There has been an increasing interest in reablement Norway recently and many municipalities have implemented this form of rehabilitation despite a lack robust evidence its effectiveness. The aim study was to investigate the effectiveness home-dwelling older adults compared with usual care relation daily activities, physical functioning, health-related quality life. This is parallel-group randomised controlled trial conducted rural municipality Norway. Sixty-one functional decline were...

Norway has one of the lowest home death rates in Europe. However, it is health authorities´ ambition to increase this by facilitating palliative care at home. The aim study was achieve more insight, through nurses and general practitioners, conditions that facilitate or hamper time deaths for patients with terminal disease short life expectancy.We used a qualitative research design four focus groups total 19 participants, either using semi-structured question guides. data were processed...

As a result of the ageing population worldwide, there has been growing international interest in new intervention termed 'reablement'. Reablement is an early and time-limited home-based with emphasis on intensive, goal-oriented interdisciplinary rehabilitation for older adults need or at risk functional decline. The aim this qualitative study was to describe how experienced participation reablement. Eight participated semi-structured interviews. A content analysis used as strategy. Four main...

Background: In-depth knowledge regarding interdisciplinary collaboration, a key feature in reablement, is scarce. Objective: To elucidate how the collaboration reablement worked Norwegian context. Sample and methods: Seven focus group interviews were conducted with 33 health care providers working teams seven municipalities across country. The transcribed an hermeneutical analysis was conducted. Results: resulted four main themes: "participant's own goals as common platform", "a positive...

The aim of this study was to evaluate the effectiveness a tailored 7-month training intervention "Trust Before Restraint," in reducing use restraint, agitation, and antipsychotic medications care home residents with dementia.This is single-blind cluster randomized controlled trial 24 homes within Western Norway Regional Health Authority 2011-2013.From homes, 274 were included study, 118 group 156 control group. Use restraint significantly reduced both despite unexpected low baseline,...

Reablement is an early and time-limited home-based rehabilitation intervention that emphasizes intensive, goal-oriented, multidisciplinary assistance for people experiencing functional decline. Few empirical studies to date have examined the experiences of integrated teams involved in reablement. Accordingly, aim this study was explore describe how team Norway experienced participation reablement.An consisting health care professionals with a bachelor's degree (including physiotherapist,...

Reablement is an emerging approach in rehabilitation services, but evidence for its efficacy rather weak and inconsistent. The purpose of the present study therefore to investigate health effects reablement home-dwelling adults.A multicenter, clinical controlled trial involving 47 municipalities Norway, with assessments at baseline, after 10 weeks 6 12 months. sample consisted 707 persons that received a 4-10 week program 121 underwent treatment as usual. Primary outcomes were activity...

Abstract Ongoing changes in many Western countries have resulted more healthcare services being transferred to municipalities and taking place patients’ homes. This greatly impacts nurses’ work home care, making their increasingly diverse demanding. In this study, we explore home‐care nursing through a critical discourse analysis of focus group interviews with nurses. Drawing on insights from positioning theory, discuss the content delineation interweaving contextual changes. Nurses hold...

User reported experiences and satisfaction are increasingly used as basis for quality indicators in the health sector. However, there is limited understanding of factors associated with user casualty clinics. A random sample 542 patients that had contacted any three clinics from mid April to May 2008 was mailed a questionnaire. reminder sent non-respondents after six weeks. Descriptive statistics four scales 20 single items presented. Multivariate regression analysis assess associations...

Reablement is a service for home-dwelling older people experiencing decline in health and function. The focus of reablement the improvement person's function coping his or he valued daily activities. care professionals home personnel are working together with person toward goals. In reablement, organized an interdisciplinary team collaborate achieving This organizing changes roles from almost alone to collaborating different professionals. There little scientific knowledge describing context...

As a result of the ageing population, there is an urgent need for innovation in community health-care order to achieve sustainability. Reablement implemented primary care some Western countries help meet these challenges. However, evidence support use such home-based rehabilitation limited. focuses on early, time-intensive, multidisciplinary, multi-component and individualised older adults with functional decline. The aim this study investigate effectiveness reablement home-dwelling compared...

