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Konflikter kan påverka individen både positivt och negativt beroende på individens beredskap att hantera konflikten. Vårdpersonal har ett fysiskt påfrestande arbete. Detta är en kvalitativ studie som handlar om hur uppgiftsrelaterade konflikter påverkar individers motivation samt arbetsprestation inom äldreomsorgen. En intervjustudie genomfördes med deltagare som arbetar inom vård och omsorg, deltagarna var undersköterskor. Samtliga undersköterskor beskrev att det förekommer mycket konflikter inom deras arbetsbransch. Undersköterskor har beskrivit upplevelser som framkommit i samband med uppgiftsrelaterade konflikter emellan kollegor. Resultat som framkom var att motivation samt arbetsprestation påverkades då uppgiftsrelaterade konflikter uppstod. Motivationen kunde påverkas eftersom att undersköterskorna kunde känna negativ stämning efter konflikter. Detta fick undersköterskorna att känna nedstämdhet. Det framkom även att ledningen har en inverkan på undersköterskornas motivation. Upplevelserna från undersköterskorna har varierat beroende på konflikt och individ.

People with dementia are hospitalized for a variety of reasons. The combination of dementia with additional health conditions creates a unique challenge to caregivers in acute care settings. There is a dearth of information available to provide guidance to the nursing staff caring for these patients. This integrated review of the literature examined the experiences of hospitalization from the perspective of the older adult with dementia, the family caregiver, and the patient care staff. Results showed a limited body of literature that addressed hospital experiences of people with dementia and those of family and professional caregivers. Additionally, few studies addressing this topic have been conducted in the United States. The primary finding from this study is that better communication is needed between nursing staff, patients, and their family caregivers. Nurses should carry out detailed assessments of cognition and pain in all elderly patients, and strive to provide appropriate palliative and end-of-life care. Dementia- specific training for all staff members may help to promote a better understanding of patients with dementia. Lastly, further research into the experiences of hospitalized dementia patients is needed, with a focus on acute care settings within the United States.

Bakgrund- Sverige är ett mångkulturellt växande land som står inför utmaningen att skapa en mer kulturellt hälsofrämjande omsorg. Omsorgspersonalen måste skapa mer individanpassade och hälsofrämjande omsorgsrutiner för att främja ett hälsosamt åldrande hos den äldre befolkningen.Syfte-Syftet med studien är att undersöka om omsorgspersonal på särskilda boenden i en liten kommun känner att de har den kunskap som de behöver för att möta de äldres kulturella behov i det dagliga omsorgsarbetet.Metod-Studien är en kvantitativ tvärsnittsstudie på omsorgspersonal i en liten kommun i Västra Götaland. Datainsamlingen har genomförts genom en enkätundersökning med 44 deltagande omsorgspersonal. Studien använde sig av chi-två-test och spearmans korrelations test.Resultat- Av omsorgspersonalen i studien svarade sju av tio att de alltid eller oftast hade kunskapen som krävdes för att arbeta kulturellt hälsofrämjande. Resultatet visar att om omsorgspersonalen kände att de arbetade kulturellt hälsofrämjande kände de till högre grad även att de hade kunskapen att arbeta kulturellt hälsofrämjande.Diskussion- Det är viktigt att omsorgspersonalen förstår hur viktig deras roll är för att skapa en hälsofrämjande äldreomsorg. Genom att omsorgspersonalen ger äldre en individanpassad kulturellt hälsofrämjande omsorg skapas god hälsa och trygghet. Resultatet av studien gick i linje med tidigare forskning.Slutsats-Majoriteten av omsorgspersonalen kände att de hade kunskapen som krävdes för att arbeta kulturellt hälsofrämjande. Det är viktigt att omsorgspersonalen förstår hur viktig deras roll är att arbeta kulturellt hälsofrämjande. Genom att omsorgspersonalen arbetar kulturellt hälsofrämjande skapas ett gott åldrande och god äldreomsorg i Sverige.Sökord-Kulturella aspekter, omsorgspersonal och äldre / <p>Godkännande datum: 2018-12-06</p>

Rural experiences are under-represented in the end-of-life care literature. In addition, population projections indicate that the numbers of older rural people are increasing. In an attempt to better understand their needs, this study considers how older people experience end-of-life (EOL) care in a rural New Zealand setting. Having responded to local media and community notices, seven participants, who in the last eighteen months had cared for someone over the age of 65 with a terminal illness, spoke about their experience of rural EOL care. Their stories were then transcribed and analysed, using narrative analysis. Participants spoke about similar issues, but from different, sometimes conflicting, perspectives. Positioning themselves primarily as carers, rather than as rural people, the participants’ stories nevertheless reflected their social location for caring, as they talked about exhaustion and needing 24 hour support; limited access to specialist palliative care services; and the difficulties of caring for people with complex needs. At the same time they spoke of the joys and rewards of caring. The ambivalence and conflict evident in the stories indicates the participants’ location in a particular place and time in the history of dying. Caught between two paradigms of care, these participants vacillate between the desire for the empathic, compassionate care of yesteryear and the best that modern medical technology can offer. Discussing when to continue and when to stop medical intervention produced the most conflicting perspectives. However, all agreed that having time to form therapeutic relationships is a key component of EOL care. Overall, the stories demonstrate that the multiple and complex experiences of older rural people render stereotypical assumptions about rural life and dying at home problematic. However, as this study demonstrates, simply talking with people provides access to and understanding of their lived realities. Incorporating this kind of approach in future rural EOL care planning will move us closer to achieving contemporary goals of positive ageing and dying well.

