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Sundström, M., Petersson, P., Rämgård, M., Varland, L. & Blomqvist, K. (2018). Health and social care planning in collaboration in olderpersons’ homes: the perspectives of older persons, familymembers and professionals. Scandinavian Journal of Caring Sciences, 32(1), 147-156
Open this publication in new window or tab >>Health and social care planning in collaboration in olderpersons’ homes: the perspectives of older persons, familymembers and professionals
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2018 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 32, no 1, p. 147-156Article in journal (Refereed) Published
Abstract [en]

Providing health and social care to older persons is challenging, since older persons often have multiple diseases and a complex health situation. Hence many professions and organisations are involved. Lack of interprofessional and interorganisational collaboration leads to fragmented care. Care planning meetings before hospital discharge have long been used to overcome this fragmentation, but meetings conducted at the hospital have limitations in identifying long-term needs at home. A new model for health and social care planning in collaboration (HSCPC) in older persons' homes was introduced in two Swedish municipalities. The aim of this study was to gain a deeper understanding of the HSCPC-meeting from the perspectives of older persons, family members, and professionals. Ten care planning meetings from two municipalities were consecutively included. Interviews in retrospect with ten older persons, eight family members, and ten groups of professionals who had attended the HSCPC-meeting at home were analysed with a hermeneutic approach. Four themes emerged: unspoken agendas and unpreparedness, security and enhanced understanding, asymmetric relationships, and ambiguity about the mission and need for follow-up. The comprehensive interpretation is that the professionals handled the HSCPC-meeting mainly as a routine task, while the older persons and family members viewed it as part of their life course. Older persons are in an inferior institutional, cognitive and existential position. However, meeting together in the home partly reduced their inferior position. Findings from this study provide some general suggestions for how HSCPC-meetings should be designed and developed: attention of power relations, the importance of meeting skills and follow-up.

Keywords
Care planning; collaboration; elderly; family; hermeneutic; home care; life course; person-centred; qualitative study
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hkr:diva-16816 (URN)10.1111/scs.12440 (DOI)000426524200014 ()28543670 (PubMedID)
Available from: 2017-05-31 Created: 2017-05-31 Last updated: 2018-04-03Bibliographically approved
Herrström, K., Larsson, S., Einberg, E.-L., Nilsson, M., Blomqvist, K. & Garmy, P. (2018). Metodutveckling i litteraturbaserat examensarbete inom sjuksköterskeprogrammet. In: : . Paper presented at NU2018, Det akademiska lärarskapet, 9-11 oktober.
Open this publication in new window or tab >>Metodutveckling i litteraturbaserat examensarbete inom sjuksköterskeprogrammet
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2018 (Swedish)Conference paper, Oral presentation only (Refereed)
National Category
Educational Sciences Nursing
Identifiers
urn:nbn:se:hkr:diva-19769 (URN)
Conference
NU2018, Det akademiska lärarskapet, 9-11 oktober
Available from: 2019-08-22 Created: 2019-08-22 Last updated: 2019-08-29Bibliographically approved
Nilsson, M., Andersson, I. & Blomqvist, K. (2017). Coexisting needs: paradoxes in collegial reflection—the development of a pragmatic method for reflection. Education Research International, 2017, Article ID 4851067.
Open this publication in new window or tab >>Coexisting needs: paradoxes in collegial reflection—the development of a pragmatic method for reflection
2017 (English)In: Education Research International, ISSN 2090-4002, E-ISSN 2090-4010, Vol. 2017, article id 4851067Article in journal (Refereed) Published
Abstract [en]

This paper addresses a feasibility study of a method for recurrent collegial reflection. A qualitative approach, using a participatory research design, was adopted. The collegial reflection was implemented in a school, in a middle-sized municipality in southern Sweden, with 21 teachers participating in the intervention. Data collection included digital recordings of collegial reflection, open questions by mail, and individual interviews. Findings indicated one major theme, paradoxes in the design of the collegial reflection, and three categories: wanting to decide and wanting to be guided; meeting each other as teachers and/or as persons; and looking for the safe and/or looking for the new. Before implementing the method in another context, management needs to appreciate these contradictory experiences, allow for voluntary participation, address participants’ expectations, and allocate time and tasks. This study implicates that collegial reflection may contribute to teachers’ professional development, and it is thereby relevant to teachers’ classroom practice and pupils’ learning. We conclude that, by creating a structure which supports teachers’ collegial reflection, the school may function as a supportive environment, which may contribute to teacher retention.

