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David Edvardsson

David Edvardsson

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191
Publications
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Publications

Publications (191)
Article
Full-text available
Objective: This study aimed to explore changes to resident thriving in Swedish nursing homes over a 5-year period and describe changes in associated factors. Methods: Cross-sectional data were collected from a randomised sample of Swedish nursing homes in 2013/2014 (baseline) and 2018/2019 (follow-up). Descriptive statistics, independent samples...
Article
Full-text available
Aim: To evaluate the effects of a person-centred and thriving-promoting intervention on nursing home residents´ experiences of thriving and person-centredness of the environment, and to evaluate if the effects varied between female and male residents. Design: A multi-centre, non-equivalent controlled group before-after intervention design. Meth...
Article
Aim: To evaluate the reliability and validity of the Japanese version of the Person-Centered Care Assessment Tool (P-CAT-J) in a Japanese long-term care setting. Methods: This was a cross-sectional survey using self-administered questionnaires distributed among the nurses or care staff of 2000 special nursing homes randomly selected nationwide u...
Article
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Background: Given the projected trends in population ageing and population growth, the number of people with dementia is expected to increase. In addition, strong evidence has emerged supporting the importance of potentially modifiable risk factors for dementia. Characterising the distribution and magnitude of anticipated growth is crucial for publ...
Article
In Sweden, sheltered housing is a housing model that provides accessible apartments with elevated social possibilities for older people. The environment within sheltered housing is expected to support resident health and reduce the need for care services. A previous study has shown that with increasing levels of depressive mood and decreasing level...
Article
Full-text available
Background Given the projected trends in population ageing and population growth, the number of people with dementia is expected to increase. In addition, strong evidence has emerged supporting the importance of potentially modifiable risk factors for dementia. Characterising the distribution and magnitude of anticipated growth is crucial for publi...
Article
Full-text available
Background Home care recipients have reported little self-determination and opportunity to influence their own care. Person-centred care focusing on involvement has improved the quality of life of older adults in health care and nursing homes; however, knowledge about the effects of person-centred interventions in aged care at home is sparse. The a...
Article
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The prevalence of people with dementia living in long-term care (LTC) is high and rising internationally, and the need to improve LTC for people with dementia is widely recognized. In some countries, LTC quality assurance programs use quantitative measures of LTC quality, and international bodies emphasize the importance of person-centered care and...
Article
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Nursing home leadership has been described as crucial for person-centred care and psychosocial climate, but longitudinal data are lacking. The significance of manager educational qualifications and operational model of nursing homes for perceived leadership, person-centred care and psychosocial climate also needs further exploration. This study aim...
Article
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Background: To provide Person-Centered Care (PCC) for People with Dementia (PwD), patient's stated preferences must be known. Data about stated care-preferences among PwD are limited. This study aimed to identify key components of PCC for PwD by a systematic review of PCC-interventions, to inform the construction of a decision model for PwD-prefer...
Article
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Background Leadership and stress are common concepts in nursing, and this study explores empirically the connection between leadership and stress of conscience in the context of aged care practice. Previous literature has shown that when staff are unable to carry out their ethical liabilities towards the residents, feelings of guilt may occur among...
Article
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Background: Person-centered care (PCC) is an important concept in many countries' national guidelines and dementia plans. Key intervention categories, i.e., a taxonomy of person-centered (PC)-interventions, to provide person-centered dementia care, are difficult to identify from literature. Objective: This systematic review aimed to identify and...
Article
In this article, we report the outcome of a sociological inquiry into nursing knowledge of death and dying, specifically ‘the good death’. A genealogical approach informed by actor-network theory and appreciative inquiry were used to compose a broad socio-material account of how nurses concern themselves with the care of the dying and end-of-life c...
Article
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Aims and objectives To develop the theoretical understanding of the process of providing person-centred home care for people with dementia. Background People with dementia are increasingly cared for at home by family members and home care staff. Care of people with dementia should be person-centred; however, little is known about how home care sta...
Article
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Background Data sparsity is a major limitation to estimating national and global dementia burden. Surveys with full diagnostic evaluations of dementia prevalence are prohibitively resource-intensive in many settings. However, validation samples from nationally representative surveys allow for the development of algorithms for the prediction of deme...
