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Santamäki Fischer, Regina
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Publications (10 of 23) Show all publications
Norberg, C., Santamäki Fischer, R., Isaksson, U. & Lämås, K. (2019). Something wonderful and incomprehensible: Expressions and experiences of spirituality among very old people.
Open this publication in new window or tab >>Something wonderful and incomprehensible: Expressions and experiences of spirituality among very old people
2019 (English)In: Article in journal (Refereed) Epub ahead of print
Abstract [en]

This study aimed to illuminate very old people’s experiences and expressions of spirituality and is a part of the Umeå 85+/Gerontological Regional Database (GERDA). The participants (n = 12) had declared an interest in spirituality, were 86–99 years of age, and were interviewed in their own homes. The interviews were analyzed using qualitative content analysis. The findings revealed that spirituality was experienced as being in communion, transcending life’s circumstances, and living in a spiritual reality. Spirituality was expressed as an inner sense of communion with God and with other people, and as a spiritual reality. The participants expressed a desire to talk about spiritual experiences and personal beliefs but regarded spirituality as an uncommon topic. Nurses and other professionals need to be aware of spiritual needs and prepared to give spiritual care.

Keywords
Personal beliefs, spiritual needs, transcendence, Umeå 85+/GERDA, nursing, experiences
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-163507 (URN)10.1080/20440243.2019.1658265 (DOI)2-s2.0-85072014668 (Scopus ID)
Available from: 2019-09-24 Created: 2019-09-24 Last updated: 2019-10-03
Boman, E., Lundman, B., Nygren, B., Årestedt, K. & Santamäki Fischer, R. (2017). Inner strength and its relationship to health threats in ageing: a cross-sectional study among community-dwelling older women. Journal of Advanced Nursing, 73(11), 2720-2729
Open this publication in new window or tab >>Inner strength and its relationship to health threats in ageing: a cross-sectional study among community-dwelling older women
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2017 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 73, no 11, p. 2720-2729Article in journal (Refereed) Published
Abstract [en]

Aim: To explore the relationship between inner strength and health threats among community-dwelling older women. Background: Inner strength is described as a resource that promotes experiences of health, despite adversities. Inner strength and its dimensions (i.e. connectedness, creativity, firmness and flexibility) can be assessed using the Inner Strength Scale (ISS). Exploring attributes of weaker inner strength may yield valuable information about areas to focus on in enhancing a person's inner strength and may ultimately lead to the perception of better health. Design: Cross-sectional questionnaire survey. Methods: The study is based on responses from 1270 community-dwelling older women aged 65 years and older; these were collected in the year 2010 and describe the situation that still exists today for older women. The questionnaire included the ISS, background characteristics and explanatory variables known to be health threats in ageing. Data were analysed using descriptive and inferential statistics. Results: Poorer mental health was related to weaker inner strength in total and in all the dimensions. Symptoms of depressive disorders and feeling lonely were related to three of the dimensions, except firmness and creativity respectively. Furthermore, poor physical health was associated with the dimensions firmness and flexibility. Other health threats were significantly related to only one of the dimensions, or not associated at all. Conclusion: Mental ill health has overall the strongest association with weaker inner strength. Longitudinal studies are recommended to confirm the results. However, the ISS does not only estimate inner strength but can also be a tool for discovering where (i.e. dimension) interventions may be most profitable.

Place, publisher, year, edition, pages
John Wiley & Sons, 2017
Keywords
connectedness, creativity, firmness, flexibility, health threats, inner strength, mental ill health, nursing, old age, women
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-143949 (URN)10.1111/jan.13341 (DOI)000418363000023 ()28513995 (PubMedID)
Available from: 2018-01-15 Created: 2018-01-15 Last updated: 2018-06-09Bibliographically approved
Boman, E., Häggblom, A., Lundman, B., Nygren, B. & Santamäki Fischer, R. (2016). Identifying variables in relation to health-related quality of life among community-dwelling older women: knowledgebase for health-promoting activities. Nordic journal of nursing research, 36(1), 20-26
Open this publication in new window or tab >>Identifying variables in relation to health-related quality of life among community-dwelling older women: knowledgebase for health-promoting activities
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2016 (English)In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 36, no 1, p. 20-26Article in journal (Refereed) Published
Abstract [en]

The aim of the present study was to explore health-related quality of life (HRQoL) and associated variables among all community-dwelling older women (565 years) (n¼2724) on A ° land, a Finnish self-governing island community. A total of 1023 women participated (mean age 72.96.8 years). Absence of depression, absence of diagnosed disease(s), having the opportunity to engage in meaningful leisure activities, and never or seldom feeling lonely explained, together with socioeconomic control variables (i.e. age, education and economic situation), 34.4% of the variation in physical health. Absence of depression, strong inner strength, and never or seldom feeling lonely explained, together with socio-economic control variables, 27.7% of the variation in mental health. HRQoL was rated as relatively good, although special attention should be paid to women aged 80þ years. To promote HRQoL, interventions aimed at preventing, detecting and treating depression should be prioritised. In addition, interventions aimed at reducing feelings of loneliness are also recommended in order to enhance overall HRQoL.

