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Jonasson, Lise-Lotte
Publications (10 of 22) Show all publications
Jonasson, L.-L., Lindö, P., Lindh, T. & Josefsson, K. (2019). Life situation and participation as experienced by adult patients in palliative home care. Nursing and Palliative Care
Open this publication in new window or tab >>Life situation and participation as experienced by adult patients in palliative home care
2019 (English)In: Nursing and Palliative CareArticle in journal (Refereed) Published
Abstract [en]

Background: Many patients are currently cared for at the end-of-life stage at home, and the number is expected to increase. The patient’s participation is a prerequisite for good care, which also relates to ethical principles and evidence-based action. Aim: To describe adult patients’ experiences of their life situation and their participation in palliative home care. Method: A reflective lifeworld approach and a phenomenological meaning analysis were conducted. Six adult patients in palliative home care were interviewed in Sweden during 2018. Results: One essential meaning and five elements of that meaning describe adult patients’ life situations and participation in their palliative home care. The essential meaning referred to needing and endeavouring to live as usual and taking responsibility for life. The five essential elements were: The home should be my home, where I know who is coming through the door; I should know when help is coming and be included when decisions are made; routines should be maintained, but without booking up tomorrow; accept death, feel hope, and plan for relatives after my death; and be aware that death is imminent, but not know when it will come. Conclusions: Participation in palliative home care can be maintained and improved by caregivers behaving as guests in the patient’s home, building up the patient’s trust, showing consideration for patients and their relatives, promoting patients living everyday life as they previously had, asking about the patient’s habits, and giving patients time and continuity in the caregiving relationship. Education should focus on how to have supportive conversations with a patient who is dying and preparing for death.

Keywords
adult patients, end-of-life, interview, life situation, palliative home care, participation
National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-21192 (URN)
Available from: 2019-06-12 Created: 2019-06-12 Last updated: 2019-06-17Bibliographically approved
Jonasson, L.-L., Sandman, L. & Bremer, A. (2019). Managers’ experiences of ethical problems in municipal elderly care: a qualitative study of written reflections as part of leadership training. Journal of Healthcare Leadership, 11(63-74)
Open this publication in new window or tab >>Managers’ experiences of ethical problems in municipal elderly care: a qualitative study of written reflections as part of leadership training
2019 (English)In: Journal of Healthcare Leadership, Vol. 11, no 63-74Article in journal (Refereed) Published
Abstract [en]

Background: Managers in elderly care have a complex ethical responsibility to address the needs and preferences of older persons while balancing the conflicting interests and requirements of relatives’ demands and nursing staff’s work environment. In addition, managers must consider laws, guidelines, and organizational conditions that can cause ethical problems and dilemmas that need to be resolved. However, few studies have focused on the role of health care managers in the context of how they relate to and deal with ethical conflicts. Therefore, the aim of this study was to describe ethical problems experienced by managers in elderly care.

Methods: We used a descriptive, interpretative design to analyze textual data from two examinations in leadership courses for managers in elderly care. A simple random selection of 100 out of 345 written exams was made to obtain a manageable amount of data. The data consisted of approximately 300 pages of single-spaced written text. Thematic analysis was used to evaluate the data.

Results: The results show that managers perceive the central ethical conflicts relate to the older persons’ autonomy and values versus their needs and the values of the staff. Additionally, ethical dilemmas arise in relation to the relatives’ perspective of their loved one’s needs and preferences. Legislations, guidelines, and a lack of resources create difficulties when managers perceive these factors as conflicting with the care needs of older persons.

Conclusion: Managers in elderly care experience ethical conflicts that arise as unavoidable and perennial values conflicts, poorly substantiated values, and problematic organizational conditions. Structured approaches for identifying, reflecting on, and assessing ethical problems in the organization should therefore be implemented

Keywords
manager, ethical responsibility, municipal, older person, thematic analysis
National Category
Other Medical Sciences
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-15232 (URN)10.2147/JHL.S199167 (DOI)
Available from: 2018-10-23 Created: 2018-10-23 Last updated: 2019-06-20Bibliographically approved
Johansson, H., Berterö, C., Berg, K. & Jonasson, L.-L. (2019). To live a life with COPD - the consequences of symptom burden. International Journal of COPD, 14, 905-909
Open this publication in new window or tab >>To live a life with COPD - the consequences of symptom burden
2019 (English)In: International Journal of COPD, ISSN 1176-9106, Vol. 14, p. 905-909-Article in journal (Refereed) Published
Abstract [en]

Background: Chronic obstructive pulmonary disease (COPD) is a prevalent disease as with its symptom and treatment gives a burden for the affected person, family, health care and finances. Today the knowledge and understanding are sparse regarding COPD affected person´s own lived experiences about the symptom burden and its effect on their daily life.  Due to this knowledge gap the aim of this study was to identify and describe the symptom burden and its effect on daily life in people with COPD based on their own lived experiences.

