cohehre conference book

Cohehre Conference 2012Innovative Education for Active Ageing

University College of Northern DenmarkAalborg - 18-20 April 2012

Welcome to the 2012 Annual Conference of COHEHRE

COHEHRE 2012

Melody: Oh my Darling ClementineText: Hanne Lisby, Head of the Inter-professional Clinical Study Unit

1. Here in Aalborg we are honoredto be hosting all of you

and we hope you will enjoy it and meet friends and colleagues too:

Now together - in COHEHREwe will all unite and share:

“Innovative education”- For the elderly we care

2. Active ageing – is the focus:How amazing it will be -

to be thinking of the old folksthat they are a bit like me!

Now together - in COHEHREwe will all unite and share:


3. We respect the ageing peopleand will try to make them see

How they still can be the masterof a life so good and free.

Now together - in COHEHRE we will all unite and share:


4. We will all be much inspiredBy the many sessions here.We will all be contributing

to a knowledge deep and clear.Now together - in COHEHREwe will all unite and share:


Content

Welcome ....................................................................................................... 4Aalborg welcomes you 4Welcome to the 2012 Annual Conference of COHEHRE 5Welcome to UCN 7COHEHRE Council and organizing committee 8Conference Theme: Innovative Education for Active Ageing 9

Programmes .............................................................................................. 11Pre-conference workshop 12International Coordinators Meeting 13COHEHRE Academy 14Student programme 15Staff Programme 17Deans Programme 19

General and Practical information of the venue: ....................................... 21

Keynote Speakers ...................................................................................... 25

Workshops.................................................................................................. 37

Parallel Sessions ........................................................................................ 47

Posters ....................................................................................................... 85

Acknowledgements: ................................................................................. 108

Aalborg welcomes youIt is a great honor that COHEHRE Conference 2012 is held here in Aalborg. We hope that you will enjoy your stay with us.

Aalborg is situated in the heart of Scandinavia and has 200.000 citizens. Pres-ently there are many exciting projects underway in our city as it is changing from a traditional industrial town to a modern city.

In Aalborg we give priority to a positive and ongoing development of our city – to keep it attractive to both residents and guests.

We are heavily investing in the future by radically changing the old industrial parts of the city into sensitively designed centers of culture, recreational spaces and attractive residential and commercial areas.

These essential developments have not happened overnight; instead, they have happened through visionary planning, a determination to succeed, large strate-gic investments, a strong focus on education and research and with a lot of help from innovative local businesses.

Aalborg is a lively city with a rich cultural life – here you find several theatres, grand music venues, exciting museums worth visiting, cosy pedestrian areas with a great variety of shops and an innovative new harbor front.

Welcome to Aalborg!

Henning G. Jensen Mayor

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Welcome to the 2012 Annual Conference of COHEHREIt’s a pleasure for me to welcome you all to the 2012 Annual Conference of CO-HEHRE, hosted by the University College of Northern Denmark in Aalborg.As in past years, COHEHRE has aligned its Conference theme with that of the European Year: the Year of Active Ageing and Solidarity between Generations.

Active ageing is key to maintaining solidarity between generations in societies with rapidly increasing numbers of older people. The challenge for politicians and stakeholders will be to improve opportunities for active ageing in general and for living independently, acting in areas as diverse as employment, health care, social services, adult learning, volunteering, housing, IT services or trans-port.

The European Year seeks to raise awareness of the issues and the best ways of dealing with them. This should go beyond debating; it should start bringing tangible results; it should foster Innovative Education for Active Ageing in our institutions.

In order to promote reflection on this theme the conference programme will offer keynotes, workshops, oral sessions and paper contributions on four areas:

Empowered Aging Focuses on all the strategies (and their effectiveness) with which health profes-sionals and health educators have to facilitate for a healthier, more autonomous and more active (socially, emotionally and physically) life of persons in their lat-ter years.

Use of Welfare technologies Aims, although this term is not yet very well defined, to incorporate all the tech-nology and technological devices that are being developed in order to facilitate and promote the independence and wellbeing of aging people.

Future professional skills and competences Focuses on the new skills and competences that are required in collaborating with and assisting the ever more active aging people. A link may be made to-wards the theme of last year (Voluntary Work), and how professionals and volun-teers can work towards the same aim.

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Integrated care and Inter-professional approaches Aims to focus on a very special area of COHEHRE. Research results have shown the complexity of the life situations (clinically, socially, economically...) encoun-tered among the senior citizens.I am confident this conference will again be a source of inspiration for staff and students. I wish that the sharing of knowledge and experiences may result in ac-tions that support innovative teaching and learning in our member institutions. I surely hope that member institutions join forces in cooperation projects that enable or reinforce the realisation of their (international) ambitions.

And I do look forward to meet a great number of you in Aalborg, in April 2012!

Cor SegerenPresident COHEHRE

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Welcome to UCNUniversity College of Northern Denmark is pleased to welcome you to Aalborg and to the COHEHRE conference 2012.

We are especially thrilled to host this year’s conference, as the theme, active ageing, has been very much on the agenda in Denmark over the past years. Consequently, it has been a natural necessity to incorporate the theme into our curriculum her at UCN.

As an institution, we are proud to be a member of the COHEHRE consortium. It has been a great experience and a pleasure to arrange this conference. It has been interesting and insightful to do research for competent and relevant key-note speakers of high quality and we hope that our choices will meet your expec-tations.

Many people have been involved in the organization of this conference, and we have been met with great goodwill from volunteers, both inside and outside UCN - For this, we are thankful.

Furthermore, we would like to thank all of you who are participating in the CO-HEHRE conference 2012. We have been looking forward to meeting you, and we wish you all a great time filled with professional return, sharing, and inspiration as well as good networking.

On behalf of Niels Horsted, Rector of UCN, and the UCN COHEHRE organizing committee – WELCOME!

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COHEHRE Council and organizing committee

COHEHRE CouncilMr. Cor Segeren President and external alliancesMrs. Jen Lewis-Smith Vice-President and SecretaryMr. Filip Dejonckheere Treasurer and COHEHRE AcademyMrs. Madalena da Silva Conference and COHEHRE AcademyMrs. Charlotte Kristensen Student conference and Clearing houseMrs. Liisa Koskinen ConferenceMrs. Isabelle Delarivière COHEHRE Office manager

UCN Organizing committee Mrs. Nina Bengtsen Head of International RelationsMrs. Britta Bjerre Student Assistant at International OfficeMr. Silas S. Mühlbach Department of CommunicationMrs. Laila Hørby Institute of MidwiferyMrs. Ina Koldkjær Sølling Institute of NursingMrs. Inge lange Institute of Occupational TherapyMrs. Erna Rosenlund Meyer Institute of PhysiotherapyMr. Bo Grarup Institute of PhysiotherapyMr. Lars Gøran Zetterberg Institute of Radiography

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Conference Theme: Innovative Education for Active Ageing

Demographic patterns have changed greatly in Europe, in the past 20 or 30 years. This will impose different demands to education and practice as well as change of roles and attitudes of health professionals and society as a whole. “From 2012, the European working-age population will start to shrink, while the over 60-year population will continue to increase by about two million people a year. The strongest pressure is expected to occur during the period 2015-35 when the so-called baby-boom generation will enter retirement.” Eight years ago, the World Health Organization (2002) launched a concept, which aimed to set a new framework for health professionals, and society as a whole, in their views towards ageing and the process of growing older. Active Aging is defined as the process to optimize opportunities within Health, Safety and Participation, in order to improve quality of life as one grows old. In this perspective, active ageing is seen as a process, beginning in childhood and continuing throughout life. It is emphasized that “the word ‹active› refers to continuing participation in so-cial, economic, cultural, spiritual and civic affairs, not just to one’s ability to be physically active or to participate in the labour force.” (p. 12 in Active Ageing: A Policy Framework 2002) COHEHRE has embraced the challenge suggested by the European Commission, and has adopted the theme “Innovative Education for Active Ageing” to its annual conference for 2012. We will be inspired by the view of the commission, where “Active ageing includes creating more opportunities for older people to continue working, to stay healthy and to contribute to society...”.

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Programmes

Aalborg Senior Sports fototeam

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Student programmeMonday 16th of April 201220.00 Arrival day, meeting with tutors at Studenterhuset, Gammel Torv 10, 9000 Aalborg

Tuesday 17th of April 201208.30-09.15 Welcome Atrium Shared breakfast09.15-10.00 Course introduction 3.57/3.5810.00-12.00 Presentation of participants / UCN introduction 3.57/3.5812.00-13.00 Lunch Atrium13.00-14.30 Group work: Presentation of each country 3.57/3.58

projects and health policy among elderly14.30-15.00 Coffee Break Atrium15.00-18.00 Lecture 1: 3.57/3.58 ‘Innovative education for active ageing’

Wednesday 18th of April 201209.00-09.45 Lecture 2: 3.57/3.58 ‘Technological solutions in maintaining the

quality of life and active ageing’10.00-10.45 Lecture 3: 3.57/3.58 ‘The elderly in family life and society -

possibilities and challenges for care giving and quality of life’

11.00-11.45 Lecture 4: 3.57/3.58 ‘How do we facilitate active ageing and solidarity

between generations?’12.00-13.00 Lunch Atrium13.00-16.00 Group work: Preparing the interview guide 3.57/3.58 and the visit 16.00-16.30 Opening ceremony 2.7516.30-17.30 Plenary Session: 2.75 ‘Active ageing – demographic, biological, and

psychological aspects’ by Henning Kirk17.30-18.30 Plenary Session: 2.75 ‘ICT as the solution for an ageing society?

What technologies can and cannot do’ by Jeanette Pols

20.00 Opening cocktail at Kunsten Museum of Modern Art Aalborg Kong Christians Allé 50, 9000 Aalborg

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Thursday 19th of April 201209.00-12.00 Study visits and interviews11.30-12.00 Exhibition and poster viewing & lunch Atrium13.00-16.30 Group work: Preparing a presentation of the 3.57/3.58

results of the interview for the next day16.30-17.30 Practical session – students only: 3.57/3.58 Elderly and physical activity – the way

to an active and healthy life by Lis Puggaard

Friday 20th of April 201209.00-09.45 Plenary Session: 2.75 Elderly and Physical Activity – the way to an

active and healthy life by Lis Puggaard09.45-13.00 Group work: Preparing a presentation of the 3.57/3.58 results of the interview for the next day13.00-14.00 Lunch Atrium14.00-15.00 Student presentation/workshops Atrium15.15-15.45 Plenary session by Lena Borell 2.7515.45 Closing ceremony 2.7519.00 Dinner and dance Hotel Hvide Hus Vesterbro 2, Aalborg

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Staff ProgrammeTuesday 17th of April 201209.00-15.00 Pre-conference workshop 2.18/2.19 by Jacob Madsen

Wednesday 18th of April 201209.00-17-00 Registration is open10.00-12.00 International Coordinators meeting 2.4612.00-13.30 Lunch: Atrium New Members and Mono professional tables 13.30-15.30 Academy Workshop: ‘Where to?’ 2.4615.30-16.00 Coffee Break Atrium16.00-16.30 Opening ceremony Atrium16.30-17.30 Plenary Session: 2.75 ‘Active ageing – demographic, biological, and

psychological aspects’ by Henning Kirk17.30-18.30 Plenary Session: 2.75 ‘ICT as the solution for an ageing society?

What technologies can and cannot do’ by Jeanette Pols

20.00 Opening cocktail at Kunsten Museum of Modern Art Aalborg, Kong Christians Allé 50, 9000 Aalborg

Thursday 19th of April 201209.00-09.45 Mr. Karl Dittrich, Chair of the Dutch-Flemish

Accreditation Organization, (NVAO). Theme; Quality Assurance, Accreditation and Benchmarking 2.75

09.45-11.45 Parallel Workshops: 1) Inter-professional Clinical Study Unit by Hanne Lisby 2.18/2.19 2) Future Skills and Competences 2.46 by Dr. Anneke van der Plaats 3) Empowered Ageing by Marleen Goumans 2.44 4) Welfare Technology by Trine Søby Christensen 2.4211.45-12.15 Introduction to the Exhibition 2.7512.15-13.45 Exhibition/Lunch Atrium13.45-15.45 Parallel Workshops: 1) Inter-professional Clinical Study Unit by Hanne Lisby 2.18/2.19 2) Future Skills and Competences 2.46

by Dr. Anneke van der Plaats 3) Empowered Ageing by Marleen Goumans 2.44 4) Welfare Technology by Trine Søby Christensen 2.4215.45-16.15 Coffee Break Atrium16.15-16.45 Sharing good practice by Kjeld Lisby: 2.75 The Idea Clinic, Aalborg Hospital16.45 Free Evening

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Friday 20th of April 201209.00-10.00 Plenary Session: 2.75 Elderly and Physical Activity – the way to an

active and healthy life by Lis Puggaard10.00-11.20 Parallel Session- Future professional skills and competences: 2.42

1) Serious gaming in the elderly care 2) The international Innovation Project (IIP): Collaboration for

future competences 3) Defining quality of life – a first step in encouraging active

ageing outcomes 4) Students’ experiences of higher education

apprenticeships-type training in the field of elderly care

Empowered ageing: 2.44 1) Ergonomic and rehabilitative patient handling 2) An exploration into the OT therapists’ perception of

their role in end-of-life care with adults who have learning disability and dementia

3) Slim and fit is good, fat and lazy is bad. It is also true for elderly 4) Men’s knowledge about health benefits of breastfeeding

for women’s active ageing

Use of welfare technologies 2.46 1) Experiences of older customers from the

mobile oral health care unit, Suupirssi 2) A virtual ideal home for senior citizens as a learning and

development environment 3) Users’ perspectives on developing technology for the elderly

in service-home environment 4) A website with home modifications for people with dementia11.20-12.00 Poster viewing Atrium12.00-13.00 Parallel Session- Future professional skills and competences: 2.42 1) Good nursing care for older nursing home clients

in a Nordic context 2) Gerontology and geriatrics in Dutch nursing education 3) Pre-operative education for patients undergoing

total knee replacement

Empowered ageing: 2.44 1) Co-designing Sustainable Services for Active Ageing 2) The More life Project

Educational Workshop 2.46 Active ageing: When does it start and how

can it be facilitated?13.00-14.00 Lunch Atrium14.00-15.15 Student presentation/workshops Atrium15.15-16.15 Plenary session by Lena Borell 2.7516.15 Closing ceremony 2.7519.00 Dinner and dance Hotel Hvide Hus Vesterbro 2, Aalborg 15

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Deans Programme

Thursday 19th of April 2012 Room 2.41

09.00-09.45 Mr. Karl Dittrich, Chair of the Dutch-Flemish Accreditation Organi-zation, (NVAO).

