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  • 1.
    Mattsson, Karin
    et al.
    Mälardalens högskola.
    Pietilä Rosendahl, Sirpa
    Mälardalens högskola.
    Teaching Gerontology: A Joint Mission between Asia and Europe2015In: The Changing Face of Aging around the World, 2015Conference paper (Refereed)
    Abstract [en]

    Internationalization in the area of health and welfare in higher education provides good opportunities to confront and deal with many of the challenges an aging population implies. It also brings an opportunity to spread ideas and awareness of different ways of addressing the needs of a changing demography around the world. The Double Degree Bilingual Nursing Program (DDBNP) is a collaboration between Thailand and Sweden, where the students from a Bangkok University study their fourth and final year of the program at Mälardalen University, Sweden. The program includes one 72 course in gerontology and the fundamentals of nursing older adults. While in Sweden the students also study caring from a cultural perspective, methods and theories in caring science and write their bachelor thesis before returning to Bangkok for their graduation. Although, these nursing students are the policy makers, practitioners and scholars of tomorrow, in positions that enables them to implement gerontology within the nursing programs, more education in gerontology is needed. The aging population in Thailand is growing rapidly and education in aging and age-related processes needs to be implemented on all of the nursing educational levels. Our vision is to see a continuation and accelerated development of gerontological proficiency by taking education on gerontology a step further in order to expand the target group to include lecturers in nursing using a concept that builds on the idea of multiplication. After attending this activity, participants will be able to expand discussion about cross cultural education in gerontology.

    Objective 1: The main objective of this paper is to discuss how courses in gerontology can be multiplied, spread and shared through co-production in a joint mission between Asia and Europe. At this stage the concept of multiplication involves lecturers in nursing. Challenges in international collaboration within higher education will be highlighted, as well as how course content can be made culturally relevant and the exchange of diverse pedagogical ideas.

  • 2.
    Mattsson, Karin
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Pietilä Rosendahl, Sirpa
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Teaching Gerontology: A Joint Mission between Asia and Europe2015In: “The Changing Face of Aging around the World”, 2015Conference paper (Refereed)
  • 3.
    Mattsson, Karin
    et al.
    Mälardalen University, Eskilstuna.
    Pietilä Rosendahl, Sirpa
    Mälardalen University, Eskilstuna.
    Teaching gerontology in globalized academics: a qualitative study of Thai nursing students' views on ageing when studying abroad.2017In: Contemporary Nurse: health care across the lifespan, ISSN 1037-6178, E-ISSN 1839-3535, Vol. 53, no 1, p. 36-47Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Negative views towards ageing and older adults may be a reason why nurses do not choose to work in gerontological nursing. Studying in another cultural context can challenge these views. The Objective was to explore nursing students' views on ageing and older adults before and after a gerontology course held abroad.

    DESIGN AND METHOD: A qualitative approach based on content analysis of responses to open-ended questions by 30 Thai nursing students studying a gerontology course in Sweden.

    RESULTS: Three main categories: positive imprints of ageing, ageing takes its toll, and knowledge leading to action, emerged through sub-categories carrying a view of older adults as not only in need of care, but also as resourceful and competent. Professional healthcare, besides family was seen as potential caregivers in old age.

    CONCLUSIONS: Studying gerontology abroad can widen views towards ageing and older adults, inspiring nurses to work in gerontological nursing.

  • 4.
    Mattsson, Karin
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Pietilä Rosendahl, Sirpa
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Teaching gerontology in globalized academics: a qualitative study of Thai nursing students' views on ageing when studying abroad2017In: Contemporary Nurse: health care across the lifespan, ISSN 1037-6178, E-ISSN 1839-3535, Vol. 53, no 1, p. 36-47Article in journal (Refereed)
    Abstract [en]

    Background: Negative views towards ageing and older adults may be a reason why nurses do not choose to work in gerontological nursing. Studying in another cultural context can challenge these views. The Objective was to explore nursing students' views on ageing and older adults before and after a gerontology course held abroad. Design and method: A qualitative approach based on content analysis of responses to open-ended questions by 30 Thai nursing students studying a gerontology course in Sweden. Results: Three main categories: positive imprints of ageing, ageing takes its toll, and knowledge leading to action, emerged through sub-categories carrying a view of older adults as not only in need of care, but also as resourceful and competent. Professional healthcare, besides family was seen as potential caregivers in old age. Conclusions: Studying gerontology abroad can widen views towards ageing and older adults, inspiring nurses to work in gerontological nursing.

  • 5.
    Mattsson, Karin
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Yuwanich, Nuttapol
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Pietilä Rosendahl, Sirpa
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    The role of gerontology in nursing education: Cross-cultural perspectives on developing educational leadership.2016In: Developing Educational Leadership in Gerontology Worldwide, 2016Conference paper (Refereed)
  • 6.
    Pietilä Rosendahl, Sirpa
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Gender Differences in Life Long Influences of Twins How Men and Women Talk About These Influences2015Conference paper (Refereed)
  • 7.
    Pietilä Rosendahl, Sirpa
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    GENDER DIFFERENCES IN LIFE LONG INFLUENCES OF TWINS HOW MEN AND WOMEN TALK ABOUT THESE INFLUENCES2015In: The Gerontologist, ISSN 0016-9013, E-ISSN 1758-5341, Vol. 55, p. 584-585Article in journal (Refereed)
  • 8.
    Pietilä Rosendahl, Sirpa
    Högskolan i Jönköping, Jönköping, Sweden.
    Tvillingskap genom livet -: individualitet och relation i äldre tvillingars livsberättelser2012Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The overall aim of this thesis was to explore, describe and understand experiences of twinship as told in the life stories of older twins. The 35 older twins who participated in this thesis were part of two longitudinal studies of older twins, SATSA (the Swedish Adoption Twin Study of Aging) and the Gender study. The study design is qualitative and the 35 interviews were collected using a narrative method. The life stories were analysed with narrative analysis (studies I and II) and qualitative, latent content analysis (studies III and IV).

