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Ernsth-Bravell, MarieORCID iD iconorcid.org/0000-0003-4149-9787
Alternative names
Publications (10 of 118) Show all publications
Jarling, A., Rydström, I., Ernsth-Bravell, M., Nyström, M. & Dalheim‐Englund, A. (2018). Becoming a guest in your own home: Home care in Sweden from the perspective of older people with multimorbidities. International Journal of Older People Nursing, 13(3), Article ID e12194.
Open this publication in new window or tab >>Becoming a guest in your own home: Home care in Sweden from the perspective of older people with multimorbidities
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2018 (English)In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 13, no 3, article id e12194Article in journal (Refereed) Published
Abstract [en]

Aim and objective

To describe the meaning of the phenomenon home care from the perspective of older persons who live alone with multimorbidity.

Background

In line with worldwide changing demographics, conditions for older people in need of home care are changing. In Sweden there is a stay?in?place policy and older people are expected to live and be cared for in their own home as long as possible. Home care, instituted by different laws, is a challenge affecting the older person when the private home becomes a workplace.

Design

This study uses a qualitative design with a lifeworld approach.

Methods

The study having been conducted in Sweden in 2016, the researchers interviewed 12 older persons that live alone and receive home care. Data were analysed using qualitative content analysis.

Results

The findings illustrate four sub?themes: adapting to a caring culture, feeling exposed, unable to influence care and forced relations. The overall theme reveals that older people experience a life?changing situation when receiving home care and they become a guest in their own home.

Conclusions

Becoming older with increased needs means to disrupt one's life when one's private home becomes a public arena. The gap between an older person's rights by law and the older person's experiences of receiving home care needs to be highlighted to meet the oncoming challenges in providing a home care that includes participation of the older themselves. Only then can care be offered that enables older people to have a sense of control and experience their home as their own.

Implications for practice

The findings emphasise the need to view older people as being self?determinant and independent. Older people receiving home care need to be seen as individuals, and their entire life situation should be considered by also acknowledging the important role played by relatives and caregivers.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2018
Keywords
care of older people, caring, content analysis, home care, nursing home care, older people, qualitative methods
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-39086 (URN)10.1111/opn.12194 (DOI)000442344100006 ()29603651 (PubMedID)2-s2.0-85051844566 (Scopus ID)
Available from: 2018-04-09 Created: 2018-04-09 Last updated: 2018-09-13Bibliographically approved
Bülow, P. H., Bülow, P., Wilińska, M., Torgé, C. J., Ernsth-Bravell, M. & Jegermalm, M. (2018). Care and living conditions for older people with severe mental illness in a Swedish municipality. In: : . Paper presented at Nationell forskningskonferens i socialt arbete, 9-10 October 2018, Örebro University, Örebro, Sweden.
Open this publication in new window or tab >>Care and living conditions for older people with severe mental illness in a Swedish municipality
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2018 (Swedish)Conference paper, Oral presentation only (Refereed)
National Category
Social Work
Identifiers
urn:nbn:se:hj:diva-42069 (URN)
Conference
Nationell forskningskonferens i socialt arbete, 9-10 October 2018, Örebro University, Örebro, Sweden
Available from: 2018-11-19 Created: 2018-11-19 Last updated: 2019-01-24Bibliographically approved
Finkel, D. & Ernsth-Bravell, M. (2018). Cohort By Education Differences In Longitudinal Change In Functional Ability. Paper presented at The Gerontological Society of America's 70th Annual Scientific Meeting, Boston, November 14-18, 2018. Innovation in Aging, 2(suppl_1), 477-477
Open this publication in new window or tab >>Cohort By Education Differences In Longitudinal Change In Functional Ability
2018 (English)In: Innovation in Aging, ISSN 1556-343X, Vol. 2, no suppl_1, p. 477-477Article in journal, Meeting abstract (Refereed) Published
Abstract [en]

Quality of life in late adulthood is a function of physical, emotional, and intellectual health, and maintenance of functional ability is central to sustaining independent living. Generational differences in health behaviors and health care may result in differences in how functional ability changes with age. Twenty assessments of functional ability were collected as part of the longitudinal Swedish Adoption/Twin Study of Aging from twins aged 50–88 at the first wave. Participants completed up to 9 assessments covering a 26-year period. Factor analysis was used to create 3 factors: flexibility, fine motor skills, and balance. Individuals born 1900–1924 (N=441) were compared with individuals born 1925–1948 (N=418). Latent growth curve modeling indicated accelerating changes with age for all 3 factors in both cohorts, but difficulties in motor function increased at a significantly slower pace in the later born cohort. Education was added to the LGCM as an indicator of socio-economic conditions: lower education (elementary school) vs. higher education. Sixty-nine percent of the earlier born cohort and 50% of the later born cohort had only elementary school education. Adding education to the LGCM had no impact on rates of change in the early born cohort. In the later born cohort, however, individuals with less education had the same aging trajectories as the earlier born cohort. That is, only later born individuals with higher educational achievement showed the slower rate of aging of functional abilities. Results demonstrate the SES distinction in the impact of health improvements over the 20th century.

