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Publications (10 of 30) Show all publications
Koistinen, S., Olai, L., Ståhlnacke, K., Fält, A. & Ehrenberg, A. (2018). Munhälsa hos äldre personer inom korttidsvård bedömd ur två perspektiv, självupplevd och professionell. In: : . Paper presented at Tandhygienistdagarna, 22-24 April 2018, Visby.
Open this publication in new window or tab >>Munhälsa hos äldre personer inom korttidsvård bedömd ur två perspektiv, självupplevd och professionell
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2018 (Swedish)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Health Sciences
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-29211 (URN)
Conference
Tandhygienistdagarna, 22-24 April 2018, Visby
Available from: 2018-12-27 Created: 2018-12-27 Last updated: 2018-12-27Bibliographically approved
Koistinen, S., Olai, L., Ståhlnacke, K., Fält, A. & Ehrenberg, A. (2018). Munhälsa hos äldre personer inom korttidsvård, bedömd ur två perspektiv, självupplevd och professionell. In: : . Paper presented at Forskningens och utvecklingens dag, Örebro universitet.
Open this publication in new window or tab >>Munhälsa hos äldre personer inom korttidsvård, bedömd ur två perspektiv, självupplevd och professionell
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2018 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Health Sciences
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-29209 (URN)
Conference
Forskningens och utvecklingens dag, Örebro universitet
Available from: 2018-12-27 Created: 2018-12-27 Last updated: 2018-12-27Bibliographically approved
Koistinen, S., Olai, L., Ståhlnacke, K., Fält, A. & Ehrenberg, A. (2018). Munhälsorelaterad livskvalitet hos äldre personer inom korttidsvård. In: : . Paper presented at Svensk samhällsodontologisk förening.
Open this publication in new window or tab >>Munhälsorelaterad livskvalitet hos äldre personer inom korttidsvård
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2018 (Swedish)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Health Sciences
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-29204 (URN)
Conference
Svensk samhällsodontologisk förening
Available from: 2018-12-27 Created: 2018-12-27 Last updated: 2018-12-27Bibliographically approved
Koistinen, S., Olai, L., Ståhlnacke, K., Fält, A. & Ehrenberg, A. (2018). Oral health among elderly people assessed from two perspectives: self-perceived and professional. In: : . Paper presented at 24th Nordic Congress of Gerontology, Oslo, 2-4 May 2018.
Open this publication in new window or tab >>Oral health among elderly people assessed from two perspectives: self-perceived and professional
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2018 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Health Sciences
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-29210 (URN)
Conference
24th Nordic Congress of Gerontology, Oslo, 2-4 May 2018
Available from: 2018-12-27 Created: 2018-12-27 Last updated: 2018-12-27Bibliographically approved
Eldh, A. C., Olai, L., Jönsson, B., Wallin, L., Denti, L. & Elf, M. (2018). Supporting first-line managers in implementing oral care guidelines in nursing homes – a pilot study. Nordic journal of nursing research (2), 87-95
Open this publication in new window or tab >>Supporting first-line managers in implementing oral care guidelines in nursing homes – a pilot study
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2018 (English)In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, no 2, p. 87-95Article in journal (Refereed) Published
Abstract [en]

This study investigated first-line managers’ experience of and responses to a concise leadership intervention to facilitate the implementation of oral care clinical practice guidelines (CPGs) in nursing homes. Leadership is known to be an important element in knowledge implementation but little is known as to what supports managers to facilitate the process. By means of a process evaluation with mixed methods, the context and a three-month leadership program was explored, including activities during and in relation to the program, and the effects in terms of oral care CPG implementation plans. While the managers appreciated the intervention and considered improved oral care to be a priority, their implementation plans mainly focused the dissemination of an oral care checklist. The findings suggest that extended implementation interventions engaging both managers and clinical staff are needed, and that a concise intervention does not facilitate first-line managers to adopt behaviors known to facilitate knowledge implementation.