Theme; Quality Assurance, Accreditation and Benchmarking09.45-11.45 Mr. Karl Dittrich will engage in a discussion and/or workshop with

the Deans to discuss strategic issues related to policy develop-ment and management decisions in their respective institutions

11.45-12.00 Introductions to the exhibition13.30-14.15 Presentation by Director Dorte Stigaard, The North Denmark Region Theme; Changes in the Danish (health) care system and key ques-

tions for the education of health professionals14.15-15.30 Short presentations made by selected Deans on the specific chal-

lenges they are facing in their own countries (e.g. the global eco-nomic crisis and the impact on the health care system and the educational system)

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Pre-conference workshop

Tuesday, April 17 2012 from 9.00-15.00 Room 2.18/2.19

Lecturer: Jacob Madsen, UCN

“From idea into design as a health professional – provoking traditional thinking”

Creativity, innovation and entrepreneurs¬hip have been tributed with more and more value during the last years as one of the most important “tools” to man-age future challenges, both in private and public sector. However foundation for working towards innovative solutions in both the private and public sector does not emerge out of nothing. In theory all innovative solutions originate from crea-tive processes and treatment of ideas. This intensive workshop will focus on both theoretical and practical competences in creativity, innovation and entrepreneur-ship towards future solutions.

Content The workshop presents a framework for using creative methods towards innova-tive outcomes in the public sector build on the concept of “The Creative Platform”. The participants will be introduced to different creative methods of working with ideas towards innovative value and organizing of an entrepreneurial face, with main focus on health and social work.

With an introduction to creativity and innovation theory as foundation, the par-ticipants will work both individually and in groups on different cases related to the everyday life within health- and social related work. Each case demands in-novative suggested solutions, and will be presented by the students at the end of the course. Groups are composed with as many representatives from the various professions as possible.

Keywords for the workshop Creative thinking, idea treatment, creative climate, innovation, entrepreneurship, planning and implementation.

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International Coordinators Meeting

Wednesday 18th April 10:00 - 12:00 hrs

Agenda 1. Erasmus for All

Presentation by Annemarie Otteslev (45 minutes) - for more information, view page 26.

Ministry of Science, Innovation and Higher Education Danish Agency for Universities and Internationalisation

2. Group work on four themes:

Each group to be chaired by a member of the Council. (45 minutes)• New planned ways of working in Erasmus for all and the new pos-

sibilities this may offer. – Cor facilitating • Strategic partnership and sustainable cooperation with a focus on

capacity building - Charlotte facilitating• Education and relationships with stake holders – Jen facilitating• Knowledge transfer between educational systems and countries? –

Filip facilitating

3. Feedback from the groups. One person to feed back key points from each group. (30 minutes)

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COHEHRE Academy

COHEHRE Academy Wednesday 18th April: 13.30-15.30Hein van der Hulst, Aija Ahokas, Filip Dejonckheere, Madalena Da Silva

Agenda:Part 1:1. Introduction of the meeting and the agenda2. Evaluation of the activities COHEHRE Academy •Mobilityprogrammes:ProjectmeetinginGroningen: •Capacitybuildingseminar:DATIC •ReportICHCI-4:CommunityBasedMentalHealthCare •Curriculumdevelopmentapplicationbetweenpartners •Consultingactivities3. Planning activities COHEHRE Academy: Strategic plan 2012-2014 •ProjectmeetinginPortoICHCI-projects •Newapplication2012:IP-Healthyaging–Rotterdam •Newapplication2013:IP–CommunityCare-Amsterdam •Pre-conferenceactivitiesforAnnualconference2013 •Capacitybuildingactivities: - How to supervise students in developing countries - November/Decem-

ber 2012 - DATIC: Developing and Teaching Intercultural Competence - Spring 2013 - How to supervise students in developing countries - November/Decem-

ber 2013 - Seminar on ‘How to internationalise’ – Spring 2013 4. Cooperation EASPD •Inclusiveeducation •ActiveAgeinganddisabilities •EASPD-diversity •EU-policyseminar2012 •Deinstitutionalisation5. Online-evaluation tool for Intensive Programmes – research project: Ulla-

Maija Seppänen, Oulu Polytechnic, Finland

Part 2: WorkshopHow to enlarge the inner circle of people that are involved in international rela-tions?How to enlarge international competences?How to run an international week?

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Facts: • DaneAgeisanot-for-profit,directmembershiporganization,withamembershipof

605,000(theDanishpopulationis5.5millionpeople)• DaneAgeisindependent,non-partisanandneutralregardingpartypolitics,religion,

andethnicorigins• DaneAgehas12,100volunteersworkinginlocalchapters

We: • Offerseriousandbelievableadvocacythroughanon-goingdialoguewithgovern-

mentandthepublic,promotingasocietywithoutagebarriersandageism:» Adequatepensionincomesforretiredpersons» Ahealthcaresystemwithoutagediscrimination» Sufficientandhighqualityhomehelpforcitizensinneedofthis» Alabormarketappreciatingandutilizingtheskillsandresourcesofmaturepersons

• Provideknowledgeandinformationtothepubliconthediversityofageing:» Sixannualissuesofamembershipmagazine» Information,viewsandpolicyrecommendationsonourwebsite, www.aeldresagen.dk» Dailycontactwithmedia(newspapers,TV,radio)

• Provideassistance,supportandcounseling:» Almost7,000volunteersdosocial-humanitarianwork,

• Lawyersandotherprofessionalsprovidefree-of-chargeadviceandcounselinlegal,social,financialandhealthmatters

• Provideknowledge,toolsandeducationtohelppeoplemakeinformeddecisionsconcerningfinances,housingarrangement,careeretc.thatcanensurethemalifeontheirownterms

• Offermeetingplaces,activities,networking-ourlocalchaptersorganizemorethan60,000membershipactivitieseveryyear,withinareassuchas,gymnastics,Nordicwalking,theInternet,languagecourses,danceclasses,etc.

• Value-addedmembershipbenefitsintermsofspecialdiscountsoninsuranceprod-ucts,bankservices,carrentals,opticians;specialtraveloffers,throughendorsedproviders.

AssociationDaneAge

General and Practical information of the venue:

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Location:University College of Northern Denmark (UCN), Department of Health, is situated in the eastern part of the city of Aalborg.

AddressSelma Lagerløfs vej 29220 Aalborg EastDenmarkPhone: (+45) 72 69 00 00 Head of international relations Nina Bengtsen Phone: (+45) 72 69 09 11

Websitewww.ucnorth.dk

Registration and help: In the hall by the main entrance, which is where we have our registration desk, during the conference, you will find volunteer students and retired teachers who are there to help you during the conference. They will be wearing T-shirts marked with STAFF. Please feel free to contact them when needed.

Busses from the city centreBus lines 2, 12 and 14 take you from the city center to the conference venue.Bus stop at the conference venue is called ‘AAU Busterminal’.

TaxiA taxi from the city center will cost you around 170 dkr. (23 euro), depending on time and traffic. Phone: (+45) 98 10 10 10

In case of an Emergency – accident or similar incident - call the police at: 112

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Internet access: All over the building there is wireless internet access. In all classrooms and study rooms you will find computers. On 3. Floor in 3.10 and 3.11 you will find plenty of computers for your convenience. To access the internet - use:

UCN – hotspot:Username: COHEHREuserpassword: UCN2012

Alternatively:

UCN – studerende SL. Encrypting key: 72690000Username: COHEHREuserpassword: UCN2012

Please ask at the registrations desk for help if needed on this matter.

Smoking policy:All public buildings in Denmark are nonsmoking facilities. This is also the case for UCN. That means you cannot smoke anywhere inside or outside the building, but right next to the front of the building is a little house reserved for smokers. Here you will find benches and ashtrays for your convenience if you smoke.

Cafés:Café Selma is placed on the ground floor of the building. Here you will find a wide variety of food, fruit, sweets and beverages. The café will be open every day during the conference until 14.00 h. Café Selma will be serving lunch during the conference.

Café Frejs is the café our students use for different occasions. This is where you find the registration by the entrance in the main hall of UCN. On Thursday, dur-ing the conference, the café will be open selling drinks in the afternoon from 4.30 PM.

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Better care and welfare for less money

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CIM InCare solution

It is often the lack of communication that leads to the use of unnecessary resources of both staff, relatives and the residents. That is why CIM has developed a commu-nications platform which makes it possible for both staff, relatives and residents to share knowledge and information.

CIM Care SystemsRRS Communication model

Relatives· Peace of mind

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ContactCIM Interconn A/SSøren MøllerTechinal manager+45 6029 [email protected]

DK-7600 StruerDenmarkwww.cim-interconn.comwww.cim-gruppen.dk

Keynote Speakers

Caspershus Frederikshavn

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Workshop on Erasmus for All

Wednesday April 18

Name: Annemarie OtteslevInstitute: Ministry of Science, Innovation and Higher Education

Recently the Commission proposed a new framwork for the exsisting youth and education programmes after 2013.

Erasmus for All would bring together all the current EU and international schemes for education, training, youth and sport, replacing seven existing pro-grammes with one. This will increase efficiency, make it easier to apply for grants, as well as reducing duplication and fragmentation.

The Commission is proposing an increase of approximately 70% compared to the current seven-year budget, which would allocate 19 billion to the new pro-gramme in 2014-2020.

The new programme will focus on EU added value and systemic impact, with support for three types of action: 1. learning opportunities for individuals, both within the EU and beyond; 2. institutional cooperation between educational institutions, youth organisa-

tions, businesses, local and regional authorities and NGOs; 3. support for reforms in Member States to modernise education and training

systems and promote innovation, entrepreneurship and employability.Two-thirds of the funding would be spent on mobility grants to enhance knowl-edge and skills. The work shop gives an overview of the Commission’s proposal and explains some of the political intentions behind it. The purpose of the work shop is to create a common knowledge basis which can be used for further discussions on how the new programme and its actions can be sucessfully implemented in an institutional context.

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CURRICULUM vITAE

Annemarie OtteslevPosition: Head of Section at Danish Agency for Universities and Internation-alisation, Ministry of Science, Innovation and Higher Education.

Fields of Expertise: Student Mobility, the Bologna Process and International Corporation in higher education, including EU programmes for higher educa-tion.

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Active ageing – a challenge to education of health professionsName: Henning KirkInstitute: Independent writer Senior Consultant, Dr.Med.Sci.Contact: [email protected]

Active ageing is not just another alternative expression of ‘old age’. Rather, it is signal to abolish terms and concepts of age categorization like ‘old age’ and ‘the elderly’ that tend to place older individuals separated from adult society.

Over the past 30 years, we have seen divergent consequences of an increasing focus on health and social care directed towards older adults. A positive develop-ment of knowledge, skills and quality of services on one hand. On the other hand, however, a growing tendency to categorize and discriminate between ‘them’ and ‘us’, placing an elderly population separated from the (adult) society. According to this, older adults are not really adult, they are ‘elderly people’. And elderly people are mostly described as frail, lonely, poor, and in need of health and so-cial services. When we are teenagers, it is said that we are entering adulthood. Becoming pensioners, we are in reality leaving adulthood.

This development has been a consequence of many well-intentioned efforts to help people in need. Efforts by health departments, local governments, voluntary organizations, enforced by the medias. A negative aspect of this development has been a cultural transformation reflected by everyday language and, more important, a ‘elderly’-language used by administrators and service-providers.

An example of such categorization, where ageing and frailty is paralleled, is the tendency of the medias and the politicians to describe nursing home residents as representatives of ‘the elderly’. In a fact the same as describing mentally re-tarded young persons as representatives of ‘the young’.

In contrast to this, the percentage of older adults with chronic health problems and functional inabilities is still declining, mostly because of positive changes in lifestyle, education, and economy. This means that the need of services in the future cannot just be judged solely by demographic trajectories.

But what about active ageing – how should the word ‘active’ be interpreted? Re-

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search on ageing tells us that physical maintenance is not only beneficial for the locomotory and cardiovascular systems. It is also a stimulus for our cogni-tive functioning. For the individual, active ageing means developing knowledge, skills, experience, outlook, communication, and empathy. We cannot beat our grandchildren in memory game. But the perspectives of ageing and maturity is more about experienced learning, developing your brain as a long-life construc-tion project. This project depends on two important factors: The first is health, the second is activity, training and maintenance.

Traditionally, education of health professions has been focusing on health in relation to care and rehabilitation. The notion of active ageing signals another dimension, namely ageing as a perspective of adult life career as a whole, in-cluding the impact of lifestyle, work, as well as social and cultural activity and interaction in various communities. Recognizing and adapting this notion calls for innovative education.

CURRICULUM vITAE

Henning KirkHenning Kirk, Dr.Med.Sci., is specialized in public health and health promo-tion. In his 35-year long career of research within gerontology, with emphasis on images of ageing in the medical history. He has been a director of the Danish Institute of Gerontology, but since 1998 he has been an independent writer and senior consultant, including being a member of several national committees and think pads on senior policy.

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ICT as the solution for an ageing society? What technologies can and cannot doName: Jeannette Pols Senior researcherInstitute: Amsterdam Medical Centre, section of Medical EthicsContact: [email protected]

Politicians promote telecare as an efficient and affordable solution in providing medical care for an ageing population. Telecare, they promise us, will support older people with chronic disease to ‘manage’ themselves better and thereby reduce the amount of health professionals needed. Nevertheless, technology-pessimists assert that telecare will transform human care into a distant and cold affair. They predict that older people will die while under the continuous surveil-lance of sensors and cameras, but remote from any real human contact.

This talk presents some of the detailed ethnographic analyses of the pioneering care practices in which patients and nurses use telecare devices. I analyse these practices with the help of theoretical insights drawn from various fields, such as science- & technology studies and ethics. These studies reveal that neither a caring utopia of self managing patients nor an uncaring high-tech health care system bears any resemblance to actual care practices employing telecare. In the observed practices, telecare leads to more intense caring relations, result-ing from a spectacular raise in the frequency of contacts between nurses and patients. Patients appreciate this very much, not because they feel they are fi-nally able to manage themselves better, but because they can ‘leave things to the experts’. When patients do become active, this is when they feel they may contribute to the care for others. Examples of ‘caring communities’ point to in-teresting perspectives as to what technology can and cannot do in the face of the challenges ahead. The talk frames some urgent questions about the ways in which innovative care practices can be built on facts rather than hopes, hypes or nightmares.