Place, publisher, year, edition, pages
Oxford University Press, 2018
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-42706 (URN)10.1093/geroni/igy023.1783 (DOI)HHJARNIS (Local ID)HHJARNIS (Archive number)HHJARNIS (OAI)
Conference
The Gerontological Society of America's 70th Annual Scientific Meeting, Boston, November 14-18, 2018
Available from: 2019-01-23 Created: 2019-01-23 Last updated: 2019-01-23Bibliographically approved
Finkel, D. & Ernsth-Bravell, M. (2018). Cohort by Education Interactions in Longitudinal Changes in Functional Abilities. Journal of Aging and Health, Article ID 898264318814108.
Open this publication in new window or tab >>Cohort by Education Interactions in Longitudinal Changes in Functional Abilities
2018 (English)In: Journal of Aging and Health, ISSN 0898-2643, E-ISSN 1552-6887, article id 898264318814108Article in journal (Refereed) Epub ahead of print
Abstract [en]

OBJECTIVE: Investigations of cohort differences in relationships between education and health tend to focus on mortality or self-reported health. We report one of the first analyses of cohort differences in relationships between education and objective measures of functional abilities across the lifespan.

METHOD: Up to 26 years of follow-up data were available from 859 adults from the Swedish Adoption/Twin Study of Aging. The sample was divided into two cohorts by birth year: 1900-1924 and 1925-1948. Latent growth curve models (LGCM) were compared across cohort and educational levels.

RESULTS: LGCM indicated divergence between adults with lower and higher educational attainment in longitudinal trajectories of change with age in the Balance and Flexibility factors for the later born cohort only.

DISCUSSION: Results support the cumulative advantage theory and suggest that education-health disparities are increasing in recent cohorts, even in counties with national health care systems and strong support of education.

Keywords
cohort differences, cumulative advantage, health disparities, latent growth curve models
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-42147 (URN)10.1177/0898264318814108 (DOI)30466342 (PubMedID)2-s2.0-85059351792 (Scopus ID)HHJARNIS (Local ID)HHJARNIS (Archive number)HHJARNIS (OAI)
Available from: 2018-11-27 Created: 2018-11-27 Last updated: 2019-01-23
Ernsth-Bravell, M. & Finkel, D. (2018). Cohort differences in longitudinal change in functional ability. In: : . Paper presented at 24th Nordic Congress of Gerontology, Oslo, Norway, June 2-4, 2018.
Open this publication in new window or tab >>Cohort differences in longitudinal change in functional ability
2018 (English)Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

Background: Quality of life in late adulthood is a function of physical, emotional, and intellectual health, and maintenance of functional ability is central to sustaining independent living. Generational differences in health behaviors and health care may result in differences in how functional ability changes with age. Cohort differences in rates of decline would provide support for environmental or behavioral influences on aging of physical functioning.

Method: Twenty assessments of functional ability were collected as part of the longitudinal Swedish Adoption/Twin Study of Aging from twins aged 50–88 at the first wave. Participants completed up to 7 assessments covering a 21-year period. Factor analysis was used to create 3 factors: flexibility, fine motor skills, and balance. Individuals born 1900-1924 (N=441) were compared with individuals born 1925-1948 (N=418).

Results: Latent growth curve modeling incorporating two linear slopes was used to compare rates of decline between the two cohorts. For the early born cohort, slopes assessed change from 60-80 (slope 1) and 80-95 (slope 2); for the later born cohort, slopes assessed changes from 50-60 and 60-80. The balance and flexibility factors showed equivalent increase in difficulty in functioning in the overlapping age range (age 60-80); however, difficulties in fine motor skills increased faster in the later born cohort in that age range.

Conclusions: Cohort differences in experiences have modest impact on increases in difficulty in physical functioning; generally, aging of physical functioning is occurring at the same pace for two distinct cohorts, providing support for internal mechanisms of decline.

