured individual interviews and two focus group interviews were conducted with home help service nurses in Sweden. A qualitative content analysis was used for the analyses.

Result: In the analyses, six themes of perceptions of recourses in everyday life emerged; (i) Reflecting on life. (ii) Being healthy and taking care of yourself. (iii) Having a meaningful job and a supportive work climate. (iv) Working shifts and part time. (v) Having a family and a supporting network. (vi) Making your home your castle.

Conclusions: The result points out the complexity of work-life balance and support that the need for nurses to balance everyday life differs during different phases and transitions in life. In this salutogenic study, the result differs from studies with a pathogenic approach. Shift work and part time work were seen as two resources that contributed to flexibility and a prerequisite to work-life balance. To have time and energy for both private life and work was seen as essential. To reflect on and discuss life gave inner strength to set boundaries and to prioritize both in private life and in work life. Managers in nursing contexts have a great challenge to maintain and strengthen resources which enhance the work-life balance and health of nurses. Salutogenic research is needed to gain an understanding of resources that enhance work-life balance and health in nursing contexts.

Keywords
Salutogenesis, Nursing, Home help service, Health promotion, Work-life balance
National Category
Work Sciences
Identifiers
urn:nbn:se:hkr:diva-13416 (URN)10.1186/s12912-014-0054-6 (DOI)25620885 (PubMedID)
Available from: 2015-01-19 Created: 2015-01-19 Last updated: 2019-05-08Bibliographically approved
Ottosson, L. & Janlöv, A.-C. (2015). Vägen till ett aktivt och hälsosamt liv: upplevelser och erfarenheter av vad som ger ett aktivt och hälsosamt åldrande bland personer i gruppen 60-74 år. Kristianstad: Kristianstad University Press
Open this publication in new window or tab >>Vägen till ett aktivt och hälsosamt liv: upplevelser och erfarenheter av vad som ger ett aktivt och hälsosamt åldrande bland personer i gruppen 60-74 år
2015 (Swedish)Report (Other academic)
Abstract [sv]

Bakgrund: Den äldre befolkningen ökar i Sverige och i nästan alla delar av världen, därförär det viktigt med kunskap om hur vi kan skapa goda förutsättningar för att bevara hälsanför människor, även i hög ålder. Investeringar i hälsosamt åldrande ökar livskvalitet för denenskilde, skapar ett hållbart samhälle och bidrar till minskade samhällskostnader.Syfte: Syftet var att undersöka upplevelser och erfarenheter av vad som ger ett aktivt ochhälsosamt åldrande för personer i åldrarna 60 -74 år i Kristianstad kommun.Metod: En empirisk intervjustudie med datainsamling i två fokusgrupper, med sammanlagt15 deltagare och kvalitativ innehållsanalys.Resultat: Genomgående tema i resultatet var tillgänglighet till närsamhället. För bevaradhälsa var självständighet centralt och påverkades av var man bor, tillgänglig service, möjlighetatt ta sig fram samt goda möten med tid för samtal. För ett aktivt liv var känslan avdelaktighet, känna sig behövd och föreningsaktivitet av stor vikt. En trygg ekonomi, åtkomliginformation, mötas av respekt och att våga gå ut var förutsättningar för att vara aktivoch delta i samhället.Slutsats: För att möta den åldrande befolkningens behov behöver samhället arbeta preventivtför att ge seniorer en bra miljö att leva i. Det finns idag mycket forskning om hur viska leva hälsosamt och förebygga sjukdom. Den stora utmaningen är att forma ett samhällesom är hållbart för framtiden, där vi alla kan leva ett långt och hälsosamt liv, ävensom senior.

Place, publisher, year, edition, pages
Kristianstad: Kristianstad University Press, 2015. p. 41
Series
Forskningsplattformen för Hälsa i samverkan, ISSN 1652-9979 ; 2015:1
Keywords
Seniorer, ålder 60-74 år, hälsosamt åldrande, samhällsplanering
National Category
Nursing
Identifiers
urn:nbn:se:hkr:diva-16142 (URN)
Available from: 2016-10-11 Created: 2016-10-06 Last updated: 2017-02-07Bibliographically approved
Bökberg, C., Ahlström, G., Karlsson, S., Hallberg, I. R. & Janlöv, A.-C. (2014). Best practice and needs for improvement in the chain of care for persons with dementia in Sweden: a qualitative study based on focus group interviews. BMC Health Services Research, 14, 596
Open this publication in new window or tab >>Best practice and needs for improvement in the chain of care for persons with dementia in Sweden: a qualitative study based on focus group interviews
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2014 (English)In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 14, p. 596-Article in journal (Refereed) Published
Abstract [en]

Background: Persons with dementia receive health care and social services from a wide range of professional care providers during the disease trajectory, presenting risks of miscommunication, duplication and/or missed nursing interventions. Accordingly, the aim of this study was to investigate professional care providers’ views on conditions for best practice in terms of collaboration and improvement needs in the chain of care from early to end-of-life stage for persons with dementia in Sweden.