    According to the twins in this thesis, twinship, was described from the relationship with the co-twin(I, III, IV) and from an identity perspective (II). Twin relationships are unique and different in their own way. Three relationship patterns were identified and labelled as: nurturing, draining or superficial based on qualitative aspects (I). The differences in the three relationship patterns became even more evident during critical stages in life, for example, when getting married (III) or losing the co-twin through death (IV). These events became turning points which meant that the twins needed to adjust to a more individualized life. Twins in nurturing or superficial relationship patterns did not experience these transitions as particularly dramatic, while for twins in draining relationships these life transitions were more dramatic. From an attachment theory point of view, the older twins remained attachment figures with an unaltered attachment pattern throughout life(I). Bound together with the close twin relationship is how twins define themselves, since the twinship means handling both your individual identity and the twin identity. The self-descriptions, with emphasis on differences, are viewed against the background of how the twins experienced the environment perceiving them as a social unity and were interpreted as a desire to emphasize ones individuality as related to the twin partner and as a message to the environment of desiring to be viewed as a unique individual (II).

    In summary twinship was described by most as a close, enriching relationship throughout life and for some, less enriching depending on what kind of relationship they had with their twin partner. An identity work was at the same time taking place, trying to establish a position as an individual in the twin relationship and to assert ones individuality to the rest of the environment in the message:“We are not as alike as you think!”

  • 9.
    Pietilä Rosendahl, Sirpa
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    TWINSHIP FROM THE PERSPECTIVE OF OLDER TWINS AND THEIR SIBLINGS2016In: The Gerontologist, ISSN 0016-9013, E-ISSN 1758-5341, Vol. 56, p. 494-494Article in journal (Other academic)
  • 10.
    Pietilä Rosendahl, Sirpa
    et al.
    Jönköping University, Sweden.
    Björklund, Anita
    Jönköping University, Sweden.
    Bülow, Pia
    Jönköping University, Sweden.
    Older twins´ experiences of the relationship with their co-twin over the life course2011In: Journal of Aging Studies, ISSN 0890-4065, E-ISSN 1879-193X, Vol. 26, no 2, p. 119-128Article in journal (Refereed)
    Abstract [en]

    Based on 35 life stories of aging twins, this study focuses on personal experiences and recollections of their relationships with the co-twin over the life-course. The participants are part of two longitudinal Swedish twin studies on aging, SATSA and Gender. In the narrative analysis, three relationship patterns, labeled 'nurturing', 'draining', and 'superficial', emerged, pointing to qualitative aspects in the co-twin relationship. The dominating aspect was emotional closeness, which differed in the three relationship patterns. In the nurturing twin relationship pattern, emotional closeness was experienced as intimacy and yet independence, while in the draining relationship pattern it was experienced as dependence. The superficial twin relationship was experienced as distant and lacking in emotional involvement. Most of the relationship patterns seemed to remain the same throughout life. However, seen from a life course perspective, this study pointed to complexity and diversity in lifelong twin relationships.

  • 11.
    Pietilä Rosendahl, Sirpa
    et al.
    Jönköping University, Sweden.
    Björklund, Anita
    Jönköping Universit, Sweden.
    Bülow, Pia
    Jönköping University, Sweden.
    We are not as alike as you think – sense of individuality within the co-twin relationship2013In: Journal of Aging Studies, ISSN 0890-4065, E-ISSN 1879-193X, Vol. 27, no 4, p. 339-346Article in journal (Refereed)
    Abstract [en]

    We have explored how older twins experience and describe themselves in relation to their co-twin. The life stories of 20 older twins were analyzed with narrative analysis.Results showed that the twinsdescribed themselves from the point of differences in relation to the co-twin. This was based on experiences of how other people viewed them as alike, as well as on life events along the life course, which contributed to the perception of oneself as an individual in relation to the co-twin. The emphasis on unlikeness was therefore interpreted as a way of trying to establish a position as an individual within theco-twin relationship and to assert ones individuality to the rest of the social environment. To claim oneself as an individual was an ongoing identity work along the life course.

  • 12.
    Pietilä Rosendahl, Sirpa
    et al.
    Jönköping University, Sweden.
    Bülow, ia
    Jönköping University, Sweden.
    Björklund, Anita
    Jönköping University, Sweden.
    Twinship and Marriage – Experiences during the course of twin relationships2012In: Review of European Studies, ISSN 1918-7173, E-ISSN 1918-7181, Vol. 4, no 4, p. 45-53Article in journal (Refereed)
  • 13.
    Pietilä Rosendahl, Sirpa
    et al.
    Institute of Gerontology, School of Health Sciences, Jönköping University, Sweden / School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna, Sweden.
    Bülow, Pia
    Department of Behavioural Science and Social Work, Jönköping University, Sweden.
    Björklund, Anita
    Department of Rehabilitation, School of Health Sciences, Jönköping University, Sweden.
    Images of sorrow: Experiences of losing a co-twin in old age2013In: Health, ISSN 1949-4998, E-ISSN 1949-5005, Vol. 5, no 12A, p. 64-73Article in journal (Refereed)
    Abstract [en]

    What it is like when a lifelong twin relationship ends through death in later life is the focus of this study. It draws on interview data from seven twins who are part of a longitudinal Swedish twin study (SATSA) and who lost their co-twins in old age. Data were analyzed using qualitative latent content analysis. The results showed that the experience of loss of the co-twin was pro-found, including an emotional as well as a be-havioral dimension. Loss and loneliness were expressed as the dominant feelings related to the quality of the missing relationship as well as the loss of twin identity. However, the grief ex-periences in this study were primarily related to the closeness and quality of the twin relation-ship, rather than identity. Behavioral adjust-ments included the use of outside as well as internal cognitive resources to cope with life after the loss. Despite the devastating experi-ence of losing a co-twin after a lifelong rela-tionship, the participants engaged actively in their own grief processes. It was concluded that twin loss is unique, in the sense of losing the relational twin identity, as well as it is charac-terized by similar features as the loss of a close relationship among non-twins.

