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  • 51.
    Sävenstedt, Stefan
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Activity: TTeC 20072007Conference paper (Other (popular science, discussion, etc.))
  • 52.
    Sävenstedt, Stefan
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Aktivitet: Bildtelefoner för anhörigvårdare2001Conference paper (Other (popular science, discussion, etc.))
  • 53.
    Sävenstedt, Stefan
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Aktivitet: Distansöverbryggande teiknik i hembaserad vård av äldre människor/människor med multidiagnosproblem i glesbygd1999Conference paper (Other (popular science, discussion, etc.))
  • 54.
    Sävenstedt, Stefan
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Aktivitet: Dubbelheten i synen på informations- och kommunikationsteknologi i vården av äldre2005Conference paper (Other (popular science, discussion, etc.))
  • 55.
    Sävenstedt, Stefan
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Aktivitet: Etiska aspekter på televård bland äldre2001Conference paper (Other (popular science, discussion, etc.))
  • 56.
    Sävenstedt, Stefan
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Aktivitet: Hur kan eHälsa bidra till en personcentrerad vård av personer med demens?2012Conference paper (Other (popular science, discussion, etc.))
  • 57.
    Sävenstedt, Stefan
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Aktivitet: Teknikens användning från vaggan till graven : vad visar forskningen: äldre och dementa2005Conference paper (Other (popular science, discussion, etc.))
    Abstract [sv]

    Bidrag vid Seminarie A: Teknik i vård och omsorg - möjligheter, begränsningar och nytta.

  • 58.
    Sävenstedt, Stefan
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Aktivitet: TTeC 07: a case study of a successful project2007Conference paper (Other (popular science, discussion, etc.))
  • 59. Sävenstedt, Stefan
    Att se Oskar när han är på Villa Utkiken: erfarenheter från utveckling av ett televårdsprojekt för anhörigvårdare2001Report (Other academic)
  • 60. Sävenstedt, Stefan
    Att se är att förstå: en studie av närståendes upplevelser av att upprätthålla kontakt med sina dementa anhöriga via bildtelefon2003Report (Other academic)
  • 61.
    Sävenstedt, Stefan
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    eHälsa som stöd i omvårdnadsarbetet2014In: Omvårdnadens grunder: ansvar och utveckling, Lund: Studentlitteratur AB, 2014, p. 437-458Chapter in book (Other (popular science, discussion, etc.))
  • 62. Sävenstedt, Stefan
    Samverkansstigen: en studie av samverkan vid stöd till alkoholmissbrukare2003Report (Other academic)
  • 63. Sävenstedt, Stefan
    Telecare of frail elderly: reflections and experiences among health personnel and family members2004Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Telecare has been an approach to care that, internationally, has experienced a generally rapid development during the last ten years. There are many examples of successful pilot projects where ICT applications have been used in the care of elderly: for improved remote consultation with health professionals, to improve the communication and support of the elderly person's social network, and as intelligent sensors intended to improve the safety of the elderly person. Despite these successes, implementation has been slow. This research project was set up to provide additional knowledge on some of the important questions regarding quality and implementation aspects of the use of ICT application on the care of frail elderly persons. The overall aim of the research project is to illuminate reasoning and experiences of using applications of telecare for frail elderly persons. The research project comprised five studies that were conducted using qualitative research methods. Four of them were carried out within the framework of three telecare projects. Different qualitative research approaches such as content analysis, phenomenological hermeneutics and conversational and discourse analysis were used, in accordance with the research questions of each study. The experiences revealed in the findings of the studies indicate that it is possible to have communication of good quality via videoconferencing with frail elderly persons, even those that have mild or mid-level dementia, provided the conditions are right. Technical limitations of the videoconferencing media in transferring communication cues and the limitations on what the camera can expose place special demands on those communicating with the frail elderly and on the general setting. On the other hand, these limitations on the context of interaction in some situations also seem to be an advantage for demented elderly persons and contribute to increased attention. One example of meaningful remote communication with frail elderly persons was family members' videophone conversations with their demented relatives when they were placed in nursing homes or homes for respite services. This communication gave new possibilities of being involved in caring for, and of maintaining a relationship with, their demented relative. An introduction of teleconsultations in the care of frail elderly persons will, according to the experiences recorded, affect the professional role and the practical spheres of involved health professionals. The perceptions and experiences of participating health personnel indicate that in order for ICT applications to become valuable assets in the care of frail elderly persons they have to be part of a care alternative that is viewed by all concerned as the best alternative, as a whole, for all affected parties. Further research is needed in order to confirm or refute the findings of this thesis and in order to further broaden our understanding of the use of ICT applications in the care of frail elderly persons. This could facilitate a development of ICT applications suitable for the care of frail elderly persons and their introduction into regular care activities, to the benefit of both the frail elderly persons and their carers.

