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Sundström, Malin
Publications (4 of 4) Show all publications
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
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
Sundström, M., Blomqvist, K., Petersson, P. & Rämgård, M. (2014). Factors for improving Health and Social Care Planning in Collaboration (HSCPC): a Participatory Action Research project. Oral presentation at Nordic Conference in Nursing Research. Odense 2014. In: : . Paper presented at Nordic Conference in Nursing Research.
Open this publication in new window or tab >>Factors for improving Health and Social Care Planning in Collaboration (HSCPC): a Participatory Action Research project. Oral presentation at Nordic Conference in Nursing Research. Odense 2014
2014 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Objective: A recent project to develop Health and Social Care Plannings in Collaboration (HSCPC) resulted in a new model for care plannings in older persons’ homes. After having used the model for about six months, the management and participating professionals asked researchers for support to evaluate the model. In particular they wanted to know how the older persons experienced the HSCPC and how the model could be improved.

Methodology: We used a Participatory Action Research approach and invited older persons, their relatives and professionals who had participated in HSCPC. The older persons and their relatives were interviewed individually two weeks after the HSCPC and the profes- sionals from the same care planning took part in focus groups. The professionals and the management were also invited to participate in feedback sessions.

Results: Older persons, relatives and professionals expressed an overall positive attitude to HSCPC. In particular they appreciated that the meeting was held in the older persons’ homes and that the older persons were able to express their own experiences and wishes. Preparation of the meeting, communications skills during the meeting and follow up’s were areas that should be improved. During the feed- back sessions, professionals and management came up with ideas of how to handle improvement needs.

Conclusion: The initial development project became an established part of everyday practice characterized by an endeavor to make continuous improvements. Thus, it could be viewed as a triple-helix project.

National Category
Nursing
Identifiers
urn:nbn:se:hkr:diva-13410 (URN)
Conference
Nordic Conference in Nursing Research
Projects
Erfarenheter av vård och omsorgsplanering i samverkan
Available from: 2015-01-15 Created: 2015-01-15 Last updated: 2015-01-19Bibliographically approved
Sundström, M., Blomqvist, K., Petersson, P., Rämgård, M. & Varland, L. (2013). Inte samma mall för alla: om vård- och omsorgsplanering i samverkan. Kristianstad: Kristianstad University Press
Open this publication in new window or tab >>Inte samma mall för alla: om vård- och omsorgsplanering i samverkan
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2013 (Swedish)Report (Other academic)
Abstract [sv]

När en person är medicinskt färdigbehandlad på sjukhuset och ska skrivas ut, men i fortsatt behov av vård och omsorg sker en övergripande vårdplanering på sjukhuset för att fördela ansvaret mellan kommun och landsting/region, en så kallad Samordnad vårdplanering (SVPL). Det handlar om att fördela ansvaret både praktiskt och ekonomiskt samt att besluta om vem som ansvarar för uppföljning. När vården och omsorgen ges i det egna hemmet beviljas personen insatser via hemsjukvården och då bör en specifik vårdplan upprättas (Region Skåne, 2005). Dokumentet benämns vård- och omsorgsplan i samverkan (VOPS) eftersom vårdplaneringen skall ske i samverkan mellan kommunens och primärvårdens personal. Denna VOPS skall vara framåtsyftande till sin karaktär och verka för att bevara den enskildes hälsa och välbefinnande i ett längre perspektiv, där också personens egna önskemål tas med i planeringen. En avsikt är också att en VOPS-planering skall följa personen i hela processen, kommunen, primärvården och specialistvården. Genom dokumentationen skall sedan olika vårdgivare kunna skapa sig en uppfattning om personens situation och de olika vårdbehov som finns och kan uppstå för att ge en god vård och omsorg. En annan avsikt är också att förebygga oplanerade sjukhusinläggningar genom att planera åtgärder vid akut insjuknande och försämring. I den här studien har tio VOPS-möten följts upp med individuella intervjuer med den äldre och dennes närstående samt fokusgruppsintervjuer med personalgruppen. Avsikten har varit att fånga olika deltagares erfarenheter av att delta i och genomföra en vård- och omsorgsplanering i samverkan (VOPS).

Place, publisher, year, edition, pages
Kristianstad: Kristianstad University Press, 2013. p. 35
Series
Forskningsplattformen för Hälsa i samverkan, ISSN 1652-9979 ; 5
National Category
Nursing
Identifiers
urn:nbn:se:hkr:diva-11397 (URN)
Available from: 2013-12-09 Created: 2013-12-09 Last updated: 2014-06-23Bibliographically approved
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