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Ernsth-Bravell, MarieORCID iD iconorcid.org/0000-0003-4149-9787
Alternative names
Publications (10 of 106) 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
Ernsth-Bravell, M., Bülow, P., Torgé, C. J., Wilińska, M., Bülow, P. & 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 (Other academic)
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: 2018-09-27Bibliographically 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 (Other academic)
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: 2018-07-24Bibliographically approved
Wilińska, M., Bülow, P., Bülow, P., Ernsth-Bravell, M., Jegermalm, M. & Torgé, C. J. (2018). Severe mental illness from a life course perspective – the meaning of times and spaces. Narratives by older people living in homes for the Elderly. In: : . Paper presented at The 24th Nordic Congress of Gerontology, 2-4 May, 2018, Oslo, Norway.
Open this publication in new window or tab >>Severe mental illness from a life course perspective – the meaning of times and spaces. Narratives by older people living in homes for the Elderly
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2018 (English)Conference paper, Oral presentation only (Other academic)
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-41627 (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: 2018-09-27Bibliographically approved
Torgé, C. J., Ernsth-Bravell, M., Bülow, P., Wilińska, M., Bülow, P. & Jegermalm, M. (2018). Similarities and Differences when Comparing Older People with Severe Mental Illness and a Population-based Study of Older People: Care and Living Conditions for Older People with Severe Mental Illness. In: : . Paper presented at Aging & Society: 8th Interdisciplinary Conference, Toyo University, Tokyo, Japan, 18–19 September 2018.
Open this publication in new window or tab >>Similarities and Differences when Comparing Older People with Severe Mental Illness and a Population-based Study of Older People: Care and Living Conditions for Older People with Severe Mental Illness
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2018 (English)Conference paper, Oral presentation only (Other academic)
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-41628 (URN)
Conference
Aging & Society: 8th Interdisciplinary Conference, Toyo University, Tokyo, Japan, 18–19 September 2018
Available from: 2018-09-27 Created: 2018-09-27 Last updated: 2018-09-27Bibliographically approved
Lundgren, D., Ernsth-Bravell, M., Börjesson, U. & Kåreholt, I. (2018). The association between psychosocial work environment and satisfaction with old age care among care recipients. Journal of Applied Gerontology
Open this publication in new window or tab >>The association between psychosocial work environment and satisfaction with old age care among care recipients
2018 (English)In: Journal of Applied Gerontology, ISSN 0733-4648, E-ISSN 1552-4523Article in journal (Refereed) Epub ahead of print
Abstract [en]

This study examines the association between nursing assistants’ perceptions of their psychosocial work environment and satisfaction among older people receiving care in nursing homes and home care. Cross-sectional surveys were conducted among people receiving care (N = 1,535) and nursing assistants (N = 1,132) in 45 nursing homes and 21 home care units within municipal old-age care. Better psychosocial work environment was related to higher satisfaction in old-age care among the recipients. Significant and stronger associations were more common in nursing homes than in home care. Perception of mastery and positive challenges at work were associated with higher recipient satisfaction both in home care and in nursing homes: social climate, perception of group work, perception of mastery, and positive challenges at work only in nursing homes. Findings suggest that recipient satisfaction may be increased by improving the psychosocial work environment for nursing assistants, both in nursing homes and in home care. 

Place, publisher, year, edition, pages
Sage Publications, 2018
Keywords
home care, nursing assistants, nursing homes, old-age care, psychosocial work environment, satisfaction with care, staff
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-40926 (URN)10.1177/0733464818782153 (DOI)XYZ ()2-s2.0-85048887876 (Scopus ID)
Available from: 2018-07-03 Created: 2018-07-03 Last updated: 2018-08-14
Fauth, E. B., Schaefer, S. Y., Zarit, S. H., Ernsth-Bravell, M. & Johansson, B. (2017). Associations between Fine Motor Performance in Activities of Daily Living and Cognitive Ability in a Nondemented Sample of Older Adults: Implications for Geriatric Physical Rehabilitation. Journal of Aging and Health, 29(7), 1144-1159
Open this publication in new window or tab >>Associations between Fine Motor Performance in Activities of Daily Living and Cognitive Ability in a Nondemented Sample of Older Adults: Implications for Geriatric Physical Rehabilitation
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2017 (English)In: Journal of Aging and Health, ISSN 0898-2643, E-ISSN 1552-6887, Vol. 29, no 7, p. 1144-1159Article in journal (Refereed) Published
Abstract [en]

Objective: Fine motor ability (FMA) is essential in certain activities of daily living (ADL) and is considered mostly as a component of physical function. We hypothesize that cognitive ability explains significant variance in ADL-related FMA, above and beyond what is explained by physical ability (grip strength).

