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Nursing Care of Older People

The project group Older People Nursing consists of 3 senior lecturers, 6 lecturer, 1 researcher, 1 affiliated researcher and 3 PhD students at the Division of Nursing. The group was established in fall 2017.

Project Group Leader

Lektor/sjuksköterska

Anne-Marie Boström

Telefon: 076-051 95 13
Enhet: Sektionen för omvårdnad- Omvårdnad 1
E-post: 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 definition by Swedish Statistics 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, longitudinal, intervention 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

Becoming a specialist nurse

Responsible: Hanne Konradsen, Anne-Marie Boström

The aim of this project is to explore the experiences of nursing students enrolled in the specialist education Vård av Äldre, and how their expectations to the work as a specialist nurse are changed during their education. The project is a collaboration between Göteborg University and KI.

Care of Older Caregivers: Mobile Application to Alleviate Stress and Improve Quality of Life of Older Family Caregivers of Persons with Dementia (CAFCA)

Responsible: Zarina Nahar Kabir, Anne-Marie Boström, Hanne Konradsen, Cecilia Moberg, Berit Seiger Cronfalk

The aim of this study is to assess the effectiveness of implementing the mobile application SAMAC through existing health care system in Sweden in improving quality of life (QOL) and mental health, and reducing stress and loneliness of older family caregivers of persons with dementia. Financed by the Kamprad Foundation, this 3-year long intervention study will be conducted in urban and rural parts of Sweden. The project will start in the beginning of 2019.

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 started fall 2017.

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.

Families’ Importance in Nursing Care –Nurses Attitudes (FINC-NA)

Responsible: Hanne Konradsen, Anne-Marie Boström, Zarina Nahar Kabir

This project explores nurses’ attitudes towards involving families in nursing care. It uses a snowball sampling technique through social media. Data collection are ongoing in Sweden, China, Hong Kong and Canada

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. The program is on-going with five sub-projects. Read more

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 on-going. Two publications are currently in press.

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. Data analyses and writing of publications are ongoing. Three publications are currently in press.

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.

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 the 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 data collection is completed. Data analyses and and writing of publications are ongoing. The study protocol for the OPEN study was published in 2018.

Perceived symptoms and coping strategies in carers to people with Lewy Body Dementia and Alzheimer´s disease

Responsible: Ewa Stenwall

The aim of this study is to investigate and describe the experiences of careers to people with Lewy Body Dementia and Alzheimer´s disease to identify similarities and differences between the symptoms and coping strategies chosen. The data collection is finished. Data analyses and writing of publications are ongoing.

Reaching out to family health (REACH-FH)

Responsible: Hanne Konradsen

An international research collaboration between researchers from Denmark, Finland, Iceland, Netherlands, Spain, Switzerland, and Sweden, has been established. The group meets regularly and are working on joint publications within family nursing. Funding applications for various projects are being developed in co-operation with 4 NGO's., (AGE Platform Europe, European Centre for social welfare policy and research, Eurocareers – European Association Working for Careers and ESFR European Society on Family Relation – interdisciplinary research society).

Stress Alleviating Mobile Application for Caregivers (SAMAC): A Feasibility Study

Responsible: Zarina Nahar Kabir, Anne-Marie Boström, Hanne Konradsen, Cecilia Moberg

The study aims to assess feasibility of a mobile application, Stress Alleviating Mobile Application for Caregivers (SAMAC), by collecting views of caregivers of persons with dementia on its use to alleviate stress. A moderator will use a pre-determined protocol to facilitate group discussions with the Caregivers via the SAMAC. Specific objectives of the study include: Explore caregivers’ views on stress alleviation through a mobile application; explore caregivers’ preference of the features of the SAMAC; test the feasibility of the use of the SAMAC for 8 weeks; test usability of health assessment measures in the SAMAC by caregivers. This project is the result of a collaboration with the Faculty of Nursing at the Hong Kong Polytechnic University.

Studies about older persons with heart failure

Responsible: Nana Waldréus

Thirst in persons with heart failure- an international study

In collaboration with about 15 countries worldwide, the Thirst Distress Scale for persons with heart failure will be translated, and data will be collected on thirst and factors related with thirst.

Thirst, appetite, symptom burden, and quality of life in elderly persons with heart failure

A study with four heart failure centres in Sweden will be conducted with the aim to describe thirst, appetite, symptom burden, symptom clusters and quality of life in persons with heart failure.

Alleviate thirst distress in persons with heart failure

An intervention study will be conducted to prevent and alleviate thirst distress in persons with heart failure.

Physical activity and nutrition therapy for elderly persons with heart failure

In collaboration with Stockholms Sjukhem a randomized controlled trial will be planned. The aim is to describe effects of individual nutrition therapy combined with physical activity on rehospitalization, frailty, thirst, symptom burden and quality of life in elderly frail persons with heart failure.

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 started fall 2018.

Translating Research in Elder Care (TREC)

Responsible: Anne-Marie Boström

TREC is a Canadian research program led by professor Carole Estabrooks, University of Alberta, Edmonton, Canada. The aim of the program is to develop solutions for improving the quality of care provided to nursing home residents, enriching the work life of their caregivers, and enhancing system efficiency. TREC is a research partnership of researchers, knowledge users, policy makers, and citizens which aims to produce knowledge that improves elder care. Read more

Group Members

Lektor/sjuksköterska

Anne-Marie Boström

Telefon: 076-051 95 13
Enhet: Sektionen för omvårdnad- Omvårdnad 1
E-post: Anne-Marie.Bostrom@ki.se

Anknuten

Berit Cronfalk

Enhet: Sektionen för omvårdnad- Omvårdnad 2
E-post: Berit.Cronfalk@ki.se

Adjunkt

Jeanette Eckerblad

Telefon: 08-524 837 34
Enhet: Sektionen för omvårdnad- Omvårdnad 2
E-post: jeanette.eckerblad@ki.se

Forskarstuderande

Astrid Fjell

Enhet: Sektionen för omvårdnad- Omvårdnad 1
E-post: Astrid.Fjell@ki.se

Forskare

Zarina Nahar Kabir

Telefon: 08-524 836 97
Enhet: Sektionen för omvårdnad- Omvårdnad 2
E-post: Zarina.Kabir@ki.se

Adjunkt

Veronica Lundberg

Enhet: Sektionen för omvårdnad- Omvårdnad 1
E-post: veronica.lundberg@ki.se

Adjunkt

Cecilia Moberg

Telefon: 08-524 838 20
Enhet: Sektionen för omvårdnad- Omvårdnad 1
E-post: Cecilia.Moberg@ki.se

Forskarstuderande

Marie Olsen

Enhet: Sektionen för omvårdnad- Omvårdnad 1
E-post: marie.olsen@ki.se

Adjunkt

Helen Olt

Enhet: Sektionen för omvårdnad- Omvårdnad 1
E-post: Helen.Olt@ki.se

Lektor

Ewa Stenwall

Telefon: 08-524 832 78
Enhet: Sektionen för omvårdnad- Omvårdnad 1
E-post: Ewa.Stenwall@ki.se

Adjunkt

Nana Waldréus

Enhet: Sektionen för omvårdnad- Omvårdnad 2
E-post: nana.waldreus@ki.se

Publications