Understanding a person’s life story can transform dementia care by promoting a person-centered approach. Documented life stories help staff to personalize care, but further research is needed to understand their construction and usage in care practice. The aim of this study was to explore assistant nurses’ experiences of life story documentation and their practical applications in dementia care practice. Five semi-structured focus groups were conducted, and data were analyzed using qualitative content analysis. The findings consisted of five themes: “Ensuring timing and accessibility when constructing a documented life story,” “Recognizing template limitations in capturing a comprehensive view of the person,” “Refining life story quality and understanding through ongoing dialogues,” “Building connection and support through insights from documented life stories,” and “Harmonizing life histories with evolving care needs in practice.” Our findings highlight the importance of a dynamic and inclusive approach to life story documentation that goes beyond rigid templates. Accessible and well-documented life stories can empower nursing staff to provide responsive and personalized care, enhancing the dignity and quality of life of people living with dementia.

Aims and Objectives

With the expanding older population, the demand for home-based aged care is increasing. While home care presents challenges, it also offers opportunities to transform aged care practices. This study, grounded in caring science and lifeworld philosophy, explores the meaning of the relationship between older women and registered nurses.

Methods

Individual interviews were conducted with 11 women receiving home care, and a focus group was held with registered nurses working in the same setting. Data were analysed using qualitative content analysis.

Results

The relationship between older women and registered nurses resembles a tapestry of emotional and physical connections, shaped by the women's vulnerability due to their dependence on care. Despite this, the women strove to be recognised as resilient and capable individuals.

Conclusion

This study highlights the evolving relationship between older women and registered nurses in home care, shaped by the interplay of vulnerability and resilience. It offers insights into the relational dynamics in home-based aged care and emphasises the importance of presence, attentiveness, and the recognition of the home as integral to the caring relationship.

To contribute to the development of effective support for early career researchers during and after doctoral education, the aim of this study was to examine the experiences of the early career transition after affiliation with an interdisciplinary graduate school, using the Swedish National Graduate School on Ageing and Health (SWEAH) as an example. Through qualitative interviews with 18 alumni, the findings reveal that the graduate school had fostered interdisciplinary research skills among early career researchers, and they felt well-prepared for the next career stage. However, they expressed a need for continuous career support and personal guidance while still feeling confident and open-minded. Interdisciplinary graduate schools can play a crucial role in nurturing the next generation of early career researchers, providing them with the skills and identities needed for impactful research and collaboration in a complex, interconnected world. We suggest that academic careers should be understood in an entangled or interlinked way from the very beginning of the academic journey, and introduce a new conceptual coinage of “career ecologies”. This implies that doctoral students and early career researchers should be encouraged, empowered, energized, and invited to activate and make use of their societal voice, influence, and value, right from the early formative doctoral years. Moreover, strategic support is vital to maintain an interdisciplinary spirit and facilitate informed career choices.

The aim is to describe the development of a novel interdisciplinary graduate school, using the Swedish National Graduate School for Competitive Science on Ageing and Health (SWEAH) as a case example. We explore doctoral students’ perceptions of being part of SWEAH and provide implications for practice. Written self-reports reflecting 78 students’ experiences and perceptions were analyzed using thematic analysis. The findings reveal that affiliation with SWEAH is highly valued. The students emphasized the tailored courses and learning activities and reported that it was instrumental in deepening their knowledge and broadening their research perspectives. The findings demonstrate how students navigate between disciplinary and interdisciplinary contexts and become enculturated with intellectual mindset and understanding of the importance of network building. The graduate school adds an interdisciplinary layer of learning, influenced by peers and researchers, and demonstrates the importance of community building within interdisciplinary environments and how it can be achieved. 

Introduction: Studies of older women’s life transitions is rare but gains relevance as the aging population, with older women as the majority, expands.

Purpose: To explore the meaning of a good life for older widows with extensive home care needs.

Materials and methods: Semi-structured interviews were carried out with eleven women, aged 80 and over (82–95 years, mean 90) residing at home with extensive care needs (≥4 daily sessions, averaging 2.5–6 hours, mean 3). Data were analysed by reflexive thematic analysis.

Results: The theme “This Day in My Home, the frame of my life” reflects the women’s experience of a good life. A good day imbued them with hope, trust and security, carrying them forward with the assurance that night would usher in a new day. However, there were moments when life was merely about navigating daily challenges. During such days, the women felt trapped in time, unsafe and lonely.

Conclusion: A day at home may seem static, yet it mirrors life’s dynamism, evolving with shifting circumstances. Older widows navigate challenges while maintaining their sense of self, independence, and connection to home. These findings have implications for aged care, recognizing the multifaceted aspects of life and the centrality of home.

Lipedema is a chronic, progressive disease that almost exclusively affects women and often misdiagnosed as obesity or primary lymphedema. Research concerning lipedema is sparse, and there is a lack of studies focusing on women’s experiences of living with the illness. We interviewed fourteen women with lipedema with the aim of describing their experiences of living with lipedema. Our results show that women felt controlled by their body, and were fat-shamed and viewed by others as a person who lacked character. They received unsupportive advice on how to manage from healthcare, and blamed themselves while striving to take responsibility.

Persons with dementia face several challenges in daily life and the consequences of the disease can be a threat to live a dignified life. Martha Nussbaum has developed the concept of dignified life for people with dementia and suggests the capability approach focusing on what people are able to do and to be in certain agreed-upon areas. Particularly, affiliation and practical reasoning are crucial to preserve a dignified life. For people with dementia the consequences of the disease may affect their opportunities to achieve these vital human capabilities. Digital resources have been shown to have potential to support people in their everyday life and provide them with the means necessary to participate in all aspects of life. In this study, our purpose is to describe digital resources aimed at supporting opportunities for affiliation and practical reasoning among people with dementia. Specifically, we wanted to give an overview of the existing digital resources used to support affiliation and practical reasoning and how such resources affect opportunities for people with dementia. A framework for scoping reviews was used and literature searches were conducted in PubMed and Scopus. The results, by providing a deep analysis of digital resources for affiliation and practical reasoning, highlight the need for a clearer direction towards the very core of vital aspects in a dignified life. Hence, there is a need for a framework that can guide attention towards crucial aspects for supporting a dignified life when developing and evaluating digital resources. 

The ability of nursing staff to assess and evaluate behavioral and psychological symptoms of dementia (BPSD) to determine when intervention is needed is essential. In order to assist with the assessment process, the current use of the Neuropsychiatric Inventory Nursing Home version (NPI-NH) is internationally accepted. Even though the NPI-NH is thoroughly validated and has several advantages, there are also various challenges when implementing this system in practice. Thus, the aim of this study was to explore clinical reasoning employed by assistant nurses when utilizing the NPI-NH as a tool to assess frequency and severity of BPSD in individuals with advanced dementia.

Twenty structured assessment sessions in which assistant nurses used the NPI-NH were audio recorded and analyzed with a discourse analysis focusing on the activities in the communication.

Four categories were identified to convey assistant nurses' clinical reasoning when assessing and evaluating BPSD using the NPI-NH: considering deteriorations in ability and awareness, incorporating individual and contextual factors, overcoming variations in behaviors and ambiguous formulations in the instrument, and sense-making interactions with colleagues.

The NPI-NH served as a supportive frame and structure for the clinical reasoning performed during the assessment. The clinical reasoning employed by assistant nurses became a way to reach a consensual and broader understanding of the individual with dementia, with the support of NPI-NH as an important framework.