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Spang, Lisa
Publications (3 of 3) Show all publications
Spang, L., Holmefur, M., Hermansson, L. & Lidström-Holmqvist, K. (2019). Factors in daily life leading to the need for moving to a nursing home: Experiences from nursing home applicants. In: : . Paper presented at International Association of Gerontology and Geriatrics European Region Congress (IAGG-ER), Gothenburg, Sweden, May 23-25, 2019.
Open this publication in new window or tab >>Factors in daily life leading to the need for moving to a nursing home: Experiences from nursing home applicants
2019 (English)Conference paper, Poster (with or without abstract) (Other academic)
Abstract [en]

Background/Aim In Sweden, most people age in ordinary housing, called aging in place. To support aging in place, older people can apply for home-based care such as Meals on Wheels or response alarm .Despite this support, the municipalities receive applications to nursing homes on a daily basis, which indicates that aging in place does not fill everyone’s needs. The aim of this study was to describe what experiences in daily life that make older people aging in place apply for a nursing home.

Method This study has a descriptive design. Face to face interviews were conducted with older people with declining physical health who had a granted application for a place in a nursing home and were waiting for a placement. Some waited in their homes with or without home-based care and some waited in a short-term facility run by the municipality. Interviews were analyzed by qualitative content analysis according to Elo and Kyngäs.

Preliminary findings One main category emerged - “To move to a nursing home- a way to regain control over my life”. It was characterized by a feeling of decreasing level of independence which led to experiences of lack of social context or being in a state of dependence where someone else controlled decisions of their lives.  The participants had reached a point where they strongly felt that something has to be done to change their situation. This was usually associated with a critical event such as a hospitalization or after been informed of a cancer diagnosis. These experiences are described by three generic categories with seven subcategories.  The generic categories are “The opportunity to belong to a context”, “A state of dependence” and “Reaching a turning point”.

Conclusions The findings show that a feeling of lost control due to perceived dependence, falling health or critical everyday life events may lead to a nursing home application. Therefore, in order to enhance aging in place it is important to enable older people to be socially involved, get support to stay as independent as possible in their daily activities and to handle critical events such as hospitalization.

National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:oru:diva-73633 (URN)
Conference
International Association of Gerontology and Geriatrics European Region Congress (IAGG-ER), Gothenburg, Sweden, May 23-25, 2019
Available from: 2019-04-10 Created: 2019-04-10 Last updated: 2019-06-07Bibliographically approved
Alexopoulou, S., Fart, F., Jonsson, A.-S., Karni, L., Kenalemang, L. M., Krishna, S., . . . Widell, B. (2018). Successful ageing in an interdisciplinary context: popular science presentations. Örebro: Örebro University
Open this publication in new window or tab >>Successful ageing in an interdisciplinary context: popular science presentations
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2018 (English)Book (Other (popular science, discussion, etc.))
Place, publisher, year, edition, pages
Örebro: Örebro University, 2018. p. 127
National Category
Gerontology, specialising in Medical and Health Sciences Other Social Sciences not elsewhere specified
Identifiers
urn:nbn:se:oru:diva-66306 (URN)978-91-87789-18-2 (ISBN)
Available from: 2018-04-03 Created: 2018-04-03 Last updated: 2019-03-26Bibliographically approved
Spang, L. & Holmqvist, K. (2015). Occupational therapy practice in emergency care: occupational therapists' perspectives. Scandinavian Journal of Occupational Therapy, 22(5), 345-354
Open this publication in new window or tab >>Occupational therapy practice in emergency care: occupational therapists' perspectives
2015 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 22, no 5, p. 345-354Article in journal (Refereed) Published
Abstract [en]

Objective: Emergency care takes place in a complex work environment that is characterized by critically ill patients, short hospital stays, and a wide variety of different healthcare professionals. Studies of occupational therapists’ (OTs) experiences of working within emergency care have shown that they often experience difficulties in explaining the essence of occupational therapy and have to justify their approaches. Much effort has been made in Sweden to help OTs dispel the notion that occupational therapy is difficult to explain, and the aim of this study was to describe how Swedish OTs perceive their work in emergency care.

Method: A qualitative descriptive approach was taken, and 14 interviews were conducted with OTs working in emergency care. Qualitative content analysis was used to analyse the data.

Results: The overall theme that emerged was “Feeling established through deliberate occupation-based work”. The underlying categories showed different strategies used by the OTs to provide occupational therapy in an emergency care context. Deliberate strategies were used to demonstrate the effectiveness of occupational therapy and its approaches to patients and other health care professionals, and this resulted in the OTs feeling both established and needed. Unlike the OTs in previous studies, the Swedish OTs experienced no difficulties in explaining occupational therapy and could make convincing arguments for their interventions. Parallel to their clinical work, the OTs worked with on-going development to find ways to improve their approaches.

Conclusions: In summary, these Swedish OTs seem to have been provided with a professional language and the knowledge required to establish themselves in an emergency care setting.

Keywords
Professional development, occupational therapy practice, emergency care
National Category
Nursing
Research subject
Occupational therapy
Identifiers
urn:nbn:se:oru:diva-44295 (URN)10.3109/11038128.2015.1033455 (DOI)000361327800005 ()25876456 (PubMedID)2-s2.0-84937213962 (Scopus ID)
Available from: 2015-04-17 Created: 2015-04-17 Last updated: 2019-03-04Bibliographically approved
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