Les personnes âgées infectées par le VIH ne sont plus des exceptions. Elles vieillissent avec cette maladie devenue chronique et, de surcroît, se découvrent de nouvelles pathologies liées à un phénomène de vieillissement prématuré. La question de leurs représentations pour les années à venir se pose en termes d’accompagnement et de lieux de vie. Par ailleurs, le regard des services et des institutions susceptibles de les accueillir ne sont pas nécessairement en phase avec ces représentations. L’expression de ces perspectives s’est concrétisée par une enquête qualitative auprès de patients âgés de 60 ans et plus, de la file active du COREVIH Ile-de-France Centre et par des entretiens avec des professionnels du secteur sanitaire et médico-social. Une cartographie des situations de vie et des logiques en place a permis d’identifier les profils pertinents pour répondre à la problématique posée. Dans ce contexte, les paroles recueillies montrent que celles-ci se projettent dans une situation de vie en perte d’autonomie, à l’exception étonnamment des plus âgées. Les personnes immigrées souhaitent plutôt une vie en institution pour personnes âgées, les HSH (hommes ayant des rapports sexuels avec des hommes) optent pour un maintien à domicile ou des résidences services haut de gamme, les personnes hétérosexuelles sont plus partagées mais envisagent plus de rester à domicile. Néanmoins, la poursuite d’une vie dans l’âge, à domicile ou en institution, s’accompagne de craintes fortes. Les pratiques discriminatoires en lien avec la pathologie VIH ou l’orientation sexuelle, la divulgation du secret en institution et le refus d’admission lié au VIH sont très souvent exprimés. Ces craintes engendrent de véritables angoisses. Le regard des professionnels est encore réducteur, les tabous persistent, et le coût engendré par l’accueil d’une personne âgée vivant avec le VIH peut constituer un frein. La question d’adapter ou de créer de nouveaux établissements se pose alors pour les rendre plus justes et bienveillants à l’égard de ces personnes âgées. / Elderly HIV-positive people are no longer the exception. People are aging with this now chronic disease and moreover discover new diseases, aged-related premature. The question arises of their representations of the coming years in terms of accompaniment and living place. In addition, the view of the services and the institutions for elderly are not necessarily in phase with these representations. The expression of these prospects was concretized by a qualitative survey near 60 years old patients or older, of the active file of the COREVIH Ile-de-France Centre and by interviews with health-care and social-services professionals. A cartography of living situations and logics in place allowed to identify the relevant profiles to this study. In this context, replies show that they see themselves living in situations with loss of autonomy, except the oldest. The immigrant people rather wish a life in a nursing home, the MSM (men who have sex with men) choose home care or exlusive residence and heterosexuals people are shared but prefer to remain at home. Nevertheless, the continuing of a life in the age, at home or in institutions for elderly, comes along with strong fears. Discriminatory practices related to the disease or sexual orientation, disclosure of their HIV status in senior housing facility, rejection based on the review of the medical records, are frequently expressed. These fears generate true anguishes. The point of view of health-care and social-services professionals is still reducing, the taboos persist, and the cost represented by a elederly HIV-positive people can be a significant barrier. The issue is whether to adapt or create new facilities so that they are fairer and more compassionate for these seniors.

The topic of this thesis is the Methods of social work with elderly people used in our territory in 1948-1989. The goal of this thesis is to description of the methods used in social work with seniors in the defined period. The method used in this thesis is a synthesis of scientific knowledge from literature mapping social work in the period from 1948 to 1989 and analysis of the historical period. This thesis is divided into five main chapters. The first chapter is dedicated to the theoretical framework, which describes the social area with an emphasis on old people. The second chapter is devoted to the introductory article on social work from the perspective of the target group of seniors. Attention is paid especially to the introduction to the political context and the social security system and the functioning of social services. A necessary part of this work is also a brief historical excursion, which is described in the third chapter. The historical excursion briefly maps the period from the 17th century to the first half of the 20th century, in the context of perception of old age, death and family cohabitation. The fourth chapter describes the development of social work since 1948, which is focused on social work with old people. The final chapter of this thesis is the fifth chapter,...