Place, publisher, year, edition, pages
Sage Publications, 2016
Keywords
health-related quality of life, health promotion, nursing, old age, women
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-109722 (URN)10.1177/0107408315599691 (DOI)
Available from: 2015-10-05 Created: 2015-10-05 Last updated: 2018-06-07Bibliographically approved
Melder, C., Santamäki Fischer, R., Nygren, B. & DeMarinis, V. (2016). Validating WHOQOL-SRPB in Sweden: instrument adaption for measuring existential aspects of health-related quality of life [HRQL] in secular contexts. In: : . Paper presented at 23rd Annual Conference of the International Society for Quality of Life Research, 19-22 oct, 2016, Copenhagen, Denmark (pp. 100-100). SPRINGER, 25
Open this publication in new window or tab >>Validating WHOQOL-SRPB in Sweden: instrument adaption for measuring existential aspects of health-related quality of life [HRQL] in secular contexts
2016 (English)Conference paper, Poster (with or without abstract) (Refereed)
Place, publisher, year, edition, pages
SPRINGER, 2016
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Religious Studies
Identifiers
urn:nbn:se:umu:diva-134294 (URN)10.1007/s11136-016-1390-7 (DOI)000398451600241 ()
Conference
23rd Annual Conference of the International Society for Quality of Life Research, 19-22 oct, 2016, Copenhagen, Denmark
Note

Supplement 1, Meeting abstract 1056

Available from: 2017-05-09 Created: 2017-05-09 Last updated: 2018-06-09
Boman, E., Haggblom, A., Lundman, B., Nygren, B. & Santamäki Fischer, R. (2015). Inner Strength as Identified in Narratives of Elderly Women A Focus Group Interview Study. Advances in Nursing Science, 38(1), 7-19
Open this publication in new window or tab >>Inner Strength as Identified in Narratives of Elderly Women A Focus Group Interview Study
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2015 (English)In: Advances in Nursing Science, ISSN 0161-9268, E-ISSN 1550-5014, Vol. 38, no 1, p. 7-19Article in journal (Refereed) Published
Abstract [en]

By identifying sources of inner strength, health care personnel can be given valuable information about elderly people's capacities regardless of frailty. The focus of this interview-based study was to explore how inner strength and its dimensions can be identified in narratives of elderly women. The analysis was based on a theoretical model where inner strength is composed of 4 interacting dimensions of connectedness, creativity, firmness, and flexibility. Our findings add nuance to the notion of inner strength and deepen empirical knowledge about the concept.

Keywords
concept-driven approach, connectedness, content analysis, creativity, elderly women, firmness, exibility, focus groups, inner strength
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-100977 (URN)10.1097/ANS.0000000000000057 (DOI)000349468700004 ()25635502 (PubMedID)
Available from: 2015-03-16 Created: 2015-03-16 Last updated: 2018-06-07Bibliographically approved
Boman, E., Gustafson, Y., Häggblom, A., Santamäki Fischer, R. & Nygren, B. (2015). Inner strength: associated with reduced prevalence of depression among older women. Aging & Mental Health, 19(12), 1078-1083
Open this publication in new window or tab >>Inner strength: associated with reduced prevalence of depression among older women
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2015 (English)In: Aging & Mental Health, ISSN 1360-7863, E-ISSN 1364-6915, Vol. 19, no 12, p. 1078-1083Article in journal (Refereed) Published
Abstract [en]

Objectives: The aim of this study was to explore if inner strength is independently associated with a reduced prevalence of depression after controlling for other known risk factors associated with depression.

Methods: A population-based cross-sectional study was performed, where all women living in Åland, a Finnish self-govern island community in the Baltic Sea, aged 65 years or older were sent a questionnaire including the Geriatric Depression Scale and the Inner Strength Scale along with several other questions related to depression. Factors associated with depression were analyzed by means of multivariate logistic regression.

Results: The results showed that 11.2% of the studied women (n = 1452) were depressed and that the prevalence increased with age and was as high as 20% in the oldest age group. Non-depressed women were more likely to never or seldom feel lonely, have a strong inner strength, take fewer prescription drugs, feeling needed, being able to engage in meaningful leisure activities, as well as cohabit.