National Category
Medical and Health Sciences Pedagogy
Identifiers
urn:nbn:se:hkr:diva-17339 (URN)10.1155/2017/4851067 (DOI)000412358200001 ()
Available from: 2017-10-03 Created: 2017-10-03 Last updated: 2017-10-23Bibliographically approved
Gardsten, C., Mörtberg, C. & Blomqvist, K. (2017). Designing an ICT self-management service: suggestions from persons with type 2 diabetes. Health and Technology, 7(2-3), 197-206
Open this publication in new window or tab >>Designing an ICT self-management service: suggestions from persons with type 2 diabetes
2017 (English)In: Health and Technology, ISSN 2190-7188, E-ISSN 2190-7196, Vol. 7, no 2-3, p. 197-206Article in journal (Refereed) Published
Abstract [en]

This paper reports the wishes and needs of people with type 2 diabetes (T2DM) for a future information and communication technology (ICT) self-management service to help manage their condition and their everyday life. Diabetes is a chronic disease affecting more and more people and placing increasing demands on health care. The self-management of diabetes includes instrumental and, decision-making skills and skills in managing daily activities, which may be supported by an ICT service. In this study we used a participatory design including two sessions of Future Workshop (FW) as part of a larger research project on the self-management of diabetes. Adults with type 2 diabetes participated in two FW sessions in which their expressed wishes and needs for an ICT service all fell under the broad category of Acceptance of the diagnosis, with three other suggestions; Trust in partnerships, Communication, and Individualized information. The participants’ experience of the FW as a democratic process and their appreciation of mutual learning contributed to these results, which are consistent with the aims of person-centred care.

Keywords
Type 2 diabetes, Future workshop, ICTservice, Chronic disease selfmanagement, Person-centred care, Participatory design
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hkr:diva-16428 (URN)10.1007/s12553-016-0176-9 (DOI)000423997100005 ()29201589 (PubMedID)
Available from: 2017-01-17 Created: 2017-01-12 Last updated: 2018-02-22Bibliographically approved
Sundström, M., Edberg, A.-K., Rämgård, M. & Blomqvist, K. (2017). Health care staff’s perception of existential loneliness among older people. In: : . Paper presented at The 21ST IAGG World Congress of Gerontology & Geriatrics Global Aging and Health: Bridging Science, Policy, and Practice.
Open this publication in new window or tab >>Health care staff’s perception of existential loneliness among older people
2017 (English)Conference paper, Poster (with or without abstract) (Other academic)
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hkr:diva-17114 (URN)
Conference
The 21ST IAGG World Congress of Gerontology & Geriatrics Global Aging and Health: Bridging Science, Policy, and Practice
Available from: 2017-08-24 Created: 2017-08-24 Last updated: 2017-09-05Bibliographically approved
Blomqvist, K., Edberg, A.-K., Ernsth Bravell, M. & Wijk, H. (Eds.). (2017). Omvårdnad & äldre. Lund: Studentlitteratur
Open this publication in new window or tab >>Omvårdnad & äldre
2017 (Swedish)Collection (editor) (Other academic)
Abstract [sv]

Boken belyser äldre personers hälsa och ohälsa och bygger på sammanlagt 27 svenska forskares beskrivningar av det aktuella kunskapsläget. De flesta författare har sin utgångspunkt i omvårdnad, men bland författarna återfinns även företrädare för medicin, oral hälsa, kulturgeografi, filosofi, socialt arbete, gerontologi, medicinsk etik, arbetsterapi och fysioterapi.