Method: Origins of Variance in the Old Old Study (OCTO)-Twin participants (n = 218), aged 80+ (dementia, stroke, Parkinson's disease excluded) were assessed on depressive symptoms (Center for Epidemiologic Studies-Depression Scale [CES-D]), a cognitive battery, grip strength, and FMA.

Results: In a series of ordinary least squares regression models, FMA was not associated with gender or depressive symptoms, but was associated with age (marginally; β = '.164, p =.051), grip strength (β = '.381, p <.01), and one cognitive measure, perceptual speed (β = '.249, p <.01).

Discussion: In nondemented older adults, cognitive speed predicts ADL-related FMA after controlling for age and physical ability. Physical rehabilitation of FMA in ADL tasks should consider the importance of cognitive ability, even in nondemented older adults. 

Place, publisher, year, edition, pages
Sage Publications, 2017
Keywords
cognitive ability, disablement, fine motor ability, functional ability, grip strength
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-38336 (URN)10.1177/0898264316654674 (DOI)000418259500002 ()27339106 (PubMedID)2-s2.0-85029646866 (Scopus ID)HHJARNIS (Local ID)HHJARNIS (Archive number)HHJARNIS (OAI)
Available from: 2018-01-04 Created: 2018-01-04 Last updated: 2018-01-13Bibliographically approved
Johansson, L., Wijk, H. & Christensson, L. (2017). Health Care Professionals' Usage and Documentation of a Swedish Quality Registry Regarding Preventive Nutritional Care. Quality Management in Health Care, 26(1), 15-21
Open this publication in new window or tab >>Health Care Professionals' Usage and Documentation of a Swedish Quality Registry Regarding Preventive Nutritional Care
2017 (English)In: Quality Management in Health Care, ISSN 1063-8628, E-ISSN 1550-5154, Vol. 26, no 1, p. 15-21Article in journal (Refereed) Published
Abstract [en]

Objectives: To describe health care staff members' usage and documentation in a Swedish quality registry focusing on a preventive care process regarding the risk area of malnutrition among persons with dementia. The preventive care process includes risk assessment, analysis of underlying causes, planning and performing interventions, as well as evaluating effects.

Methods: Data were collected from 2 Swedish quality registries, Senior Alert and the Swedish Dementia Register (Svedem). In total, 1929 people with dementia were assessed and 1432 registered as being at risk of malnutrition or malnourished.

Results: Performed nutritional interventions were registered in approximately 65% of cases. In more than 80% of registrations, the analyses of underlying causes were missing. Those who had registered underlying causes had significantly more interventions and the evaluation of the performed intervention was registered. The time between assessment and evaluation depended on care setting and ranged from 0 to 702 days.

Conclusions: Limitations in registration were noted; however, the register allows staff to focus on nutritional care and has resulted in many risk assessments. Rarely people were registered in all steps of the preventive care process. Large variances in when the performed interventions were evaluated makes it difficult to measure improvements.

Place, publisher, year, edition, pages
Lippincott Williams & Wilkins, 2017
National Category
Gerontology, specialising in Medical and Health Sciences Health Care Service and Management, Health Policy and Services and Health Economy Nursing
Identifiers
urn:nbn:se:hj:diva-34658 (URN)10.1097/QMH.0000000000000116 (DOI)000392122700003 ()28030460 (PubMedID)2-s2.0-85010282244 (Scopus ID)
Available from: 2017-01-10 Created: 2017-01-10 Last updated: 2018-01-13Bibliographically approved
Boström, M., Ernsth Bravell, M., Björklund, A. & Sandberg, J. (2017). How older people perceive and experience sense of security when moving into and living in a nursing home: [Hur äldre personer uppfattar och erfar trygghet i flytt till och boende i särskilt boende för äldre. En fallstudie]. European Journal of Social Work, 20(5), 697-710
Open this publication in new window or tab >>How older people perceive and experience sense of security when moving into and living in a nursing home: [Hur äldre personer uppfattar och erfar trygghet i flytt till och boende i särskilt boende för äldre. En fallstudie]
2017 (English)In: European Journal of Social Work, ISSN 1369-1457, E-ISSN 1468-2664, Vol. 20, no 5, p. 697-710Article in journal (Refereed) Published
Abstract [en]

Sense of security is important throughout the lifespan not at least in advanced age with increased risks of functional declines and decreased social capital. Despite this, knowledge concerning older person’s perceptions and experiences of sense of security when moving into nursing homes is scarce. This study is a longitudinal, descriptive, exploratory case study with in-depth interviews and observations of three older persons in the age of 87, 88, and 91 years in a mid-sized municipality in the south of Sweden, in order to highlight how sense of security is experienced when moving into and living in a nursing home. Data were analysed using qualitative content analysis, which resulted in one main theme and four categories. The main theme, ‘Adaptation and sense of security’, indicates older persons’ need to adapt to the new context of the nursing home, and how this relates to their sense of security. The categories – ‘Control’, ‘Struggling for understanding’, ‘Lack of influence’, and ‘Grasping’ – suggest that older persons’ sense of security is reduced when they must adjust to routines without sufficient management and understanding. When able to maintain control over daily routines, and felt as a part of the new context, they perceived a sense of security.

