Nursing Care of Older People

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The project group Older People Nursing consists of 3 senior lecturers, 2 lecturer, 1 researcher, 1 affiliated researcher and 3 PhD students at the Division of Nursing. The group has recently been established and will jointly develop its research program from fall 2017.

Research Group Leader

Senior lecturer/nurse

Anne-Marie Boström

Phone: +46-(0)8-524 839 19
Organizational unit: Division of nursing- Nursing 1
E-mail: Anne-Marie.Bostrom@ki.se

The research area

Nursing for older people includes promotion of health, prevention of illness, relief of suffering and care at the end of life at home, in nursing homes or in hospital. Older people are often defined as 65 years of age and older using Swedish definition but other age-limits are also used. The members of the project group conduct research that highlights many different aspects of aging. The study designs are cross-sectional and longitudinal studies, intervention studies, longitudinal studies and implementation studies, using both qualitative and quantitative research methods. Pedagogical research and development in the field of older people nursing will also be initiated.

Current research projects conducted by one or more of the members of the project group

At homeness among women and men over 85 years old in the end of life

Responsible: Anne-Marie Boström, Lotta Saarnio

At-homeness can be described as a sense of well-being despite serious illnesses, and where relational, temporally- and spatially aspects of well-being intertwine with each other. The aim of the project is to increase the understanding of at-homeness in the end of life for persons over 85, and how nursing staff can enable at-homeness for older people in the end of life. This project is based on qualitative approaches, including interviews, group discussions and observations as data collection methods.

Constipation among Swedish older Adults (CASA) project

Responsible: Anne-Marie Boström, Hanne Konradsen, Veronica Lundberg

The overall aim of the CASA project is to determine the prevalence and incidence of constipation among older patients admitted to geriatric clinics in Stockholm, and to explore health care professionals’ experiences and current practice of preventing and treating constipation among older patients. The project will start fall 2017.

Differences in the perceived burden of caregiver distress for caregivers caring for persons diagnosed with Lewy body dementia and Alzheimer’s disease

Responsible: Ewa Stenwall

The aim of this study is to describe what caregivers to persons with Lewy body dementia and Alzheimer’s disease experience. Further, to explore this knowledge this study is divided into a quantitative and a qualitative research part. The project is ongoing.

Family living with heart failure: An international study focusing on family functioning, family health and social support from nurses

Responsible: Hanne Konradsen

The aim is to examine if family functioning and family health in patients with heart failure and their partners is associated with their own and their partners’ perceived social support from nurses. The aims of the project are i) to explore the experiences of family functioning in relation to heart failure among Iranian immigrant families, and ii) to compare the family functioning, family health and social support from nurses among Danish, Icelandic and Iranian patients with heart failure and their family members. The project is ongoing.

Future Care for Older Adults in Home Care and Care Home

Responsible: Anne-Marie Boström, Zarina Nahar Kabir, Helen Olt

Future Care is a research program funded by FORTE for 2017-2019. Lena Borell (Professor at the division of occupational therapy) is PI and Anne-Marie Boström is Co-Investigator. The research program intends to contribute to the development of knowledge-based services for older adults’ opportunities for participation in society. The program envisions a future where persons with impairments can age in a society and experience full participation in valued ways of life, despite health or social losses, functional limitations, entry into a new country, or new digital-mediated online communities. Over one third of all older adults living in Europe over the age of 75 years old have impairments that restrict them in daily living. This has a profound impact on everyday life for many older adults and also on the cost of public funded services. The overall aim of the research program is to contribute new knowledge for the enabling of new services to support senior’s participation in two settings, living at home or in care homes.

Health Team for Elderly (HTE) project

Responsible: Anne-Marie Boström, Berit Seiger Cronfalk, Astrid Fjell

The aim of HTE project is to describe and evaluate a model of preventive home visits for older people in relation to risk assessments, prevention of hospital admission, health communication and compliance. The project is ongoing.

Implementation of Evidence Based Knowledge in Home – Care

Responsible: Anne-Marie Boström, Ewa Stenwall

The goal of this project is to implement and evaluate a model (the KISAM model) for a strategic framework for promoting competence in continuing translation of evidence-based knowledge to improve the quality of care provided to persons in home care. The project is targeted to identify knowledge gap in care providers’ competence for practicing evidence-based knowledge translation on a routine basis. This project is investigating a strategic framework for the practice of translating research based knowledge into care for older adults.The data collection is finished and data analyses and writing of publications are ongoing.

Implementing academia in dementia care

Responsible: Berit Seiger Cronfalk

The aim is to introduce and integrate academia to a nursing home for people with dementia diseases. There is a need to integrate academia and clinical practice while caring for people with dementia. Bräcke diakoni and Ersta Sköndal Bräcke University College (ESH) has a well-established and close cooperation as Bräcke diakoni is part owner of ESH. This offers unique opportunities to bring together research and practice within nursing home care. This project aims at working in collaboration with employees and researchers to create new ways of working and to implement evidence based knowledge and structure in the organisation. The model is designed as a circular process and is based on each person's needs, experiences and life experiences as well as the employee's competence to facilitate ideas in order to meet each persons´ needs.

International Network on Public Health and Aging (INOPA)

Responsible: Zarina Nahar Kabir

INOPA is a network of researchers from 11 academic, government and non-government organizations representing databases (1 intervention, 2 cross-sectional and 8 longitudinal) on older persons from eight countries located in Asia, Australia, Europe and North America. The network was financed by the Swedish Council for Working Life and Social Research (2005-2008). The network aims at the coordination of ageing research in high- and low-income regions of the world. The focus of the network is the need for integration of knowledge about ageing across diverse geographical contexts (e.g., high-income vs. low-income countries).