Omvårdnad & äldre vänder sig till sjuksköterskestudenter på såväl grund- som specialistutbildning, men även till kliniskt verksamma sjuksköterskor och andra yrkesgrupper inom fältet. År 2017 tilldelades boken Kurslitteraturprisets hederspris med följande motivering: ”För ett hhögaktuellt såväl i dag som under många år framöver. Andelen äldre ökar och många lever allt längre med långvariga sjukdomar. Detta ställer nya krav på sjuksköterskan och omvårdnaden. Boken är helt anpassad till dessa nya förutsättningar där de senaste forskningsresultaten kombineras med konkreta omvårdnadsåtgärder. Verket är mycket välskrivet, med den äldre personen ständigt i centrum.”eltäckande grundverk, som med gedigen vetenskaplig tyngd, avhandlar ett område som är högaktuellt såväl i dag som under många år framöver. Andelen äldre ökar och många lever allt längre med långvariga sjukdomar. Detta ställer nya krav på sjuksköterskan och omvårdnaden. Boken är helt anpassad till dessa nya förutsättningar där de senaste forskningsresultaten kombineras med konkreta omvårdnadsåtgärder. Verket är mycket välskrivet, med den äldre personen ständigt i centrum.”

Place, publisher, year, edition, pages
Lund: Studentlitteratur, 2017. p. 704
National Category
Nursing
Identifiers
urn:nbn:se:hkr:diva-17236 (URN)978-91-44-10279-5 (ISBN)
Available from: 2017-09-12 Created: 2017-09-12 Last updated: 2017-09-26Bibliographically approved
Nilsson, M., Blomqvist, K. & Andersson, I. (2017). Salutogenic resources in relation to teachers' work-life balance. Work: A journal of Prevention, Assesment and rehabilitation, 54(4), 591-602
Open this publication in new window or tab >>Salutogenic resources in relation to teachers' work-life balance
2017 (English)In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 54, no 4, p. 591-602Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Experiencing work-life balance is considered a health promoting resource. To counter-balance the negative development of teachers' work situation, salutogenic resources need to be examined among teachers.

OBJECTIVE: To examine resources related to teachers' experience of their work-life balance.

METHODS: Using a cross-sectional design, a questionnaire was distributed to 455 teachers in compulsory schools in a Swedish community. A total of 338 teachers participated (74%). A multiple linear regression method was used for the analysis.

RESULTS: Four variables in the regression model significantly explained work-life balance and were thereby possible resources: time experience at work; satisfaction with everyday life; self-rated health; and recovery. The strongest association with work-life balance was time experience at work. Except time experience at work, all were individual-related.

CONCLUSIONS: This study highlights the importance of school management's support in reducing teachers' time pressure. It also emphasizes the need to address teachers' individual resources in relation to work-life balance. In order to support teachers' work-life balance, promote their well-being, and preventing teachers' attrition, we suggest that the school management would benefit from creating a work environment with strengthened resources.

Keywords
Recovery, survey, teachers’ work environment, workplace health promotion
National Category
Health Sciences
Identifiers
urn:nbn:se:hkr:diva-16674 (URN)10.3233/WOR-172528 (DOI)000400594700011 ()28409767 (PubMedID)
Available from: 2017-04-24 Created: 2017-04-24 Last updated: 2017-06-01Bibliographically approved
Nilsson, M., Ejlertsson, G., Andersson, I. & Blomqvist, K. (2015). Caring as a salutogenic aspect in teachers' lives. Teaching and Teacher Education: An International Journal of Research and Studies, 46, 51-61
Open this publication in new window or tab >>Caring as a salutogenic aspect in teachers' lives
2015 (English)In: Teaching and Teacher Education: An International Journal of Research and Studies, ISSN 0742-051X, E-ISSN 1879-2480, Vol. 46, p. 51-61Article in journal (Refereed) Published
Abstract [en]

This inquiry explored how a group of teachers experienced resources for their well-being, both at work and in their private lives. The findings indicate that caring, for others and for oneself, is central for teachers' well-being. Caring is manifested in being present in the moment, and in actions which promote the well-being of oneself and others. Implications from the findings suggest that both school administration and teacher education should pay special attention to the caring aspects of teaching, as they influence teachers' well-being and retention, as well as the pupils' learning. Health promotion interventions could benefit from these findings.

