Change search
Link to record
Permanent link

Direct link
BETA
Ernsth-Bravell, MarieORCID iD iconorcid.org/0000-0003-4149-9787
Alternative names
Publications (10 of 138) Show all publications
Jarling, A., Rydström, I., Ernsth-Bravell, M., Nyström, M. & Dalheim-Englund, A.-C. (2020). A responsibility that never rests – the life situation of a family caregiver to an older person. Scandinavian Journal of Caring Sciences, 34(1), 44-51
Open this publication in new window or tab >>A responsibility that never rests – the life situation of a family caregiver to an older person
Show others...
2020 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 34, no 1, p. 44-51Article in journal (Refereed) Published
Abstract [en]

Background

When the ageing population increases, the burden and responsibility of close family members will likely increase. Those closely related who assume a great responsibility can be significantly affected in health, well-being and daily life.

Aim

This study aims to describe the life situation when family caregivers are imposed responsibility for an older person with complex care needs in their own home.

Methods

In this Swedish qualitative study, ten family caregivers were strategically selected in order to achieve variations in the life situation. A reflective lifeworld research design based on phenomenological philosophy was used throughout the data collection with the lifeworld interviews and the analytic process.

Findings

In terms of extensive responsibility, the life situation is complex and involves emotions that are difficult to manage. In essence, a paradoxical life situation is described which is experienced as both voluntarily and nonchosen at the same time. The responsibility never rests. The essential meaning is further illustrated with three constituents: loss of freedom, contradictory feelings and affected relationships.

Conclusion

A life situation with extensive responsibility for an older family member interferes with the whole life situation with an impact on health and relationships with other people. The findings are crucial for professional caregivers in order to capture the nature of family support in a way that enables a meaningful life for both the family caregiver and the older person being cared for. Knowledge of this will give professional caregivers an increased awareness of the life situation of family caregivers and provide a better understanding of the support they are longing for, and, in some countries, such as Sweden, also are entitled to by law.

Place, publisher, year, edition, pages
John Wiley & Sons, 2020
Keywords
caring science, closely related, family caregiving, home care, informal care, lived experience, older people, phenomenology, reflective lifeworld research
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-43598 (URN)10.1111/scs.12703 (DOI)000516881800005 ()31058334 (PubMedID)2-s2.0-85065418558 (Scopus ID)
Available from: 2019-05-07 Created: 2019-05-07 Last updated: 2020-04-01Bibliographically approved
Finkel, D. & Ernsth-Bravell, M. (2020). Cohort by Education Interactions in Longitudinal Changes in Functional Abilities. Journal of Aging and Health, 32(3-4), 208-215, Article ID 898264318814108.
Open this publication in new window or tab >>Cohort by Education Interactions in Longitudinal Changes in Functional Abilities
2020 (English)In: Journal of Aging and Health, ISSN 0898-2643, E-ISSN 1552-6887, Vol. 32, no 3-4, p. 208-215, article id 898264318814108Article in journal (Refereed) Published
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.

Place, publisher, year, edition, pages
Sage Publications, 2020
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)000511806500009 ()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: 2020-02-24Bibliographically approved
Ernsth-Bravell, M., Bennich, M. & Walfridsson, C. (2020). "In August, I Counted 24 Different Names": Swedish older adults' experiences of home care. Journal of Applied Gerontology, Article ID 733464820917568.
Open this publication in new window or tab >>"In August, I Counted 24 Different Names": Swedish older adults' experiences of home care
2020 (English)In: Journal of Applied Gerontology, ISSN 0733-4648, E-ISSN 1552-4523, article id 733464820917568Article in journal (Refereed) Epub ahead of print
Abstract [en]

In Sweden, many older adults receive care in their own homes. However, their perceptions of the experience of receiving home care has not been sufficiently examined. This study aimed to explore older adults' experiences of receiving care and services in their homes and their perceptions of the care that they had received. In-depth interviews were conducted with 29 older adults. There were individual differences in their level of participation, but they mostly perceived their participation in the planning and provision of home care to be limited. Furthermore, their needs (and wishes), especially those that pertained to different aspects of time, were not always gratified. Organizational factors and care providers' lack of competence and high levels of time pressure influenced their perceptions of care. It is important to consider the perspectives of older care recipients when developing home care.

