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Bångsbo, Angela, PhDORCID iD iconorcid.org/0000-0002-5621-1304
Publications (10 of 12) Show all publications
Jonasson, L.-L., Bångsbo, A., Billhult, A. & Wolmesjö, M. (2023). Older adults' experiences of participation in daily activities in Swedish assisted living. BMC Geriatrics, 23(1), Article ID 762.
Open this publication in new window or tab >>Older adults' experiences of participation in daily activities in Swedish assisted living
2023 (English)In: BMC Geriatrics, E-ISSN 1471-2318, Vol. 23, no 1, article id 762Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: According to Swedish law, older adults in Sweden should be able to live a good, safe, and independent life with social and healthcare provided, based on their individual needs. In assisted living in Swedish eldercare the environment affects the older adults' ability to participate in decision-making and strengthens their ability to feel meaningfulness. The ability of staff working in social and healthcare to invite older adults to participate varies. It is important to examine how older adults perceive their situation, as caregivers in eldercare tend to focus on routine work and experience difficulties in meeting the individual needs of older adults. The aim of this study was to explore how older adults in assisted living experienced participation in daily activities.

METHODS: A qualitative interview study was conducted in two municipalities in the western part of Sweden. An exploratory and inductive design was used. Individual interviews were conducted with 11 older adults living in two different assisted living facilities. The data were analysed using thematic analysis.

RESULTS: The interviews resulted in three themes: Being involved, Sense of well-being, and Influenced by the context. The older adults' experiences of participation were interpreted as feelings of being involved in daily life activities, and how they felt involved in their own care and nursing. Participation created prerequisites for well-being. Sense of well-being could be related to feelings of security and social community. The organisation and work environment of the healthcare staff had a great impact on their ability to increase the participation of the older adults. The older adults were aware of the everyday work situation of the providers of social and healthcare and were Influenced by the context.

DISCUSSION/CONCLUSION: Important conditions for a good quality of life and participation for the older adults are to be treated with respect, receive information, and be able to choose. The older adults expressed several good ideas for improvements and a willingness to be involved in the development of the organisation at different levels. It is essential to invite older adults in assisted living to participate in the design of care and nursing.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2023
Keywords
Assisted living, Interview study, Older adults, Participation, Thematic analysis
National Category
Gerontology, specialising in Medical and Health Sciences
Research subject
The Human Perspective in Care; The Human Perspective in Care
Identifiers
urn:nbn:se:hb:diva-31314 (URN)10.1186/s12877-023-04484-y (DOI)001108214500002 ()37990295 (PubMedID)2-s2.0-85177419548 (Scopus ID)GOA;;917055 (Local ID)GOA;;917055 (Archive number)GOA;;917055 (OAI)
Funder
The Kamprad Family Foundation
Available from: 2023-11-23 Created: 2024-01-15 Last updated: 2024-07-04Bibliographically approved
Dunér, A., Bångsbo, A. & Olsson, T. M. (2023). TalkingMats as a decision aid to promote involvement in choice and decision-making around home care services for older people with mild to moderate dementia - study protocol for a randomized controlled trial. BMC Geriatrics, 23(1), Article ID 244.
Open this publication in new window or tab >>TalkingMats as a decision aid to promote involvement in choice and decision-making around home care services for older people with mild to moderate dementia - study protocol for a randomized controlled trial
2023 (English)In: BMC Geriatrics, E-ISSN 1471-2318, Vol. 23, no 1, article id 244Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: In Sweden, 72% of people with dementia live in ordinary housing. Of these, 50% receive home care services. Older people with dementia may benefit from developments in decision-making support which aim to facilitate their ability to communicate their personal needs and preferences with care managers and staff in home care services. In this study, we will test and evaluate the use of TalkingMats in Swedish municipal home care services for older people with mild to moderate dementia. TalkingMats is a low-technology communication tool, to help people with communication difficulties express their views. It uses a simple system of picture symbols which are placed on a textured mat. This study will provide insight into the extent to which TalkingMats benefits older people with dementia to feel more involved in decisions related to home care services. In addition, this study will assess the extent to which the use of TalkingMats promotes service providers' efforts to involve service recipients in decision making. The implementation of TalkingMats in home care services will also be studied.