  • 14.
    Pietilä Rosendahl, Sirpa
    et al.
    Mälardalen University, School of Health, Care and Social Welfare. Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Hälsohögskolan Jönköping.
    Bülow, Pia
    Hälsohögskolan Jönköping.
    Björklund, Anita
    Hälsohögskolan Jönköping.
    Images of Sorrow: Experiences of losing a co-twin in old age2013In: Health, ISSN 1949-4998, E-ISSN 1949-5005, ISSN 1949-5005, Vol. 5, no 12A, p. 64-73Article in journal (Refereed)
    Abstract [en]

    What it is like when a lifelong twin relationship ends through death in later life is the focus of this study. It draws on interview data from seven twins who are part of a longitudinal Swedish twin study (SATSA) and who lost their co-twins in old age. Data were analyzed using qualitative latent content analysis. The results showed that the experience of loss of the co-twin was pro-found, including an emotional as well as a be-havioral dimension. Loss and loneliness were expressed as the dominant feelings related to the quality of the missing relationship as well as the loss of twin identity. However, the grief ex-periences in this study were primarily related to the closeness and quality of the twin relation-ship, rather than identity. Behavioral adjust-ments included the use of outside as well as internal cognitive resources to cope with life after the loss. Despite the devastating experi-ence of losing a co-twin after a lifelong rela-tionship, the participants engaged actively in their own grief processes. It was concluded that twin loss is unique, in the sense of losing the relational twin identity, as well as it is charac-terized by similar features as the loss of a close relationship among non-twins.

  • 15.
    Pietilä Rosendahl, Sirpa
    et al.
    Research School of Health and Welfare, School of Health Sciences, Jönköping University, Sweden / Institute of Gerontology, School of Health Sciences, Jönköping University, Sweden.
    Bülow, Pia
    Department of Behavioral Science and Social work, Jönköping University, Sweden.
    Björklund, Anita
    Department of Rehabilitation, School of Health Sciences, Jönköping University, Sweden.
    Twinship and Marriage – Experiences during the course of twin relationships2012In: Review of European Studies, ISSN 1918-7173, E-ISSN 1918-7181, Vol. 4, no 4, p. 45-53Article in journal (Refereed)
  • 16.
    Pietilä Rosendahl, Sirpa
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Bülow, Pia
    Avdelningen för Beteendevetenskap och Socialt arbete, Hälsohögskolan Jönköping.
    Björklund, Anita
    Avdelningen för arbetsterapi, Hälsohögskolan, Jönköping.
    Twinship over the Life course -2013In: Optimizing Twin Aging through Twin Research: Multidisciplinary Perspectives. / [ed] Viktoria Hilkevitch Bedford, 2013Conference paper (Refereed)
    Abstract [en]

    Abstract: The aim was to explore, describe and understand experiences of twinship as told in the life stories of 35 older (70+) identical and fraternal twins, participants of the SATSA and Gender-studies in Sweden. Method: The open-ended interviews were analyzed with narrative analysis. Results: Twinship was described as relational, i.e, the relationship to the co-twin and as a negotiation between the individual and the twin identity. Three kinds of twin relationship patterns, characterized by different levels of emotional involvement were identified and labelled: nurturing, draining or superficial relationship. An attachment theoretical perspective was used in interpreting the differences in the relationship patterns. Each set of twins showed a unique balance between individualization and the twin identity which also was linked to the type of twin relationship pattern. In addition, these older twins experienced that their social environment tried to impose a twin identity upon them contradictive to their own experiences.

  • 17.
    Pietilä Rosendahl, Sirpa
    et al.
    Mälardalens högskola.
    Mattsson, Karin
    Mälardalens högskola.
    What has healthy aging to do with my life style?: perspectives of Thai and Swedish nursing students2015Conference paper (Refereed)
  • 18.
    Pietilä Rosendahl, Sirpa
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Mattsson, Karin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    What has healthy aging to do with my life style?: perspectives of Thai and Swedish nursing students2015Conference paper (Refereed)
  • 19.
    Pietilä Rosendahl, Sirpa
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Rosendahl, Dan
    Trinity Theological Seminary, Newburgh, Indiana, USA.
    Twinship experienced by twins reared apart versus together2014In: The sibling connection: New pursuits in sibling research on the path from cells to society / [ed] Victoria Hilkevitch Bedford & Sirpa Pietilä Rosendahl, 2014, Vol. 54, suppl 2, p. 111-112Conference paper (Refereed)
    Abstract [en]

    The aim was to explore and describe how older twins reared apart and reared together experience the twin relationship over a life course. Method: The data consisted of life stories of 30 Swedish older (70+) identical and fraternal twins which were analyzed with qualitative content analysis. Results: The relationship patterns among twins reared apart were related to the time of separation, family upbringing, time spent together after re-union and over the life course. Twins who spent their first years in the biological family and thereafter separated, could continue their relationship over the life course, showing the same kind of relationship patterns that twins reared together. Twins who were separated during their first year after birth and reunited several years later showed a more complex relationship pattern, where some lacked an emotionally close relationship and others gradually developed such a relationship over the years. This challenges popular views on twins reared apart being emotionally close. In comparison to twins reared together the results implies the importance of spending time together in order to develop emotional closeness in the relationship.