Place, publisher, year, edition, pages
Sage Publications, 2020
Keywords
care coordination, community, decision making
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-48458 (URN)10.1177/0733464820917568 (DOI)32418462 (PubMedID)PP HHJ 2020 (Local ID)PP HHJ 2020 (Archive number)PP HHJ 2020 (OAI)
Available from: 2020-05-19 Created: 2020-05-19 Last updated: 2020-05-20
Ernsth-Bravell, M., Johansson, L. & Sundström, G. (2020). Partneromsorg och uppsökande verksamhet. Äldre i centrum (2), 60-63
Open this publication in new window or tab >>Partneromsorg och uppsökande verksamhet
2020 (Swedish)In: Äldre i centrum, ISSN 1653-3585, no 2, p. 60-63Article in journal (Other (popular science, discussion, etc.)) Published
Abstract [sv]

Ingress: Trots att familjen är den viktigaste omsorgskällan belyses omsorgen om den äldre sällan ur den anhöriges perspektiv. Uppsökande verksamhet med fokus på samboende äldre innebär att man tidigt kan identifiera stödbehov hos anhöriga och bidra till stärkta omsorgsrelationer.

National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-48738 (URN)
Available from: 2020-06-03 Created: 2020-06-03 Last updated: 2020-06-03Bibliographically approved
Finkel, D., Ernsth-Bravell, M. & Pedersen, N. L. (2020). Role of motor function and lung function in pathways to ageing and decline. Aging Clinical and Experimental Research
Open this publication in new window or tab >>Role of motor function and lung function in pathways to ageing and decline
2020 (English)In: Aging Clinical and Experimental Research, ISSN 1594-0667, E-ISSN 1720-8319Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background

Extensive research has investigated the association between age changes in various domains, including lung function and motor function. However, a few analyses have tested models that incorporate bidirectional longitudinal influences between lung and motor function to test the temporal chain of events in the disability process. Dual change score models (DCSM) assist with identification of leading indicators of change by leveraging longitudinal data to examine the extent to which changes in one variable influence subsequent changes in a second variable, and vice versa.

Aims

The purpose of the current-analysis study was to apply DCSM to data from the Swedish Adoption/Twin Study of ageing to examine the nature of the longitudinal relationship between motor functioning and lung function.

Methods

Three motor functioning factors were created from 20 performance measures, including measures of balance, flexibility, and fine motor skills. Peak expiratory flow measured lung function. Participants were 829 adults aged 50–88 at the first of 9 waves of testing covering a 27-year follow-up period; 80% participated in at least three waves.

Results

Model comparisons indicated that decline in lung function preceded and contributed to subsequent decline in motor function.

Discussion

Combined with previous results, these results suggest that declining lung function results in increasing difficulties in motor function, which contribute to subsequent declines in multiple domains.

Conclusion

Understanding the cascade of events that can lead to dependence can help in the development of interventions targeted early in the disablement process.

Place, publisher, year, edition, pages
Springer, 2020
Keywords
Lung function, Motor function, Physical function, Longitudinal, Ageing, Disablement
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-47803 (URN)10.1007/s40520-020-01494-3 (DOI)000520048400003 ()32056153 (PubMedID)2-s2.0-85079437628 (Scopus ID);HHJARNIS (Local ID);HHJARNIS (Archive number);HHJARNIS (OAI)
Available from: 2020-02-17 Created: 2020-02-17 Last updated: 2020-04-09
Finkel, D. & Ernsth-Bravell, M. (2019). Age changes in lung function precede and contribute to subsequent age changes in motor function and cognition. In: : . Paper presented at International Conference of Psychological Science, 7-9 March 2019, Paris, France.
Open this publication in new window or tab >>Age changes in lung function precede and contribute to subsequent age changes in motor function and cognition
2019 (English)Conference paper, Oral presentation only (Refereed)
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-43624 (URN)
Conference
International Conference of Psychological Science, 7-9 March 2019, Paris, France
Available from: 2019-05-09 Created: 2019-05-09 Last updated: 2019-05-09Bibliographically approved
Ernsth-Bravell, M. & Torgé, C. J. (2019). Delaktighet i hälso- och sjukvård i Jönköpings kommun. Jönköping: Jönköpings kommun
Open this publication in new window or tab >>Delaktighet i hälso- och sjukvård i Jönköpings kommun
2019 (Swedish)Report (Other academic)
Abstract [sv]

Under de senaste decennierna har det skett en rad organisatoriska förändringar inom vård och omsorg. En av de stora konsekvenserna av förändringarna är ett utökat hälso- och sjukvårds-ansvar för kommunerna i landet. Inom hälso- och sjukvården har det också skett lagföränd-ringar, där bland annat delaktighet lyfts fram tydligare nu. Den här studien syftade därför till att undersöka hur personer som erhåller hälso- och sjukvård i kommunen uppfattar sin del-aktighet i planering, genomförande och uppföljning av hälso- och sjukvårdsinsatser.