METHODS: A parallel group, two-armed randomized controlled trial design in which TalkingMats and Usual Conversation Method will be compared. Two specific situations where older people with dementia must make decisions about home care services will be studied. First, a follow-up needs-assessment conversation between study participants and care managers will be studied. Second, a conversation between participants and home care staff regarding the delivery of the decided home care services will be studied. In addition, a qualitative approach will be used to gain an understanding of study participant and service provider experiences of the impact and implementation of TalkingMats.

DISCUSSION: The combined exploratory, descriptive, and experimental study design is considered an important strength which will facilitate multi-facetted knowledge production concerning the involvement and communication needs of older people with dementia generally and within the context of home care services specifically. Combining qualitative and quantitative methods will maximize our ability to assess the effects of TalkingMats.

TRIAL REGISTRATION: ClinicalTrials.gov ID: NCT05561998 . Registered in September 28, 2022.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2023
Keywords
Decision aid, Dementia, Home care services, Involvement, Randomized controlled trial
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hb:diva-29915 (URN)10.1186/s12877-023-03956-5 (DOI)000978309600003 ()37085759 (PubMedID)2-s2.0-85153549918 (Scopus ID)GOA;;877474 (Local ID)GOA;;877474 (Archive number)GOA;;877474 (OAI)
Available from: 2023-04-27 Created: 2023-06-16 Last updated: 2024-07-04Bibliographically approved
Bångsbo, A., Dunér, A., Dahlin-Ivanoff, S. & Lidén, E. (2022). Barriers for Inter-Organisational Collaboration: What Matters for an Integrated Care Programme?. International Journal of Integrated Care, 22(22)
Open this publication in new window or tab >>Barriers for Inter-Organisational Collaboration: What Matters for an Integrated Care Programme?
2022 (English)In: International Journal of Integrated Care, E-ISSN 1568-4156, Vol. 22, no 22Article in journal (Refereed) Published
Abstract [en]

Introduction: Inter-organisational collaboration is challenging but essential in managing the complex and comprehensive needs of frail older people. Therefore, there is a need to investigate the influence of different barriers to inter-organisational collaboration when implementing an integrated care programme. The aim of this study was to investigate both inpatient and outpatient staff views on the factors they deemed to be influential to inter-organisational collaboration for an integrated care programme.

Methods: The study was a cross-sectional study and included staff from hospitals, primary care and municipal health and social care.

Results: There were no significant differences between staff from inpatient and outpatient care in measuring factors that may cause difficulties for inter-organisational collaboration. Staff views diverged significantly on all factors, such as educational level at long physical distances, laws and regulations, knowledge of each others work settings, experience from inter-organisational collaboration, different professions, variations in professional status and power, psychosocial factors such as positive work environment and interpersonal chemistry.

Discussion: A multidisciplinary team culture and avenues for inter-organisational collaboration need to be developed for improved care continuity.

Conclusion: The staffs’ educational level influenced what was perceived as barriers to inter-organisational collaboration, and may guide future development of integrated care programmes.

Place, publisher, year, edition, pages
Ubiquity Press, 2022
Keywords
integrated care, collaboration, inter-sectoral, continuity of patient care, personnel, frail older patients
National Category
Nursing
Identifiers
urn:nbn:se:hb:diva-28026 (URN)10.5334/ijic.6005 (DOI)001028121500015 ()2-s2.0-85132809992 (Scopus ID)
Available from: 2022-06-16 Created: 2022-06-16 Last updated: 2024-10-01Bibliographically approved
Wolmesjö, M., Jonasson, L.-L., Bångsbo, A. & Billhult, A. (2022). Co-production for shared value-based care to increase the quality of life of older persons in Swedish eldercare. In: : . Paper presented at 22nd International Conference on Integrated Care, Odense, Denmark, 23-25 May, 2022. (pp. 456-456). , 22(S3)
Open this publication in new window or tab >>Co-production for shared value-based care to increase the quality of life of older persons in Swedish eldercare
2022 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Nursing
Research subject
The Human Perspective in Care
Identifiers
urn:nbn:se:hb:diva-30718 (URN)10.5334/ijic.icic22239 (DOI)001080315800234 ()
Conference
22nd International Conference on Integrated Care, Odense, Denmark, 23-25 May, 2022.
Note