  • 20.
    Pietilä Rosendahl, Sirpa
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Division of Caring Sciences, Eskilstuna, Sweden.
    Söderman, Mirkka
    Mälardalen University, School of Health, Care and Social Welfare, Division of Caring Sciences, Eskilstuna, Sweden.
    Mazaheri, Monir
    Mälardalen University, School of Health, Care and Social Welfare, Division of Caring Sciences, Eskilstuna, Sweden / Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Iran.
    Immigrants with dementia in Swedish residential care: An exploratory study of the experiences of their family members and nursing staff2016In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 16, no 18, p. 1-12, article id 200Article in journal (Refereed)
    Abstract [en]

    Background

    Worldwide, there is a growing population of older people who develop dementia in a country other than that of their origin. When their dementia has reached an advanced stage, residential care is most often needed. People with dementia in Sweden are often cared for in group homes. For immigrants, this may mean a linguistically challenging care environment for both healthcare staff and the patients’ family members.

    The aim of this study was to explore and describe the experiences of family members and professional caregivers regarding the care provided to immigrants with dementia in group homes in Sweden.

    Methods

    An exploratory, descriptive study with a qualitative approach was chosen. In-depth semi-structured interviews were conducted with nine professional caregivers and five family members of people with dementia with Finnish, Estonian, Hungarian and Ingrian backgrounds; all were chosen purposefully. All people with dementia had lost their Swedish language skills as their second language. The data was analysed using qualitative content analysis.

    Results

    Three main categories and seven subcategories were identified. The first main category: A new living situation comprised the subcategories: adjusting to new living arrangements and expectations regarding activities and traditional food at the group home, the second main category: Challenges in communication with the subcategories: limited communication between the immigrant with dementia and the Swedish-speaking nursing staff and the consequences of linguistic misunderstandings and nuanced communication in a common language and the third main category: The role of the family member at the group home with the subcategories: a link to the healthy life story of the family member with dementia andan expert and interpreter for the nursing staff.

    Conclusions

    The family member played a crucial role in the lives of immigrants with dementia living in a group home by facilitating communication between the nursing staff and the PWD and also by making it possible for PWD to access the cultural activities they wanted and which professional caregivers were either not able to recognise as needed or could not deliver.

  • 21.
    Pietilä Rosendahl, Sirpa
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Söderman, Mirkka
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Mazaheri, Monir
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
    Immigrants with dementia in Swedish residential care: An exploratory study of the experiences of their family members and nursing staff2016In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 16, no 18Article in journal (Refereed)
    Abstract [en]

    Background

    Worldwide, there is a growing population of older people who develop dementia in a country other than that of their origin. When their dementia has reached an advanced stage, residential care is most often needed. People with dementia in Sweden are often cared for in group homes. For immigrants, this may mean a linguistically challenging care environment for both healthcare staff and the patients’ family members.

    The aim of this study was to explore and describe the experiences of family members and professional caregivers regarding the care provided to immigrants with dementia in group homes in Sweden.

    Methods

    An exploratory, descriptive study with a qualitative approach was chosen. In-depth semi-structured interviews were conducted with nine professional caregivers and five family members of people with dementia with Finnish, Estonian, Hungarian and Ingrian backgrounds; all were chosen purposefully. All people with dementia had lost their Swedish language skills as their second language. The data was analysed using qualitative content analysis.

    Results

    Three main categories and seven subcategories were identified. The first main category: A new living situation comprised the subcategories: adjusting to new living arrangements and expectations regarding activities and traditional food at the group home, the second main category: Challenges in communication with the subcategories: limited communication between the immigrant with dementia and the Swedish-speaking nursing staff and the consequences of linguistic misunderstandings and nuanced communication in a common language and the third main category: The role of the family member at the group home with the subcategories: a link to the healthy life story of the family member with dementia andan expert and interpreter for the nursing staff.

    Conclusions

    The family member played a crucial role in the lives of immigrants with dementia living in a group home by facilitating communication between the nursing staff and the PWD and also by making it possible for PWD to access the cultural activities they wanted and which professional caregivers were either not able to recognise as needed or could not deliver.

  • 22.
    Pietilä Rosendahl, Sirpa
    et al.
    Mälardalens högskola.
    Yuwanich, Nuttapol
    Mälardalens högskola.
    Mattsson, Karin
    Mälardalens högskola.
    The role of gerontology in nursing education: Cross-cultural perspectives on developing educational leadership.2016In: Developing Educational Leadership in Gerontology Worldwide, 2016Conference paper (Refereed)
    Abstract [en]

    Health care professionals in general have inadequate knowledge concerning normal aging and pathological conditions associated with aging. Gerontology plays an important role in developing positive attitudes towards working with older adults and is an increasingly important requirement for nurses. The AGHE’s 10 recommended foundational core competencies in gerontology for undergraduate and graduate education is a guideline for structuring education in that area. This study originates from a collaboration between two universities, one in Sweden and one in Thailand, where Thai nursing students study in Sweden for their final year. The Thai students take a gerontology course with other international students, all future leaders in their respective home countries. The teaching team consists of Swedish lecturers and Thai lecturers/doctoral students in nursing. When combining Eastern and Western cultural views on aging as well as on pedagogy, the understanding of aging in different cultures deepens, and our native pedagogical methods are challenged. However, gerontology as a subject is seldom explicitly shown in the curricula, and the place of gerontology within the nursing programs both in Sweden and Thailand is still not quite clear. The question is, what role should gerontology have in nursing programs in Sweden and Thailand from the perspective of the educational leadership within the nursing programs? How is gerontology perceived in relation to other courses in the nursing program? Aim: To explore and describe the experiences and perceptions of nursing program leaders/directors regarding the role of gerontology within the nursing programs in Sweden and Thailand. Material and methodsA qualitative approach with narrative methodology was used. The participants (n=8), lecturers, and directors of the nursing program at a Thai university and a Swedish university, were asked to narrate their experiences based on open-ended questions related to the aim of the study. The interview material was analyzed according to a narrative method.