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CURRICULUM vITAE

Jeannette PolsUntil 2006, Jeannette designed and conducted philosophically informed eth-nographic studies investigating care practices in mental health care. Her ap-proach was to observe how nurses and patients shape care ‘in action’ rather than focusing on their accounts. Observing activities allowed her to articu-late different ‘tacit theories’ of ‘good care’, which correlate particular forms of ‘tacit ethics’ (depicting what is good to do) with particular forms of ‘tacit knowledge’ (detailing what is the matter with patients). Since 2006, she has been working as a senior researcher with the staff at the Amsterdam Medical Centre, section of Medical Ethics, to develop innovative theoretically-based ethnographic research into telecare technologies targeting individuals with chronic illness. She discovered that, in contrast to mental health care pa-tients who are well-organised, somatic patients were often socially isolated. She also discovered that the main benefit of telecare technologies was the building of mutually supportive relationships among patients exchanging knowledge, rather than facilitating doctor-patient interaction. This had been completely overlooked in policies supporting ‘self-management. The forma-tion of caring patient communities, the development of patient knowledge, and the role of technologies in achieving this, are central in her current and future research. Recently, her book on telecare practices was published: ‘Care at a distance. On the closeness of technology’, Amsterdam: Amsterdam University Press, 2012.

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Elderly and physical activity – the way to an active and healthy lifeName: Lis Puggaard Part time professor at University of Southern Denmark, Ms Sci., PhDInstitute: University of Southern DenmarkContact: [email protected]

The focus of Active Aging is continuing participation in all aspects of life. Physical activity significantly contributes to Active Aging by maintaining functional ability, enhancing psychological health, preventing and managing chronic diseases, and disability, and improving quality of life and independence.

Several studies have demonstrated a strong correlation between functional ca-pacities and every day activities. Regular physical activity increases functional capacities such as muscle function, oxygen uptake, balance etc. which are vital for an independent and autonomous life. Furthermore, it is evident that mod-erate activity - 10 minutes of physical activity, three times a day - reduce the risk of lifestyle diseases. Despite this knowledge a substantial part of the elderly population suffers from low physical activity levels which make motivation very important.

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CURRICULUM vITAE

Lis PuggaardLis Puggaard is Master of Science and PhD. in Physical Activity and Epide-miology. She is part time professor at Institute of Sports Sciences and Clini-cal Biomechanics at University of Southern Denmark where she has worked in 16 years as full time professor. Her research focus has been Ageing and Physical Activity with an interdisciplinary approach. She is a highly qualified university teacher, her experience being acquired from assignments and postings at national and international universities, university colleges, sports organisations etc. She is an experienced supervisor of students at bachelor, master and PhD levels, and she has acted as external examiner and official opponent in connection with numerous masters’ and PhD theses and disser-tations. She has developed a number of new teaching and educational fields, e.g. the Master of Rehabilitation Science.

Through her particular interest in translating research results into practice, e.g. at the municipal level, Lis Puggaard has managed to obtain grants that, among other things, enabled the establishment of the Centre of Applied and Clinical Exercise Sciences at Faculty of Health Sciences, University of South-ern Denmark. As Head of the Centre, Lis Puggaard was, apart from general management tasks, heavily involved in cooperation with healthcare profes-sional groups (physicians, physiotherapists, occupational therapists, nursing assistants), municipalities, regions, organizations for the elderly (Age Forum, the DaneAge Association) and sports organizations.

Lis Puggaard also works as Senior Consultant in a private company where she has gained vast experience in providing consultancy to private enter-prises, municipalities, regions and authorities on healthcare issues, such as preparation and implementation of healthcare policies, evaluation of public health efforts and analyses of needs and possibilities in the healthcare sec-tor. Furthermore, she has vast experience in project management and gen-eral management at both national and EU level.

She has been author of a substantial number of national and international articles and book chapters in the field of Aging, functional ability and physical activity.

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Learning for innovative changes in environments for ageingName: Lena Borell PhD Professor, Head of division of Occupational TherapyInstitute: Karolinska Institutet, Stockholm, SwedenContact: [email protected]

Research in the field of health care often had the goal to provide some kind of change or improvement in the provision of care, or rehabilitation. Still, the uptake and use of research findings in the practice field, for example, in the provision of health care services for older adults is underdeveloped. A structured way of making use of research is almost non-existing on a larger scale in Europe as well as in other parts of the world. This is a societal challenge that needs to be ad-dressed by educators and researchers as well as politicians. We need to explore further how to make sure that new knowledge becomes available for the ones who need it and at the same time leave old ways of care behind us.

This keynote will address the following questions: How can we make sure that professionals and staff who work in health care and social care giving become involved and get access to the new research that is evidently there for them to make use of. How can we build in, and create a structure for learning for the staff members within a practice field? And above all; how do innovative ideas for healthy ageing get integrated in the field of practice?The keynote will in particular discuss some new findings on how to create a learn-ing environment within a nursing home for older persons with a dementia dis-ease, in addition to some examples of how research can inform practice in creat-ing new initiatives on healthy ageing. In a Participatory Action Research project ( PAR) -a research methodology that attempts to address power imbalances- new developments were made in a nursing home intervention study with the goal to increase thriving among the clients; in this case, persons with a dementia dis-ease, their families as well as staff members. The dual goal of this project was to both contribute with new knowledge as well as action and consciousness rising among the participants.

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CURRICULUM vITAE

Lena Borell, OT (reg), PhD, Professor 1992 PhD, Karolinska Institutet: The activity life of persons’ with

dementia

Professor and Head of Division of Occupational Therapy Karolinska Institutet

Director of The Strategic Research Program in Health Care Research Karolinska Institutet

1999-2001 Visiting Professor Brighton University, UK

1999-2001 Invited researchers, Centre for Outcomes Research and Education (CORE), University of Illinois, Chicago

2002-2004 Chair, Board for Centre for Health Care Science, CfV Karolinska Institutet

2004-2007 Board member, Board for Research and Development Karolinska University hospital

2006-2007 Board member, Board for The Vardalinstitute

2007- Board member, The Vardalfoundation

2006-2011 Board member, The Swedish Handicap Institute

2008- Board member, The Vinnvard program for research

Postgraduate students and PostdocsSupervisor for 16 graduated PhD students.

Over 50 peer reviewed published publications.

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Projektleder og formand for styregruppen

Områdechef Lars Nøhr

Borgergade 39, 9362 Gandrup

[email protected]

Tlf. 9931 1480

Projektmedarbejder Bent Sørensen


[email protected]

Tlf. 2520 1420 eller 9931 1475

akprint.dk

Fremtidens PlejehjemKonceptet

For nærmere oplysninger kontakt venligst:




[email protected]

Tlf. 9931 1480



[email protected]

Tlf. 2520 1420 eller 9931 1475

akprint.dk


Samarbejdspartnere

Projektet “Fremtidens Plejehjem - Trivsel og Teknologi”

er et samarbejde mellem:

• Aalborg Kommune, Ældre- og Handicapforvaltningen

• Nørresundby Boligselskab

• Brains Business ICT North Denmark

• Kuben Management

• IABIS konsortiet

Teknisk team:

• Ingeniørfirma Grontmij Carl Bro A/S

• Østergaard Arkitekter

• Nørkær+Poulsen Arkitekter

• Landskabsarkitekt Metopos

• Ekstern konsulent Innovation Lab

Future Nursing HomeThe Concept

akprint.dk


Partners




[email protected]

Tlf. 9931 1480



[email protected]

Tlf. 2520 1420 eller 9931 1475

akprint.dk



Samarbejdspartnere








Teknisk team:







For further information please contact:

Samarbejdspartnere








Teknisk team:









[email protected]

Tlf. 9931 1480



[email protected]

Tlf. 2520 1420 eller 9931 1475

akprint.dk



Samarbejdspartnere








Teknisk team:






The project ‘the old people’s home of the future – welfare and technology’ is a co-operation between:• TheMunicipalDistrictofAalborg–DepartmentofCare fortheElderlyandDisabled•NørresundbyHousingAssociation• BrainsBusinessICTNorthDenmark• KubenManagement• IABISconsortium

Technical team:• EngineeringfirmGrontmijCarlBroA/S•ØstergaardArchitects•Nørkær+PoulsenArchitects• LandscapearchitectMetopos• ExternalconsultantInnovationLab

Project manager and chairman for the steering Project associate Bent Sørensencommitee Head of regional Lars Nøhr Borgergade39,9362GandrupBorgergade39,9362Gandrup [email protected]@aalborg.dk Tlf.25201420or99311475Tlf.99311480

Future nursing home wellbeing and technology

The Municipal DisTricT of aalborg

Workshops

Caspershus Frederikshavn

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Inter-professional Clinical Study Unit – a way to a better inter-professional collaboration in the Health Care System

Room: 2.18/2.19Name: Hanne Lisby Development consultant and

Head of the Inter-professional Clinical Study UnitInstitute: Aalborg Hospital, DenmarkContact: [email protected]

In the Inter-professional Clinical Study Unit the aim is to create an authentic learning environment for students from disciplines that include occupational therapy, physiotherapy and nursing. In the unit the students are given optimal opportunities for development of inter-professional competencies in order to provide beneficial patient outcomes by participating in the responsibility for the plans and the practical solutions – related to every patient. During the inter-professional course the students become aware of their own role and effort in the study unit by involvement and engagement and the necessity for commitment.

Experience from the Inter-professional Clinical Study Unit shows that an inter-professional approach gives the students a greater awareness of their own pro-fessionalism and optimizes their use of this in collaboration with the other pro-fessions. At the same time, it results in a greater understanding and respect between the individual professional groups. Consequently, the inter-professional course is thought to improve the students’ ability to deal with the highly complex tasks within the health care system.

The workshop will be focusing on how we achieve these results by discussing the daily work in the Study unit, the pedagogical approaches and how we deal with all the challenges caused by the Inter-professional course is an integrated part of the clinical practice for all the students. Finally, a former student will present and discuss how she benefits from the Inter professional Clinical Study Unit in her daily work as a physiotherapist in an orthopedic setting”.

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Hanne LisbyHanne Lisby is a physiotherapist since 1978 and 57 years old. Her career started as chief for The Physiotherapy Department for Rheumatology, at Skive Hospital, in northern Jutland. After this she became Associate professor at the Physiotherapy Education, in Aalborg. The primary items were epistemol-ogy, pain-research, ethics and interprofessional collaboration. During the time as associate professor further education was taken within philosophy: epistemology and ethics. In 2007 she was part of the team, that described and created the ideas of an interprofessional Clinical Study Unit, and when it was established later in 2007, she became the leader of the unit. Since Sep-tember 2011 she has been coordinator for developing the inter-professional work among the post-graduate professions in the orthopaedic division.

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Neuro-rehabilitation, what can we learn from the neurosciencesRoom: 2.46Name: Anneke van der Plaats Social geriatrician, Lecturer, Researcher and ConsultantInstitute: BreincollectiefContact: [email protected]

In this lecture the main frustrations in neurological rehabilitation are mentioned. Bad results are caused by insufficient knowledge of the working of the dam-aged brain. The neurosciences show us that this working is completely different from the working of the “normal” brain. The conclusion is that we have to reset the environment, including our own current opinions, to steer the movements, actions and behaviour of the neurologically damaged persons. This resetting is described.

The most appealing information of the neurosciences, I found the distinction be-tween the “upper” brain (the thinking, the cognitive part) and the “lower” brain (the feeling, the emotional part). The more complete this ‘upper’ brain, the richer the repertoire for adaptive behaviour1. This behaviour is specific in humans and it acts independently from the surroundings. The process of producing behaviour is preceded by the process of understanding the incoming stimuli: the perception. To be able to fully understand the incoming information, a human being needs the lower brain –where the stimuli enters the brain- and after that the upper brain. The better the brain understands the incoming information, the better it is able to produce adequate behaviour. It is important to know that the lower brain is built during the first three years of life. The upper brain needs another twenty two years, to become mature. Behaviour is always according to the individual per-ception of the situation. If the perception is wrong, (even in “normal” adults) the behaviour is wrong. We usually call that a misunderstanding. In brain-disease or brain-damage, especially the ‘upper’ brain is affected and the ‘lower’ brain has to produce behaviour2. Of course this part of the brain is not equipped to fully understand the incoming stimuli. The more complex the situation, the more the misunderstanding that irrevocably leads to misbehaviour, incomprehensible ac-

1 Servan Schreiber D., Your Brain as a medicine, Kosmos, Utrecht 2007 p. 9-212 Cools A., Brain and Behaviour, hierarchy of feedback systems and control of input, in

Perspectives in Ethology, P.Bateson and P. Klopfer eds, Plenum Press New York, 1985 p 109-168

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tions and stumbling movements. So, we need to adapt the environment which includes the physical context, the way of presenting situations and our own be-haviour. Powers calls this “control of perception”3. The environment has to be structured and simplified, so that the brain-damaged person can understand the situation by his lower brain. And, it must be clear that even a small lesion in the upper brain can lead to serious misunderstanding of the environment. Some ex-amples of this resetting: *the way we give a command *the rush in the exercise room * the setting up of the building, the room and the apparatus *our current opinions * our expectations. All these and more have to be reset according to the neurological principles emerging from the neurosciences.

CURRICULUM vITAE

Anneke van der PlaatsAnneke van der Plaats has always been a leader; as a nursing home doctor, scientist, lecturer and consultant. In 1983 she founded the first daycare for elderly in Holland on her own strength. The concept has subsequently been adopted by the ministry and has been a fixture in health care for many years. She developed and set up the first memory training exercises together with the psychologist in gerontology, Ad Nouws. Anneke is now specialized in ana-lyzing the behavior of people with dementia on the basis of neuroscience. Her goal is to ‘transform’ homes for elderly people into pleasant places where they can live and work without problem behavior.

