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  • 1.
    Granström, Therese
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Olsen, Marie
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Mentoring model in municipal health care in Dalarna, Sweden: A model for supporting new employeed nurses' professional role in municipal health care2012In: Ageing connects: book of abstracts, International Federation on Ageing. Global Conference on Ageing , 2012Conference paper (Refereed)
    Abstract [en]

    Background

    The society and health care units are increasing the demands on nurses.  Newly employed nurses   are expected to be able to work from the first day of employment independently.

    Aim

    That the newly employed nurses in communities within the County of Dalarna, receive support enabling them to feel safe in their professional role and ensure patient safety.

    The scope of the project

    The Mentor Model (MM) is based on the fact that the municipalities in Dalarna County (n = 15) appoints a Headmentor (HM).  The HM is responsible for appointing a mentor (M) for all newly employed nurses and has a supportive function for all mentors. The mentors (M) should have professional experience and are responsible for the newly employed nurses under a period of one year. In order for the M to provide support i.e. time for reflection with the HM and newly employed nurse sufficient, time must be allocated, i.e. two weeks.

    The (M) should be available to answer necessary, and networking with other mentors in Dalarna.

    Interviews with HM, M and newly employed in the municipalities showed positive gains with appointing an MM. The positive effects were: patient safety, the nurses felt more confident and the HM and M had opportunity to develop professionally.

  • 2.
    Olsen, Marie
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Diabetes and older people2012In: : , 2012Conference paper (Other (popular science, discussion, etc.))
  • 3.
    Olsen, Marie
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Anderbro, Therese
    Karolinska Institutet, Stockholm, Sweden .
    Amsberg, Susanne
    Sophiahemmet University, Stockholm, Sweden ; Karolinska Institutet, Department of Clinical Sciences, Danderyd Hospital, Division of Medicine, Stockholm, Sweden.
    Leksell, Janeth
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Uppsala University, Department of Medical Sciences, Uppsala, Sweden.
    Moberg, Erik
    5 Karolinska Institutet, Department of Medicine, Karolinska University Hospital, Huddinge, Sweden .
    Lisspers, Jan
    Mid Sweden University, Department of Psychology, Campus Östersund, Östersund, Sweden.
    Gudbjörnsdottir, Soffia
    University of Gothenburg, Department of Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Johansson, Unn-Britt
    Karolinska Institutet, Department of Clinical Science and Education, Södersjukhuset, Stockholm, Sweden .
    Psychometric properties of the Swedish version of the Fear of Complications Questionnaire2014In: Open Journal of Endocrine and Metabolic Diseases, ISSN 2165-7432, Vol. 4, p. 69-76Article in journal (Refereed)
    Abstract [en]

    Objectives: To translate and evaluate the psychometric properties of the Swedish version of the Fear of Complications Questionnaire. Design: Cross-sectional study design and scale development. Settings: Totally, 469 adults (response rate 63.5%) with Type 1 diabetes completed the questionnaires. Participants were recruited from two university hospitals in Sweden. Participants: Eligible patients were those who met the following inclusion criteria: diagnosed with Type 1 diabetes, diabetes duration of at least 1 year and aged at least 18 years. Methods: The Fear of Complications Questionnaire was translated using the forward-backward translation method. Factor analyses of the questionnaire were performed in two steps using both exploratory and confirmatory factor analysis. Convergent validity was examined using the Hospital Anxiety and Depression Scale and the Fear of Hypoglycaemia Fear Survey. Internal consistency was estimated using Cronbach’s alpha.Results: Exploratory factor analysis supported a two-factor solution. One factor contained three items having to do with fear of kidney-related complications and one factor included the rest of items concerning fear of other diabetes-related complications, as well as fear of complications in general. Internal consistency was high Cronbach’s alpha 0.96. The findings also gave support for convergent validity, with significant positive correlations between measures (r = 0.51 to 0.54). Conclusion: The clinical relevance of the identified two-factor model with a structure of one dominant subdomain may be considered. We suggest, however a one-factor model covering all the items as a relevant basis to assess fear of complications among people with Type 1 diabetes.

  • 4.
    Olsen, Marie
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Dahlberg, Lena
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Boström, Anne-Marie
    Institutionen för Neurobiologi, Vårdvetenskap och Samhälle, Karolinska Institutet.
    McKee, Kevin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Udo, Camilla
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Older people’s views on the important values in home help provision: a Swedish study2018Conference paper (Refereed)
    Abstract [en]

    Little is known about the values that older people consider important in receipt of home help. Therefore, this study aimed to explore which values older people hold in relation to home help services and their experiences of how these values are reflected in the delivery of help. Interviews were conducted from November 2015 to March 2016 with 16 older persons (age ≥65 years) who received home help at the time of the study. Data were analysed using qualitative content analysis. Results identified values that older people find important in home help and suggest behaviours that should underpin home help, such as supporting the older person’s independence, building a reciprocal relationship and promoting a sense of safety and security (e.g., by providing information about what home help entails for the recipient). We conclude that it is important that care staff recognise and integrate these values into their actions on an interpersonal level in daily care, adopting a relation-oriented rather than a task-focused approach in the provision of home help for older people.

  • 5.
    Olsen, Marie
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Dahlberg, Lena
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    McKee, Kevin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Udo, Camilla
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Older people´s views on the core values of home care2015Conference paper (Other academic)
    Abstract [en]

    The care of older people and the underpinning values of care of older people in a recent government report on dignity in care. Care of older people should be based on six aspects of dignity which is the foundation for a dignified life. These are: integrity, such as privacy and bodily integrity; Self-determination; involvement in decisions about their care; individualized care; good health and social care; and a good interaction to the older person and their families.