Publicerat i International Journal of Integrated Care 

Available from: 2023-11-07 Created: 2023-11-07 Last updated: 2024-02-01Bibliographically approved
Wolmesjö, M., Jonasson, L.-L., Bångsbo, A. & Billhult, A. (2021). Hållbart ledarskapande genom delaktighet - Värdegrundsarbete för ökad livskvalitet inom äldreomsorgen.
Open this publication in new window or tab >>Hållbart ledarskapande genom delaktighet - Värdegrundsarbete för ökad livskvalitet inom äldreomsorgen
2021 (Swedish)Report (Refereed)
Series
Styrning, organisering och ledning ; 2:2021
National Category
Work Sciences
Research subject
The Human Perspective in Care
Identifiers
urn:nbn:se:hb:diva-26817 (URN)978-91-89271-23-4 (ISBN)
Funder
The Kamprad Family Foundation
Available from: 2021-10-28 Created: 2021-10-28 Last updated: 2021-10-28
Bångsbo, A., Dunér, A., Dahlin Ivanoff, S. & Lidén, E. (2021). Preconditions to implementation of an integrated care process programme. Journal of Integrated Care
Open this publication in new window or tab >>Preconditions to implementation of an integrated care process programme
2021 (English)In: Journal of Integrated Care, ISSN 1476-9018Article in journal (Refereed) Published
Abstract [en]

Purpose

The purpose of this study was to investigate the preconditions of a full-scale implementation of an integrated care process programme for frail older people from the staff's understanding, commitment and ability to change their work procedures with comparisons over time and between organisations.

Design/methodology/approach

A repeated cross-sectional study was conducted in a hospital, municipal health and social care setting.

Findings

Staff commitment decreased to the importance of a permanent municipal contact from baseline compared to the 12-months follow-up (p = 0.02) and the six- and 12-months follow-up (p = 0.05), to the information transfer from emergency department from the six- to the 12-months follow-up (p = 0.04), to discharge planning at the hospital at six- and 12-months follow-up (p = 0.04) and towards discharge planning at home from baseline to the six-month follow-up (p = 0.04). Significant differences occurred between the organisations about information transfer from the emergency department (p = 0.01) and discharge planning at home (p = 0.03). The hospital staff were the most committed.

Practical implications

The results can guide the implementation of complex interventions in organisations with high-employee turnover and heavy workload.

Originality/value

The study design, allowing the comparison of implementation results over time and between organisations in a later phase, gives this study a unique perspective.