3 Powers WT, Behaviour, the control of perception, Aldine de Gruyter, London1973 p. 75-90

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Empowered ageing: Research in and with practiceRoom: 2.44 Name: Marleen Goumans Professor of integrated Care for older personsInstitute: University of RotterdamContact: [email protected]

Experiences from the University of Rotterdam, centre of expertise Innovations in Care,Facilitator: dr. Marleen Goumans, professor of integrated care for older persons and program director of the centre of expertise Innovations in CarePurposeTo show and discuss practical examples of research work on empowered ageing in the Rotterdam area:•VitalLink.TheUseofsupportivetechnologyandICTforolderpersonsliving

independently and for older persons living in a sort of residential setting•theprogrammeHealthyActiveAgeing.Howtodiscussandtakeactiverespon-

sibility for your own health as a senior citizen?•Seniorpower!(onactiveseniorcitizensinaresidentialhomesetting)Insights are given to the results of interventions and strategies that are imple-mented in practice. Attention is paid to the way the research is conducted: as a co-creation process between research-teachers, students and professionals. Fi-nally, it is important to exchange similar or different experiences across Europe and inspire each other with content (interventions and strategies) and processes (f.ex. ways of working) that are going on or should be carried out in order to pro-mote empowered ageing.

Relevance: Europe is facing a great challenge now and the coming years. The population of 60 years and older is growing faster than any other group. This will have a large impact on economic and social demands, not only in European coun-tries but also worldwide. At the same time it must not be forgotten that older people do represent a huge capital in terms of knowledge, experience and they form an important part of the grounds of our society.

A strategy to face these challenges as a country is to enact policies and pro-grammes that stimulate ‘active ageing’ (WHO, 2002). “Active ageing is the pro-cess of optimizing opportunities for health, participation and security in order to

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enhance quality of life as people age. As we educate the (future) professional care givers, policy makers and social

workers who need to develop and implement these policies and programmes, it is needed that they are well aware of the content and intent of the challenges of an ageing population, the determinants of active ageing and the implementation of the programmes and policies in different (national) contexts

Methods: In the workshop we present the three research projects. We will dis-cuss the Rotterdam way of conducting research. We will have group work on the essentials of empowered ageing and exchange the different national approaches and search for differences and similarities. We will end with setting the research and educational agenda and exchange the experiences that are already available on these issues amongst the participants

Participants: Anyone interested in research on empowered ageing and/or those who are interested to implemented research results into curricula.

Results: Examples of research on empowered ageing in the Rotterdam area, in-sights in the way students are involved in research and how research influenc-es the curricula of different studies, a jointly defined research and educational agenda on empowered ageing.

CURRICULUM vITAE

Dr. Marleen Goumans, PhD, MPH, MHAMarleen Goumans is a professor of integrated Care for older persons. Her background is in health policy and administration and in public health. She received her PhD on a thesis on health in large cities (a research on policy, networking and agenda setting in the Who Healthy Cities project). Marleen has worked as a consultant for the World Health Organization on health poli-cy and health promotion in larger cities. Marleen has also advised Dutch gov-ernments how to develop health(y) policies which really promote the health of the inhabitants of municipalities. Integrated care for older persons is the issue which is on Marleen’s Agenda for the last twelve years. Integrated care goes beyond the health care sector and moves into housing, social and men-tal health et cetera. The issue of active ageing or empowered ageing offers the possibility to research and teach combined issues focussing both on the aspect of health promotion as on integrated care.

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SOSU Nord Future Lab - vocational researchRoom: 2.42Name: Trine Soeby Christensen Coordinator, B.Sc., RGNInstitute: North Jutland’s Social and Health Education CollegeContact: [email protected]

SOSU Nord Future Lab is part of SOSU Nord, North Jutland’s Social and Health Education College. By establishing Future Lab SOSU Nord seeks to add the hu-man look to tomorrow’s technologies, in the areas of care, support and educa-tional theory.

SOSU Nord Future Lab is the link which assists the new health and welfare technologies to have the human being at the centre, in the pedagogical and the social and health areas.

Additionally, Future Lab comprises the establishment of an experimental work-shop, a centre where new technology can be presented to interested parties, and where collaborators may be invited to perform tests, analyse experiences and implementation of the technology.

SOSU Nord Future Lab acts as the link between private and public enterprises regarding the development, implementation, adaptation and application of tech-nology within the pedagogic, care and support sectors, all from the perspectives of citizens and employees, and in this way:•Assistsinthecreationofusermotivatedinnovation•Assistsintechnologicaldevelopment•Offersaprofessionaltestcentre,wheredevelopmenthasfocusonhumanbe-

ings and relations, in cooperation with universities and private firms.•Thenewtechnologyispresentedtointerestedparties,andcollaboratorsare

invited to participate in tests, experience analyses and implementation of the technology.•Havingtheprofessionalexpertisefrombothemployeeandcitizenperspectives,

SOSU Nord’s Future Lab is able to provide knowledge and competence in the areas of care, support and educational theory, in support of investigations and tests of social and scientific perspectives. For example SOSU Nord’s Future Lab is able to cooperate regarding the implementation of robot technology.

SOSU Nord is able to contribute to the creation of a user–driven process of in-novation, where local authorities, regional health authorities and present and future workforces may become involved in testing the attitudes and prejudices of all types of citizens, and thus play a part in influencing these citizens in a positive way.

Future Lab adds strength to SOSU Nord’s educational programmes. With the establishment of Future Lab SOSU Nord also desires to sharpen the

focus on pupils’ professional and personal competences, so that they are able to

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accommodate the emerging technological workplaces of the future.SOSU Nord has begun to include “innovation” in the pupils’ timetables, so that

innovation becomes a natural, integrated part of their training programmes. We at SOSU Nord show and explain how users, students, health professionals

and developers can become involved, in order to promote user-driven innovation.Future Lab creates the framework and contributes with knowledge, and at the

same time acts as a link to those who will use the technology, - the users and employees in the local authorities and the regional health authority.

The implementation of technology is a much discussed subject and therefore Future Lab places great importance on the implementation phase.We consider that the development of competences is closely connected to suc-cessful implementation. The technology can be tested in both a professional and human perspective, before being realised in practice. At the implementa-tion centre at Future Lab, we offer health professionals the ability to develop competences, and, at the same time they are able to supplement their profes-sional knowledge and practice with the desired concrete technologies. Hereby the health professionals have the opportunity to think in an entirety regarding the use of the technology, the technology being a supplement and not a replacement.

Future Lab has the possibility of inviting citizens to test and analyse experi-ences, so that they are also able to assist in having focus on how the technology can be implemented with the focus on the human being, in order for citizens to become more active and have their quality of life improved.

Robot Technological Lab at SOSU NordAt the conference come and see our exciting projects, amongst others, within the area of robot technology, where the focus is on the human being, relations and user-driven innovation.

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Trine Soeby ChristensenSOSU Nord Future Lab was established in 2010 by Vice President and PhD Anja Viegh Jørgensen, Project Leader, and myself, Bach. Scient. and Bach. in Nursing, Trine Søby Christensen, Project Coordinator.

My primary function is centered on implementation within the areas of com-munications, teaching and welfare technology.

Society has an increased focus on innovation and technological advance-ments in these areas.

I work with the latest developments in close collaboration with both public and private institutions, including e.g. students in the test- and development stages, thus encouraging a user based process of innovation.

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Knowledge develops nursing care

- to the benefit of patients, citizens, professionals and community In 2011 the Danish Nurses’ Organization passed a Research Initiative ”Knowledge develops nursing care - to the benefit of patients, citizens, professionals and community”. The Research Initiative is drawn from a desire to strengthen nursing research in Denmark. Regional DNO-President Jytte Wester says: ’It is important to stay politically focused on the significance and conditions of nursing research. Nursing research must continue. But our research should also spread into other fields than the clinical setting. Nursing research should also reach into the socio-political realm in a wider sense’. Find the Research Initiative on www.dsr.dk

Danish Nurses’ Organization North Denmark Region

Nordjylland

Parallel Sessions


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PARALLEL SESSIONS FRIDAy, 20TH APRIL FUTURE PROFESSIONAL SKILLS AND COMPETENCES

10.00 – 10.20: Room 2.42

Serious gaming in the elderly careVera HabesKevin van RhijnHogeschool Utrecht, the Netherlands

Purpose and relevance: Promoting critical reasoning by serious gaming in el-derly care. Despite the growing amount of evidence based guidelines, there re-mains a gap between scientific results and nursing practice (Achterberg , 2007)4. This problem specially occurs in the elderly care (Snoeren 2007)5 as nurses in this field have less educational background. Gloudemans (2010)6 entitles this as ‘lack of critical reasoning’. Interactive and entertaining education, such as seri-ous gaming, can meet this lack in order to improve future professional skills and competences in the elderly care.

Description´: ‘Vangnet’ is a serious game containing two evidence based guide-lines regarding fall risk prevention and identifying dementia. The game was de-veloped in cooperation with the Hogeschool Utrecht. In 2011 the game was im-plemented in 3 retirement homes around Utrecht by 7 students that additionally conducted an explorative study. Data were collected by participative observation, screening nursing reports and interviewing. The instrument was based on both guidelines and was validated by experts. Participants were assigned ad-ran-dom by the head-nurse. 35 nurses played the game, 28 nurses were observed and 140 dossiers were screened. Results showed that serious gaming reduced fall incidents and significantly improved nursing skills regarding fall prevention. Skills concerning identifying dementia were not influenced. Nurses were posi-tive about gaming as it fits present education methods.

4 Achterberg T. van (2007) ‘Van leren naar praktiseren: over de complexiteit van implementatie van evidence based werken in de verpleging en verzorging’, Universitair Medisch Centrum, 2007

5 Snoeren M. (2007) ‘leren = veranderen’, in: Verpleegkunde, nr 26 Gloudemans H. (2010) ‘ kritisch denken als onderscheid’ , in: Onderwijs en gezondheidszorg,

jaargang 34, nr1

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Evaluation: The feasibility of the game can be improved by more technical sim-plicity and commitment of the head-nurse to the content of the guideline. Conclusion: Serious gaming can be an interesting educational supplement to stimulate clinical reasoning in the elderly careImplications: The results of the study has been published in ‘Onderwijs en Ge-zondheidszorg’ (2011, nr 3, p. 22 – 25). The game can be downloaded on: http://ict-en-onderwijs.blogspot.com/2011/03/serious-soap-spel-soap-of-leren.html

Keyword: serious game, innovative education, elderly care

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10.20 – 10.40: Room 2.42

The International Innovation Project (IIP): Collaboration for Future Competences Kaarina PiriläMetropolia University of Applied Sciences, Finland

Beth Torcivia, School of Health & Medical Science, Seton Hall University, USA

Hanne SkovMetropolitan University College, Denmark

Pamela K. LevangieMGH Institute of Health Professions, USA

Ulla VehkaperäToini HarraMetropolia University of Applied Sciences, Finland

Purpose and relevance: This presentation shares the results of International Innovation Project (IIP) held in Helsinki in 2011. The aim was to foster inter-disciplinary innovation and entrepreneurship in health care by promoting international networking and collaboration. The principle was to develop new skills and train especially innovation competences that are required in future by undertaking and participating in innovation processes. The purpose was also to enable participants to act as change agents by teaching them to implement and facilitate user-driven innovations. The health care sector needs people who are able to think innovatively and can implement new solutions in response to the challenges that will arise as a result of demographic, economic, and organiza-tional changes.

Participants: The program lasted 6 weeks (10 ECTS) and brought together 22 students from 4 institutions: USA, Denmark and Finland. Students represented 3 health professions: physiotherapy, occupational therapy and social services. Method: Students worked with the third sector’s community organization. Stu-

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dents had six intensive weeks of teamwork to develop community-based solu-tions for target groups. Pedagogical methods included group development, Solu-tion Camp, Implementation Day, lectures, and coaching. Evaluation was carried out weekly and at the end of the project. The results of the final evaluation are presented here.

Analysis: Statistical analyses were conducted by using t tests, ANOVA-tests and Correlation Coefficient.

Results: Students evaluated their competences before and after the learning experience. Themes were: motivation, collaboration, project management, mul-tidisciplinary working, professional growth, ability to think in an innovative man-ner, R&D skills, willingness to work in an international project, skills in system-atic information seeking. Statistically significant improvements were found in 7 out of 9 themes. The highest improvement was found in students’ ability to thing in an innovative manner.

Conclusion: The ability to think in an innovative and entrepreneurial manner is important for the health professionals of the future. This kind of module fosters competences and is worth doing.

Implications: This learning experience was effective and has implications for fu-ture projects. We are committed to continue this enthusiastically received inter-national collaboration. Next IIP will be in 2012.

Keywords: innovation, entrepreneurship, interprofessionality

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10.40 – 11.00: Room 2.42

Defining Quality of Life – a first step in encouraging active ageing outcomesSheila KeebleHelen StoneleyUniversity of Derby, UK

This study was undertaken as part of an MSc in Occupational Therapy (Com-munity) with the University of Derby, UK. The study aimed to identify defini-tions of Quality of Life (QoL) used by the team members with an older client group, to determine if their professional background has an influence on their understanding of QoL. QoL is area of growing importance within Healthcare outcomes in the UK, and, although there has been much recent work on the measurement and components of QoL, there is very little understanding of the clinicians view point on QoL outcomes. The clinicians’ perspectives of ele-ments relevant to QoL will make an impact on their potential to encourage and facilitate Active Ageing through effective goal setting with the individual. De-tailed investigation of communication and stated objectives within an inter-professional team can lead to improved team awareness and effectiveness. This is a qualitative study of 2 semi structured focus groups. The research was completed within an integrated Health and Social Care Team with a range of professional staff (Social Work, Physiotherapy, Occupational Therapy, Nurs-ing), specifically analysing the similarity and differences in approach of the Oc-cupational Therapist and other team members. The groups of 3 Occupational therapy staff and 7 interdisciplinary team members work in a Community In-tervention Service, in a mixed rural and urban English county. The Service pri-marily works with older people, for a 6 to 12 week intervention period follow-ing a health or social crisis including hospital admission. Analysis of the data followed the phenomenological approach of Miles and Huberman (1994, 2002). Within this small scale study Occupational Therapists’ were demonstrated to hold a specific view point on QoL, with high emphasis on the ‘Occupational Needs’ of individuals, and the concept of ‘Occupational Well Being’ used as a major com-ponent of QoL.

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The concept of Occupational Wellbeing (the satisfaction and meaning people derive from the ways in which they have orchestrated their occupational lives), can be a useful concept for Occupational Therapists developing quality of life interventions. When broad aims such as ‘Improving Quality of Life’ are set for services, it is important to allow teams time to discuss such concepts. This will ensure a full understanding of the range and potential of meanings and interven-tions possible within an interdisciplinary team.