Keywords
context, frail older people, knowledge implementation, leadership, nursing home, oral care
National Category
Health Sciences
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-26788 (URN)10.1177/2057158517713379 (DOI)
Available from: 2017-12-14 Created: 2017-12-14 Last updated: 2018-06-08Bibliographically approved
Hägglund, D. & Olai, L. (2017). Enabling and inhibitory factors that influenced implementation of evidence-based practice for urinary incontinence in a nursing home. Nordic journal of nursing research, 37(2), 109-116
Open this publication in new window or tab >>Enabling and inhibitory factors that influenced implementation of evidence-based practice for urinary incontinence in a nursing home
2017 (English)In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 37, no 2, p. 109-116Article in journal (Refereed) Published
Abstract [en]

The aim of the present follow-up study was to describe staff perceptions of enabling and inhibitory factors that influenced implementation of evidence-based practice (EBP) for urinary incontinence in a nursing home. Focus group interviews were carried out and the text was deductively analyzed using the PARIHS framework and qualitative content analysis.  Factors believed to be most enabling for implementation were the EBP being considered as relevant and as a social process and visiting the lavatory being considered as a right for all. One determinant of successful implementation was having clear and involved leaders who had a continuous positive attitude toward the EBP and demanded results. Staffs who were given the role of continence agents were important facilitators. The factor believed to inhibit implementation most was staff having to carry out pad-weight tests before prescribing individual incontinence aids. The EBP offers a successful concept for caring for older persons with urinary incontinence in nursing homes. The EBP should be spread, both local and more widely.

Keywords
Implementation, nursing home, staff, urinary incontinence
National Category
Health Sciences
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-23358 (URN)10.1177/2057158516667644 (DOI)
Available from: 2016-11-15 Created: 2016-11-15 Last updated: 2017-06-05Bibliographically approved
Hägglund, P., Olai, L., Ståhlnacke, K., Persenius, M., Hägg, M., Andersson, M., . . . Carlsson, E. (2017). Study protocol for the SOFIA project: Swallowing function, oral health, and food intake in old age. BMC Geriatrics, 17(1), Article ID 78.
Open this publication in new window or tab >>Study protocol for the SOFIA project: Swallowing function, oral health, and food intake in old age
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2017 (English)In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 17, no 1, article id 78Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Extensive studies have shown that older people are negatively impacted by impaired eating and nutrition. The abilities to eat, enjoy food, and participate in social activities associated with meals are important aspects of health-related quality of life (HRQoL) and recovery after illness. This project aims to (i) describe and analyze relationships between oral health and oral HRQoL, swallowing ability, eating ability, and nutritional risk among older individuals admitted to short-term care; (ii) compare the perceptions that older individuals and staff report on care quality related to oral hygiene and eating; and (iii) study the feasibility and effects of a training program for people with impaired swallowing (i.e., dysphagia).

METHODS/DESIGN: This project consists of two parts, which will be performed in five Swedish counties. It will include approximately 400 older individuals and 200 healthcare professionals. Part 1 is a cross-sectional, descriptive study of older people admitted to short-term care. Subjects will be assessed by trained professionals regarding oral health status, oral HRQoL, eating and nutritional risk, and swallowing ability. Swallowing ability will be measured with a teaspoon test and a swallowing capacity test (SCT). Furthermore, subjects and staff will complete a questionnaire regarding their perceptions of care quality. Part 2 is a cluster randomized intervention trial with controls. Older participants with dysphagia (i.e., SCT <10 ml/s, measured in part 1) will be recruited consecutively to either the intervention or control group, depending on where they were admitted for short-term care. At baseline, all subjects will be assessed for oral health status, oral HRQoL, eating and nutritional risk, swallowing ability, and swallowing-related QoL. Then, the intervention group will receive 5 weeks of training with an oral screen for neuromuscular training focused on orofacial and pharyngeal muscles. After completing the intervention, and at six months post-intervention, all assessments will be repeated in both study groups.

DISCUSSION: The results will make important contributions to rehabilitation knowledge, including approaches for improving swallowing function, oral health, and food intake and for improving the quality of oral care for older people.

TRIAL REGISTRATION: This trial was retrospectively registered at ClinicalTrials.gov, on July 4, 2016, identifier: NCT02825927 .