Conclusion: Our results showed an association between stronger inner strength and being non-depressed. This can be interpreted to mean that inner strength might have a protective effect against depression. These findings are interesting from a health-promotion perspective, yet to verify these results, further longitudinal studies are required.

Place, publisher, year, edition, pages
Taylor & Francis, 2015
Keywords
GDS-15, depression, inner strength, old age, women
National Category
Nursing Geriatrics Psychiatry
Identifiers
urn:nbn:se:umu:diva-108077 (URN)10.1080/13607863.2014.977775 (DOI)000360694500005 ()25402943 (PubMedID)
Available from: 2015-09-03 Created: 2015-09-03 Last updated: 2018-06-07Bibliographically approved
Lundman, B., Årestedt, K., Norberg, A., Norberg, C., Santamäki Fischer, R. & Lövheim, H. (2015). Psychometric properties of the Swedish version of the Self-Transcendence Scale among very old people. Journal of Nursing Measurement, 23(1), 96-111
Open this publication in new window or tab >>Psychometric properties of the Swedish version of the Self-Transcendence Scale among very old people
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2015 (English)In: Journal of Nursing Measurement, ISSN 1061-3749, E-ISSN 1945-7049, Vol. 23, no 1, p. 96-111Article in journal (Refereed) Published
Abstract [en]

BACKGROUND AND PURPOSE: This study tested the psychometric properties of a Swedish version of the Self-Transcendence Scale (STS).

METHODS: Cohen's weighted kappa, agreement, absolute reliability, relative reliability, and internal consistency were calculated, and the underlying structure of the STS was established by exploratory factor analysis. There were 2 samples available: 1 including 194 people aged 85-103 years and a convenience sample of 60 people aged 21-69 years.

RESULTS: Weighted kappa values ranged from .40 to .89. The intraclass correlation coefficient for the original STS was .763, and the least significant change between repeated tests was 6.25 points.

CONCLUSION: The revised STS was found to have satisfactory psychometric properties, and 2 of the 4 underlying dimensions in Reed's self-transcendence theory were supported.

Place, publisher, year, edition, pages
Springer, 2015
Keywords
Reed, Self-transcendence, psychometrics, validation studies
National Category
Nursing Geriatrics
Identifiers
urn:nbn:se:umu:diva-105510 (URN)10.1891/1061-3749.23.1.96 (DOI)25985498 (PubMedID)
Available from: 2015-06-25 Created: 2015-06-24 Last updated: 2018-06-07Bibliographically approved
Norberg, A., Lundman, B., Gustafson, Y., Norberg, C., Santamäki Fischer, R. & Lövheim, H. (2015). Self-transcendence (ST) among very old people: its associations to social and medical factors and development over five years. Archives of gerontology and geriatrics (Print), 61(2), 247-253
Open this publication in new window or tab >>Self-transcendence (ST) among very old people: its associations to social and medical factors and development over five years
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2015 (English)In: Archives of gerontology and geriatrics (Print), ISSN 0167-4943, E-ISSN 1872-6976, Vol. 61, no 2, p. 247-253Article in journal (Refereed) Published
Abstract [en]

AIMS AND OBJECTIVES: The aims of this study were to describe the associations between ST and psychological and physical wellbeing among oldest old people and to test the influence of negative life events on ST, and the predictive value of the self-transcendence scale (STS) for mortality.

BACKGROUND: ST has been identified as a valuable resource for transcending psychological and physical suffering and has been related to psychological wellbeing and higher quality of life.

DESIGN: The study design was correlational, prospective, and longitudinal.

SETTINGS: The participants were recruited from a medium-sized town and from an adjacent rural area in northern Sweden.

METHOD: The sample consisted of 190 participants (123 women and 67 men) who completed the STS. At a 5-year follow-up, 55 people (29.5%) were alive and able to complete the assessments again.

RESULTS: ST was positively associated with psychological wellbeing, self-rated health, having someone to talk with and being able to go outdoors independently. Diagnoses of depression, dementia disease, and osteoporosis were associated with lower STS scores as were living in a residential care facility, and feeling lonely. There was a significant relationship between the index of negative life events and ST between baseline and follow-up. More negative life events were associated with a larger decline in STS scores over five years.

CONCLUSION: ST is an important source for wellbeing among the oldest old, and the accumulation of negative life events might threaten the ability to transcend setbacks.