Keywords: quality of life, occupational well being

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11.00 – 11.20: Room 2.42

Students’ experiences of higher education apprenticeship-type training in the field of elderly careKatri Ryttyläinen-KorhonenMikkeli University of Applied Sciences, Finland

The development of elderly care requires new professional competence which highlights the cooperative development of the entire work community. Appren-ticeship-type training in higher education, worth 30 ECTS credtis is a new model of continuing education in Finland. On-the-job training and learning are central to this type of training where the students’ own work is considered more as a learning environment. Every student will be appointed a mentor who guides the learning process at work and supports professional development.

One aim of a comprehensive development project was to provide evaluative in-formation about higher education apprenticeship-type training in gerontological expertise and to model and report good practices and development needs identi-fied during the training. The development project was funded by the European social Fund. The data were collected through focus group interviews (n=4) and an e-survey (n=17) with the students of this training. The data were analyzed through the methods of statistical description and content analysis.

The results showed that the majority of the students had identified personal learning outcomes, but 47% thought that the learning outcomes were not tai-lored to fit their workplaces. The majority of the students, 77%, estimated that their previous competence in the elderly care work gave a sufficient basis for achieving the learning goals of higher education apprenticeship-type of training. The results showed that 76% of the respondents assessed that their own job was as an appropriate environment to achieve the learning objectives, and that their own tasks enabled the achievement of learning objectives. Almost half of the stu-dents reported that they did not receive enough personal guidance and support from their mentors. Sharing experiences and peer support as well as more thor-ough consideration of the topics and more practical cases of study were found important in classroom teaching.

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The conclusion was that the training could result in gerontological expertise, if the students had strong basic competence in elderly care. One’s own work offered enriching learning experiences. Cooperation between a higher educa-tion organization, the mentors and the students as well as the integration of the working community to the educational process also requires systematization.

Keywords: apprenticeship-type training, on-the-job training, aging, elderly care

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12.00 – 12.20, Room 2.42

Good nursing care for older nursing home clients in a Nordic contextIngrid FromJaneth LeksellMarika MarusarzHögskolan Dalarna, Falun, Sweden

Kjell RoeliUniversitetet I Nordland, Bodø, Norway

Raija SairanenTurku University of Applied Sciences, Health Care, Finland

Margit SchrøderMetropolitan University College, Copenhagen, Denmark

Olle SöderhamnGrete VaboUniversity of Agder, Faculty of Health and Sport, Arendal, Norway

Purpose and relevance: The ageing population is an important global issue, es-pecially for the work of nurses. Organisational and structural changes have al-tered work situations and roles in municipal care, where older people often are cared for. In order to make nursing homes more attractive as work places in the Nordic countries, it should be important to identify possible issues that are cen-tral in good nursing care in this context. The aim of this study was to illuminate and interpret how good nursing care for older nursing home clients may be nar-rated by registered nurses in a Nordic context.

Methods: Eight teachers from five different universities/university colleges, rep-resenting nurse education in Denmark, Finland, Norway and Sweden, consti-tuted the project group that planned and implemented the study under Nordplus programme. Nine nurses who, by their peers, were considered to be expert nurs-

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es in care of older people in nursing homes were interviewed by the members of the project group in their own language in their home countries. They nar-rated experiences of good nursing care for older people that were tape recorded, transcribed verbatim and analysed by means of manifest and latent qualitative content analysis. Meaning units, condensed meaning units and sub-themes were identified and elaborated. Themes that emerged in all interviews were sought for. Data were treated with confidentiality, and the ethical principles that guide clinical research were applied.

Results and conclusions: Communication, creativity and community were the themes that constituted good nursing care for older people in the studied con-text. It was interpreted as a process of reciprocity between caregivers, clients and significant others, characterised by transcendence for the individuals that took part in the process. Good nursing care in nursing homes demands mature individuals who are conscious and skilled professionals, able to create reciproc-ity in the care context. Such professional nurses could also serve as radiant role models to other registered nurses who are hesitant in entering nursing care of older people.

Keywords: aged, content analysis, quality of care

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12.20 – 12.40: Room 2.42

Gerontology and geriatrics in Dutch nursing educationMarije StrijbosMarieke SchuurmansUniversity Medical Centre Utrecht, the Netherlands

Vera HabesUniversity of Applied Sciences, the Netherlands

Purpose and relevance: This paper is a report of a study to provide insight in the content of nursing curricula and the knowledge and motivation of nursing stu-dents regarding care for older people. This insight will aid in enhancing nursing education to prepare nursing students with sufficient knowledge and motivation to match the growing need for nurses in care for older patients. The amount of older people will increase in the next decades, resulting in an increasing de-mand on health care. Within 20 years over 75% of all nursing care will be given to people of 65 years and over. This topic fits the theme of the conference, future professional skills and competences.

Participants/subjects: All Dutch nursing bachelor educational programmes (17) received a request to complete a survey and were asked to e-mail a link to the questionnaire to at least fifty final year students.

Methods: This study is cross-sectional and descriptive. The survey used in this study was used in previous research in the U.S. and Belgium, specific questions were added. Students knowledge was tested with the Facts on Aging Quiz, be-sides questions regarding their educational programme and their motivation. Data were collected in May and June 2011.

Analysis: The collected data were analysed using SPSS 15.0, using quantative statistical methods.

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Results: 12 (70,9%) nursing bachelor educational programmes and 304 students participated. 25% of the schools provide the subjects in standalone courses as well as integrated. None provide the subjects in standalone courses only. Nursing students answered an average of 17,9 out of 35 questions on elderly (care) cor-rectly. 16,1% of the students prefer or definitely want to work with older patients. The most recognized barriers are: a lack of interest in gerontology/geriatrics in students, a lack of role models and examples from elderly care, overloaded cur-ricula and a negative image of caring for older people. 58,3% of the schools need support in both teaching the nursing staff and material for students.

Conclusion: The three most important areas of interest are: 1)more need to be invested in roll models on the schools and at internships, 2)more and better teaching material need to be provided and 3) gerontological and geriatric topics need to be taught in standalone courses.

Implications: The education of nursing students needs immediate improving to respond to the growing needs in care for older people.

Keywords: nursing educational programmes, the Netherlands, elderly

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12.40 – 13.00: Room 2.42

Pre-operative education for patients undergoing total knee replacementAnn UnderhillUniversity of Derby, UK

Purpose and relevance: Pre-operative education is recognised as a way of pre-paring patients for surgery (Spalding 1995; Pellino et al. 1998). Little specific research has been done for patients undergoing total knee replacement. This research project was undertaken as part of an MSc in Occupational Therapy, Uni-versity of Exeter. Most people undergoing total knee replacement are over 60. It is accepted that pre-operative education empowers patients.

Participants: 78 occupational therapists working in elective orthopaedics. Con-venience sample of members of the ‘Occupational Therapists in Trauma and Or-thopaedics’ (OTTO), Specialist Section of the College of Occupational Therapists. Methods: Non-experimental fixed design using a self-administered postal ques-tionnaire. Analysis: Analysis of the data from closed questions took place using a Statistics Package. Responses to the open questions were coded into themes.

Results: The majority of participants provided information within pre-operative education. Just over half of the participants indicated the education was pro-vided as part of the pre-operative assessment. Two thirds was provided on a one-to-one basis, which allowed it tailoring to individual needs. However further research is required to consider the efficacy of this. The content of the education appeared to be very similar throughout the country, although allowance has to be made for the limitations of the study. Videos were infrequently used despite the evidence of their benefits. Web based materials are increasingly being used by those over 60 and use of this could be made within pre-operative education.

Conclusions: This study has added to the knowledge base of education for pa-tients undergoing total knee replacement. Pre-operative education was provid-ed as part of the pre-operative assessment in just over half of the responses. Two thirds was on a one-to-one basis. This allows for individualised teaching

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but could reduce peer support. The content of the education was very similar throughout the country with a variety of teaching methods used. However more use could be made of web based materials to empower patients.

Implications for practice in elective orthopaedics: Best practice guidelines should be produced on the content of pre-operative education for patients undergoing total knee replacement. A variety of teaching methods should be used to meet the needs of individual patients. Web-based material should be used to provide easy access to information including patient stories. Individualised education which used easy to access resources would empower patients following a total knee replacement. Further research into the efficacy of pre-operative education for patients undergoing total knee replacement is recommended.

Key-words: pre-operative education

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PARALLEL SESSIONS FRIDAy, 20TH APRIL EMPOWERED AGING

10.00 – 10.20: Room 2.44

Ergonomic and rehabilitative patient handlingEija MämmeläOulu University of Applied Sciences, Finland

Purpose and relevance: Health care professionals need to improve their com-petence in patient handling to maintain their own health and to enable elderly people to manage in daily locomotion at home. Elderly people want to live in their own homes as long as possible and that’s why they need to be able to move safely, maybe with help of their family members. Patient handling techniques based on natural movements and utilization of biomechanics are easy and safe for clients and assistants.

Description: The Finnish Institute of Occupational Health (FIOH) introduced the Patient Handling Passport ® scheme in 2009. The aim of the scheme is to im-prove health care professional’s ability to avoid risks and enhance safety by low-ering the physical load of patient-handling

OUAS executed the first Passport courses for nurses and therapist same year. The course is 3 ECTS and it consists of theoretical studies, workshops, practi-cal training and an exam. Theoretical studies are focused on respecting safety, patient’s resources, natural movements and biomechanics. Theoretical studies are done on a virtual platform supported by a lecturer. In the exam the students show their competences in practice and orally. Those passing the exams are reg-istered by FIOH.

Evaluation: FIOH and a national committee for developing ergonomics at social and health care monitor and develop the scheme and maintain network for pro-fessionals interested in ergonomics. OUAS gather systematic feedback from all courses to develop course execution.

Conclusions: The Passport increases competences. Participants feel more con-fident on their skills and want to spread their knowledge out. They are familiar with natural movements and letting patients to use their capacity. Learning tasks

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increase quality and harmony, but there is a need for easier text. Working in pairs is more effective than alone. Virtual platform is challenging for those who have left schools years ago. For students practising with patients on right time and facing old-fashioned ways of handling patients at their internships is prob-lematic.

Implications: The Passport scheme is effective in enhancing safety and function-al capacity of patients and staff. Discussion on every level of society is needed to gain publicity for the scheme and competences gained to encourage employees to send more staff to courses.

Keywords: ergonomics, patient handling

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10.20 – 10.40: Room 2.44

An Exploration into the Occupational Therapist’s Perceptions of their Role in End-of-Life Care with Adults who have a Learning Disability and Dementia.Jennifer CooperUniversity of Derby

Documentation concerning healthcare for people with learning disabilities ac-knowledges that through improvements in public health, individuals now have a longer life expectancy than in previous generations. Initially it was envisaged that the needs of people with a learning disability would increase in old age in line with the general population. Evidence suggests however that as people with a learning disability live longer, some may age prematurely. In particular, there is an increased likelihood of experiencing early onset Alzheimer’s disease for those who have Down’s syndrome.

Ensuring that appropriate support is given to people who have a learning dis-ability as they age as well as their carers challenges long standing service provi-sion. Continued developments are required if care received is to match that of the general population, particularly in end-of-life situations. Whilst a number of best practice guidelines have been published, for occupational therapists there is a paucity of research evidence in this area.

This research was completed as part fulfillment of a Masters degree in Occu-pational Therapy. Its aim was to explore the perceptions of occupational thera-pists on their role in end-of-life care for adults who have learning disabilities and dementia.

A qualitative study using in-depth semi-structured interviews was conducted with a purposive sample of five specialist occupational therapists working within community learning disability teams.

Thematic analysis of data revealed five themes. These concerned the individu-ality of interventions using specialist skills developed to empower individuals with a learning disability to maintain occupational participation. The importance of communication was identified and the knowledge base of participants was

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discussed along with the uncertainty with which many occupational therapists look to the future.

The findings of the study suggest that it would be advantageous for special-ist occupational therapists based in learning disability teams to take the lead in end-of-life care for people who have learning disabilities and dementia, facilitat-ing joint working with generic services in areas such as equipment provision and promoting long term occupational participation to promote quality of life.

Key Words: learning disabilities, dementia, end-of-life-care

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10.40 – 11.00: Room 2.44

Slim and fit is good, fat and lazy is bad. It is also true for elderly people Ina Koldkjær SøllingInstitute of Nursing Education, University College of Northern Denmark, Den-mark

Lene Nørgaard RasmussenAnne Elisabeth MaartenssonAalborg Municipality, Denmark

Pia BakInstitute of Nursing Education, University College of Northern Denmark, Den-mark

Erik Elgaard SørensenAalborg Hospital, Aarhus University Hospital, Clinical Research Unit, Denmark

In 2008-2009 a study was conducted in Aalborg, Denmark. The object was to describe, document and develop a Diabetes School with the aim of supporting citizens with type 2 to change their lifestyles and develop competencies to act in accordance with the values and lives of the citizens. The study focused on the experiences of the participants in regard to living with the disease and their opinions on the Diabetes School, and it intended to measure the effect on the lifestyles of the course participants.

The perspective of the course participants was examined by participant obser-vation and individual semi structured interviews. The effect on their lifestyle was measured by the means of questionnaires, measurement of blood sugar, HbA1c, and waist measurement. Nurse students and occupational therapist students were involved in the study. From 13 course participants (9 women and 4 men, aged 58 to 80 years) 10 filled out the questionnaire and 9 gave interviews. The study complied with the ethical principles at present in force.

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The analysis of the questionnaires gave variation to the data of the other data sources. Three levels of the qualitative empiricism were analyzed. On the third level empiricism across the data sources was coupled to a discussion. It led to implications of the results.

Several participants had consulted more diabetes schools. Most of them had difficulties understanding the mechanism behind the disease. Several of them became more aware of the coherence between lifestyle, treatment and blood sugar measurement. An effect could not be measured by waist measurement or HbA1c. All the participants were fond of the social aspects and solidarity of the Diabetes School. This was a contrast to the dominant feeling of being marginal-ized. The feeling of guilt, shame and sin was discussed, and professionals could both counteract and contribute to those feelings. A good education of the patient demands interdisciplinarity, differentiated offers, teaching skills, and an under-standing of the life with a chronic disease.

Key words: diabetes school, marginalization, guilt and shame

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11.00 – 11.20: Room 2.44

Men’s knowledge about health benefits of breastfeeding for women’s active ageing Zlata FelcSpela GrajErna JugCollege of Nursing in Celje, Slovenia

Purpose: Active ageing is a way of maximising the opportunities for health. The lifetime risk for breast cancer among women increases with age. Long-standing breastfeeding is associated with a low breast cancer risk. Men’s supportive par-ticipation increases breastfeeding success. The purpose of this study was to de-termine men’s knowledge of maternal health benefits of breastfeeding in order to provide possible interventions in active ageing education programmes.

