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Publications (10 of 25) Show all publications
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
Holmqvist, M., Thor, J., Ros, A. & Johansson, L. (2019). "I trust my physician but want to be involved"  - Older persons' Experiences of regarding evaluation of their medication treatment. 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 >>"I trust my physician but want to be involved"  - Older persons' Experiences of regarding evaluation of their medication treatment
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-43790 (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: 2019-06-03Bibliographically approved
Lu, Q., Mårtensson, J., Zhao, Y. & Johansson, L. (2019). Living on the edge: Family caregivers’ experiences of caring for post-stroke family members in China: A qualitative study. International Journal of Nursing Studies, 94, 1-8
Open this publication in new window or tab >>Living on the edge: Family caregivers’ experiences of caring for post-stroke family members in China: A qualitative study
2019 (English)In: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 94, p. 1-8Article in journal (Refereed) Published
Abstract [en]

Background: Globally, one-third of the 15 million people with stroke suffer permanent physical, cognitive, and emotional impairment. Because of traditional Chinese culture and the limited development of the primary healthcare system, most stroke survivors are cared for and live with their family after hospital discharge. However, previous literature shows a lack of qualitative studies on family caregivers’ experience of caring for their relatives in China.

Objectives: The aim of this study was to explore the experience of family caregivers taking care of stroke survivors in China.

Methods: An explorative design was used wherein qualitative semi-structured interviews were conducted with family caregivers in China. Family caregivers were selected from one city and three communities using a purposive sampling method until no new data were generated (n = 26). A thematic analysis was used for the data analysis in this study.

Findings: Family caregivers’ experience was described as living on the edge, which pulled their lives in multiple directions, created an unstable situation, and reduced their well-being and health. The participants believed they had total responsibility and felt that this was expected from both themselves and society. Little external understanding and insufficient support was emphasised, resulting in the caregivers feeling all alone, drained by caring, and like prisoners in their own lives. The family caregivers had to face all of the family events and make all of the decisions by themselves. They expressed love for their family members with stroke, but this was often overshadowed by feelings of sadness, depression, sensitivity, and anger. This resulted in an inability to see how things could improve and in the family caregivers being uncertain about the future.

Conclusion: All of these findings increased understanding and added knowledge of this topic that has been seldom studied in China. Healthcare authorities and professionals should recognise and understand the lives and situations of family caregivers since their relatives had a stroke to further identify their difficulties and needs. Appropriate and effective support, both from government and society, should be planned and implemented for family caregivers to relieve them from caring for their relatives with stroke and maintaining the quality of their own lives.

Place, publisher, year, edition, pages
Elsevier, 2019
Keywords
China, Experience, Family caregiver, Interview, Qualitative research, Stroke
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-43453 (URN)10.1016/j.ijnurstu.2019.02.016 (DOI)000473120700003 ()30928717 (PubMedID)2-s2.0-85063428035 (Scopus ID)HHJADULTIS (Local ID)HHJADULTIS (Archive number)HHJADULTIS (OAI)
Available from: 2019-04-11 Created: 2019-04-11 Last updated: 2019-07-12Bibliographically approved
Holmqvist, M., Thor, J., Ros, A. & Johansson, L. (2019). Older persons’ experiences regarding evaluation of their medication treatment: An interview study in Sweden. Health Expectations
Open this publication in new window or tab >>Older persons’ experiences regarding evaluation of their medication treatment: An interview study in Sweden
2019 (English)In: Health Expectations, ISSN 1369-6513, E-ISSN 1369-7625Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background: Older persons with polypharmacy are at increased risk of harm from medications, and this issue is a global patient safety challenge. Harm may arise at all stages of medication use and may cause hospital admission, additional resource uti ‐lization and lower patient satisfaction. Older persons’ participation in their own care may increase patient safety. Their views on the evaluation of their medication treat ‐ment, and their own involvement in it, are crucial yet poorly understood.

Objectives: To identify opportunities to make the medication use process safer, we explored and described older persons’ experiences of evaluation of their medicationtreatment.

Design: Semi‐structured interviews were performed with 20 community‐dwelling older persons (age 75‐91 years) in Sweden. Data were analysed using inductive quali ‐tative content analysis.