  • 64. Sävenstedt, Stefan
    et al.
    Brulin, Christine
    Sandman, Per-Olof
    Umeå University, Department of Nursing.
    Family members' narrated experiences of communicating via video-phone with patients with dementia staying at a nursing home2003In: Journal of Telemedicine and Telecare, ISSN 1357-633X, E-ISSN 1758-1109, Vol. 9, no 4, p. 216-20Article in journal (Refereed)
    Abstract [en]

    We studied the experience of family members who communicated via video-phones with elderly demented patients who were either staying at a home for temporary respite care or living in a nursing home. The study was based on qualitative data from seven interviews. The interviewees each had three or more months' experience with a video-phone. The open interviews were transcribed. Content analysis showed that video-phone conversations made the relatives of patients at nursing homes more involved in the caring process and that conversation via the video-phone was a different way of communicating. Video-phone conversations with demented patients were in some cases more focused and of better quality than face-to-face conversations. In most cases the video-phone conversations required the assistance of staff at the home in order to be meaningful. Video-phones have the potential to become useful tools for family members caring for elderly relatives.

  • 65. Sävenstedt, Stefan
    et al.
    Brulin, Christine
    Umeå University, Department of Nursing.
    Zingmark, Karin
    County Council of Norrbotten, Department of Research and Development.
    Sandman, Per-Olof
    Umeå University, Department of Nursing.
    Communicating with the very old in telecommunications: a study of nurses teleconsultations with frail elderly in a context of nursing homes2004In: 5th Nordic congress on telemedicine, TeleMedum , 2004Conference paper (Other academic)
  • 66. Sävenstedt, Stefan
    et al.
    Bucht, Gösta
    Umeå University, Department of Community Medicine and Rehabilitation, Geriatrics.
    Norberg, Lennart
    Umeå University, Department of Community Medicine and Rehabilitation, Geriatrics.
    Sandman, Per-Olof
    Umeå University, Department of Nursing.
    Nurse-doctor interaction in teleconsultations between a hospital and a geriatric nursing home2002In: Journal of Telemedicine and Telecare, ISSN 1357-633X, E-ISSN 1758-1109, Vol. 8, no 1, p. 11-8Article in journal (Refereed)
    Abstract [en]

    aim of the present study was to elucidate both the interaction between a doctor and five registered nurses and the problems or tasks dealt with in teleconsultations between a university clinic for geriatric medicine and a nursing home for the elderly in northern Sweden. The interaction and problems or tasks were studied through analyses of video-recorded teleconsultations and through open interviews with the participating staff. The results indicated that teleconsultations between a geriatrician and the nurses at a nursing home for the elderly can be a useful tool for providing medical services. Teleconsultations alter both the 'power-control' and 'practice spheres' for the doctor and the nurses, and must be based on mutual trust. The use of teleconsultations gives the nurse a larger role as the presenter of medical problems, and gives the doctor the role of remote consultant.

  • 67.
    Sävenstedt, Stefan
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Florin, Jan
    Högskolan Dalarna.
    Informations- och kommunikationsteknik2013In: Omvårdnad på avancerad nivå: kärnkompetenser inom sjuksköterskans specialistområden, Lund: Studentlitteratur AB, 2013, p. 217-258Chapter in book (Other (popular science, discussion, etc.))
  • 68. Sävenstedt, Stefan
    et al.
    Häggström, Terttu
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Distansöverbryggande teknik i hembaserad vård av äldre människor/människor med multidiagnosproblem i glesbygd1999Conference paper (Other academic)
  • 69.
    Sävenstedt, Stefan
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Häggström, Terttu
    Working with girls living on the streets in East Africa: professionals' experiences2005In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 50, no 5, p. 489-97Article in journal (Refereed)
    Abstract [en]