Keywords
Caring, Teachers, Well-being, Hermeneutics
National Category
Pedagogical Work
Identifiers
urn:nbn:se:hkr:diva-13200 (URN)10.1016/j.tate.2014.10.009 (DOI)000349193200006 ()
Available from: 2014-11-13 Created: 2014-11-13 Last updated: 2017-12-05Bibliographically approved
Rämgård, M., Blomqvist, K. & Petersson, P. (2015). Developing health and social care planning in collaboration. Journal of Interprofessional Care, 29(4), 354-358
Open this publication in new window or tab >>Developing health and social care planning in collaboration
2015 (English)In: Journal of Interprofessional Care, ISSN 1356-1820, E-ISSN 1469-9567, Vol. 29, no 4, p. 354-358Article in journal (Refereed) Published
Abstract [en]

Collaboration between different professions in community care for older people is often both difficult and complex. In this project, a participatory action research (PAR) was conducted in order to support the professions involved in the care for older people to develop individualized health and social care plans. Cases from daily work were discussed in different professional groups over a period of one year. A key finding was that lack of knowledge regarding the other professions' field of expertise and their underlying professional culture and values was a barrier in their collaboration. However, as the continuous reflective dialogue process progressed, the participants began to reflect more about the importance of collaboration as a prerequisite to achieve the best possible care for the recipient. This process of reflection led to the often complex needs of the care recipients being given a more central position and thus care plans being better tailored to each person's needs.5

Keywords
Interprofessional collaboration, action research, health and social care
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hkr:diva-13497 (URN)10.3109/13561820.2014.1003635 (DOI)000359817300010 ()25633427 (PubMedID)
Available from: 2015-02-09 Created: 2015-02-09 Last updated: 2017-12-04Bibliographically approved
Larsson, H. & Blomqvist, K. (2015). From a diagnostic and particular approach to a person-centred approach: a development project. Journal of Clinical Nursing, 24(3-4), 465-474
Open this publication in new window or tab >>From a diagnostic and particular approach to a person-centred approach: a development project
2015 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 24, no 3-4, p. 465-474Article in journal (Refereed) Published
Abstract [en]

Aims and objectives

To investigate changes over time in an interdisciplinary group that was engaged in development work regarding pain and pain assessment.

Background

The outcomes of nursing research do not always find their way to the daily care of patients. This is evident within, for instance, physical rehabilitation, where relieving patients' pain is a major challenge. To gain new understanding, develop and change, registered nurses have a great part in engaging their staff.

Design

A qualitative study using a participatory action research approach was used, and a hermeneutic analysis was conducted.

Methods

A group of three registered nurses, two assistant nurses and a physiotherapist took part in focus group sessions. This group was followed with seven repeated sessions during a period of five months from January 2010 until June 2010. A hermeneutic analysis was used.

Results

The participants changed their attitudes towards the patient in pain, their own caring role and the team's role towards a more person-centred care.

Conclusions

Participation and reflection were key aspects as means to transfer knowledge into action and establish change. The participants came to the sessions, shared actively their experiences and expressed pride in the work they accomplished. This can be seen as an expression of a need to share and a joy to be working together in a person-oriented development area. In addition, the approach seemed to contribute to increased job satisfaction.

Relevance to clinical practice

The participants expressed that their work resulted in a changed approach to pain and pain assessment in their daily practice at the ward. The participants were actively engaged in enhancing their work with pain and pain assessment in their own daily practice and in implementing research-based knowledge.

Keywords
development care, focus groups, hermeneutics, pain, participatory action research, person-centred, teamwork
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hkr:diva-12304 (URN)10.1111/jocn.12628 (DOI)000350348600015 ()24814250 (PubMedID)
Note

Article first published online: 9 MAY 2014

Available from: 2014-07-01 Created: 2014-07-01 Last updated: 2017-12-05Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-4122-3003

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