Studien omfattar tre olika kontexter; 1) hälso- och sjukvård i ordinärt boende, 2) hälso- och sjukvård i särskilt boende för äldre samt 3) hälso- och sjukvård i boende inom socialpsykiatrin. Olika metoder har använts (enkäter i studie 1 och 3 och intervjuer i studie 2) och rapporten är därför uppbyggd i tre delar.

Resultaten visar dock att delaktighet är viktigt för personerna i samtliga tre kontexter men att det kan vara svårt att sätta ord på vad delaktighet egentligen betyder. Personer som ingår i studien ger flera goda exempel på när de känt sig delaktiga, men även det motsatta. Delaktighet är således en fråga som ständigt är aktuell och som man ständigt behöver arbeta med.   

Place, publisher, year, edition, pages
Jönköping: Jönköpings kommun, 2019. p. 40
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hj:diva-43383 (URN)
Available from: 2019-03-26 Created: 2019-03-26 Last updated: 2019-04-01Bibliographically approved
Jegermalm, M., Torgé, C. J., Wilińska, M., Ernsth-Bravell, M., Bülow, P. H. & Bülow, P. (2019). Filling the gaps? – The role of voluntary organizations in supporting older people with severe mental illnesses in Sweden: Towards increased responsibility for the civil society beyond the dichotomous substitute-or-complement paradigm. In: : . Paper presented at International Association of Gerontology and Geriatrics European Region Congress 2019, 23rd – 25th May 2019, Gothenburg, Sweden.
Open this publication in new window or tab >>Filling the gaps? – The role of voluntary organizations in supporting older people with severe mental illnesses in Sweden: Towards increased responsibility for the civil society beyond the dichotomous substitute-or-complement paradigm
Show others...
2019 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-43756 (URN)
Conference
International Association of Gerontology and Geriatrics European Region Congress 2019, 23rd – 25th May 2019, Gothenburg, Sweden
Available from: 2019-05-22 Created: 2019-05-22 Last updated: 2019-05-23Bibliographically approved
Finkel, D. & Ernsth-Bravell, M. (2019). Genetic influences on lung function contribute to subsequent age changes in motor and cognitive function. Paper presented at 49th Annual Meeting of the Behavior-Genetics-Association (BGA), JUN 26-29, 2019, Karolinska Inst, Stockholm, SWEDEN. Behavior Genetics, 49(6), 492-492
Open this publication in new window or tab >>Genetic influences on lung function contribute to subsequent age changes in motor and cognitive function
2019 (English)In: Behavior Genetics, ISSN 0001-8244, E-ISSN 1573-3297, Vol. 49, no 6, p. 492-492Article in journal, Meeting abstract (Refereed) Published
Place, publisher, year, edition, pages
Springer, 2019
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-47167 (URN)000494050500024 ()
Conference
49th Annual Meeting of the Behavior-Genetics-Association (BGA), JUN 26-29, 2019, Karolinska Inst, Stockholm, SWEDEN
Available from: 2019-12-18 Created: 2019-12-18 Last updated: 2019-12-18Bibliographically approved
Johansson, L., Ernsth-Bravell, M. & Finkel, D. (2019). Health and social care in the most ill older persons. In: : . Paper presented at International Association of Gerontology and Geriatrics European Region Congress 2019, 23rd – 25th May 2019, Gothenburg, Sweden.
Open this publication in new window or tab >>Health and social care in the most ill older persons
2019 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-43785 (URN)
Conference
International Association of Gerontology and Geriatrics European Region Congress 2019, 23rd – 25th May 2019, Gothenburg, Sweden
Available from: 2019-05-27 Created: 2019-05-27 Last updated: 2019-06-12Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-4149-9787

Search in DiVA

Show all publications