Article
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Aims and objectives: The aim was to explore changes in nursing home managers' leadership, person-centred care and psychosocial climate comparing matched units in a five-year follow-up and to explore the significance of managers' educational qualifications and the ownership of nursing homes for perceived leadership, person-centred care and psychoso...
Article
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Aim To explore contributors for thriving in nursing homes by evaluating, analysing and synthesizing peer‐reviewed qualitative literature on the topic. Background Thriving is a positive life‐world concept that has been explored by several qualitative studies; however, descriptions of thriving and contributors to thriving have not been compared or c...
Article
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Music therapy (MT) is considered one of the complementary strategies to pharmacological treatment for behavioral and psychological symptoms (BPSD) of dementia. However, studies adopting MT protocols tailored for institutionalized people with dementia are limited and their usefulness for supporting caregivers is under investigated to date. Our study...
Article
The prevalence of people with dementia living in long-term care (LTC) is high and rising internationally, and the need to improve LTC for people with dementia is widely recognized. In some countries, LTC quality assurance programs use quantitative measures of LTC quality. To better understand how LTC quality assurance programs address dementia, pro...
Article
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Background: Research claims that ‘learning by doing’ creates new thinking, often leading to new practice. Objectives: The aim was to explore and describe the staff learning process from the first to the second year when adopting person-centred care into clinical practice in a nursing home for persons with dementia. Method: The data consisted of...
Article
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Background Person-centred care is the preferred model for caring for people with dementia. Knowledge of the level of person-centred care is essential for improving the quality of care for patients with dementia. The person-centred care of older people with cognitive impairment in acute care (POPAC) scale is a tool to determine the level of person-c...
Article
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Background Thriving has emerged as a contemporary and health-promoting concept for older people living in nursing homes; however, there has been limited research to explore how nursing home staff identify thriving in their everyday practice. The aim of this study was to explore how staff recognize expressions of thriving among persons living in nur...
Article
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On a daily basis, many care situations contain difficult issues and challenges for care providers. Stress of conscience, such as feelings of guilt, can be experienced by staff when not fulfilling ethical obligations to the residents. Although leadership has been advocated as a key component for staff work perceptions as well as for person-centred c...
Article
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Aim The aim of this study was to develop and evaluate a self-report instrument measuring patients’, family members’, and staff’s perceived support from light and color in the physical environment of an emergency department (ED)—the Light and Color Questionnaire (LCQ). Background The physical care environment is an important part of a comprehensive...
Article
In this commentary we draw on disparate ontological and epistemological traditions to explore and reframe the implications of the COVID-19 pandemic for nursing. In doing so, we join many other nurse commentators in reaffirming the centrality of the nursing profession during times of social crisis. In particular, we want to demonstrate how the curre...
Article
Background Nurses caring for older people with delirium encounter moral challenges in hospitals which could trouble their conscience, if they perceive limitations that prevent them from fulfilling their duties. Little is known about the stress associated with troubled conscience, that is stress of conscience, beyond nursing homes. Aim To explore f...
Article
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Background This study explored the psychometric properties and dimensionality of the Stress of Conscience Questionnaire (SCQ) in a sample of health professionals from a tertiary-level Australian hospital. The SCQ, a measure of stress of conscience, is a recently developed nine-item instrument for assessing frequently encountered stressful situation...
Article
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Background: Person-centered care is a valuable approach to improve the quality of care of the elderly and is a starting point for maintaining the dignity of people needing care. Objectives: This study aimed at translation, cultural adaptation, and validation of the Persian version of the Person-centered Climate Questionnaire-Patient questionnair...
Article
Aims The aim of the study was two‐fold: (1) to test the psychometric properties of the Person‐Centered care Climate Questionnaire‐Patient‐Finnish version (PCQ‐P‐Fin), and (2) to examine the associations between older patients’ perceptions of the PCC climate and their perceptions of individuality in care delivered within acute care settings for olde...
Article
Background: The Thriving of Older People Assessment Scale has Scandinavian, Norwegian and English versions but does not yet have a Chinese version that can be used in Chinese populations and compared to global data. Objectives: To evaluate the psychometric properties of the translated Chinese version of the Thriving of Older People Assessment Sc...