Abstract [sv]

Trygghet är viktigt genom hela livet, inte minst som äldre med tilltagande funktionedsättningar. Kunskap behövs gällande äldre personers uppfattning av trygghet i flytt från ordinärt till särskilt boende. Syftet med studien var att öka förståelsen av hur äldre personer med skiftande omsorgsbehov uppfattar och erfar trygghet, i flytt från ordinärt till särskilt boende. En explorativ fallstudie med intervjuer och observation av tre äldre personer i åldrarna 87, 88 och 91 år genomfördes över en tidsperiod på 3 -4 månader; före flytten till särskilt boende; 3 -5 dagar efter flytt; 2 -4 veckor efter flytt då genomförandeplanen ägde rum och slutligen efter 12 -16 veckor efter flytt. Vid varje intervjutillfälle användes samma fokusområden och följdfrågor. Kvalitativ innehållsanalys användes för att analysera datamaterialet, vilket resulterade i ett huvudtema och fyra kategorier. Huvudtemat indikerar äldre personer genom hela flyttprocessen behöver anpassa sig till den nya miljön på särskilt boende för att uppleva trygghet. Anpassning till de nya rutinerna gav visserligen struktur i vardagen och uppfattades som en säkerhet, men inte nödvändigtvis som trygghet. Då de äldre personerna kunde behålla kontrollen och kunskapen över dagliga rutiner, och kände sig som en del av den nya sammanhang uppfattas de en känsla av trygghet.

Place, publisher, year, edition, pages
Taylor & Francis, 2017
Keywords
Case study, control, routines, in-depth interviews, sense of security, fallstudie, upplevelse av kontroll, rutiner, djupintervju, känsla av trygghet
National Category
Social Work
Identifiers
urn:nbn:se:hj:diva-23857 (URN)10.1080/13691457.2016.1255877 (DOI)000413972900008 ()2-s2.0-85002050769 (Scopus ID)
Available from: 2014-05-23 Created: 2014-05-23 Last updated: 2018-01-24Bibliographically approved
Ernsth Bravell, M., Finkel, D., Dahl Aslan, A. K., Reynolds, C. A., Hallgren, J. & Pedersen, N. L. (2017). Motor functioning differentially predicts mortality in men and women. Archives of gerontology and geriatrics (Print), 72, 6-11
Open this publication in new window or tab >>Motor functioning differentially predicts mortality in men and women
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2017 (English)In: Archives of gerontology and geriatrics (Print), ISSN 0167-4943, E-ISSN 1872-6976, Vol. 72, p. 6-11Article in journal (Refereed) Published
Abstract [en]

Introduction

Research indicates gender differences in functional performance at advanced ages, but little is known about their impact on longevity for men and women.

Objective

To derive a set of motor function factors from a battery of functional performance measures and examine their associations with mortality, incorporating possible gender interactions.

Method

Analyses were performed on the longitudinal Swedish Adoption/Twin Study of Aging (SATSA) including twenty-four assessments of motor function up to six times over a 19-year period. Three motor factors were derived from several factor analyses; fine motor, balance/upper strength, and flexibility. A latent growth curve model was used to capture longitudinal age changes in the motor factors and generated estimates of intercept at age 70 (I), rates of change before (S1) and after age 70 (S2) for each factor. Cox regression models were used to determine how gender in interaction with the motor factors was related to mortality.

Results

Females demonstrated lower functional performance in all motor functions relative to men. Cox regression survival analyses demonstrated that both balance/upper strength, and fine motor function were significantly related to mortality. Gender specific analyses revealed that this was true for women only. For men, none of the motor factors were related to mortality.

Conclusion

Women demonstrated more difficulties in all functioning facets, and only among women were motor functioning (balance/upper strength and fine motor function) associated with mortality. These results provide evidence for the importance of considering motor functioning, and foremost observed gender differences when planning for individualized treatment and rehabilitation.

Place, publisher, year, edition, pages
Elsevier, 2017
Keywords
Motor function, Gender differences, Survival
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-35607 (URN)10.1016/j.archger.2017.05.001 (DOI)000408022200002 ()28500880 (PubMedID)2-s2.0-85019064413 (Scopus ID)HHJÅldrandeIS (Local ID)HHJÅldrandeIS (Archive number)HHJÅldrandeIS (OAI)
Available from: 2017-05-29 Created: 2017-05-29 Last updated: 2018-01-13Bibliographically approved
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ORCID iD: ORCID iD iconorcid.org/0000-0003-4149-9787

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