Place, publisher, year, edition, pages
Emerald Group Publishing Limited, 2021
Keywords
integration, frail older, integrated care, health and social care
National Category
Nursing Work Sciences Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
The Human Perspective in Care; The Human Perspective in Care
Identifiers
urn:nbn:se:hb:diva-25146 (URN)10.1108/JICA-06-2020-0035 (DOI)000623271400001 ()2-s2.0-85101927641 (Scopus ID)
Funder
Swedish Research Council, AGECAP 2013-2300
Available from: 2021-03-09 Created: 2021-03-09 Last updated: 2021-07-07Bibliographically approved
Bångsbo, A. (2018). Collaborative challenges in integrated care: Untangling the preconditions for collaboration and frail older people's participation. (Doctoral dissertation). Gothenburg: University of Gothenburg
Open this publication in new window or tab >>Collaborative challenges in integrated care: Untangling the preconditions for collaboration and frail older people's participation
2018 (English)Doctoral thesis, comprehensive summary (Other academic)
Place, publisher, year, edition, pages
Gothenburg: University of Gothenburg, 2018
Keywords
inter-organizational collaboration, cooperative behavior, patient discharge, frail elderly, interview, health personnel, professionals, cross-sectional study, implementation
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hb:diva-15688 (URN)978-91-7833-189-5 (ISBN)
Available from: 2019-01-18 Created: 2019-01-17 Last updated: 2019-01-18Bibliographically approved
Bångsbo, A., Dunér, A., Dahlin-Ivanoff, S. & Lidén, E. (2017). Collaboration in discharge planning in relation to an implicit framework. Applied Nursing Research, 36, 57-62
Open this publication in new window or tab >>Collaboration in discharge planning in relation to an implicit framework
2017 (English)In: Applied Nursing Research, ISSN 0897-1897, E-ISSN 1532-8201, Vol. 36, p. 57-62Article in journal (Refereed) Published
Keywords
Collaboration, discharge planning, frail older, personnel
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hb:diva-13303 (URN)10.1016/j.apnr.2017.05.010 (DOI)000406825000009 ()28720240 (PubMedID)2-s2.0-85019992665 (Scopus ID)
Available from: 2018-01-03 Created: 2018-01-03 Last updated: 2021-10-20Bibliographically approved
Bångsbo, A., Dunér, A. & Lidén, E. (2014). Patient participation in discharge planning conference. International Journal of Integrated Care, 14, 1-11
Open this publication in new window or tab >>Patient participation in discharge planning conference
2014 (English)In: International Journal of Integrated Care, ISSN 1568-4156, E-ISSN 1568-4156, Vol. 14, p. 1-11Article in journal (Refereed) Published
Abstract [en]

Introduction: There is a need for individualized discharge planning to support frail older persons at hospital discharge. In this context, active participation on their behalf cannot be taken for granted. The aim of this study was to elucidate patient participation in discharge planning conferences, with a focus on frail older persons, supported by the theory of positioning described by Harré & van Langenhove. Methods: The study was designed as a case study based on audio-recordings of multidisciplinary discharge planning conferences and interviews with health professionals elucidating their opinions on preconditions for patient participation in discharge planning. The analysis has been performed using qualitative content analysis and discourse analysis. Data collection took place during 2008–2009 and included 40 health professionals and 13 frail older persons in hospital or municipal settings. Results: Findings revealed four different positions of participation, characterized by the older person’s level of activity during the conference and his/her appearance as being reduced (patient) or whole (person). The positions varied dynamically from being an active person, passive person, active patient, or passive patient and the health professionals, next-of-kin, and the older persons themselves contributed to the positioning. Conclusions: The findings showed how the institutional setting served as a purposeful structure or a confinement to patient participation.

Keywords
Patient participation, frail older persons, hospital discharge
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hb:diva-13302 (URN)10.5334/ijic.1543 (DOI)
Available from: 2018-01-03 Created: 2018-01-03 Last updated: 2018-01-03Bibliographically approved
Bångsbo, A. & Lidén, E. (2012). Tvärprofessionell samverkan för patienters/brukares delaktighet i vård- och omsorgsplanering. FoU Sjuhärad
Open this publication in new window or tab >>Tvärprofessionell samverkan för patienters/brukares delaktighet i vård- och omsorgsplanering
2012 (Swedish)Report (Other academic)
Abstract [sv]