People living with dementia in nursing homes are most likely to be restrained. The primary aim of this mixed-method education intervention study was investigate which factors hindered or facilitated staff awareness related confidence building initiatives based on person-centred care, as an alternative restraint residents homes. intervention, consisting a two-day seminar and monthly coaching sessions for six months, targeted 24 Western Norway. present article reports staff-related data from...

Background: Reablement is an early and time-limited home-based model of rehabilitation intervention with emphasis on intensive, goal-oriented, multidisciplinary assistance for persons experiencing functional decline. When in general takes place the person's own home, contrast to institution, relatives may have larger responsibilities helping supporting family member. Although there evidence, showing that caregivers, such as spouses children, experience burdens demanding situations related...

Reablement is a rehabilitation intervention for community-dwelling older adults, which has recently been implemented in several countries. Its purpose to improve functional ability daily occupations (everyday activities) perceived as important by the person. Performance and satisfaction with performance everyday life are major outcomes of reablement. However, evidence base concerning factors predict better who receives greatest benefit reablement lacking.The objective this study was...

Abstract Aim To explore prevailing discourses on nursing competence in homecare to boost understanding of practice within this field. Design A qualitative study with a social constructivist perspective. Methods Six focus‐group interviews nurses six different municipalities Norway. Adapting critical discourse analysis, data were linguistically, thematically and contextually analysed the light theories competence, institutional logic discourses. Results The analysis found be diverse...

Background: Little knowledge exists regarding which occupations older adults prioritize as rehabilitation goals in reablement and what factors are associated with their preferences.Objectives: To explore people functional decline find important to improve, of these they goals, priorities.Materials methods: A cross-sectional study was undertaken a sample 738 from nationwide trial evaluating the effects Norway. The nine occupational sub-areas Canadian Occupational Performance Measure were used...

Reablement is a promising new rehabilitation model, which being implemented in some Western countries to meet current and future needs for home-based services. There need further investigation of the effects reablement among community-dwelling adults terms clinical economic outcomes. This study will investigate effectiveness home-dwelling compared with standard treatment daily activities, physical functioning, health-related quality life, coping, mental health, use health care services,...

To examine the influence of leadership when facilitating change in nursing homes.The study is a part an education intervention for care staff to prevent use restraint home residents with dementia 24 homes (NHs) Norway. Leadership known be fundamental factor success evidence-based practice (EBP) implementation health services. However, type that strengthens processes remains clarified.A multi-site comparative ethnography was performed four investigate how contextual factors influenced...

In Norway and elsewhere, care provision for frail elderly populations faces pressure from austerity measures neoliberal governance. Public long-term services are continually reconfigured through new policy (for example, ‘ageing in place’) emphasis on ‘principles prioritisation’. This study utilises ethnographic approaches to provide insights into the prevailing contestation devaluation of work. Care work is predominantly carried out by women; thus, ongoing, fundamental reforms welfare system...

Objective. To develop and evaluate the Patient Experiences Questionnaire for Out-of-Hours Care (PEQ-OHC) in Norway. Design. development was based on a systematic literature review of existing questionnaires, interviews with users, expert group consultation. testing followed postal survey users who had attended out-of-hours centres North, West, South Setting. Primary care services. Subjects. The questionnaire pre-tested 13 then mailed to 542 telephone contact and/or consultation one three...

Bakgrunn. De siste ti årene har det skjedd en markant kompetanseheving og profesjonalisering i ambulansetjenesten Norge. Studiens mål var å få kunnskap om ambulansearbeideres faglige selvforståelse hvordan de vurderer relasjonene til samarbeidende yrkesgrupper lys av denne utviklingen. Materiale metode. Et spørreskjema ble sendt 300 personer som fikk autorisasjon ambulansearbeidere perioden 2002 – 05. Skjemaet inneholdt spørsmål deres vurdering samarbeidsrelasjoner, faglig verdsetting...

Bakgrunn: Velferdsstaten er under press, og det forventes at kommunene må prioritere hardere framover. I denne artikkelen analyserer diskuterer vi prioriteringslandskapet knyttet til helse- omsorgstjenestene, med et særlig søkelys på utfordringer for langtidstjenester eldreomsorg i kommunene.