Relevance: The findings of research can be used to form active ageing education programmes containing special information on the maternal health benefits of breastfeeding.

Participants: A structure questionnaire consisting of 12 questions (3 demograph-ic, 9 »breastfeeding knowledge« items ) was sent to 100 Slovenian male email users from first author’s email list between January and August 2009. Fifty-three men responded to the survey.

Methods: We managed to obtain questionnaires filled-out by 21 fathers (28-73years of age, 71.4% with higher education), and 32 non-fathers (20-34 years of age, 56.3% with higher education; p>0.05).

Analysis: Paired data were compared by the t-test, categorical data by chi2 analy-sis, and p-value <0, 05 was considered statistically significant.

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Results: Both non-fathers and fathers (84.4% vs. 81%) recognized their impor-tant role in supporting breastfeeding, but only 8.5 % of fathers and only 5.2 % of non-fathers (p>0.05) mentioned that breastfeeding lowers the risk of maternal breast cancer. Information about breastfeeding wanted 33% of fathers and 72 % of non-fathers (p<0.02), majority as electronic information. Conclusions: In spite of small sample, this study demonstrates that majority of Slovenian men recognize importance of their role in supporting breastfeeding al-though the majority of them lack adequate knowledge about the maternal health benefits of breastfeeding.

Implications: Health professionals should be opportunistic about involving men in education programmes for promoting healthy life styles and active ageing, which should include special information on the long-term benefits of breast-feeding for healthy aging of women. Information tailored to father’s role in sup-porting long-standing breastfeeding provided through email or Internet may in-crease the use of information by men. The positive contribution that men make towards breastfeeding should be encouraged.

Keywords: women’s active ageing, health benefits of breastfeeding, men’s knowl-edge.

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Co-designing Sustainable Services for Active Ageing Kaija MatinheikkiTuula MikkolaMetropolia University of Applied Sciences, Finland

We present a co-design approach and tools applied for innovating active age-ing programme within a unique Finnish senior co-housing community context situated in the city of Helsinki. The aim of our project pilot is to promote innova-tive education for active ageing by exploring how senior citizens can actively be drawn into collaborative active aging service-design processes.

The senior community and its building called Loppukiri [FinalSprint] has been established and developed by the senior residents themselves, ranging from ages 60 to 90. The building consists of 58 condominiums and many common ar-eas, including a dining room, library, fitness room, roof-top terrace with sauna and guestroom. A major concern expressed by the residents is how they could continue living at Loppukiri home as long as possible.

As the community population ages, the residents anticipate to require more care and services which help them to maintain their independence in the future as well. Currently, many of the activity groups and services are organized by the residents themselves. Indeed, the residents aim to optimize their opportunities within Health, Safety and Participation, in order to improve or maintain their quality of life as they age.

This presentation demonstrates the initial co-designing approach by applying an innovation matrix to answer the following questions: What are the expected gaps between residents’ needs and services available? How do we bridge the gaps by mapping the identified residents’ needs to co-designed future service system us-ing relevant innovation tools and strategies?

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Our pilot is implemented in the wider framework of Well-Being and Energy Ef-ficiency for the Living Conditions of Senior Citizens -project (2011 – 2014). The project’s pilot sites include elderly people’s care and service homes in different parts of Finland, and various service units as well as residential communities. This multidisciplinary project seeks sustainable and innovative solutions for im-proving the residences, well-being and services available to senior citizens. The project is coordinated by the Helsinki Metropolia UAS and financed by the Euro-pean Regional Development Fund.

Keywords: active aging, co-design, service design

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The More Life ProjectInge LangeLisbeth Vinding MadsenOle MygindKarin NaldahlUniversity College Northern Denmark, Denmark

Purpose and relevance: The More Life Project is a project run by the VEGA net-work http://knudramian.pbworks.com/w/page/12751701/MereLiv The VEGA network consists of educational institutions within the health care area of Den-mark, as well as partners from practice. The focus of the network is to enhance gerontological knowledge about everyday life of elderly. The purpose of the More Life project was to enhance and create relevant knowledge about how the staff working in nursing homes and activity centers could enhance their focus on the individual everyday life of the residents or their users. The More Life develop-ment topics were: Evening and nights; Outdoor life; Meals and meal prepara-tion; Conversations between healthcare professionals and frail elderly persons.

Methods: The method used through the project was the breakthrough method http://www.ihi.org/knowledge/Pages/IHIWhitePapers/TheBreakthrough-SeriesIHIsCollaborativeModelforAchievingBreakthroughImprovement.aspx In the project, parts of the method was transcribed into “the method of small steps”, referring to a method where focusing on the small improvements on a week to week basis in the everyday life of the participants ends up with major qualitative results in the life of the participants. The methods and the results of The More Life project holds knowledge about strategies and skills with which health professionals can facilitate a healthier, more autonomous and more ac-tive everyday life among frail elderly people.

Evaluation: The project was qualitatively evaluated on both the experiences of the practitioners, the leaders of the involved institutions as well as the experi-ences of the project coordinators. The project led to increased satisfaction in and value of the everyday life of the involved residents or users. As well as changes in the professional work at the nursing homes that was a part of the project. The

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professional workers gained more pride and working pleasure by participating in the project. UCN has in cooperation with the participants from practice started a knowledge creating network, in order to share and create new knowledge about how to enhance the focus on the everyday life of the residents of the nursing homes.

Implications: In order to enhance active ageing among frail elderly persons it is important to focus on how to enhance activities and change the environment of nursing homes, so that the individual everyday life of the residents is being val-ued as an important factor for the health and wellbeing of the elderly.

Keywords: everyday life theory, frail elderly persons, practice development

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PARALLEL SESSIONS FRIDAy, 20TH APRIL USE OF WELFARE TECHNOLOGIES

10.00 – 10.20: Room 2.46

Experiences of older customers from the mobile oral health care unit, SuupirssiMarja ÄijöKaarina SirviöSavonia University of Applied Sciences, Finland

The aim of this research was to describe the oral health care service experiences of older people at a mobile oral health care unit, Suupirssi. This paper deals with the Suupirssi (Mouth Car) project. The purpose of this project was to develop oral health care services for people in rural areas, clinical practice for dental hygienist students and the services of the dental clinic in cooperation with those working in the field. The project produced a mobile oral health care unit (Suupirssi). Ac-cess to services is eased by bringing the services to customers through a mobile unit, and by disseminating modes and models of operation throughout the entire province. The aims of the service are to offer customer-oriented oral health care and to improve oral self-care skills among customers. The service is intended for oral health care customers living in rural areas in eastern Finland.

This study was conducted at the Savonia University of Applied Sciences in east-ern Finland. The participants were selected to the research according to the state of health and their voluntary consent. Data was collected through personal in-terviews after the oral health check in participant’s home. Data collection was completed between April, and August 2011. The mean age of the thirteen older participants was 83 years, and five of them were men. The residence time at care or nursing homes ranged from 2 weeks to 12 years. Data was analysed using inductive content analysis.

The results show that the Suupirssi offered well produced and high-quality oral health care services for older customer. The customers felt that the students worked like a real professional worker, and they got information to improve their oral self-care skills. Before the oral health care checking many customers were suspense and fear, but afterwards they were thankful for the services. They felt that they need this kind of mobile oral health care services. Many of them are not able to go far from the home to get services because of functional difficulties or

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they felt the oral health care checking is not necessary for them. When the ser-vices are available near, older people want to use them.

Oral health care services generated by students were seen as professional and qualified. Older people want to use services that are near and easily achievable. Thus, it can be concluded that the Suupirssi, a new technological innovation, can facilitate and promote the wellbeing of older people.

Keywords: service experiences, oral health care, older people

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10.20 – 10.40: Room 2.46

A virtual ideal home for Senior Citizens as a learning and development environmentPäivi TiilikainenSavonia University of Applied Sciences, Finland

The aging of the population will pose great challenges for the care of Senior Citizens as well as the education in social and health care. Young students are not really interested in the studies of the care of old people. This has been the starting point for the beginning of A Virtual ideal home for Senior Citizens as a learning and development environment (Hima) - project, 1.5.2010–30.4.2013.

The core goal of Hima project is to create new approaches to increase the at-tractiveness to study the care of old people to renew the teaching and learning processes to be more customer-oriented, to increase networking between com-panies and organizations as well as to increase the availability of products and services for Senior Citizens.

The project seeks to renew the teaching and learning processes as well as meth-ods with regard to the care of old people by developing a virtual ideal home for Senior Citizens in the Second Life virtual world. In addition, a virtual learning game is developed in the project for theoretical studies. Furthermore, on top of the virtual studies, a practical training among Senior Citizens is included.

The ideal home to be built in Second life is broadly defined as a physical, psy-chological, social, safe, and easily accessible home that enables living and coping independently at home as long as possible. The ideal home in Second Life works both as a learning environment and information and networking forum for the products and services of companies and organizations. Both the game and Sec-ond Life can work as a further education environment for social and health care professionals.

The principal beneficiaries in the project are students and teachers in social and health care, professionals in social and health care as well as companies and organizations offering products and services for Senior Citizens.

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The North Savo Centre for Economic Development, Transport and the Environ-ment has granted the funding from European social funds.

http://hima.savonia.fi

Keywords: health care education, senior citizens, second life, virtual home

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Users’ perspectives on developing technology for the elderly in service-home environmentMerja Sallinen Outi Salo Sari Teeri Anne Kärki Satakunta University of Applied Sciences

Purpose: The purpose of the study was to explore the experiences of gerontech-nology of the elderly service-home residents and the staff working with them. Secondly the study aimed at enhancing active agency of the users by encouraging them to express their needs, wishes, fears and worries concerning technology. Relevance: The main ethical principles in elderly care are self-determination, resource orientation, equality, participation, individuality and security. These principles are also essential in the development of technology for older people. In this R& D- project the technology is developed following a user-driven approach; the technological devices are developed and improved basing on the needs and experiences of the elderly residents (+ their proxies) and staff. The experience that your opinions are heard and acknowledged is empowering especially for the elderly and thus enhances their active participation in decision making. Participants: Service-home residents (aged 80-92) and/or their fam-ily members (n= 17), members of the staff (n=34) in three service-homes. Methods: A mixed-method approach was used to collect the data; all the el-derly residents were interviewed individually, whereas the members of the staff participated in focus-group interviews or answered to a questionnaire. Analysis: The qualitative data was analyzed by categoriz-ing the data theme by theme. Simple statistical analysis was used to analyze the quantitative data (frequencies, mean values etc.) Results: The elderly residents discussed the usability of the technological devices in terms of accessibility, poor design and false alarms. They also ex-pressed their ethical concerns of technology; the costs of the devices, possible intrusion of privacy, maintaining autonomy and whether or not more technol-

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ogy would mean less human contact. The nurses expected the technology to in-crease safety and to prevent falls, as well as to support independence of the elderly. Need for developing safety technology for those with severe memory problems was especially highlighted by the staff. Both staff and residents expli-cated their doubts on flawless functioning of the current technological solutions. Conclusions: Privacy and autonomy issues need to be discussed be-fore applying new technologies. Design and accessibility (design-for all) of the devices needs to be developed in order to overcome the “tech-nological generation -gap”, i.e. to help the elderly to use the devices. Implications: The development of devices should response to the needs and ex-periences expressed by the users; otherwise the devices may not be used effi-ciently and cost-effectively. Use and application of gerontechnology is one of the future core competencies of the people working in the elderly care, and needs therefore to be included in educational programs.

Keywords: gerontechnology, design-for-all, ethics

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11.00 – 11.20: Room 2.46

A website with home modifications for people with dementia Jamie van DalumChantal A.M. HuismanHogeschool Utrecht, the Netherlands

Purpose: There are a lot home modifications possible but not every home modifi-cation is effective and useful in the situation of dementia. To help people with de-mentia and caregivers with optimization their living environment we have made a list of the home modifications that are useful for people with dementia in de home situation. This list off home modifications is presented on a website we created during our project.

Relevance: Most people want to stay in their own home as long as possible. This also applies to people with dementia and their caregivers but can be difficult. For this reason it is very important to respond on the needs of the aging person.

Description: The accessibility of the website was an important aspect while cre-ating the design of this website. It had to be possible for everyone to access the website and use the information from de website. Therefore people with demen-tia and their caregivers have given their input on several design interpretations of the potential website in the process of creating the website. The input and wishes off the potential users of the website are used to create the website during our internship.

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Evaluation: After the website was created there was a presentation with the users and designers of the website. The users have tried the website and were satisfied.

Conclusions: Now people with dementia and their caregivers can find infor-mation about home modifications in a more easy way. These are organized on a website. Listen to the needs of the aging person, that is very important for a project like this!

Implications: It is important to know what dementia contains

Keywords: dementia, website, home modifications

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EDUCATIONAL WORKSHOP, FRIDAy, 20TH APRIL EMPOWERED AGING

12.00 – 13.00: Room 2.46

Active ageing: when does it start and how can it be facilitated?Anke HeijsmanMarleen GoumansKim BisschopRotterdam University of Applied Sciences, the Netherlands

Purpose: The workshop introduces the perspective that active ageing is not a process exclusively related to older persons. Active ageing is a process start-ing in childhood (preferably before birth, including healthy pregnancy), moving forward to adolescence and is finally aiming at health and participation issues of older persons. Inspiring best practices and promising results will be presented.

Relevance: Although life expectancy is growing in Europe, differences in healthy life expectancy are increasing. For example, people with lower education devel-op on average 19 to 20 years earlier health complaints in comparison with the higher educated (Dutch Health Council, 2011). Educators should encourage their students to develop new viewpoints regarding empowerment of individuals and communities throughout life course in order to facilitate and enable people to optimize their opportunities for health, safety and participation. Educators are challenged to coach their students in developing new professional competencies and to make them comfortable in using multi-professional methods.

Participants: We invite conference participants (both teachers, researchers and other staff members) to join the workshop and bring in and share their examples of (research) projects7 in which their students, teachers, researchers and field workers cooperate on improving healthy and active ageing. We expect partici-pants to share their experiences with each other and inspire the interested col-leagues.