National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-42708 (URN)
Conference
24th Nordic Congress of Gerontology, Oslo, Norway, June 2-4, 2018
Available from: 2019-01-23 Created: 2019-01-23 Last updated: 2019-01-23Bibliographically approved
Jegermalm, M., Wilińska, M., Ernsth-Bravell, M., Bülow, P. H., Bülow, P. & Torgé, C. J. (2018). Filling the gaps? The role of voluntary organizations in supporting older people with severe mental illnesses. Nordic Social Work Research
Open this publication in new window or tab >>Filling the gaps? The role of voluntary organizations in supporting older people with severe mental illnesses
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2018 (English)In: Nordic Social Work Research, ISSN 2156-857X, E-ISSN 2156-8588Article in journal (Refereed) Epub ahead of print
Abstract [en]

Older people ageing with severe mental illness (SMI) usually fall in between mental health care and old age care services. The role of informal care in filling this gap is recognized. The role of other welfare providers, such as voluntary organizations, is unclear. The aim of this article is to analyze and discuss local voluntary organizations' ability to recognize and respond to the needs of older people with SMI in the community.

11 local organizations focusing on mental illness, social care or old age were identified in a mid-sized Swedish city. Seven voluntary organizations participated in the study.

Our analysis revealed three overarching themes: 'Age as a non-issue?', 'Public and voluntary sector (non)links' and 'organizational vulnerabilities'. Our results show that older people with SMI are to some extent also invisible in the voluntary sector. We were also able to discern differences in the 'we-for-us' organizations that provide support for their own members with SMI, and 'we-for-them' organizations that provide help to a broader group.

Overall, older people with SMI remain a relatively invisible as a group for the voluntary organizations. We discuss these findings in relation to the specificity of the group and welfare contexts of voluntary work in communities.

Place, publisher, year, edition, pages
Taylor & Francis, 2018
Keywords
Older people; severe mental illness; civil society; voluntary organizations
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-42266 (URN)10.1080/2156857X.2018.1555096 (DOI)HHJADULTIS, HHJARNIS, HHJSALVEIS (Local ID)HHJADULTIS, HHJARNIS, HHJSALVEIS (Archive number)HHJADULTIS, HHJARNIS, HHJSALVEIS (OAI)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2015-00223
Available from: 2018-12-10 Created: 2018-12-10 Last updated: 2018-12-10
Ernsth-Bravell, M. (2018). Komplex bild när äldre både ger och tar emot omsorg. Äldre i Centrum (3), 36-39
Open this publication in new window or tab >>Komplex bild när äldre både ger och tar emot omsorg
2018 (Swedish)In: Äldre i Centrum, ISSN 1653-5385, no 3, p. 36-39Article in journal (Other (popular science, discussion, etc.)) Published
Place, publisher, year, edition, pages
Stockholm: Stiftelsen Stockholms läns äldrecentrum, 2018
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-42195 (URN)
Available from: 2018-12-03 Created: 2018-12-03 Last updated: 2018-12-03Bibliographically approved
Ernsth-Bravell, M., Bülow, P., Torgé, C. J., Wilińska, M., Bülow, P. H. & Jegermalm, M. (2018). Older people with and without mental illness – Register-based population study from Sweden. In: : . Paper presented at The 24th Nordic Congress of Gerontology, 2-4 May, 2018, Oslo, Norway.
Open this publication in new window or tab >>Older people with and without mental illness – Register-based population study from Sweden
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2018 (English)Conference paper, Oral presentation only (Refereed)
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-41624 (URN)
Conference
The 24th Nordic Congress of Gerontology, 2-4 May, 2018, Oslo, Norway
Available from: 2018-09-27 Created: 2018-09-27 Last updated: 2019-01-23Bibliographically approved
Fristedt, S., Ernsth-Bravell, M., Kammerlind, A.-S. & Fransson, E. I. (2018). Physical function factors associated with life-space mobility in later life. In: : . Paper presented at 24th Nordic Congress of Gerontology (24NKG), Oslo, Norway, May 2-4, 2018.
Open this publication in new window or tab >>Physical function factors associated with life-space mobility in later life
2018 (English)Conference paper, Oral presentation only (Refereed)
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-41047 (URN)
Conference
24th Nordic Congress of Gerontology (24NKG), Oslo, Norway, May 2-4, 2018
Available from: 2018-07-24 Created: 2018-07-24 Last updated: 2019-01-24Bibliographically approved
Kåreholt, I., Darin-Mattsson, A., Finkel, D., Ernsth-Bravell, M. & Wilińska, M. (2018). Psychological distress, mental illness, and mood fluctuations in old age – causes and consequences. In: : . Paper presented at 24th Nordic Congress of Gerontology, Oslo, Norway, June 2-4, 2018.
Open this publication in new window or tab >>Psychological distress, mental illness, and mood fluctuations in old age – causes and consequences
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2018 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-42743 (URN)
Conference
24th Nordic Congress of Gerontology, Oslo, Norway, June 2-4, 2018
Available from: 2019-01-24 Created: 2019-01-24 Last updated: 2019-01-24Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-4149-9787

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