Subject and Method: Eleven males and fourteen females in GOLD stage III and IV within an age of 58-82 years were interviewed. An interview guide guided the face-to-face interviews. Data was analyzed with Thematic Analysis following the six steps according to Braun and Clarke.

Results: The result show one theme; An altered everyday life. The altered everyday life lead to a need of support to handle the everyday life and  different strategies to live as desired. Persons with COPD need to take the day as it comes dependent on the status of the day. The life is not easy to plan, and the day must be taken as it comes. The life is handled with strategies in breathing techniques, take care of the home and garden as well as the emotions. Support from the next of kin, society and the health care is important.

Conclusion: This study provides insight in that persons with COPD in stage III and IV have an altered life caused by the symptom burden. They must struggle with strategies to handle everyday life. There is a need of support from next of kin and society to facilitate life, but this support needs to be well-balanced.

Keywords
Chronic obstructive pulmonary disease, Symptom burden, Daily life, Thematic analysis
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hb:diva-15234 (URN)10.2147/COPD.S192280 (DOI)
Available from: 2018-10-23 Created: 2018-10-23 Last updated: 2019-06-24Bibliographically approved
Jonasson, L.-L., Nazarzadeh, A. & Pettersson, C. (2019). Äldre personers urininkontinens på vård- och omsorgsboende.
Open this publication in new window or tab >>Äldre personers urininkontinens på vård- och omsorgsboende
2019 (Swedish)Other, Policy document (Other (popular science, discussion, etc.))
Abstract [sv]

Urininkontinens är ett problem för äldre personer och tenderar öka då äldre personer flyttar in på vård- och omsorgsboende. Efter inflyttning ska en vård- och genomförandeplan upprättas, gällande insatser som personen är i behov av. På vilket sätt journalförs och dokumenteras personens urininkontinens i vårdplanen? Hur är omsorgsbehovet i genomförandeplanen utformat, och hur relateras vårdplanen till genomförandeplanen?  Det var frågor som författarna nedan ställde sig i en studie genomförd inom två kommuner i Västra Sverige

Publisher
p. 2
Series
Palliativ vård Inkontinens och äldre, ISSN 2001-1164 ; 2
National Category
Nursing
Identifiers
urn:nbn:se:hb:diva-21194 (URN)
Available from: 2019-06-12 Created: 2019-06-12 Last updated: 2019-06-17Bibliographically approved
Johansson, H., Berg, K., Berterö, C. & Jonasson, L.-L. (2017). Living with COPD: a life with strategies.. In: : . Paper presented at Gotland.
Open this publication in new window or tab >>Living with COPD: a life with strategies.
2017 (English)Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

Abstract

People with COPD are affected by symptom burden as it has an impact on their daily lives. There are few studies to be found about people with COPD and their own experiences of living with the disease.

The aim of this study was to identify and describe the symptom burden in people with COPD based on their own lived experiences. This was a qualitative study, interviewing 25 people with COPD in stages III and IV.

People with COPD have a substantial symptom burden that affects their daily lives.

There are several strategies to manage everyday life and reduce the symptom burden

National Category
Health Sciences
Identifiers
urn:nbn:se:hb:diva-12442 (URN)
Conference
Gotland
Available from: 2017-07-25 Created: 2017-07-25 Last updated: 2017-08-31Bibliographically approved
Andersson, H., Lindholm, M., Pettersson, M. & Jonasson, L.-L. (2017). Nurses competencies in Home health care: An interview study.. BMC Nursing, 16(65)
Open this publication in new window or tab >>Nurses competencies in Home health care: An interview study.
2017 (English)In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 16, no 65Article in journal (Refereed) Published
Abstract [en]

Background:Nurses working in Home health care (HHC) are facing major challenges when more advanced care and treatment are performing in the patient's home. The aim of this study was to explore how nurses experiencing their competencies in HHC. 

Methods:This study has a qualitative and explorative design. Ten nurses were interviewed and data were analysed by content analysis.