    Objective 1: After attending this activity, participants will be able to discuss how gerontology courses within a bilingual program can develop leadership in the health care of older adults.

    Objective 2: The participants will also be able to expand the discussion about cross cultural education leadership in gerontology. Commonalities as well as differences in challenges and opportunities with implementing gerontology as a subject within nursing programs will be explored.

  • 23.
    Pietilä, Sirpa
    Högskolan i Jönköping, HHJ, Institutet för gerontologi.
    Tvillingskap genom livet: individualitet och relation i äldre tvillingars livsberättelser2012Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The overall aim of this thesis was to explore, describe and understand experiences of twinship as told in the life stories of older twins. The 35 older twins who participated in this thesis were part of two longitudinal studies of older twins, SATSA (the Swedish Adoption Twin Study of Aging) and the Gender study. The study design is qualitative and the 35 interviews were collected using a narrative method. The life stories were analysed with narrative analysis (studies I and II) and qualitative, latent content analysis (studies III and IV).

    According to the twins in this thesis, twinship, was described from the relationship with the co-twin(I, III, IV) and from an identity perspective (II). Twin relationships are unique and different in their own way. Three relationship patterns were identified and labelled as: nurturing, draining or superficial based on qualitative aspects (I). The differences in the three relationship patterns became even more evident during critical stages in life, for example, when getting married (III) or losing the co-twin through death (IV). These events became turning points which meant that the twins needed to adjust to a more individualized life. Twins in nurturing or superficial relationship patterns did not experience these transitions as particularly dramatic, while for twins in draining relationships these life transitions were more dramatic. From an attachment theory point of view, the older twins remained attachment figures with an unaltered attachment pattern throughout life(I). Bound together with the close twin relationship is how twins define themselves, since the twinship means handling both your individual identity and the twin identity. The self-descriptions, with emphasis on differences, are viewed against the background of how the twins experienced the environment perceiving them as a social unity and were interpreted as a desire to emphasize ones individuality as related to the twin partner and as a message to the environment of desiring to be viewed as a unique individual (II).

    In summary twinship was described by most as a close, enriching relationship throughout life and for some, less enriching depending on what kind of relationship they had with their twin partner. An identity work was at the same time taking place, trying to establish a position as an individual in the twin relationship and to assert ones individuality to the rest of the environment in the message:“We are not as alike as you think!”

  • 24.
    Pietilä, Sirpa
    et al.
    Research School of Health and Welfare, School of Health Sciences, Jönköping University, Sweden / Institute of Gerontology, School of Health Sciences, Jönköping University, Sweden.
    Björklund, Anita
    Department of Rehabilitation, School of Health Sciences, Jönköping University, Sweden.
    Bülow, Pia
    Department of Behavioral Science and Social Work, Jönköping University, Sweden.
    Older twins' experiences of the relationship with their co-twin over the life course2012In: Journal of Aging Studies, ISSN 0890-4065, E-ISSN 1879-193X, Vol. 26, no 2, p. 119-128Article in journal (Refereed)
    Abstract [en]

    Based on 35 life stories of aging twins, this study focuses on personal experiences and recollections of their relationships with the co-twin over the life course. The participants are part of two longitudinal Swedish twin studies on aging, SATSA and Gender. In the narrative analysis, three relationship patterns, labeled ‘nurturing’, ‘draining’, and ‘superficial’, emerged, pointing to qualitative aspects in the co-twin relationship. The dominating aspect was emotional closeness, which differed in the three relationship patterns. In the nurturing twin relationship pattern, emotional closeness was experienced as intimacy and yet independence, while in the draining relationship pattern it was experienced as dependence. The superficial twin relationship was experienced as distant and lacking in emotional involvement. Most of the relationship patterns seemed to remain the same throughout life. However, seen from a life course perspective, this study pointed to complexity and diversity in lifelong twin relationships.

  • 25.
    Rosendahl, Dan
    et al.
    Trinity College of the Bible and Trinity Theological Seminary, Evansville, USA.
    Rosendahl, Sirpa
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR).
    Role stress: Experiences of Swedish Non-Lutheran Clergy2019In: Proceedings Book: ICSS XX, 20th International Conference on Social Sciences, 6-7 September 2019, Zurich, EUSER - European Center for Science Education and Research , 2019, p. 218-218Conference paper (Refereed)
  • 26.
    Rosendahl, Dan
    et al.
    Trinity Bible College and Trinity Theological Seminary, Evansville, IN, USA.
    Rosendahl, Sirpa
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR).
    Role-stress: Experiences of Non-Lutheran Clergy2020In: European Journal of Social Sciences, ISSN 2601-8632, Vol. 3, no 1, p. 108-118Article in journal (Refereed)
    Abstract [en]