7 I.e. ‘physically’, e.g. by bringing along an abstract of an article, poster etc.

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Method: First three inspiring research projects from Rotterdam will be presented shortly, then a ‘market place’ will be organized with three different market stalls (research, multi-professional educational methods, and organization of educa-tion). The World Café method is used to exchange experiences and promising insights gained from various ‘best practices’.Implication: Participants will go home with tangible ideas about what can be done to empower individuals as well as communities - especially those ‘at risk’ - in order to increase their abilities to improve their health and quality of life through-out the life course. They also learn how these new approaches and competencies can be accomplished through education, and who can be consulted to realize the intended innovations in educational and research programs.

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Danske fysioterapeuter - the Association of Danish Physiotherapists

Creating values in the health market for both physiotherapists and citizens.

Posters


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Lesson learned from Erasmus Intensive Programme about ageing and innovationMaria Wulff Christensen Pia Lomholt Anne Sofie Elb University College of Northern Denmark, Denmark

Purpose: Three students from University College of Northern Denmark partici-pated in an ERASMUS IP course in Portugal. Our task was to create an innovative product in relation to the theme ‘integrate elderly better into the society in 2020’.

Relevance: In the future, the number of elderly people in Europe will increase, while the resources in the health care system are decreasing. This will create a big gab; “an imbalance between the elderly and the working populations”. There is a need for new innovative products to decrease this big gab (see results). The aim of these products is in the long term saving money, avoid elderly getting lonely, motivate the elderly to do more exercise and by this prevent lifestyle dis-eases, reduce hospital stays, and give elderly more quality of life.

Methods: 60 students from different Health Educations: nurses, physiotherapists and occupational therapists participated. In groups we collected empirical data, studied literature and previous research. To keep the students actively involved, the classes varied between presentations, lectures, project work, with focus on the latter.We used the collected data to clarify the issues about aging. With our different professional and cultural background we discussed the consequences and pos-sible solution to the big gab.

The students represent different countries: Norway – University of Stavanger, Netherland – HAN University of Applied Sciences, Portugal – Escola Superior de Saúde da Cruz Vermelha Portuguesa, Turkey – University of Hacettepe, Switzerland – Berner Fachhochschule and Denmark – University College of Northern Denmark.

Student poster

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Results: The outcome of the course was six innovative products; two of them will be presented through photos and text on the poster.

A new software application ‘Come together platform’ for tablets and smart-phones.

‘New life village’ - a long-term project focusing on changing the way society looks at elderly.

Conclusions: Innovative products were created on the IP. However, due to limited time, it is necessary to evaluate the products with focus on economy, cost-benefit and elderlies’ view on quality of life.

Keywords: Aging, Innovative thinking, decrease healthcare gab.

References: WHO Health Report 1997: http://www.who.int/whr/1997/media_centre/ex-ecutive_summary3/en/index.html

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Innovative Occupational Therapy for Active AgeingJennifer Lea Alison Kerr Jennifer Lewis Smith University of Derby, United Kingdom

Purpose: An innovative educational approach was developed within an Occu-pational Therapy programme in the United Kingdom (UK) where students were encouraged to challenge the scope for Occupational Therapy practice. Students investigated the theoretical viability and feasibility for Occupational Therapy pro-vision within an innovative setting, and devised theoretical business plans.

Relevance: An example of a student project will be presented, where a case of need and subsequent theoretical business proposal was identified for Occu-pational Therapy provision within a residential care setting to promote active ageing. This represents an opportunity for innovation within the setting where residents may receive personal and nursing care support, however, do not have access to rehabilitation staff or services.

Description: Within the example project, a needs assessment was completed through critically reviewing the literature and reference to voluntary experience within a care home. This identified a need for residents to be empowered to engage in meaningful occupations to maintain or promote physical health and mental wellbeing, contributing to an overall improvement in quality of life. As a result of an opportunity selection process, an Occupational Therapy opportunity in the form of a customised version of the ‘Lifestyle Matters’ programme was recommended to meet the residents’ needs.

Evaluation: As an innovative educational approach, module evaluations were carried out to evaluate the students’ experiences of delivery.As part of the example project, several tiers of measurement were identified which could be utilised to evaluate the provision were it to be commissioned, including; process, impact and outcome evaluation.

Conclusions: Through innovative educational opportunities students challenged the scope for Occupational Therapy practice. The example study confirmed that the presence of an Occupational Therapy provision within a UK care home pro-moting active ageing is theoretically viable and feasible.

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Implications: Through innovative education approaches, students may acquire the skills to develop a case of need for Occupational Therapy provision in in-novative practice arenas thus challenging the scope for Occupational Therapy practice. The example project highlights the need to build evidence to underpin practice within a UK care home setting promoting active ageing.

Keywords: Care homes, innovation

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Improving healthy life expectancy by multidisciplinary approaches in Rotterdam - according to life phases 1. Child, 2. Adult, 3. Elderly

A multidisciplinary group of Health Care students Kim Bisschop Rotterdam University of Applied Sciences, The Netherlands

Purpose: The city of Rotterdam is divided in two parts by the river Maas. Recent research has learned that people in the southern part of Rotterdam live four years shorter than people in the North. Their for political aims in Rotterdam are set to get a healthier lifestyle during the whole course of life.

Relevance: The Rotterdam University of applied sciences is one of the partners that play an important role in initiating innovative approaches. Several research-ers in our Health Care department participate in projects round ageing and pre-ventive interventions during the course of life and Health Care students partici-pate in many different research projects during their curricula.

Participants: A multidisciplinary group of Health Care students from the Rot-terdam University of applied sciences are invited to join an Honours Degree pro-gram in the third and fourth year of their studies.

Method: One of the assignments they get in the third year is to do participate in scientific research based on the European theme of the year and to present the outcomes in a poster presentation. This year, our students will present facts about the Health situation of Rotterdam-South population and about the impli-cation of politics on health care interventions. Their focus will be on exploring successful examples of integrated care and inter-professional approaches in im-proving healthy life expectancy.

Implication: Besides presenting facts our students will state their personal opin-ions about innovating health care and about their own inter-professional roles and skills to reach political goals as far as they concern active ageing. Through presenting a poster with information about the Rotterdam situation they wish to connect with other care givers and learn about the relevance and practical impli-cations of health promotion in multidisciplinary settings.Keywords: Rotterdam population; Inter-professional approaches; Health pro-motion; Political aims; Honours Degree Program.

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Creative Methods in Communication

Jane Bak University College of Northern Denmark, Denmark

I made a poster about creative methods in communication. My in-spiration came from an intensive course, which took place in Nor-way, in October 2011. The course was called ”Creative meth-ods in Communication – Focus on Art in Teaching and Supervision”. My focus is two creative methods, narratives and letter-writing, and how you, as a nurse, can use them to help a patient with unresolved issues, therefore preventing unnecessary stress and the diseases stress causes. The theorist Kari Martinsen writes about the method narratives. She defines narratives as patient histories. The narrative is a way to understand, the things that gives meaning for the individual per-son, which is important for the nurse to know. (Martinsen, K., 2010) The other creative method the nurse can use, to help the patient, is the exercise: write a letter. The patient writes a letter, which can be to the patient himself or to another person. It can help the patient to verbalize his thoughts and feelings.

References: Martinsen, K, 2010, “Fra Marx til Løgstrup – Om etik og sanselighed I sygeplejen”, 2. udgave, Munksgaard Danmark, København. Page: 135-139.

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Active AgeingMaria Froulund Ladekarl, Stinne Holstejn Johansen, Pernille Hurup Knudsen University College of Northern Denmark

In September 2011 we participated in The 6th Family Nursing Week/Child’s Right Week at Lathi University of Applied Sciences in Finland. The course dealt with children and young people’s health, wellbeing and rights. In this connection it appeared to us that the values, which are important in a safe childhood, also concerns getting a good old age.In preparation of this poster we were inspired by teaching we received at The Child’s Right Week. We were introduced to The Wellbeing Wheel – SHANARI, which stands for safe, healthy, achieving, nurtured, active, respected and re-sponsible and included (1). Starting from this we found some keywords, which we mean, should be in focus when talking of active ageing:Achieving – to achieve what one want and wish for and to do gratifying and live a good life in spite of changes of one’s body. There needs to be an emotional in-volvement in one’s existence that can create happiness and meaning (2, p. 189).Groups – people need meaningful relations. The elder person who loses part-ner or close friends can be left lonely. Relations are important for our psychical health and wellbeing and for that reason it is important that the professional is helpful in creating new relations for the elder. Energy – physical activity and exercise gives energy and more psychical and physical wellbeing – indifferent if you are 20 or 80. Physical activity results in bet-ter appetite, muscles strength, condition, bone strength and mental wellbeing.Individuality – the process of getting older involves great individuality. Not two people age alike. Individuality is characteristics, which people express through. Nurtured – food has impact on physical and psychical wellbeing. Healthy elder can get pleasure of following the official food recommendations because the in-creased fat content in the body can result in food related diseases. For that rea-son it is important to help the elder to consume nourished and healthy food.Generations – it’s our opinion that both young and elder people would benefit from testing their prejudices against each other and in that way throw a bridge over the generation gap.

References:1. The wellbeing wheel – SHANARI: http://sacredheart.mgfl.net/?page_id=13662. Munk, K., Aldring, psykisk sundhed og trivsel. I C. E. Swane, A. L. Blaakilde & K. Amstrup. 2002. Gerontologi. Livet som gammel. 2. udgave. København: Munksgaard Danmark. Page 189-201

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Gerontological in-depth expertise in higher education apprenticeship-type trainingElina Jouppila-Kupiainen, Katri Ryttyläinen-Korhonen, Salla SeppänenMikkeli University of Applied Sciences, Finland

Purpose and relevance: Apprenticeship-type training in higher education is a new model of continuing education in Finland. The first type of apprenticeship-type training, worth 30 ECTS credits, in Finnish health care began in 2009, and was financed by the Ministry of Social Affairs and Health. This type of training aims at in-depth expertise in elderly care. Apprenticeship-type training is on-the-job training with the aim of individual and the whole workplace professional learning and development. The learning outcomes have been set for EQF level 6. Description: The aim of the higher education apprenticeship-type training in ger-ontological expertise coordinated by the Mikkeli University of Applied Sciences is to deepen and expand professional gerontological knowledge of elderly care. Professionals who have higher education degrees from the social and health care sector and work with older people can participate in this training. The con-tents of the training is divided into five themes: 1. In-depth knowledge of the ag-ing process, 2. Methods of functional capability and empowering geriatric care, 3. The development of service models and structures and entrepreneurship, 4. Well-being of the work place, leadership, and coping, and 5. Research and devel-opment studies. Personal study plan and surveys of their prior skills are made with the students. Evaluation: The students’ own work is considered more as a learning environ-ment which means that each student will be appointed a mentor from working life. Mentors support students’ professional development and their role is to pro-mote the integration of theory and the practices of the workplaces and to help the students to reflect meaningful applications of their learning tasks. Students demonstrate their competence in learning tasks and demonstrations of their skills. Assessment is versatile covering self- and peer evaluation and feedback from the tutors and mentors.The connection between working life and the development of work community is close due to apprenticeship-type training. Students can immediately benefit from new knowledge in their daily work among the elderly. This type of training provides benefits for working life for example by responding better to its needs by enabling the development of new ways of multi-professional work in elderly care and by promoting the development of working life as a rich learning environment.Keywords: apprenticeship-type training, on-the-job training, elderly care

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HEA, Well-being and energy efficiency in housing; Utilization of innovation environ-ment and user information in well-being and energy savingMinna SaarinenLaurea University of Applied Sciences, Finland

Purpose and relevance: Wellbeing and Energy Efficiency in Living -project uti-lizes the combination of innovative building technology solutions and technology solutions of well-being. The aim is to develop new, user driven solutions and ser-vices to support the well-being of elderly people, support the ability to be active and live at home and support energy efficiency in living.

Description: The project uses the User-Driven open innovation methodology of Living Labs, thus bringing together the stakeholders including user communi-ties, service providers, public authorities and technology suppliers who together define the functionality of the new economic and ecological services. Service center Palomäki is assisted living building in Porvoo, Finland and provides shel-tered housing services to people who require it round-the-clock; i.e. people with memory diseases, disabled people and elderly residents.

The main objectives of the pilot are: Develop sheltered housing and new servic-es, practices and recommendations that help increase residents’ quality of life; maintain the residents’ community activities, well-being, functional capacity, in-dividual resources, activity and participation; increase the employees’ working time available to help residents with the help of energy efficient technological solution, as well as to improve the employees’ safety at work. Attention is given especially to residents’ own life style and an increasingly personal way to take into account their needs, aspirations and wishes are used.

Evaluation: Measure 1 A theoretical survey and analysis of the technological care solutions of Palomäki service center. Measure 2 A survey and analysis of Palomäki service center facilities and physical environment and observation of their activities. Measure 3 A study of the Service center residents and employ-ees’ attitudes and work practices in energy-efficient everyday activities. Measure 4 Development of energy-efficient technological care models and applications. Measure 5 Dialogue with people responsible for the design and planning of ser-vice centers and community influence

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Meaningful activity in old age. The relationship to survivalKaren Hedvig LegarthMetropolitan University College, Denmark

Purpose and relevance: The aim of this study is to analyse whether having an important activity at age 75, 80 and 85 is related to survival. The investigation is based on a longitudinal study of a Danish population who has been followed through a lifetime by epidemiological and longitudinal studies at the Research Centre of Preventive Medicine and Health, Copenhagen.

Description: The main variables include most important activity (yes/no) and mortality. The preliminary analyses show a significant relationship between hav-ing an important activity and survival. Persons who have an important activity at age 75 have lower mortality over the next 16 years compared to persons who have no important activity at age 75. For persons at age 80 the hazard ratios show relationship for 11- year survival by having a most important activity at age 80. As for persons at age 85 the hazard rations decrease to 6- year survival by having a most important activity at age 85.

Conclusion: Loss of the most important activity is associated to mortality in old-er persons. A person’s possibility of having an important activity may empower older people and influence quality of life.

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The reliability and validity of the SenseWearPro3 pedometer and yamax pedometer tested in a student population.Harriët Jager-Wittenaar Floor RotgersEmma BekedamHans van de LeurHanze University of Applied Sciences, the Netherlands

Introduction: Adequate physical activity is essential to maintain muscle mass and strength, which contributes to healthy aging. (Self-)Monitoring of physical activity by a pedometer can stimulate physical activity. Currently, the reliability and validity of the SWP3 and Yamax pedometer are unclear.