Results:The themes “Being a capable nurse”, “Being a useful nurse” and “Being a subordinate and dependent nurse” were identified. Nurses want to be capable to take care of patients, develop their competencies and perform their duties in the way that are requested. They also want to be useful in their work and providing good and safe HHC. Finally, nurses want to improve the care in HHC with their competencies. Simultaneously, they are subordinate and dependent in the relation with their manager and manager's interest to encourage nurses’ competence development.

Conclusions:Nurses in HHC are responsible for many seriously ill patients and they want to contribute to a good and safe patient care. To maintain patient safety, reduce the risk for burnout and staff turnover as well as to contribute to a sustainable development of the work, strategies for transfer competencies between nurses and efforts for competence development are needed. 

Keywords
home healthcare, nurses, competencies, competence development, sustainable development, content analysis
National Category
Other Medical Sciences
Identifiers
urn:nbn:se:hb:diva-12439 (URN)10.1186/s12912-017-0264-9 (DOI)000415580500002 ()29176934 (PubMedID)2-s2.0-85034016686 (Scopus ID)
Available from: 2017-07-25 Created: 2017-07-25 Last updated: 2017-12-14Bibliographically approved
Jonasson, L.-L., Nyström, M. & Rydström, I. (2017). Reflective team in caring for people living with dementia: A base for care improvement.. Reflective Practice, 18(3), 397-409
Open this publication in new window or tab >>Reflective team in caring for people living with dementia: A base for care improvement.
2017 (English)In: Reflective Practice, ISSN 1462-3943, E-ISSN 1470-1103, Vol. 18, no 3, p. 397-409Article in journal (Refereed) Published
Abstract [en]

A reflective team (RT) is a team of professional carers who reflect on a specific caring issue under the direction of an RT leader. The goal for the reflective process is to accomplish care improvement based on research and proven experience, and the first step is to reflect upon the competence that already exists in the context where RT takes place. This study aims to bring previous unarticulated competence for dementia care to the surface, after it has been reflected during RT sessions. Ten staff nurses who work close to patients with dementia and attend RT sessions on regular basis were interviewed about their competence for dementia care. Through a phenomenographic analyze two qualitatively separated categories emerged; general caring skills and specific dementia caring skills. It is concluded that specific skills for dementia care build on general caring skills, and that tacit knowledge can emerge to proven experience when it has been reflected in RT.

Keywords
Reflective team, general caring skills, specific dementia caring skills, Phenomenography
National Category
Other Health Sciences
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-10390 (URN)10.1080/14623943.2017.1294534 (DOI)000403432700008 ()2-s2.0-85028269988 (Scopus ID)
Projects
Reflekterande team
Available from: 2016-07-17 Created: 2016-07-17 Last updated: 2018-01-03Bibliographically approved
Bremer, A., Jonasson, L.-L. & Sandman, L. (2016). Chefers etiska värderingar. In: Lotta Dellve, Maria Wolmesjö (Ed.), Ledarskap i äldreomsorgen: Att leda integrerat värdeskapande i en röra av värden och förutsättningar (pp. 43-56). Borås: Högskolan i Borås
Open this publication in new window or tab >>Chefers etiska värderingar
2016 (Swedish)In: Ledarskap i äldreomsorgen: Att leda integrerat värdeskapande i en röra av värden och förutsättningar / [ed] Lotta Dellve, Maria Wolmesjö, Borås: Högskolan i Borås, 2016, , p. 16p. 43-56Chapter in book (Other academic)
Place, publisher, year, edition, pages
Borås: Högskolan i Borås, 2016. p. 16
Series
Vetenskap för profession: rapport, ISSN 1654-6520 ; 35
Keywords
Etiska värderingar, chefer, äldreomsorg, etisk profil
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-9552 (URN)978-91-88269-08-9 (ISBN)978-91-88269-09-6 (ISBN)
Available from: 2016-04-06 Created: 2016-04-06 Last updated: 2016-05-20Bibliographically approved
Jonasson, L.-L. (2016). Inkontinensprojektet: Personalens uppfattningar om äldre vårdtagares urininkontinens vid tre kommunala vård- och omsorgsboenden och hantering av frågor kring detta. Borås: Högskolan i Borås
Open this publication in new window or tab >>Inkontinensprojektet: Personalens uppfattningar om äldre vårdtagares urininkontinens vid tre kommunala vård- och omsorgsboenden och hantering av frågor kring detta
2016 (Swedish)Report (Other academic)
Place, publisher, year, edition, pages
Borås: Högskolan i Borås, 2016. p. 73
Series
Rapport från FoU Sjuhärad Välfärd ; 36
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-10391 (URN)978-91-85025-32-9 (ISBN)
Available from: 2016-07-17 Created: 2016-07-17 Last updated: 2017-05-04Bibliographically approved
Bremer, A., Kullén Engström, A., Fredman, M., Jonasson, L.-L., Jutengren, G., Karlsson, P.-Å. & Sandman, L. (2016). Ledarskap i äldreomsorgen: att leda integrerat värdeskapande i en röra av värden och förutsättningar. Borås: Högskolan i Borås
Open this publication in new window or tab >>Ledarskap i äldreomsorgen: att leda integrerat värdeskapande i en röra av värden och förutsättningar
Show others...
2016 (Swedish)Report (Refereed)
Abstract [sv]