    Background: About fifty percent of Swedish Non-Lutheran Clergy leave the vocation before retirement resulting in huge personal, financial, psychological, emotional, spiritual and social costs. The factors behind this substantial flood out has scarcely been researched. From the multifaceted problematic aspects of pastoral work, the aim of this study was to explore the clergy’s experiences of work stressors with the focus on Role-stress. Method: A qualitative approach with 19 open ended interviews was used and the interview material underwent qualitative content analysis. Results: Multiple external role-senders together with the individual pastor’s experienced, internal expectations and demands, generated different types of Clergy role-categories that surfaced during the analysis. These roles were accompanied by several role-stressors as apparent with the roles Servants of men and Servants of God and the presence of Vision Conflict. Further the pastor as the Church’s ultimately responsible person is plagued by Role-ambiguity and Role-confusion, and as the Proven trustworthy administrator struggling with Role-conflict. Family-work and Work-family conflicts, especially for female pastors, contributed to Work overload, this consequence also effecting the male colleagues during the generic attempts to meet as many of the Church members’ expectations as possible. The accumulated Work overload, together with a lowered level of Work Satisfaction, boosted the Turnover intentions. Conclusions: Mutual succinct information between employer and employee, active continuous communication and refined and updated organizational structure need to be coordinated in order to lower the level of experienced role stress and thus reduce the present substantial number of Clergy leaving the vocation prematurely.

  • 27.
    Rosendahl, Sirpa
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Traditional Meals and Sense of At-Homeness -: Finnish Immigrants with Dementia in Bilingual Residential Care in Sweden2019In: ICSS XIX, 12-13 July 2019: 19th International Conference on Social Sciences / [ed] Ahmet Ecirli, European Center for Science, Education and Research , 2019, p. 33-Conference paper (Refereed)
  • 28.
    Rosendahl, Sirpa
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Traditional Meals and Sense of At-Homeness: Finnish Immigrants with Dementia in Bilingual Residential Care in Sweden2019In: European Journal of Social Sciences, ISSN 2601-8632, Vol. 2, no 3, p. 42-50Article in journal (Refereed)
  • 29.
    Rosendahl, Sirpa
    et al.
    Institute of Gerontology, School of Health Sciences, Jönköping University, Sweden.
    Björklund, Anita
    Department of Rehabilitation, School of Health sciences, Jönköping University, Sweden.
    Bülow, Pia
    Department of Behavioral Science and Social work, Jönköping University, Sweden.
    'We are not as alike, as you think' sense of individuality within the co-twin relationship along the life course2013In: Journal of Aging Studies, ISSN 0890-4065, E-ISSN 1879-193X, Vol. 27, no 4, p. 339-346Article in journal (Refereed)
    Abstract [en]

    We have explored how older twins experience and describe themselves in relation to their co-twin. The life stories of 20 older twins were analyzed with narrative analysis.

    Results showed that the twins described themselves from the point of differences in relation to the co-twin. This was based on experiences of how other people viewed them as alike, as well as on life events along the life course, which contributed to the perception of oneself as an individual in relation to the co-twin. The emphasis on unlikeness was therefore interpreted as a way of trying to establish a position as an individual within the co-twin relationship and to assert ones individuality to the rest of the social environment. To claim oneself as an individual was an ongoing identity work along the life course.

  • 30.
    Rosendahl, Sirpa
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Mattsson, Karin
    Department of Health Care Sciences, Ersta Sköndal Community College, Stockholm, Sweden / Department of Neurobiology, Care Sciences and Society (NVS) H1, Karolinska Institutet, Huddinge, Sweden.
    Yuwanich, Nuttapol
    School of Nursing Science, Rangsit University, Ptumthani, Thailand.
    Cross-cultural perspectives on gerontology in nursing education: a qualitative study of nurse educators’ experiences2019In: Gerontology & Geriatrics Education, ISSN 0270-1960, E-ISSN 1545-3847, Vol. 41, no 1, p. 109-120Article in journal (Refereed)
  • 31.
    Söderman, Mirkka
    et al.
    School of Health, Care and Social Welfare, Division of Caring Sciences and Health Care Education, Mälardalen University, Eskilstuna-Västerås, Sweden.
    Pietilä Rosendahl, Sirpa
    School of Health, Care and Social Welfare, Division of Caring Sciences and Health Care Education, Mälardalen University, Eskilstuna-Västerås, Sweden.
    Caring for Ethnic Older People Living with Dementia – Experiences of Nursing Staff2016In: Journal of Cross-Cultural Gerontology, ISSN 0169-3816, E-ISSN 1573-0719, Vol. 31, no 3, p. 311-326Article in journal (Refereed)
    Abstract [en]

    The total number of persons living with dementia is estimated to double every 20 years and ageing migrant populations are growing in several countries. There are gaps in the health and social care of people from other countries, regardless of the efforts made when someone has a dementia diagnosis; similarly, receiving care in sheltered accommodation is less common. The aim of this study was to explore and describe the nursing staff's experiences of caring for non-Swedish speaking persons living with dementia in a Finnish speaking group home in relation to a Swedish speaking group home in Sweden. 27 qualitative semi-structured interviews were analysed using qualitative content analyses. The first main category, "communication", concentrated on language abilities and deficiencies, non-verbal language, highlighting the consequences of not understanding and the benefits of a common language. The second main category, "culturally oriented activities", focused on being served traditional food, celebrating holidays at the group home, the importance of traditions and the importance of familiar music as cultural elements. The Swedish speaking nursing staff could provide qualitative and equitable care, but the challenge was greater for them than for the bilingual nursing staff who spoke the same language as the residents.

