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  • 1.
    Rasmussen, Hege
    et al.
    Clinic for Mental Health and Substance Abuse, Nord-Trøndelag Hospital Trust, Namsos Hospital, Norway; Department of Mental Health, Norwegian University of Science and Technology, Norway.
    Hellzen, Ove
    Mid Sweden University, Mid Sweden University, Sweden.
    Stordal, Eystein
    Clinic for Mental Health and Substance Abuse, Nord-Trøndelag Hospital Trust, Namsos Hospital, Norway; Department of Mental Health, Norwegian University of Science and Technology, Norway.
    Enmarker, Ingela
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för vårdvetenskap, Med-Vårdvetenskap.
    Family caregivers experiences of the pre-diagnostic stage in frontotemporal dementia2019Ingår i: Geriatric Nursing, ISSN 0197-4572, E-ISSN 1528-3984, Vol. 40, nr 3, s. 246-251Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Frontotemporal dementia (FTD) is a neurodegenerative disease with symptoms that differs from other dementias. Commonly early symptoms in FTD are changes in personality and behavior, which can be interpreted as psychiatric disease. The delay in FTD diagnosis contributes to the burden of family caregivers. Therefore, it is important to have more knowledge about the pre-diagnostic stage. In this qualitative interview study, we explored fourteen family caregiver's experiences of the pre-diagnostic stage of frontotemporal dementia (FTD). Our findings suggest that the family caregivers experienced the pre-diagnostic stage of FTD as changes in the interpersonal relationship with their loved one. These changes were often subtle and difficult for family caregivers to explain to others. The findings from our study illuminate the importance of medical staff paying attention when a next of kin is concerned about subtle changes in a loved one. The findings also illuminate that awareness of FTD should be raised.

  • 2.
    Silén, Marit
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för vårdvetenskap, Med-Vårdvetenskap. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Skytt, Bernice
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för vårdvetenskap, Med-Vårdvetenskap. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Engström, Maria
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för vårdvetenskap, Med-Vårdvetenskap. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden; Nursing Department, Medicine and Health College, Lishui University, China.
    Relationships between structural and psychological empowerment, mediated by person-centred processes and thriving for nursing home staff2019Ingår i: Geriatric Nursing, ISSN 0197-4572, E-ISSN 1528-3984, Vol. 40, nr 1, s. 67-71Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Person-centred care has been shown to have positive outcomes for patients and for staff. However, the complexity of the link between structural conditions, work in a person-centred manner and outcomes for staff is insufficiently described. We tested the relationship between structural empowerment and psychological empowerment, as mediated by nursing home staff members’ self-ratings of working in a person-centred manner, the person-centred climate and thriving. Questionnaires were distributed to staff working in 12 nursing homes in Sweden. A serial mediation model was tested. The results showed that higher access to structural empowerment was related to higher psychological empowerment mediated by staff working in a more person-centred manner, improved person-centred climate, and improved staff ratings of thriving. These results point to the importance of strengthening the preconditions for staff to work in a person-centred manner and nursing home managers play an important role in this.

  • 3.
    Voraroon, Supaporn
    et al.
    Department of Nursing Sciences, Mid Sweden University, Sundsvall, Sweden; Boromarajonani College of Nursing, Suphanburi, Thailand.
    Hellzen, Ove
    Department of Nursing Sciences, Mid Sweden University, Sundsvall, Sweden.
    Enmarker, Ingela
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för vårdvetenskap, Med-Vårdvetenskap.
    Meebunmak, Yaowaluck
    Boromarajonani College of Nursing, Ratchaburi, Thailand.
    Devik, Siri Andreassen
    Centre for Care Research Mid-Norway, Steinkjer, Norway.
    The impact of shareholding networks for facilitating care in rural Thailand.2019Ingår i: Geriatric Nursing, ISSN 0197-4572, E-ISSN 1528-3984, Vol. 40, nr 4, s. 392-398Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study explored the existential meaning of being a participant in shareholding networks for the care of older people in Thailand. Ten older persons were interviewed about their experiences of participating in the networks. A reflective lifeworld perspective based on phenomenological philosophy was used. The findings show that participating in shareholding network activities entails an always-present existence of aging intertwined with life. Its constituents further describe the essential meaning of the phenomenon: "experience of improved self-management", "feeling of increased self-esteem", and "bridging a gap in the care of older people". Participation in shareholding network activities means keeping contact with oneself and being able to have a life that corresponds to how one perceives oneself to be and must therefore be understood from a holistic perspective. The present study recommends that older persons' need for support include places where safe and profound reflection on existential issues.; Copyright © 2019. Published by Elsevier Inc.

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