    AIM: This paper reports a study elucidating the meaning of caring for girls of the street, as experienced by female staff members working with street children in Eastern Africa. BACKGROUND: The phenomenon of children living on the streets is a global and escalating problem, and girls are presumed to be especially vulnerable. In East Africa, the traditional extended family system is rapidly breaking down and traditional gender values seem to remain. This was the context for investigating female carers' experience of caring for girls. METHOD: Interviews were conducted with 37 project staff members working with children living on the streets in the framework of non-governmental organizations in Kenya, Uganda and Tanzania between 1997 and 1998. Transcribed text from female interviewees (n = 13) working with girls of the street was analysed using a phenomenological-hermeneutic approach. FINDINGS: The meaning of caring for girls of the street for female professional carers in East Africa was comprehensively understood as counselling the girls to integrate the past of their adverse life stories with their present identity. Counselling meant conveying visions for a possible re-direction of the life stories, from being a girl of the street into being an accepted family girl. Caring in this context meant being squeezed between ethical demands and gender values. Experiencing frustration and powerlessness was related to gender structures in society, having to fight the grip of street culture, and a lack of professional tools. Hope and satisfaction were related to success in changing the course of life stories of girls and to seeing possibilities for contributing to empowerment of girls and community members. CONCLUSIONS: Gender issues are critical to care provided to girls of the street. Carers felt that they lacked relevant knowledge and support. ical aspects and gender issues in relation to professional care for vulnerable girls ought to be addressed in nursing education and practice, not only for developing countries, but also as a matter of global interest.

  • 70.
    Sävenstedt, Stefan
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Karlsson, Eva
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Aging in place of persons with dementia with support of e-health services2011In: e-health and nursing: How Can E-Health Promote Patient Safety? : ACENDIO 2011, 8th European Conference of ACENDIO / [ed] Fintan Sheerin, Dublin: Association for Common European Nursing Diagnoses, Interventions and Outcomes , 2011, p. 175-182Conference paper (Refereed)
  • 71.
    Sävenstedt, Stefan
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Karlsson, Eva
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Assessing needs among people with mild dementia in user-driven development of assistive technology2010In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 19, no Suppl. 1, p. 90-Article in journal (Other academic)
    Abstract [en]

    Introduction: A major challenge in involving people with dementia is to determine what methodology can be used in order to optimally understand, measure, and interpret their needs and wants. The aim of this presentation was to reflect on experiences of assessing needs and wants among people with mild dementia in two user-driven development projects of assistive technology services, the Memory-Lane and COGKNOW projects. Methods and Materials: The user-driven design process in the ongoing MemoryLane project and the finished COGKNOW project followed a sequence of three steps. The first step was to acquire concrete user needs as a base for development, the second step was the development process of prototypes, and the final step the testing and evaluation of final prototypes. In both projects dyads of people with dementia and their informal carers were involved in the assessments. The assessment of concrete needs and wants was based on rigorously developed research questions. In the analysis the different type of data were first analyzed separately for both perspectives, and thereafter integrated to a comprehensive understanding. Results: General abstract questions seemed more difficult to answer for persons with dementia than more detailed and concrete questions. Despite these problems, their answers on general open questions provided valuable additional information to the structured questions. Carers could provide more elaborative information. However, there were more similarities than differences between the answers of the people with dementia and their carers, and few contradictive answers were given. Conclusions: Persons with dementia provide special challenges in user-driven development processes of assistive technology services due to their cognitive impairments. The use of a combination of data collections methods, combining open and structured questions in interviewing persons with dementia and their carers with observations by researchers can provide a comprehensive understanding that addresses some of these challenges.

