{"id":6399,"date":"2026-10-19T09:48:51","date_gmt":"2026-10-19T09:48:51","guid":{"rendered":"https:\/\/phd.hi.is\/doktorsvorn\/doktorsvorn-i-hjukrunarfraedi-inga-valgerdur-kristinsdottir\/"},"modified":"2026-10-19T09:48:51","modified_gmt":"2026-10-19T09:48:51","slug":"doktorsvorn-i-hjukrunarfraedi-inga-valgerdur-kristinsdottir","status":"publish","type":"phd_defence","link":"https:\/\/phd.hi.is\/en\/doktorsvorn\/doktorsvorn-i-hjukrunarfraedi-inga-valgerdur-kristinsdottir\/","title":{"rendered":"Doktorsv\u00f6rn \u00ed hj\u00fakrunarfr\u00e6\u00f0i – Inga Valger\u00f0ur Kristinsd\u00f3ttir"},"content":{"rendered":"
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Mi\u00f0vikudaginn 23. apr\u00edl 2025 ver Inga Valger\u00f0ur Kristinsd\u00f3ttir doktorsritger\u00f0 s\u00edna \u00ed hj\u00fakrunarfr\u00e6\u00f0i vi\u00f0 Hj\u00fakrunar- og lj\u00f3sm\u00f3\u00f0urfr\u00e6\u00f0ideild H\u00e1sk\u00f3la \u00cdslands. Ritger\u00f0in ber heiti\u00f0: Um\u00f6nnunar\u00fearfir \u00ed heima\u00fej\u00f3nustu: \u00de\u00e6ttir sem sp\u00e1 fyrir um flutning \u00e1 hj\u00fakrunarheimili og um\u00f6nnunarbyr\u00f0i a\u00f0standenda. Care needs in home care: Predictors of nursing home transition and caregiver distress. \u00a0<\/strong><\/p>\n

Andm\u00e6lendur eru dr. Margaret E Saari, v\u00edsindama\u00f0ur vi\u00f0 SE Health \u00ed Kanada, og \u00a0Helga Eyj\u00f3lfsd\u00f3ttir, d\u00f3sent vi\u00f0 H\u00cd og yfirl\u00e6knir \u00e1 LSH.<\/p>\n

Umsj\u00f3narkennari og lei\u00f0beinandi var dr. Krist\u00edn Bj\u00f6rnsd\u00f3ttir pr\u00f3fessor. Auk hennar s\u00e1tu Ingibj\u00f6rg Hjaltad\u00f3ttir pr\u00f3fessor, P\u00e1lmi V. J\u00f3nsson, pr\u00f3fessor emeritus, og Thor Aspelund pr\u00f3fessor \u00ed doktorsnefnd.<\/p>\n

Helga Bragad\u00f3ttir, pr\u00f3fessor og forseti Hj\u00fakrunar- og lj\u00f3sm\u00f3\u00f0urfr\u00e6\u00f0ideildar, stj\u00f3rnar ath\u00f6fninni sem fer fram \u00ed H\u00e1t\u00ed\u00f0asal H\u00e1sk\u00f3la \u00cdslands og hefst kl. 13.00.<\/p>\n

\u00c1grip <\/strong><\/p>\n

Stj\u00f3rnv\u00f6ld v\u00ed\u00f0a um heim leggja \u00e1herslu \u00e1 a\u00f0 eldra f\u00f3lk geti b\u00fai\u00f0 \u00e1fram \u00e1 eigin heimilum \u00fer\u00e1tt fyrir hnignandi heilsufar og f\u00e6rni. Til a\u00f0 \u00fea\u00f0 s\u00e9 m\u00f6gulegt \u00feurfa margir \u00feeirra \u00e1 a\u00f0sto\u00f0 a\u00f0 halda b\u00e6\u00f0i fr\u00e1 formlegri \u00fej\u00f3nustu og a\u00f0standendum. \u00cd doktorsverkefninu voru heilsufar, f\u00e6rni og a\u00f0st\u00e6\u00f0ur skj\u00f3lst\u00e6\u00f0inga \u00ed heima\u00fej\u00f3nustu, sem voru 65 \u00e1ra og eldri, metnar auk um\u00f6nnunarbyr\u00f0i a\u00f0standenda. \u00de\u00e1 var einnig greint hva\u00f0a \u00fe\u00e6ttir hj\u00e1 skj\u00f3lst\u00e6\u00f0ingi sp\u00e1\u00f0u fyrir um um\u00f6nnunarbyr\u00f0i a\u00f0standenda og flutning skj\u00f3lst\u00e6\u00f0inga \u00e1 hj\u00fakrunarheimili. Doktorsranns\u00f3knin haf\u00f0i \u00fea\u00f0 a\u00f0 markmi\u00f0i a\u00f0 varpa lj\u00f3si \u00e1 \u00feessa st\u00f6\u00f0u til a\u00f0 greina hvernig m\u00e6tti \u00fer\u00f3a heima\u00fej\u00f3nustu til a\u00f0 breg\u00f0ast betur vi\u00f0 \u00feessum \u00fe\u00f6rfum og sty\u00f0ja vi\u00f0 eldra f\u00f3lk til \u00e1framhaldandi b\u00fasetu \u00e1 eigin heimili.<\/p>\n