Place, publisher, year, edition, pages
Elsevier, 2015
Keywords
Depression, Negative life-events, Oldest old, Self-transcendence
National Category
Nursing Geriatrics
Identifiers
urn:nbn:se:umu:diva-104211 (URN)10.1016/j.archger.2015.04.003 (DOI)000365586100019 ()26043959 (PubMedID)
Available from: 2015-06-08 Created: 2015-06-08 Last updated: 2018-06-07Bibliographically approved
Viglund, K., Aléx, L., Jonsén, E., Lundman, B., Norberg, A., Santamäki Fischer, R., . . . Nygren, B. (2013). Psychometric properties of the Swedish version of the selection, optimization, compensation questionnaire. Scandinavian Journal of Caring Sciences, 27(2), 460-467
Open this publication in new window or tab >>Psychometric properties of the Swedish version of the selection, optimization, compensation questionnaire
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2013 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 27, no 2, p. 460-467Article in journal (Refereed) Published
Abstract [en]

Background: The model of selection, optimization and compensation has been proposed as a model of adaptive management strategies throughout the lifespan.

Aim: The aim of this study was to test the psychometric properties of a translated Swedish version of the 12-item selection, optimization, and compensation (SOC) questionnaire.

Method: The 12-item SOC questionnaire is composed of four subscales: elective selection (ES), loss-based selection, optimization and compensation. A convenience sample of 122 Swedish-speaking people, aged 19-85, participated in a study of the validity and reliability of the SOC questionnaire. Cronbach's alpha coefficient, corrected item-total correlation and Cronbach's alpha if item deleted were used for reliability testing. Two other scales, the ways of coping questionnaire and Rosenberg's self-esteem scale, were used to test convergent validity, and the geriatric depression scale was used to test discriminant validity. Stability over time was evaluated using a test-retest model with a 2-week interval.

Results: The 12-item SOC questionnaire showed a Cronbach's alpha value of 0.50, and the subscales ranged from α=0.16 to α=0.64. Two items in the ES subscale had negative values on the corrected item-total correlation and showed substantial improvement (>0.05) in Cronbach's alpha when item deleted. When these two items that influenced internal consistency were deleted, Cronbach's alpha rose to 0.68.

Conclusion: The Swedish version of the 12-item SOC questionnaire showed deficiencies in a test of internal consistency because of two items in the ES subscale, and these two items were deleted. A consequence of the reduction is a weakening of the ES subscale and thereby to some extent the SOC questionnaire in total. Further testing is advisable. However, the 10-item SOC questionnaire was acceptable in a test of validity and reliability.

Place, publisher, year, edition, pages
Hoboken: Wiley-Blackwell, 2013
Keywords
Selection, optimization, compensation, psychometric properties
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-66756 (URN)10.1111/j.1471-6712.2012.01027.x (DOI)000318815700031 ()22671769 (PubMedID)
Available from: 2013-03-05 Created: 2013-03-05 Last updated: 2018-06-08Bibliographically approved
Brännström, H., Bäckman, M. & Santamäki Fischer, R. (2013). Walking on the edge: meanings of living in an ageing body and using a walker in everyday life - a phenomenological hermeneutic study. International Journal of Older People Nursing, 8(2), 116-122
Open this publication in new window or tab >>Walking on the edge: meanings of living in an ageing body and using a walker in everyday life - a phenomenological hermeneutic study
2013 (English)In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 8, no 2, p. 116-122Article in journal (Refereed) Published
Abstract [en]

Background.  In order to maintain one’s state of health whilst growing older, the ability to walk is essential.

Aim and objective.  The aim of this study was to illuminate the meanings of the lived experience of living in an ageing body and using a walker in daily life.

Methods.  Narrative interviews were performed with seven older persons aged 79–95 years. The transcribed text was analysed using a phenomenological hermeneutic method.

Results.  The key finding of the study was that the lived experience of living in an ageing body and using a walker in daily life was interpreted as ‘walking on the edge’ based on the themes ‘Being vulnerable and dependent’ and ‘Being confident and independent’.

Conclusions.  The results highlight the importance of reflecting on this phenomenon as a health care professional while meeting the care needs of older persons who use walkers.

Implications for practice.  Nurses need to consider the walker as a personal and valued possession of the individual and handle the walker in agreement with the older person, placing the walker close at hand with the brakes locked to give secure support.

Keywords
Ageing body, phenomenological hermeneutics, walker
National Category
Geriatrics
Identifiers
urn:nbn:se:umu:diva-57048 (URN)10.1111/j.1748-3743.2012.00334.x (DOI)22676835 (PubMedID)
Available from: 2012-07-03 Created: 2012-07-03 Last updated: 2018-06-08Bibliographically approved
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