Keywords
Aged, Deglutition, Eating, Oral health, Oral screen, Quality of health care, Quality of life, Short-term care, Swallowing disorders
National Category
Health Sciences
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-24672 (URN)10.1186/s12877-017-0466-8 (DOI)28335729 (PubMedID)
Available from: 2017-03-31 Created: 2017-03-31 Last updated: 2017-11-29Bibliographically approved
Persenius, M., Stålnacke, K., Olai, L., Hägg, M. & Carlsson, E. (2016). Methodological issues in studying frail older people in short-term care. In: : . Paper presented at Nordic Conference in Nursing Research 2016. Methods and networks for the future. Stockholm 15-16 juni 2016.
Open this publication in new window or tab >>Methodological issues in studying frail older people in short-term care
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2016 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Health Sciences
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-22653 (URN)
Conference
Nordic Conference in Nursing Research 2016. Methods and networks for the future. Stockholm 15-16 juni 2016
Available from: 2016-08-01 Created: 2016-08-01 Last updated: 2016-11-17Bibliographically approved
Hägglund, D. & Olai, L. (2016). Möjliggörande och hindrande faktorer som påverkat införandet av förändringsarbetet Toa-rätten vid urininkontinens, inom särskilt boende i äldreomsorgen. In: : . Paper presented at Svensk Sjuksköterskeförening (SSF), Sjuksköterskedagarna, Kvalitet i omvårdnad-sjuksköterskans ansvar. 22-23 nov 2016, Stockholm..
Open this publication in new window or tab >>Möjliggörande och hindrande faktorer som påverkat införandet av förändringsarbetet Toa-rätten vid urininkontinens, inom särskilt boende i äldreomsorgen
2016 (Swedish)Conference paper, Poster (with or without abstract) (Other academic)
Keywords
Implementering, särskilt boende, personal, urininkontinens
National Category
Health Sciences
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-23362 (URN)
Conference
Svensk Sjuksköterskeförening (SSF), Sjuksköterskedagarna, Kvalitet i omvårdnad-sjuksköterskans ansvar. 22-23 nov 2016, Stockholm.
Available from: 2016-11-15 Created: 2016-11-15 Last updated: 2016-11-16Bibliographically approved
Olai, L., Hägg, M., Stålnacke, K., Carlsson, E. & Persenius, M. (2015). Effects of swallowing training on eating, oral health and quality of care among elderly people in short-term care units: preliminary findings. In: : . Paper presented at The 21st IAGG European Congress of Gerontology and Geriatrics (IAGG-ER), Dublin, 23-26 April, 2015.
Open this publication in new window or tab >>Effects of swallowing training on eating, oral health and quality of care among elderly people in short-term care units: preliminary findings
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2015 (English)Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

Background: Lately, oral health-related quality of life (OHRQoL) and nutrition in elderly people living in special accommodations have been placed in focus. It has been shown that dysphagia, malnutrition and poor oral care are frequent in frail elderly people. Swallowing training, using an oral screen, has been successfully tested on stroke-afflicted patients with dysphagia. To what extent dysphagia will have an impact on oral health, and nutrition in elderly is poorly evaluated.  The aims are to study (1) oral health and OHRQoL together with eating, (2) to compare elderly people and nursing staffs’ perceptions of quality of care, and (3) to evaluate the effect of swallowing training on dysphagia. Early detection and intervention of quality of care related to oral hygiene, dysphagia, and eating, may lead to better care and quality of life for the elderly.

Methods:  In this prospective study 400 older people are examined with validated instruments measuring OHRQoL (OHIP14), perception of care quality (QPP), swallowing capacity (SCT) and eating ability (MEONF-II). Patients with dysphagia (n = 40), are included in a swallowing training program (IQoro®), another 40 patients with dysphagia serves as controls.

Results: Preliminary results from 219 patients, (mean age 82 years, 57 % women) shows that 53% are considered to have poor oral hygiene, 75% get no help with oral hygiene, 25% show clinical signs of malnutrition.

Conclusion:Safe eating, swallowing and good oral health for older people is a multidisciplinary responsibility, possible to influence. Key factors of importance for this process will be identified.

National Category
Health Sciences
Research subject
Hälsa och välfärd
Identifiers
urn:nbn:se:du-19118 (URN)
Conference
The 21st IAGG European Congress of Gerontology and Geriatrics (IAGG-ER), Dublin, 23-26 April, 2015
Projects
Aspekter av ätande och vårdkvalitet bland äldre som vårdas på korttidsboende - före och efter en intervention
Available from: 2015-08-26 Created: 2015-08-26 Last updated: 2015-08-26Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-5499-2055

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