Article
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Background: As part of a nursing home intervention study, the aim of this paper was 1) to evaluate the effects of a staff education programme about person-centred care and promotion of thriving on relatives' satisfaction with quality of care and their perceptions of the person-centredness of the environment, and 2) to outline factors of importance...
Article
Full-text available
Aim To evaluate the effects of a person‐centred and thriving‐promoting intervention in nursing homes on staff job satisfaction, stress of conscience and the person‐centredness of care and of the environment. Design A multi‐centre, non‐equivalent control group, before–after trial design. Methods Staff (N = 341) from six nursing homes in Australia,...
Article
Full-text available
Objective This study aims to test a Chinese cross-cultural adaptation of the English version of the Person-Centred Care Assessment Tool (P-CAT) and evaluate its psychometric properties. Design P-CAT was translated/back-translated using established procedures before the psychometric evaluation of the Chinese version was made. Setting Two hospitals...
Article
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There has been an impressive development of nursing knowledge around the ethics, principles, frameworks, models and practices of person-centred care over the last 15 years, with colleagues from the Nordic countries making significant contributions to global knowledge across the discipline of nursing and beyond. A disciplinary challenge remains to m...
Article
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Aim: To explore the level of thriving and associated factors among older adults living at home with support from home care services. Design: An exploratory, cross-sectional survey design. Method: A sample of 136 participants (mean 82 years) responded to a survey about thriving, health, psychosocial and care-related factors in 2016. Descriptive...
Article
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Aims: To explore to what extent type of residence (sheltered housing or ageing in place) contributes to thriving and well-being in older adults, when controlling for age, sex, living alone, being a widow and adjusting for functional status, self-rated health and depressive mood. Design: A matched cohort study. Methods: A self-report survey was...
Preprint
Full-text available
Background People with dementia are regularly hospitalized. Person-centered care is the preferred model for caring for people with dementia. To improve the quality of care for people with dementia in an acute care setting, knowledge of the level of person-centeredness of the care is relevant. The POPAC is a tool to determine the level of Person-cen...
Article
Person‐centred care is a relatively new orthodoxy being implemented by modern hospitals across developed nations. Research demonstrating the merits of this style of care for improving patient outcomes, staff morale and organizational efficiency is only just beginning to emerge. In contrast, a significant body of literature exists showing that attai...
Preprint
Full-text available
Background: Person-centered care is the preferred model for caring for people with dementia. Knowledge of the level of person-centered care is essential for improving the quality of care for patients with dementia. The Person-centred care of Older People with cognitive impairment in Acute Care scale (POPAC) is a tool to determine the level of perso...
Preprint
Full-text available
Background: Person-centred care is the preferred model for caring for people with dementia. Knowledge of the level of person-centred care is essential for improving the quality of care for patients with dementia. The person-centred care of older people with cognitive impairment in acute care (POPAC) scale is a tool to determine the level of person-...
Article
Full-text available
Background: Person-centred care is the bedrock of modern dementia services, yet the evidence-base to support its implementation is not firmly established. Research is hindered by a need for more robust measurement instruments. The 14-item Person-Centred Climate Questionnaire - Staff version (PCQ-S) is one of the most established scales and has pro...
Article
Background: Factors that hinder the pivotal role frontline clinicians play in STEMI management are under-reported. We aimed to explore perceived barriers to effective STEMI management by addressing the following questions: 1. What are the most commonly occurring barriers to timely STEMI management for paramedics and emergency nurses? 2. Are there...
Article
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Aim: To evaluate the psychometric properties and performance of the 32-item Thriving of Older People Assessment Scale (TOPAS) and to explore reduction into a short-form. Background: The 32-item TOPAS has been used in studies of place-related well-being as a positive measure in long-term care to assess nursing home resident thriving; however, ite...
Article
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Background and Objectives: Thriving has been described as a multidimensional concept that can be used to explore place-related well-being; however, there has been limited research into the meaning of thriving in aged care. This study aimed to illuminate meanings of thriving as narrated by persons living in nursing homes. Research Design and Metho...
Article
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Aims To explore the extent to which a more person‐centred climate could explain the variation in quality of care, as rated by relatives to nursing home residents in three countries. Design A cross‐sectional, correlational, anonymous questionnaire study. Methods Questionnaires were administered to 346 relatives to residents in six nursing homes in...