  • 72. Sävenstedt, Stefan
    et al.
    Sandman, Per-Olof
    Umeå University, Department of Nursing.
    Zingmark, Karin
    Umeå University, Department of Nursing.
    The duality in using information and communication technology in elder care2006In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 56, no 1, p. 17-25Article in journal (Refereed)
    Abstract [en]

    AIM: The aim of this paper is to report a study illuminating values and perceptions held by professional carers of older people about the use of information and communication technology applications. BACKGROUND: Various information and communication technology applications have successfully been developed to help solve a variety of problems in elder care. Beside different technical barriers and the assumed negative attitudes among older people, staff values and attitudes have been found to be an important cause of resistance to change and slowness in introduction of information and communication technology in health care of older people. METHODS: An interview study was conducted in 2004 with 10 healthcare personnel with 3-26 years experience of working in home care and nursing homes in Northern Sweden. Qualitative content analysis was used to identify recurring themes in the data. RESULTS: The interpretation of values and perceptions among carers revealed a duality where the carers perceived information and communication technology as a promoter of both inhumane and humane care, a duality that seemed to make them defensive and resistant to change. Within the overall duality, other dualities were embedded that described both perceptions about the care of older people and about being a carer. There was evidence of resistance among professional carers towards an introduction of information and communication technology applications in elder care. Carers considered that the same attributes of information and communication technology that could promote humane care could also lead to dehumanized care. CONCLUSION: There should be an ethical discussion when introducing information and communication technology applications in elder care. The best caring alternative for all those concerned should be considered. It should promote aspects of wellbeing and dignity for frail older people and fears of inhumane care among carers must be recognized and discussed

  • 73.
    Sävenstedt, Stefan
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Sävenstedt, Gerd
    Häggström, Terttu
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    East African children of the streets: a question of health2000Book (Other academic)
  • 74. Sävenstedt, Stefan
    et al.
    Zingmark, Karin
    Fou-enheten i Piteå älvdal.
    Skall vi koppla upp oss eller be sköterskan komma: etiska reflektioner på användning av bildtelefoni i vården av äldre2002Report (Other academic)
  • 75. Sävenstedt, Stefan
    et al.
    Zingmark, Karin
    County Council of Norrbotten, Department of Research and Development.
    Hydén, Lars-Christer
    Linköping University, Department of Communication Studies.
    Brulin, Christine
    Umeå University, Department of Nursing.
    Establishing joint attention in remote talks with the elderly about health: a study of nurses' conversation with elderly persons in teleconsultations2005In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 19, no 4, p. 317-24Article in journal (Refereed)
    Abstract [en]

    This study is a contribution to the sparsely studied field of nurses' teleconsultations with frail elderly people. The aim was to describe how talk and interaction are accomplished and by what means problems are handled that emerge from the fact that the communication is conducted via videoconferencing techniques. Recordings were made of 22 sessions of teleconsultation between nurses and elderly nursing home residents aided by enrolled nurses. The data were analysed with a qualitative method inspired by conversation and discourse analysis. The findings indicate that in order to create a joint attention the participants often had to verbally confirm and reconfirm that contact had been established. The triad of participants played a special part in maintaining the joint attention through compensating for the contextual aspect of the medium's limitations and the demented elderly person's communication problems. 'Talks about the communication' and passages of social talk took place when the nurse or the staff member wanted to re-establish and maintain joint attention. The joint attention seemed connected to a special sort of eye contact and gaze and to the type of camera projection that was used. One conclusion was that to create joint attention in nurses' teleconsultations with frail elderly people, the limitations in transferring communication cues and the limitations of what the camera can reveal of the general context could, to some extent, be made up for by verbal communication within the triad of participants. Another conclusion was that these limitations in the context of interaction in some situations also seemed to be an advantage for the demented elderly and contributed to increased attention

  • 76. Sävenstedt, Stefan
    et al.
    Zingmark, Karin
    Umeå University, Department of Nursing.
    Sandman, Per-Olof
    Umeå University, Department of Nursing.
    Being present in a distant room: aspects of teleconsultations with older people in a nursing home2004In: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, Vol. 14, no 8, p. 1046-57Article in journal (Refereed)
    Abstract [en]

    In a telecare project in Northern Sweden, videophones have been used to facilitate teleconsultations between nurses and elders at a nursing home. The authors designed this study to elucidate qualities in the communication in the professional encounter between nurses and elders assisted by nursing staff in the teleconsultations. They interviewed 2 registered nurses and 5 nursing staff members with long experience of using videophones in the telecare project, out of 20 staff members, and analyzed them using a phenomenological-hermeneutic method. In a comprehensive interpretation, teleconsultations could be understood as glimpses of the experience of being in the other's room with a feeling of providing nursing presence. This was attained when aspects such as familiarity, safety, transparency, and interest were promoted