  • 32.
    Söderman, Mirkka
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Pietilä Rosendahl, Sirpa
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Caring for the ethnic elders suffering from dementia – experiences of nursing staff2014In: Caring for the ethnic elders suffering from dementia – experiences of nursing staff, 2014Conference paper (Refereed)
  • 33.
    Söderman, Mirkka
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Malardalen Univ, Sch Hlth Care & Social Welf, Box 325, SE-63105 Eskilstuna, Sweden.;Karolinska Inst, Dept Clin Neurosci, Div Insurance Med, SE-17177 Stockholm, Sweden..
    Pietilä Rosendahl, Sirpa
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Malardalen Univ, Sch Hlth Care & Social Welf, Box 325, SE-63105 Eskilstuna, Sweden.;Univ Skovde, Sch Hlth & Educ, Box 408, SE-54128 Skovde, Sweden..
    Sallstrom, Christina
    Karlstad Univ, Dept Hlth Sci, Fac Hlth Sci & Technol Karlstad, Sweden..
    Caring and Uncaring Encounters between Assistant Nurses and Immigrants with Dementia Symptoms in Two Group Homes in Sweden: an Observational Study2018In: Journal of Cross-Cultural Gerontology, ISSN 0169-3816, E-ISSN 1573-0719, Vol. 33, no 3, p. 299-317Article in journal (Refereed)
    Abstract [en]

    Background: The total number of people with dementia symptoms is expected to double every 20years and there will also be an increase in the number of older immigrants in several countries. There are considerable deficiencies in the present knowledge of how to conduct well-functioning health care for immigrants with dementia symptoms. The aim of this study was to explore caring and uncaring encounters between assistant nurses and immigrants in two group homes for persons with dementia symptoms in Sweden: a Finnish-speaking as well as a Swedish-speaking context. In addition, this study aims to describe how caring and uncaring encounters are manifested in these two contexts according to Halldorsdottir's theory of Caring and Uncaring encounters. Method: Descriptive field notes from 30 separate observations were analyzed using qualitative deductive content analysis. Results: The main category caring encounters focused on reaching out to initiate connection through communication, removing masks of anonymity by acknowledging the unique person, acknowledgment of connection by being personal. Reaching a level of truthfulness by being present and showing respect, raising the level of solidarity by equality and true negotiation of care, based on the residents' needs. The main category, uncaring encounters, focused on disinterest in and insensitivity towards the other, coldness in the connection and lack of humanity in care situations. The observations showed that caring encounters occurred more in the Finnish-speaking context and uncaring encounters more often in the Swedish context. Conclusion: Encounters could be caring, uncaring, and carried out using a person-centered approach. Communication and relationships could be facilitated using the same language but also through learning to interpret residents' needs and desires.

  • 34.
    Söderman, Mirkka
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Rosendahl, Sirpa
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Caring for the ethnic elders living with dementia – experiences of nursing staff2016In: Journal of Cross-Cultural Gerontology, ISSN 0169-3816, E-ISSN 1573-0719, Vol. 31, no 3, p. 311-326Article in journal (Refereed)
    Abstract [en]

    The total number of persons living with dementia is estimated to double every 20 years and ageing migrant populations are growing in several countries. There are gaps in the health and social care of people from other countries, regardless of the efforts made when someone has a dementia diagnosis; similarly, receiving care in sheltered accommodation is less common. The aim of this study was to explore and describe the nursing staff’s experiences of caring for non-Swedish speaking persons living with dementia in a Finnish speaking group home in relation to a Swedish speaking group home in Sweden. 27 qualitative semi-structured interviews were analysed using qualitative content analyses. The first main category, “communication”, concentrated on language abilities and deficiencies, non-verbal language, highlighting the consequences of not understanding and the benefits of a common language. The second main category, “culturally oriented activities”, focused on being served traditional food, celebrating holidays at the group home, the importance of traditions and the importance of familiar music as cultural elements. The Swedish speaking nursing staff could provide qualitative and equitable care, but the challenge was greater for them than for the bilingual nursing staff who spoke the same language as the residents.

  • 35.
    Söderman, Mirkka
    et al.
    School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna, Sweden / Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
    Rosendahl, Sirpa
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Sällström, Christina
    Faculty of Health, Science and Technology, Department of Health Sciences, Karlstad University, Karlstad, Sweden.
    Caring and Uncaring Encounters between Assistant Nurses and Immigrants with Dementia Symptoms in Two Group Homes in Sweden: an Observational Study2018In: Journal of Cross-Cultural Gerontology, ISSN 0169-3816, E-ISSN 1573-0719, Vol. 33, no 3, p. 299-317Article in journal (Refereed)
    Abstract [en]

    Background: The total number of people with dementia symptoms is expected to double every 20years and there will also be an increase in the number of older immigrants in several countries. There are considerable deficiencies in the present knowledge of how to conduct well-functioning health care for immigrants with dementia symptoms. The aim of this study was to explore caring and uncaring encounters between assistant nurses and immigrants in two group homes for persons with dementia symptoms in Sweden: a Finnish-speaking as well as a Swedish-speaking context. In addition, this study aims to describe how caring and uncaring encounters are manifested in these two contexts according to Halldorsdottir's theory of Caring and Uncaring encounters. Method: Descriptive field notes from 30 separate observations were analyzed using qualitative deductive content analysis. Results: The main category caring encounters focused on reaching out to initiate connection through communication, removing masks of anonymity by acknowledging the unique person, acknowledgment of connection by being personal. Reaching a level of truthfulness by being present and showing respect, raising the level of solidarity by equality and true negotiation of care, based on the residents' needs. The main category, uncaring encounters, focused on disinterest in and insensitivity towards the other, coldness in the connection and lack of humanity in care situations. The observations showed that caring encounters occurred more in the Finnish-speaking context and uncaring encounters more often in the Swedish context. Conclusion: Encounters could be caring, uncaring, and carried out using a person-centered approach. Communication and relationships could be facilitated using the same language but also through learning to interpret residents' needs and desires.