Results: These older persons reported having a responsibility to engage in their med ‐ication evaluations, although some felt unable to do so or considered themselves un ‐concerned. Evaluation, in their experience, was facilitated by continuity of care and an invitation to participate. However, some older persons experienced not receivinga comprehensive medication evaluation.

Discussion and conclusion: Older persons want to be actively involved in their medi ‐cation evaluations, and this may represent an underutilized resource in the pursuit of patient safety. Their trust in physicians to undertake evaluations on a regular basis, although that does not necessarily occur, may cause harm. Patient safety could benefit from a co‐production approach to medication evaluations, with health‐care professionals explicitly sharing information with older persons and agreeing on re ‐sponsibilities related to on‐going medication treatment.

Place, publisher, year, edition, pages
Wiley-Blackwell Publishing Inc., 2019
Keywords
attitudes, health knowledge, medication therapy management, older adult, patient participation, patient safety, practice, qualitative research, quality improvement
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-46400 (URN)10.1111/hex.12967 (DOI)31556232 (PubMedID)
Available from: 2019-09-30 Created: 2019-09-30 Last updated: 2019-09-30
Finkel, D., Lindmark, U., Johansson, L. & Ernsth-Bravell, M. (2019). Oral health predicts quality of life in data from Swedish National Quality Registries. 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 >>Oral health predicts quality of life in data from Swedish National Quality Registries
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-43781 (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: 2019-09-13Bibliographically approved
Fauth, B., Johannesson, S., Ernsth-Bravell, M., Johansson, L., Malmberg, B., Johansson, B. & Zarit, S. (2019). Sustained and successful model in international gerontological education: A short study abroad course fostering research collaboration and educational training for over a decade. 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 >>Sustained and successful model in international gerontological education: A short study abroad course fostering research collaboration and educational training for over a decade
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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-43810 (URN)
Conference
International Association of Gerontology and Geriatrics European Region Congress 2019, 23rd – 25th May 2019, Gothenburg, Sweden
Available from: 2019-05-28 Created: 2019-05-28 Last updated: 2019-05-28Bibliographically approved
Ernsth-Bravell, M., Johansson, L. & Östlund, L. (2019). Wellbeing without restraints and coercion, the zero vision. 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 >>Wellbeing without restraints and coercion, the zero vision
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-43783 (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: 2019-05-27Bibliographically approved
Johansson, L. (2018). Effects of using a preventive care model among persons with dementia in ordinary home and nursing home with poor nutritional status. In: : . Paper presented at 5th International Conference on Evidence-based Policy in Long-term Care, 10-12 September 2018, Vienna, Austria.
Open this publication in new window or tab >>Effects of using a preventive care model among persons with dementia in ordinary home and nursing home with poor nutritional status
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-42703 (URN)
Conference
5th International Conference on Evidence-based Policy in Long-term Care, 10-12 September 2018, Vienna, Austria
Available from: 2019-01-23 Created: 2019-01-23 Last updated: 2019-01-23Bibliographically approved
Siebmanns, S., Ulander, M., Sandberg, J., Johansson, L., Johansson, P. & Broström, A. (2018). Internet-based CBT for insomnia in the general population - a description of design, measurements and interventions in recent RCT studies. Paper presented at 24th Congress of the European-Sleep-Research-Society (ESRS), Basel, SWITZERLAND, SEP 25-28, 2018. Journal of Sleep Research, 27(1, SI), 290-291, Article ID P436.
Open this publication in new window or tab >>Internet-based CBT for insomnia in the general population - a description of design, measurements and interventions in recent RCT studies
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2018 (English)In: Journal of Sleep Research, ISSN 0962-1105, E-ISSN 1365-2869, Vol. 27, no 1, SI, p. 290-291, article id P436Article in journal, Meeting abstract (Refereed) Published
Abstract [en]

Objectives/Introduction: Internet-based cognitive behavioural therapy for insomnia (ICBTi) has been proposed as an effective, accessible, non-pharmacologic treatment for insomnia disorder. The objective was to perform a literature review of published randomized controlled trials (RCT).

Methods: Literature review. PubMed was used to identify RCTs ofICBTi published since 2013. Keywords were insomnia, ICBT and RCT. The search resulted in 40 hits. Papers with study designs and methods not relevant to the objective were removed (n = 29). Reasons for exclusion were: only study protocol, not internet-based, and results based on old data.