  • 77. Sävenstedt, Stefan
    et al.
    Zingmark, Karin
    Umeå University, Department of Nursing.
    Sandman, Per-Olof
    Umeå University, Department of Nursing.
    Video-phone communication with cognitively impaired elderly patients2003In: Journal of Telemedicine and Telecare, ISSN 1357-633X, E-ISSN 1758-1109, Vol. 9, no Suppl. 2, p. 52-4Article in journal (Refereed)
    Abstract [en]

    We investigated the potential role of remote interactions via video-phone in the care of the elderly. Family members and nursing staff were interviewed about their experiences of communicating with elderly people via video-phone. Seven family members and seven nursing staff participated in the studies. The interviews were analysed using qualitative content analysis. The results showed that it was possible for elderly people with cognitive impairment to engage in remote communication when certain conditions were met. There were also indications that the video-phone interaction sometimes increased the attention and focus of the elderly subjects.

  • 78.
    Sävenstedt, Stefan
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Zingmark, Karin
    Norrbottens Läns Landsting, FoU-enheten.
    Sävenstedt, Gerd
    Piteå kommun.
    E-hälsa i vård och omsorg av äldre: teknik, etik och praktik2007Book (Other academic)
  • 79.
    Wälivaara, Britt-Marie
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Sävenstedt, Stefan
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Axelsson, Karin
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Caring relationships in home-based nursing care: registered nurse's experiences2013In: Open Nursing Journal, ISSN 1874-4346, E-ISSN 1874-4346, Vol. 7, p. 89-95Article in journal (Refereed)
    Abstract [en]

    The caring relationship between the nurse and the person in need of nursing care has been described as a key concept in nursing and could facilitate health and healing by involving the person's genuine needs. The aim of this study was to explore registered nurses' experiences of their relationships with persons in need of home-based nursing care. Individual interviews with nurses (n=13 registered nurses and 11 district nurses) working in home-based nursing care were performed. A thematic content analysis was used to analyze the transcribed interviews and resulted in the main theme Good nursing care is built on trusting relationship and five sub-themes, Establishing the relationship in home-based nursing care, Conscious efforts maintains the relationship, Reciprocity is a requirement in the relationship, Working in different levels of relationships and Limitations and boundaries in the relationship. A trusting relationship between the nurse and the person in need of healthcare is a prerequisite for good home-based nursing care whether it is based on face-to-face encounters or remote encounters through distance-spanning technology. A trusting relationship could reduce the asymmetry of the caring relationship which could strengthen the person's position. The relationship requires conscious efforts from the nurse and a choice of level of the relationship. The trusting relationship was reciprocal and meant that the nurse had to communicate something about themself as the person needs to know who is entering the home and who is communicating through distance-spanning technology.

  • 80.
    Wälivaara, Britt-Marie
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Sävenstedt, Stefan
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Axelsson, Karin
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Encounters in home-based nursing care: registered nurses' experiences2013In: Open Nursing Journal, ISSN 1874-4346, E-ISSN 1874-4346, Vol. 7, no 1, p. 73-81Article in journal (Refereed)
    Abstract [en]

    The encounter between registered nurses and persons in need of healthcare has been described as fundamental in nursing care. This encounter can take place face-to-face in physical meetings and through meetings via distance-spanning technology. A strong view expressed in the literature is that the face-to-face encounter is important and cannot entirely be replaced by remote encounters. The encounter has been studied in various healthcare contexts but there is a lack of studies with specific focus on the encounter in home-based nursing care. The aim of this study was to explore the encounter in home-based nursing care based on registered nurses' experiences. Individual interviews were performed with 24 nurses working in home-based nursing care. The transcribed interviews were analyzed using thematic content analysis and six themes were identified: Follows special rules, Needs some doing, Provides unique information and understanding, Facilitates by being known, Brings energy and relieves anxiety, and Can reach a spirit of community. The encounter includes dimensions of being private, being personal and being professional. A good encounter contains dimensions of being personal and being professional and that there is a good balance between these. This is an encounter between two human beings, where the nurse faces the person with herself and the profession steadily and securely in the back. Being personal and professional at the same time could encourage nurses to focus on doing and being during the encounter in home-based nursing care.

12 51 - 80 of 80
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