Det övergripande syftet med denna rapport är att beskriva chefers etiska värderingar, dilemman och organisatoriska förutsättningar för att bedriva ett värdebaserat ledarskap i såväl kommunal som privat äldreomsorg.

Det empiriska materialet består av en omfattande enkätstudie till nästan 500 studerande inom ramen för den nationella ledarutbildningen för chefer inom äldreomsorgen vid Högskolan i Borås under perioden 2013 till 2015. Utbildningen gavs på uppdrag av Socialstyrelsen och omfattade 30 högskolepoäng med två års studier på kvartsfart. Samtliga studerande var yrkesverksamma som chefer och ledare inom kommunal eller privat äldreomsorg i södra Sverige. Metoder som använts i bearbetning och analys av materialet är deskriptiva, jämförande och analytiska med regressionsmodeller och SEM-analys.

Resultatet visar på att cheferna – oavsett utbildningsbakgrund, värderade följande etiska värden högst: att inte skada, respekt för individen och rätten till konfidentialitet. Värdedilemman i chefsarbetet är dock vanligt och sammanlänkat med andra utmaningar i arbetet, särskilt med utmaningar som rör hantering över organisationsnivåer (buffertproblem och containerproblem) och av olika ansvarsområden (logikkonflikter). Inom privat verksamhet skattade de medverkande cheferna värdekonflikter och andra utmaningar i lägre grad än chefer inom kommunal verksamhet.

De flesta chefer var nöjda med hur de kunde fullfölja sitt ansvar för utveckling av verksamheten avseende värdegrund, kvalitet, processer, dagligt arbete, brukarmedverkan, brukarsäkerhet och arbetsmiljö. De flesta skattade också att de arbetade i mycket hög grad med strukturering och utveckling av dessa frågor.

Stödresurser minskade upplevelsen av värdekonflikter, men det fanns skillnad i betydelsen relaterat till chefers grundprofession. Det organisatoriska stödet var också tydligare för chefer inom privat verksamhet. Organiserade stödresurser hade stor betydelse för hållbart integrerat och värdeskapande ledarskap samt för aktiva ledningsstrategier. Även sambandet mellan hållbart ledarskap och aktiva ledarstrategier modererades av grundprofession, där sambandet var moderat negativt för chefer med social grundutbildning. Det tycks således finnas ett utbildningsbehov bland äldreomsorgens chefer och behov av ett utvecklat stöd från arbets- HÖGSKOLAN BORÅS HÖGSKOLAN BORÅS 15 givaren då det varierar avseende omfattning, inriktning och nivå mellan kommunal och privat verksamhet.

Sammanfattningsvis har chefer i äldreomsorgen många olika värden, på olika nivåer och utifrån olika perspektiv att förhålla sig till i sitt ledarskap. Att hantera och utveckla förståelse för dessa är utmanande i chefskapet och värdedilemman är vanliga. Majoriteten av cheferna i denna studie beskriver dock generellt en aktiv och god hantering och organisering av dessa. Konstateras att en integrerad förståelse och hantering, samt goda organisatoriska stödresurser tycks bidra till mer hållbart och värdeskapande ledarskap.

Place, publisher, year, edition, pages
Borås: Högskolan i Borås, 2016. p. 138
Series
Vetenskap för profession: rapport, ISSN 1654-6520 ; 35
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hb:diva-9333 (URN)978-91-88269-08-9 (ISBN)978-91-88269-09-6 (ISBN)
Available from: 2016-03-08 Created: 2016-03-08 Last updated: 2018-01-04Bibliographically approved
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