Results: Design: Recruitment were done via e-mail, from websites, online ads, and advertisements in local newspapers.

Inclusion criteria: Six studies based their inclusion only on ISI score (from >7to>=15). 3 studies used a combination of ISI and DSM-IV. Two studies used DSM-IV only.

Sample sizes: 4 studies had less than 100 participants, and 2 studies over 200, the mean number was 139 participants (48-303). The mean age varied from 15 to 52 years. Significantly more female participants in all studies.

Data collection: ISI combined with sleep diary was the most commonly used primary or secondary outcome measurements (n =7), 2 used ISI only, and 2 used sleep diary only. Other common instruments were, PSQI, HADS, DBAS-16 and CES-D. All studies had pre- and post-treatment measurements, but none during the intervention. The follow-up-period varied between 8 weeks and 3 years. The most common follow-up time was 6 months (n = 4), with a range from 4 weeks3years.Intervention: Most of the studies (n = 10) used traditional ICBTi-treatments (i.e., stimulus control, sleep restriction, relaxation, sleep hygiene). One study did not include stimulus control. The treatment duration were six weeks (n = 8), eight weeks (n = 2) and nine weeks (n = 1). All except one used therapist guided support.

Results: All studies showed significant post treatment improvements on sleep outcomes.

Conclusions: All studies showed significant improvement with regard to sleep. The total number of participants in the studies was relatively low. Most studies are not based on clinical samples, which may affect the generalizability of the findings.

Disclosure: Nothing to disclose

Place, publisher, year, edition, pages
John Wiley & Sons, 2018
National Category
Neurology
Identifiers
urn:nbn:se:hj:diva-41659 (URN)000444228300618 ()
Conference
24th Congress of the European-Sleep-Research-Society (ESRS), Basel, SWITZERLAND, SEP 25-28, 2018
Available from: 2018-10-01 Created: 2018-10-01 Last updated: 2018-10-01Bibliographically approved
Lindmark, U., Jansson, H., Lannering, C. & Johansson, L. (2018). Oral health matters for the nutritional status of older persons: A population-based study. Journal of Clinical Nursing, 27(5-6), 1143-1152
Open this publication in new window or tab >>Oral health matters for the nutritional status of older persons: A population-based study
2018 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 5-6, p. 1143-1152Article in journal (Refereed) Published
Abstract [en]

AIMS AND OBJECTIVES: To explore the association between oral health and nutritional status in the context of daily care for older people.

BACKGROUND: Oral problems often increase with age and affect a person's ability to chew and swallow. They might also influence the ability to maintain a satisfactory nutritional status. Oral health awareness is therefore of great importance in nursing care for older people.

DESIGN: A retrospective cross-sectional study.

METHODS: Data from the Swedish quality register, Senior Alert, were used, including structured assessments of both oral and nutritional status using the Revised Oral Assessment Guide-Jönköping and the Mini Nutritional Assessment. In total, 1,156 persons (mean age: 82.8 ± 7.9) had both oral and nutritional assessments registered by the nursing staff in daily care.

RESULTS: Approximately 29% of participants had moderate oral health problems. Another 12% had severe problems. Over 60% of the persons were considered at risk of malnutrition or were malnourished. There was a weak correlation between poor nutritional status and poor oral health, and approximately one-third of the persons who were at risk or malnourished had simultaneous oral problems. A multivariate logistic regression revealed that when problems involving voice and swallowing were present, there was also a greater possibility of being assessed as at risk of malnourishment or being malnourished.

CONCLUSION: There is a relationship between oral health problems and nutritional status, indicating the importance of evaluating oral health status in older persons with nutritional problems.

RELEVANCE TO CLINICAL PRACTICE: Nursing staff involved in care for older people should be aware of the importance of including regular oral health check-ups in their work. There is also a need for nursing staff members and oral health professionals to exchange knowledge.

Place, publisher, year, edition, pages
John Wiley & Sons, 2018
Keywords
assessment, elder care, nutrition, older people, oral care
National Category
Dentistry Geriatrics Nursing
Identifiers
urn:nbn:se:hj:diva-40998 (URN)10.1111/jocn.14146 (DOI)000428419400074 ()29076209 (PubMedID)2-s2.0-85044286602 (Scopus ID)
Available from: 2018-07-17 Created: 2018-07-17 Last updated: 2018-07-17Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-7101-3165

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