Methods: The study had a qualitative design based on three focus group interviews. A strategic sample of 23 professional care providers was included. Data were subjected to content analysis based on the three stages of dementia (early, moderate, end-of-life).

Results: The results were divided into five categories: Diagnosis is a prerequisite for specialized dementia care, Creating routines in the chain of care, Competent staff a prerequisite for high-quality care, Day care facilitates transition in the chain of care and Next-of-kin participation is a prerequisite for continuity in the chain of care. It was clear that, according to the participants, best practice in dementia care in Sweden is not achieved in every respect. It appeared that transitions of care between different organizations are critical events which need to be improved. The further the disease progresses, the less collaboration there seems to be among professional care providers, which is when the next of kin are usually called upon to maintain continuity in the chain of care.

Conclusions: The results indicate that, according to the care providers, best practice in terms of collaboration is achieved to a higher degree during the early stage of dementia compared with the moderate and end-of-life stages. Lack of best practice strategies during these stages makes it difficult to meet the needs of persons with dementia and reduce the burden for next of kin. These are experiences to be taken into account to improve the quality of dementia care. Implementation research is needed to develop strategies for best practice on the basis of national knowledge-based guidelines and to apply these strategies in the moderate and end-of-life stages.

Keywords
Dementia care, Best practice, Transitions, Health care, Chain of care, Home care, Nursing home, Professional care providers, Nursing
National Category
Nursing
Identifiers
urn:nbn:se:hkr:diva-13269 (URN)10.1186/s12913-014-0596-z (DOI)000347349000001 ()
Funder
EU, FP7, Seventh Framework Programme, 242153
Available from: 2014-12-05 Created: 2014-12-05 Last updated: 2017-12-05Bibliographically approved
Janlöv, A.-C., Persson, I. & Berg, A. (2014). The lived experience of a 24-hour support center for persons with psychiatric disabilities: making me feel almost like an ordinary person. Open Journal of Nursing, 4(1), 42-50
Open this publication in new window or tab >>The lived experience of a 24-hour support center for persons with psychiatric disabilities: making me feel almost like an ordinary person
2014 (English)In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 4, no 1, p. 42-50Article in journal (Refereed) Published
Abstract [en]

This study illuminates nine psychiatric disabled persons’ lived experience of a newly established community-based service center open around the clock. This new 24-hour support center (SC) was established in 2011 in a Swedish community to better match and facilitate the disabled persons’ needs. In order to illuminate the disabled person’s experiences individual interview was performed. A phenomenological-hermeneutical method inspired by Paul Ricoeur was used to interpret the texts. After a naive reading, a structural analysis revealed two themes: 1), becoming aware of myself as a person, and 2) having a lifeline and belongingness. The comprehensive understanding was interpreted as meaning “Making me feel almost like an ordinary person”, which incorporated the person’s past with their present together with a direction for the future and hope for a more fulfilling life.

National Category
Nursing Psychiatry
Identifiers
urn:nbn:se:hkr:diva-12875 (URN)10.4236/ojn.2014.41007 (DOI)
Available from: 2014-09-11 Created: 2014-09-11 Last updated: 2017-12-05Bibliographically approved
Martinsson, I., Edberg, A.-K. & Janlöv, A.-C. (2013). Growing old in a foreign context: older immigrants experience of the everyday life in nursing home. Vård i Norden, 33(3), 34-38
Open this publication in new window or tab >>Growing old in a foreign context: older immigrants experience of the everyday life in nursing home
2013 (English)In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 33, no 3, p. 34-38Article in journal (Refereed) Published
Abstract [en]

Aim: The aim of the study was to illuminate older immigrants’ experiences of moving to a residential care facility.

 

Background: Increased immigration will lead to a future increase in the number of older immigrants in residential care. In order to adjust nursing care to their needs it is important to acquire knowledge of their situation.

 

Methods: Semi-structured interviews with seven immigrants living in residential care in Sweden were analysed using a qualitative manifest content analysis.

 

Findings: Older immigrants’ experience of everyday life in residential care facilities was: Trying to adjust to relocation to residential care, Feeling alienated by communication difficulties, and Trying to stay connected by keeping ties to the origin and past, with internal variation seen as subcategories.

 

Conclusion: Older immigrants, who move into residential care are vulnerable and experience a major transition as they move from a familiar social and cultural environment into a place mainly designed for older Swedes. There is a great risk that they will become alienated and highly dependent on their relatives if not nursing care interventions with specific focus on their needs are developed.

Keywords
Everyday life, Immigrants, Older, Residential care
National Category
Nursing
Identifiers
urn:nbn:se:hkr:diva-11582 (URN)
Available from: 2014-01-04 Created: 2014-01-04 Last updated: 2017-12-06Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-2795-1899

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