Poster
There is growing interest in the application and implementation of positive life-world concepts in nursing homes. Thriving is one such concept which has been described as a multidimensional phenomenon that encompasses elements of subjective wellbeing, environmental adjustment, and life satisfaction; however, there has been limited research into the...
Article
Aims and objectives: To explore how managers describe leading towards person-centered care in Swedish nursing homes. Background: Although a growing body of research knowledge exists highlighting the importance of leadership to promote person-centered care, studies focused on nursing home managers' own descriptions of leading their staff towards...
Article
Full-text available
Background: The present study aims to illuminate the meaning of working in a person-centred way as experienced by staff in nursing homes. Insights into what working in a person-centred way mean for nursing home staff may contribute to a more comprehensive understanding of what gives staff satisfaction in their work and support further development...
Article
Full-text available
Thriving in long-term care has emerged as a contemporary concept given the increasing demand for aged care services that support personhood and place-related well-being, and the challenges of measuring the characteristics and outcomes of such services. Numerous studies have explored aspects of thriving for residents in long-term care, yet no consen...
Article
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Background It is acknowledged that preservation of self-determination is very important in order for older adults to experience good quality of life, but to what degree and in what areas people receiving help from home care service experience self-determination is unknown. Few studies have examined the perception of self-determination in relation t...
Poster
The 32-item TOPAS has been used to measure nursing home resident thriving; however, previous studies have recommended additional testing to explore item redundancy. If the phenomenon of thriving can be captured with fewer items in a short-form scale, the overall functionality and utility of the TOPAS may be enhanced. This study aimed to develop a s...
Article
Full-text available
Aim To explore the associations between job satisfaction and perceived person‐centredness and ethically difficult situations among staff in nursing homes. Background Previous studies have indicated that person‐centredness and few ethically difficult situations can contribute positively to nursing home staff's job satisfaction. However, empirical e...
Article
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To support the development of internationally comparable common data elements (CDEs) that can be used to measure essential aspects of long-term care (LTC) across low-, middle-, and high-income countries, a group of researchers in medicine, nursing, behavioral, and social sciences from 21 different countries have joined forces and launched the World...
Book
Full-text available
personcentered care - a core competence in good och safe care. A collaboration between Swedish professional associations of doctors, nurses and dieticians to formulate a shared perspective on this topic. The booklet is part of a series of publications on core competencies.
Article
Sheltered housing is a housing model that provides accessible apartments with elevated social possibilities for older people, which is expected to increase resident health and independence, reducing the need for care. As previous research on sheltered housing is scarce, the aim of this study was to explore the characteristics, health status and soc...
Article
To support person-centered, residential long-term care internationally, a consortium of researchers in medicine, nursing, behavioral, and social sciences from 21 geographically and economically diverse countries have launched the WE-THRIVE consortium to develop a common data infrastructure. WE-THRIVE aims to identify measurement domains that are in...
Article
Full-text available
Background: The number of individuals living with dementia is increasing, negatively affecting families, communities, and healthcare systems around the world. A successful response to these challenges requires an accurate understanding of the dementia disease burden. We aimed to present the first detailed analysis of the global prevalence, mortalit...
Article
Full-text available
BACKGROUND: The number of individuals living with dementia is increasing, negatively affecting families, communities, and health-care systems around the world. A successful response to these challenges requires an accurate understanding of the dementia disease burden. We aimed to present the first detailed analysis of the global prevalence, mortali...
Article
Full-text available
Background Competent managers are essential to the productivity of organisations and the sustainability of health systems. Effective workforce development strategies sensitive to the current competency development needs of health service managers (HSMs) are required. Purpose To conduct a 360° assessment of the competence of Australian HSMs to iden...
Article
Full-text available
Aim and objectives To describe nurses’ experiences of providing person‐centred care (PCC) for older people on an acute medical ward. Background There is evidence that PCC for older people contributes to a higher quality care and increased satisfaction with care. However there is a shortness of studies providing concrete examples of what facilitate...
Article
Sheltered housing is a housing model designed for older people, which in Sweden entails providing older people accessible apartments with elevated opportunities for social participation. Increased social participation is expected to support health and independence, and reduce the need for care and services. Despite the increasing popularity of shel...