Äldre personer med flera och komplexa sjukdomstillstånd är en ökande grupp i samhället. För att kunna erbjuda målgruppen en god vård ställs krav på samverkan mellan professionsföreträdare och vårdverksamheter inom såväl öppen som sluten vård och omsorg. Administrativa frågor har på olika sätt dominerat utvecklingen. Nya rutiner för informationsöverföring har införts i Västra Götaland och informationen mellan vårdgivarna skickas i datoriserad form. Det här projektet belyser patienters/brukares perspektiv kring deltagande vid vårdplanering liksom vad som händer i samband med vårdplaneringsmöten ur de professionellas perspektiv med fokus på samverkan och patienters delaktighet. Studierna har genomförts under ledning av Eva Lidén, Med. Dr med inriktning mot omvårdnadsforskning och leg. Distriktssköterska, i samarbete med projektmedarbetare och referensgrupp med företrädare för olika professioner och verksamheter. Projektet har bestått av tre delstudier under åren 2009–2011. En kartläggning genomfördes 2008 inför starten av projektet. De tre delstudierna har haft som övergripande fokus att studera förutsättningar och hinder för samverkan mellan personal från olika professioner och organisationer liksom patienters/brukares delaktighet. Personal från hälso-/sjukvården, primärvård och kommunalt anställd vårdpersonal av olika kategorier liksom patienter/brukare har i studierna bidragit med värdefull information utifrån deras erfarenheter av att medverka i vårdoch omsorgsplaneringsmöten (VOP-möten) inför patienters utskrivning från sjukhus. I föreliggande slutrapport sammanfattas i korthet de två första delstudierna, som belyser hur organisations- och verksamhetsföreträdare ser på samverkan och patienters/brukares delaktighet liksom förutsättningar och hinder för deras medverkan vid vårdplanering (Lidén 2009; Bångsbo & Lidén 2010). Det huvudsakliga innehållet utgörs av resultatet av den tredje och sista delstudien, samt en diskussion över det sammanvägda resultatet av de tre delstudierna. Delstudie tre syftade till att belysa hur vård- och omsorgspersonal i reflektionsgrupper kommunicerar kring patienters behov och sitt professionella ansvarsområde vid VOP-möten.Syftet med studien var också att beskriva om och vilka förändringar i synsätt som deltagarna upplevde före och efter interventionen i form av handledda reflektionsgrupper med deltagare från kommun, primärvård samt slutenvård. Avsikten med reflektionsgrupperna vara att öka medvetenheten om kommunikativa processer som förekommer vid VOP-möten. Resultatet av delstudie tre visade att VOP-möten i stort fungerar bättre idag än tidigare och att varierande professionsperspektiv diskuterades. Dock dominerar det organisatoriska perspektivet, med stor betydelse för gränsöverskridande samverkan. Diskussionerna bidrog enligt informanterna till en bättre förståelse för andra organisationers villkor samt en ökad medvetenhet om betydelsen av patienter/brukares delaktighet vid VOP-möten. Det sammanvägda resultatet av de tre delstudierna visar att vårdplanering är en komplex verksamhet och det har blivit tydligt i projektet att det blivit en alltmer specialiserad uppgift vilket inte med automatik innebär ökad delaktighet för patienter/brukare. Dock underlättas samverkan då de professionella kontakterna blir färre. Personkännedom och kommunikation liksom kunskap och förståelse för andra organisationers verksamhet, bidrar till organisationsöverskridande samverkan enligt datamaterialet. Det finns goda intentioner att samverka mellan professionsoch verksamhetsföreträdare, både inom den egna organisationen och med andra organisationer. När personalen samverkar inför, under och efter VOP-möten kan patienter/brukares delaktighet understödjas och förbättras. Men detta förutsätter en medvetenhet hos personalen och ett understödjande förhållningssätt, där yrkesområden och professionellt ansvar kompletterar och överlappar oberoende av organisations- eller professionstillhörighet. Det finns en stor medvetenhet i datamaterialet om hur det ska vara för att vårdplanering ska fungera så bra som möjligt men det finns olika försvårande faktorer främst på organisationsnivå. Trots detta finns goda möjligheter för en ständigt pågående utveckling.

Place, publisher, year, edition, pages
FoU Sjuhärad, 2012
Series
Rapport ; 26
Keywords
vårdplanering, brukare, delaktighet, kommunikation, patient, samverkan
National Category
Other Social Sciences
Research subject
Integrated Caring Science
Identifiers
urn:nbn:se:hb:diva-4529 (URN)2320/10689 (Local ID)978-91-85025-22-0 (ISBN)2320/10689 (Archive number)2320/10689 (OAI)
Available from: 2015-12-17 Created: 2015-12-17
Organisations
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ORCID iD: ORCID iD iconorcid.org/0000-0002-5621-1304

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