  • 36.
    Wongsala, Manothai
    et al.
    Mälardalen University, Sweden.
    Anbäcken, Els-Marie
    Mälardalen University, Sweden.
    Rosendahl, Sirpa
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Lomwong Saansook: Improving Health, Participation and Security among Thai Older Adults Using PDSA Wheel2019Conference paper (Refereed)
  • 37.
    Wongsala, Manothai
    et al.
    Mälardalen University, Sweden.
    Anbäcken, Els-Marie
    Mälardalen University, Sweden.
    Rosendahl, Sirpa
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Perspectives of Health, Participation and Security among Older Adults in Northeastern Thailand2018Conference paper (Other academic)
  • 38.
    Wongsala, Manothai
    et al.
    Mälardalen University, Sweden.
    Anbäcken, Els-Marie
    Mälardalen University, Sweden.
    Rosendahl, Sirpa
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Manasatchakun, Pornpun
    Boromarajonani College of Nursing Chaing Mai, Thailand.
    Rungkawatt, Vilaiporn
    Boromarajonani College of Nursing Nakhonratchasima, Thailand.
    "Lomwong Saansook": A Group Meeting Using PDSA Wheel to Improve Health, Participation and Security among Thai Older Adults2019In: iHSEP2019 Conference Abstract Book: International Conference on Advancement in Health Sciences Education and Professions (iHSEP2019): Synergy and Reform for Better Health, Ministry of Public Health, Thailand , 2019Conference paper (Refereed)
    Abstract [en]

    Background In general, activities to promote well being among the elderly in Thailand are not selfinitiated Therefore, older people need to be encouraged to find out how to manage their daily life and activities This study applied the concept of the PDSA wheel Plan Do Study Act in order to enhance their wellbeingThe activity called Lomwong SaansookThai wordsLSmeetings implemented among older adults aged 60 and above The PDSA concepts are used to encourage participants to plan a goal, do it by themselves, and use the group dynamic with other participants in studying evaluating to improve the activities Topics of meetings included health issues, participation, and security related to the active aging concepts Objective To describe older adults¶ perceptions of changes and improvement in their daily lives after participating in LSmeetings Methodology This qualitative study employed the phenomenography method using focus group interviews which were conducted two weeks after four LSmeetings with 15 participants They were divided into two focus groups contained seven and eight participants including males and females Data were collected by field notetaking and video recordingData were analyzed by the multistage coding process to identify themes of description Results The participants described their perceptions of changes and improvements by five themes, including not familiar but possible with supporting, behaviors improving, meaningful knowledge needs, learn with each other, and success factors DiscussionConclusion Thai older people in this area had difficulties to make goals of lifestyle changes by themselves, but it was possible with the support of the moderator As a result, their healthrelated behaviors had improved The examples of a lifestyle change were improvements in fooddrink intake, exercise, and saving money; however, the causes of changing behaviors were not confirmed clearly The important factors of changing behaviors were meaningful new knowledge, group process, support from the moderator, and good relationships with health personnelAccording to the results of this study, it can be concluded that the meeting using the PDSA wheel may be able to use as a guideline providing sustainable activities for Thai older people to encourage improving individual implementation of lifestyle changes, in order to enhance their wellbeing.

  • 39.
    Yuwanich, Nuttapol
    et al.
    Mälardalens högskola.
    Mattsson, Karin
    Mälardalens högskola.
    Pietilä Rosendahl, Sirpa
    Mälardalens högskola.
    Thai nurses experiences of utilizing gerontological knowledge within general nursing care: A qualitative study2016In: Developing Educational Leadership in Gerontology Worldwide, 2016Conference paper (Refereed)
    Abstract [en]

    Around the globe the number of older adults is increasing as the life expectancy tends to be longer. Although many nursing programs provide education related to caring for older adults, the connection to and utilization of gerontological knowledge within nursing is vague and still not well understood. The Double Degree Bilingual Nursing Program (DDBNP) is a collaboration between two universities, one in Thailand and one in Sweden, where the nursing students from the Thai University, study their fourth and final year of the program at the university in Sweden. Some of these DDBNP students may become the future leaders of health care in Thailand. While in Sweden, the DDBNP students study a course in gerontology and the fundamentals of nursing care for older adults together with other international students. Within the gerontology course, lecturers/doctoral students in nursing from the Thai University were invited to participate as co-teachers in the course, thus the Eastern and Western cultural views on aging as well as on pedagogy were combined. The first batch of students attending DDBNP have graduated and have now been working as registered nurses (RNs) for more than a year. By interviewing these RNs from the DDBNP, we will be able to explore their utilization of the gerontological knowledge that they gained from the course, and see how they are applying this knowledge in their work as nurses. The study thus aims to explore the Double Degree nurses’ experiences with implementing gerontological knowledge within nursing care. Research designs: A narrative qualitative inquiry will be applied in this study. This inquiry is able to explore what the gerontology course have meant to the nursing students and how have they had use of the gerontological knowledge in their nursing careers. Data collection:In-depth interviews will be performed with 10 general nurses in Thailand. The participants graduated from the Double Degree Bilingual Nursing Program and had participated in a gerontology course at a Swedish university. Data analysis:Transcribed interviews will be analyzed using content analysis.

    Objective 1: After attending this activity, participants will be able to discuss how gerontological knowledge is being utilized by the Double Degree Bilingual Nursing Program graduates within their work in general nursing environments.

    Objective 2: The participants will also be able to discuss and share experiences about challenges and opportunities implementing gerontological knowledge within nursing care.

  • 40.
    Yuwanich, Nuttapol
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Rangsit University, Bangkok, Thailand.
    Mattsson, Karin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Pietilä Rosendahl, Sirpa
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Thai nurses experiences of utilizing gerontological knowledge within general nursing care: A qualitative study2016In: Developing Educational Leadership in Gerontology Worldwide, 2016Conference paper (Refereed)
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