Purpose and relevance: This study aimed to test the reliability and validity of the SWP3 pedometer and Yamax in a student population. Knowledge on reliability and validity of the SWP3 pedometer and Yamax pedometer enables researchers and therapists to decide on which device is most appropriate for self-monitoring of physical activity.

Participants: Hundred healthy volunteers (50 men, 50 women), aged 18-30 years, participated in the study.

Methods: Each participant walked an indoor, fixed walking track (596 meters) twice, wearing both the SWP3 and Yamax pedometer. Manual count by the ob-servers was used as reference method. No permission by the Medical Ethics Committee was required. The study design was approved on all criteria of the WMO.

Analysis: Statistical analysis was performed by use of SPSS 17. To assess reli-ability, correlation coefficients between two measurements were calculated. To analyze validity, differences in step count between two methods were calculated (mean±SD) and analyzed by unpaired t-test. Additionally, Bland-Altman analyses were performed.

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Results: The correlation between measurement 1 and measurement 2 of SWP3 was moderate (r=0.608, p=0.228). The correlation between measurement 1 and measurement 2 of respectively the Yamax pedometer and manual step count were good (r=0.853, p=0.002 and r=0.891, p=0.001). Step count by SWP3 was 32±53 steps higher than manual count (limits of agreement: 138; -74), whereas step count by Yamax was 3±34 steps higher than manual count (limits of agree-ment: 72; -65). The correlation between steps by Yamax and steps by manual count was stronger (r=0.894, p<0.001) than the correlation between steps by SWP3 and steps by manual count (r=0.757, p<0.001).

Conclusions: The Yamax is more reliable and more valid than the SWP3 in count-ing steps in a healthy population aged 18 to 30 years. Implications: For (self-) monitoring of step count, the use of the Yamax pedom-eter is preferred above the SWP3 pedometer.

Keywords: pedometer, reliability, validity

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ELLAN – A European Later Life Active NetworkIrma MikkonenSavonia University of Applied Sciences, Finland

Ritva VäistöNorth Karelia University of Applied Sciences, Finland

Purpose: Demographic ageing is a global fact. Europe faces severe population ageing in the near future. The Strategic Plan (2011) of the Steering Group of the European Innovation Partnership on Active and Healthy Ageing emphasizes the idea of active ageing. It calls for a new vision of ageing and promotion of positive possibilities in older age. The challenge is how to transfer this vision into practice of working with older people. Higher education institutions have a crucial role in meeting this challenge. These challenges related to the ageing society led the network of 29 European institutions from 27 different countries to make a project proposal for the call 2012 of LLP Academic Networks.

Relevance: The topic is related to the conference theme of Empowered Ageing – the project aims to share good practices and disseminate the vision of positive ageing as well as develop the education of health care professionals working with older people.

Description: The aim of the network is to promote European cooperation, innova-tion, exchange of good practice, and research related to the ageing of population. During the project, the consortium of 29 partners conducts the analyses on Euro-pean level of competences of personnel working with older people; of technology and innovation in older people’s lives; and of good practices in education.

Evaluation: The project application will be evaluated by The Education, Audio-visual and Culture Executive Agency (EACEA) and if accepted, the project will start in autumn 2012.

Conclusion: The results of the project are exploited in the development of cur-ricula related to later life as well as in introduction of a definitely positive vision of ageing in national networks.

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Implications: The main output of the project is a permanent European Later Life Active Network, the ELLAN. After the project, ELLAN is an open network for higher education institutions and other organizations or associations, willing to solve issues related to ageing, and, especially, to improve the quality of education of professionals working with older people. The impact of ELLAN lies in better work motivation, improved elderly care, and better later life quality in Europe.

Keywords: ageing, education, older people

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Do test evaluators attitudes influence the maximal lifting capacity of healthy persons?Sandra E. LakkeHanze University GroningenHanze University of Applied Sciences University Medical Center, University of Groningen, the Netherlands

Jan H.B. GeertzenRemko SoerMichiel F. RenemanUniversity Medical Center, University of Groningen, the Netherlands

Cees P. van der SchansHanze University GroningenHanze University of Applied SciencesUniversity Medical Center, University of Groningen, the Netherlands

Purpose and relevance: Patient physiotherapist interactions may affect a per-son’s physical functioning. Previous studies showed that physiotherapists who believe that specific activities might result in re-injuries are more likely to stimu-late patients to stay inactive. We hypothesized that these injury-focused beliefs of physiotherapists may decrease lifting capacity. Awareness of attitude and beliefs of physiotherapists may improve future professional skills and competences.

Participants: All first-year physiotherapy students (n=250) participated in this study. Test evaluators were randomly selected from a sample of 200 second-year physical therapy students. 50 Percent received education on biomechanical issues and potential causes of back pain (injury-focused). The other half of the group received education on the biopsychosocial model reflecting the positive training effect of lifting (ability-focused).

Methods: A randomized clinical trial. A standardized lifting capacity test will be administered to all participants. The first group will perform the lifting test in the presence of an injury-focused evaluator. The second group performs the lifting task in the presence of an ability-focused evaluator. Participants and evaluators will be blinded to the test condition and the purpose of the study.

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Analysis: Unpaired t-test will be used to analyze differences between the two groups. The main outcome measure will be lifting capacity (kg).

Results: The study is currently in its final stage. In April 2012 the results of the two pilots will be reported. Student participation in a research project will be highlighted.

Implications: If we know the influence of the beliefs of the physical therapist on physical capacity we can implement this knowledge into our education skills program.

Keywords: work capacity evaluation, lifting, health care provider, fear

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The Rotterdam approach: exceed expectations in developing competences through participating in real life projects Rens MartijnMirjam KoningGerda BrondijkKim BisschopMarleen GoumansRotterdan University of Applied Sciences, the Netherlands

Purpose and relevance: An important mission of the Rotterdam University of applied science is to collaborate intensively with future employers of all students in the city of Rotterdam and to play an important role in the Rotterdam business, health care and society. The OIIO (Outside In – Inside Out) policy of our University stands for an educational method of developing necessary competences through participating in real life projects. All health care students collaborate with prac-titioners in health care institutes in working on health related projects in Rotter-dam. Through this presentation we would like to show how talented students are involved. Professors at the Health Care Department of our University have been guiding scientific research on the subject of healthy ageing in which researchers, health care practitioners and several kinds of students collaborated.

Participants: About 10% of all students can be part of an Honours Degree Pro-gram in the third and fourth year of their studies to get an Honours Degree on top of the Bachelor Degree. During this program students can excel in five com-petences by working in a multi-professional team on finding innovative solutions for complex challenges in Rotterdam society and health care. A group of four teachers is coaching the health care students during the program.

Method: By this poster presentation these coaches wish to show the Rotterdam way of talent-coaching by working with excellent students in research about (ac-tive) ageing and the inventive way of talent-coaching they carry out to guide the students through complex challenges and to develop excellent competences.

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Implication: We hope to discuss our approach with staff and students from oth-ers universities with the intention to support excellence in education.

Keywords: OIIO policy, outside in – inside out, innovative solutions, active ageing; honours degree program, talent-coaching

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Multiprofessional joint programme for enhanced competences on welfare technologyAndrew SirkkaArja MäkinenSatakunta University of Applied Sciences

Purpose: The presented Welfare Technology Master degree programme (JPWT; 60/ 90 EC) at SAMK UAS aims at responding to the well-known demographic and economic challenges in Europe by developing professional competences re-quired in client-driven, individual-based services supporting a person’s optimum autonomy in living environments. This multiprofessional joint programme gath-ers professionals from various fields of engineering, health and social sector to exchange ideas and innovations heading for the same goal – empowerment for autonomous and enriched living. Joining excellence in technology and care emi-nently improves and enhances understanding and elision required in developing services and deployment of new technology in welfare sector.

Relevance: The demographic change in Europe setting economic challenges of-fers also a tremendous opportunity to renew and redesign services. The value of e-Health and numerous welfare technology applications has been recognized, and becomes rapidly a new form of industry. New ways in service provision re-quire inevitably new professional competences for those designing, managing and executing care and welfare services. Description: Multiprofessional approach in multimethod learning contains stu-dent projects and dialogue as assignments on innovations and product/ service designing. Shared expertise in multiprofessional teams has proven to be moti-vating, and widening the horizons in many ways. Teaching is tightly linked with RDI activities in SAMK, the region, the students’ background organisations, and the wide international collaboration with European Institutions.

Evaluation: The JPWT –master programme actively employs the Advisory Board members representing key partners in the working life. Utilising multiprofes-sional dialogue and teamwork in working life-driven assignments has been seen as the best practice in many ways.

Conclusions: Multiprofessional dialogue, joint group assignments, innovation

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in naturalistic working life situations are striving for mutual attainment of new means, understanding, and ability to share expertise, in providing individualised services and appliances enabling autonomous and enriched living despite chal-lenges.

Implications: For professional practice in specific area / education / policy.The attained excellence in JPWT –master programme has been highly appreciated by the working life.

Keywords: multiprofessional dialogue, welfare technology, redesigning health and welfare services

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Co-designing Sustainable Services for Active Ageing Kaija MatinheikkiTuula MikkolaMetropolia University of Applied Sciences, Finland

Our poster presents a co-design approach and tools applied for innovating active ageing programme within a unique Finnish senior co-housing community con-text situated in the city of Helsinki. The aim of our project pilot is to promote in-novative education for active ageing by exploring how senior citizens can actively be drawn into collaborative active aging service-design processes.

The senior community and its building called Loppukiri [FinalSprint] has been established and developed by the senior residents themselves, ranging from ages 60 to 90. The building consists of 58 condominiums and many common ar-eas, including a dining room, library, fitness room, roof-top terrace with sauna and guestroom. A major concern expressed by the residents is how they could continue living at Loppukiri home as long as possible. As the community popula-tion ages, the residents anticipate to require more care and services which help them to maintain their independence in the future as well. Currently, many of the activity groups and services are organized by the residents themselves.

Indeed, the residents aim to optimize their opportunities within Health, Safety and Participation, in order to improve or maintain their quality of life as they age. In the poster we demonstrate the initial co-designing approach by applying an innovation matrix to answer the following questions: What are the expected gaps between residents’ needs and services available? How do we bridge the gaps by mapping the identified residents’ needs to co-designed future service system us-ing relevant innovation tools and strategies?

Our pilot is implemented in the wider framework of Well-Being and Energy Efficiency for the Living Conditions of Senior Citizens -project (2011 – 2014). The project’s pilot sites include elderly people’s care and service homes in different parts of Finland, and various service units as well as residential communities. This multidisciplinary project seeks sustainable and innovative solutions for im-proving the residences, well-being and services available to senior citizens. The project is coordinated by the Helsinki Metropolia UAS and financed by the Euro-pean Regional Development Fund.

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Enhancing voice quality as a way of promoting active ageingCatarina OlimEscola Superior de Saúde, Instituto Politécnico de Setúbal

Degeneration of the structures involved in speech related to ageing takes place after the age of 50. An aging voice, named presbyphonia, is characterized by loss of strength, speed, stability and articulatory precision. As a result, we find in elderly trembling, dysphonic, and breathy voices as well as weak intensity pro-duction.

This study presents a program constituted by a set of activities performed with a vocal chorus composed of male and female individuals aged over 50 years old.

Each individual presents variable vocal skills, which are in choirs organized un-der the usual categories of soprano or contralto for women, and tenor or bass for men. A certain vocal adaptability is therefore expected in choristers, especially in the case of amateurs who did not perform such activity in their professional careers. One of the most common consequences in these cases is the interrup-tion of the singing activity due to the emergence of functional or organic lesions in the vocal tract.

In order to avoid these consequences, a preventive program was conceived. It comprised a set of exercises focusing on vocal warming-up, breathing, voice pro-jection, vocalizes and tuning, carried out for 15 minutes before the choral activity. In the end, another set of 15 minutes exercises was performed now targeting the relaxation of the laryngeal structures, shoulder girdle, shoulder and head. Additionally, the subjects implemented measures of vocal health and hygiene throughout the day and increased hydration when vocal use was more intense.

Since the beginning of this program, in October 2011, there are no reports of the emergence of voice problems leading to the abandon of the choir activities. Moreover, both the maestro and the vocal coach reported that the subjects have an extended voice and greater vocal potential than before.

The next step of this study is to follow these individuals over a large period, measuring their voice parameters during the implementation of the program.

The program aimed at combating and preventing the natural degeneration of the organs and tissues as a way of promoting the voice quality in the elderly and consequently active ageing.

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Acknowledgements:To plan, organize and implement a conference like the annual COHEHRE confer-ence is a huge task that demands the involvement of many, many people across professions and borders.

It has been a challenge; an educational, a developing, fascinating and fantastic experience, and it has only been possible because of the engagement and will-ingness we, in the organizing committee, have met where ever we have turned to ask for help!

We would like to acknowledge that and thank the many people, organizations, and institutions that have volunteered so greatly to make this conference a real-ity.

We would like to thank THE OBEL FAMILy FOUNDATION for a generous donation to the conference.

We would like to thank the following companies, organizations, unions and pro-jects for their support of the conference through ads in the conference handbook, exhibitions at, and volunteering in, practical work during the conference:

Company Name Project/web

CIM interconn – interactive connection

Søren MøllerTechnical Director www.cim-interconn.com

DaneAge Association www.aeldresagen.dk/om-os/in -english/Sider/default.aspx

Future Nursing Home Project managerKirsten Skovrup

www.fremtidensplejehjem.dk(in danish)

AalborgSeniorSport www.seniorsport.dk (in danish)

Curaga ApS - Inventing Selfware Jakob Klein Petersen CEO www.curaga.dk

The Municipal District of Aalborg – Department of Care for the Elderly and Disabled and HealthCare KMD

Online Care

Metropolitan University College, Education of occupational therapy

New technology for citizens with dementia

Danish Physiotherapists

Danish Nurses’ Organisation

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We would like to thank the group of volunteers who have worked as facilitators during the conference, namely students of UCN and a group of active lecturers emeriti.

And finally a great thank you to every participant at the conference without whom the conference would never have been.

On behalf of the organizing committee,

Nina BengtsenHead of International RelationsHealth Sciences

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Kunsten Museum of Modern Art Aalborg

University College of Northern DenmarkHealth Sciences, Aalborg

Selma Lagerløfsvej 29220 Aalborg SØDenmark www.ucnorth.dk

cohehre conference book

Documents

cohehre conference

innovative education

cohehre academy

conference theme

cohehre council

conference workshop

modern city

deans programme