Massage following stroke among older patients

Responsible: Berit Seiger Cronfalk

The aim of the project is to examine the physiological and psychological effects of soft massage treatment (tactile massage) after stroke in geriatric patients, i.e. persons 65 years or older. The long-term goal is to improve care, treatment and function after stroke in older people. Research question: Does soft massage affect measureable psychological and physiological effects on symptoms and post-stroke function in patients 65 years and older. Preliminary results indicate that touching through stimulation of CT-fibers and soft massage can have normalizing effects on pulse and blood pressure as well as to contribute to pain relief, improved sleep, decreased anxiety, and increased well-being compared to the control group.

Older Persons’ Exercise and Nutrition (OPEN) study

Responsible: Anne-Marie Boström

The aim of OPEN study is to evaluate the effects of the sit-to-stand exercise, in combination with a protein-rich nutritional supplement, on physical function and independence in frail older persons living in nursing homes. The older person’s perceptions and experiences of the intervention and the staff’s experiences of supporting the older person to complete the intervention will also be explored. The intervention and data collection is still ongoing and will be completed in the end of 2017.

Poverty and Health in Ageing (PHA)

Responsible: Zarina Nahar Kabir

This multi-dimensional cross-sectional study aims to explore how biological, environmental, and societal factors are interrelated and how they affect aging. PHA includes survey methods, clinical investigations, cognitive testing, and laboratory analyses involving a sample of 850 participants aged ≥60 years in a rural area of Bangladesh. PHA is the result of a collaboration between ICDDR,B: Knowledge for Global Lifesaving Solutions, Bangladesh and Karolinska Institute. The project was financed by the Department for International Development, UK to the ICDDR,B, from the Swedish Medical Research Council and the Swedish International Development Agency to ICDDR,B and the Karolinska Institute.

Primary Health-Care Services in Later Life: Improving Services in Bangladesh and Vietnam (PHILL)

Responsible: Zarina Nahar Kabir

An intervention study financed by the European Commission (2002-2005), assessed the impact of primary health care (PHC) interventions to improve health and quality of life of older people in rural Vietnam and Bangladesh. The project assessed health needs of elderly people and the effectiveness of PHC services in meeting these needs. A sustainable intervention package was developed to improve delivery of health-care services for older people. It also addressed measures that could be adopted at younger ages to prepare for healthy future in later life. The package targeted PHC providers, local communities, informal carers and older people. The study assessed the impact of these interventions using quantitative and qualitative techniques.

Reaching out to family health (REACH-FH)

Responsible: Hanne Konradsen

This proposed project is to fund a maintainable European multidisciplinary researcher network focusing on health of families of older people who have to live with chronic conditions. The application will be submitted in September 2017, and includes researchers from Italy, Belgium, Denmark, Netherlands, Germany, Spain, Iceland, Switzerland, Finland, Sweden, Turkey, Poland, Romania and Slovenia, and participation of 4 NGO's., (AGE Platform Europe, European Centre for social welfare policy and research, Eurocarers – European Association Working for Carers and ESFR European Society on Family Relation – interdisciplinary research society).

The rythm of life – music therapy as a tool of communication in dementia care

Responsible: Berit Seiger Cronfalk

The aim of the project is to investigate whether music therapy can support communication between persons with dementia and their family members. The study is a pilot study with qualitative and quantitative approach in which family members’ experiences are in focus.

Transitions related to early onset dementia. From diagnosis to end of life

Responsible: Anne-Marie Boström, Berit Seiger Cronfalk

The overall aim of this project is to increase understanding of how people with early-onset dementia disease and their families experience transitions during the course of the disease. The project will start fall 2017.

Group Members

Senior lecturer/nurse

Anne-Marie Boström

Phone: +46-(0)8-524 839 19
Organizational unit: Division of nursing- Nursing 1
E-mail: Anne-Marie.Bostrom@ki.se

Associated

Berit Cronfalk

Organizational unit: Division of nursing- Nursing 1
E-mail: Berit.Cronfalk@ki.se

Lecturer

Kethy Forssell Ehrlich

Organizational unit: Division of nursing- Nursing 1
E-mail: Kethy.Forssell.Ehrlich@ki.se

Graduate Student

Astrid Fjell

Organizational unit: Division of nursing- Nursing 1
E-mail: Astrid.Fjell@ki.se

Senior researcher

Zarina Nahar Kabir

Phone: +46-(0)8-524 836 97
Organizational unit: Division of Nursing- Nursing 2
E-mail: Zarina.Kabir@ki.se

Senior lecturer

Hanne Konradsen

Organizational unit: Division of Nursing- Nursing 2
E-mail: hanne.konradsen@ki.se

Lecturer

Veronica Lundberg

Organizational unit: Division of nursing- Nursing 1
E-mail: veronica.lundberg@ki.se

Lecturer

Helen Olt

Organizational unit: Division of nursing- Nursing 1
E-mail: Helen.Olt@ki.se

Graduate Student

Lotta Saarnio

Organizational unit: Division of nursing- Nursing 1
E-mail: lotta.saarnio@ki.se

Senior lecturer

Ewa Stenwall

Phone: +46-(0)8-524 832 78
Organizational unit: Division of nursing- Nursing 1
E-mail: Ewa.Stenwall@ki.se

Publications

Nursing