    Despite a strong policy agenda on individually adapted care and values, social care research has usually not been undertaken from the perspective of the older care-receiver themselves. Even less is known about preferences of older care receivers with dementia, despite that they compose approximately 34 percent of older care receivers who have support from home help.

    Such pronouncements raise a question regarding the extent to which proposed ‘core values’ of social care are based on the actual values of the users, that is, the older care receivers.

    The study will be undertaken by means of a qualitative cross-sectional study, with semi-structured interviews.

     The population will include two groups: older care receivers (65 years or older) with or without dementia. The sample size is estimated to approximately 20-30 participants in each group.

    The interviews will be analyzed with content analysis. 

    This study will provide an increased understanding of older care receivers’ preferences and create conditions for a more individualized and person-centered care. This study will also contribute to strengthening the evidence-based practice in social care.

     

  • 6.
    Olsen, Marie
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Granath, Annelie
    Wharén, Pia
    Blom, Tammy
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Leksell, Janeth
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Perceived knowledge about diabetes among personnel in municipal care: a qualitative focus group interview study2012In: European Diabetes Nursing, ISSN 1551-7853, E-ISSN 1551-7861, Vol. 9, no 2, p. 52-55Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to explore the perceived knowledge of diabetes among personnel practising in municipal care.

    The study was conducted using a qualitative approach through focus group interviews. The study included focus group interviews on three occasions, with a total of 22 enrolled nurses (ENs).

    The results showed that the ENs' perceived knowledge of diabetes was not optimal. However, the study findings demonstrated that the ENs felt they had sufficient knowledge of nursing interventions, especially in the prevention of foot complications. Nevertheless, they expressed feelings of insecurity about assessing symptoms, treatment, and interventions to be taken with high or low blood glucose levels.

    When providing opportunities for educating ENs prior to delegating to them the task of insulin administration, the training sessions should be structured and led by a diabetes nurse with pedagogical skills. It is important that the registered nurses who teach have up-to-date knowledge concerning developments and research in diabetes care.

    The results of the study show that ENs employed within municipal health care lack knowledge regarding the care of older people with type 2 diabetes. Therefore, it is essential that ENs receive structured education and training in diabetes in order to ensure good and safe diabetes care. Copyright © 2012 FEND. Published by John Wiley & Sons, Ltd

  • 7.
    Olsen, Marie
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Granath, Annelie
    Wharén, Pia
    Blom, Tammy
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Leksell, Janeth
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Perceived knowledge about diabetes in community care: a qualitative interview study2011Conference paper (Refereed)
  • 8.
    Olsen, Marie
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Kullenberg Oreland, Helena
    Sofiahemmet University College, Stockholm, Sweden.
    Knowledge of diabetes among nurses in residential nursing home2013Conference paper (Refereed)
    Abstract [en]

    Background: Diabetes mellitus is increasing worldwide and is regarded as a public health problem.  Older persons with diabetes and comorbidity are associated with a number of complications. Nurses’ knowledge   of diabetes is paramount for maintaining good patient safety and ensuring people living in residential nursing homes receive the care and assistance self care needed, thus avoiding acute as well as late complications and maintains a good quality of life.

    Aim: To describe nurses’ who work at residential nursing homes knowledge related to diabetes.  

    Method: Descriptive cross-sectional questionnaire study.   Data were collected using a questionnaire for control of nurses’ knowledge about diabetes. A total of 128 nurses working at residential nursing homes participated. Data were compiled and analyzed with descriptive statistics.

    Results:  The nurses’ felt that they had good knowledge of the causes and development of hypoglycemia and it’s treatment.   Furthermore, the nurses felt they had sufficient knowledge of medical and nursing interventions for abnormal blood glucose levels.   Only a few nurses gave correct answers about the risk factors for getting low blood glucose levels. The nurses felt they had the need of education primarily regarding the care of diabetic foot ulcers, diet and unstable blood glucose levels.

    Conclusion: Study findings suggest there is a lack of knowledge about diabetes among nurses who working at residential nursing homes.  The study highlights the need of education to prevent negative consequences for the quality of care and patient safety. Furthermore, there is a necessity for further development of specific measurements for the control of nurses’ knowledge regarding development and care of diabetes.

  • 9.
    Olsen, Marie
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Leksell, Janeth
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Elderly and diabetes2009In: 14th FEND Annual Conference, Wien, 2009Conference paper (Refereed)
  • 10.
    Olsen, Marie
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    McKee, Kevin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Dahlberg, Lena
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Udo, Camilla
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Understanding older people’s experiences of home care through the capability approach2015Conference paper (Other academic)
    Abstract [en]

    The core concepts of CA

    In the theoretical framework of CA, well-being is constituted by a person’s unique way of functioning and capabilities. This means that a person's well-being is personal and involves freedom of choice which in turn means they have a number of options. Although many people may have the same resources, it is of importance to study how these resources are converted into how they function. Thus, wellbeing is about the person's freedom to achieve in general and the capabilities to function in particular (Sen, 1995).

    Strength of the capability approach

    The capability approach is a useful tool for matching objective evaluations with subjective metrics. Furthermore, although one’s individual abilities are in focus, contextual factors, and subjective perceptions and experiences, are taken into consideration.

    Critiques against the CA

    The capability approach has been criticized for being too individual-centered and not taking sufficient account to social structures in society. It is difficult to know what a person would choose to do if other options were available. Therefore, to operationalize abilities involves uncertainties.

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