Doktorsverkefni\u00f0 byggir \u00e1 g\u00f6gnum \u00far evr\u00f3psku ranns\u00f3kninni Identifying Best Practices for Care-Dependent Elderly by Benchmarking Costs and Outcomes of Community Care (IBenC) sem fram f\u00f3r samt\u00edmis \u00ed sex l\u00f6ndum; \u00cdslandi, Belg\u00edu, Finnlandi, Hollandi, \u00cdtal\u00edu og \u00de\u00fdskalandi, \u00e1 \u00e1runum 2014\u20132016. R\u00famlega 2.800 skj\u00f3lst\u00e6\u00f0ingar heima\u00fej\u00f3nustu voru metnir me\u00f0 interRAI-Home Care matst\u00e6kinu, \u00e1 \u00feremur t\u00edmapunktum \u00e1 t\u00f3lf m\u00e1na\u00f0a t\u00edmabili.<\/p>\n

Ni\u00f0urst\u00f6\u00f0ur ranns\u00f3knarinnar s\u00fdna a\u00f0 heilsu og f\u00e6rni skj\u00f3lst\u00e6\u00f0inga hefur hnigna\u00f0 fr\u00e1 fyrri ranns\u00f3knum og formleg \u00fej\u00f3nusta aukist \u00e1 sama t\u00edma. Helmingur skj\u00f3lst\u00e6\u00f0inga sem voru \u00ed mestri \u00fe\u00f6rf fyrir a\u00f0sto\u00f0 fengu umfangsmikla \u00fej\u00f3nustu, en t\u00f6luver\u00f0ur munur var \u00e1 milli landanna. \u00cd lj\u00f3s kom a\u00f0 eldra f\u00f3lk \u00e1 \u00cdslandi sem n\u00fdtur heima\u00fej\u00f3nustu var me\u00f0 betri f\u00e6rni og heilsufar en skj\u00f3lst\u00e6\u00f0ingar \u00ed hinum l\u00f6ndunum. \u00de\u00e1 kom einnig \u00ed lj\u00f3s a\u00f0 mun fleiri a\u00f0standendur fundu fyrir um\u00f6nnunarbyr\u00f0i \u00e1 \u00cdslandi en \u00ed hinum l\u00f6ndunum og reyndist h\u00fan einnig sterkasti forsp\u00e1r\u00fe\u00e1ttur fyrir flutning \u00e1 hj\u00fakrunarheimili. Ni\u00f0urst\u00f6\u00f0ur ranns\u00f3knarinnar reyndust \u00f3l\u00edkar \u00e1 milli landanna sem undirstrikar mikilv\u00e6gi \u00feess a\u00f0 \u00fej\u00f3nusta s\u00e9 sni\u00f0in a\u00f0 einstaklingsbundnum \u00fe\u00f6rfum. Jafnframt benda \u00fe\u00e6r til mikilv\u00e6gis \u00feess\u00a0 a\u00f0 a\u00f0standendum s\u00e9 veittur markviss stu\u00f0ningur til a\u00f0 \u00feeir geti \u00e1fram stutt s\u00edna n\u00e1nustu til b\u00fasetu \u00e1 eigin heimili.<\/p>\n

Abstract <\/strong><\/p>\n

Governments around the world emphasize the importance of enabling older people to remain in their own homes despite declining health and overall ability. To make this possible, many require support from both home care and informal caregivers. This doctoral study assessed the health, functioning, and circumstances of home care clients, as well as caregiver distress among their informal caregivers. It also examined which client-related factors predicted caregiver distress and transition to nursing homes. The overall aim of the research was to provide insight into how home care services can be developed to better meet these needs and support older people to continue living at home.<\/p>\n

The study is based on data from the European research project Identifying Best Practices for Care-Dependent Elderly by Benchmarking Costs and Outcomes of Community Care (IBenC), conducted simultaneously in six countries\u2014Belgium, Finland, Germany, Iceland, Italy, and the Netherlands\u2014between 2014 and 2016. More than 2,800 home care clients aged 65 and older were assessed using the interRAI-Home Care assessment at three time points over a twelve-month research period.<\/p>\n

The findings show that clients\u2019 health and functioning had declined compared to previous studies, while formal service use had increased. Half of those with the greatest care needs received substantial support, though service levels varied significantly between countries. Icelandic clients had grater overall abilities than those in other countries, yet their caregivers reported significantly more caregiver distress\u2014the strongest predictor of nursing home admission in Iceland. These cross-national differences highlight the need for personalized care approaches and targeted caregiver support to enable older people continued home-based living.\u00a0<\/strong><\/p>\n

Um doktorsefni\u00f0<\/strong><\/p>\n

Inga Valger\u00f0ur Kristinsd\u00f3ttir er f\u00e6dd \u00e1ri\u00f0 1966 \u00ed Reykjav\u00edk. H\u00fan \u00fatskrifa\u00f0ist af e\u00f0lisfr\u00e6\u00f0ideild Verslunarsk\u00f3la \u00cdslands \u00e1ri\u00f0 1986. Inga Valger\u00f0ur lauk B.Sc-pr\u00f3fi \u00ed hj\u00fakrunarfr\u00e6\u00f0i fr\u00e1 H\u00e1sk\u00f3la \u00cdslands \u00e1ri\u00f0 1992 og M.Sc.-gr\u00e1\u00f0u fr\u00e1 sama sk\u00f3la \u00e1ri\u00f0 2009. \u00c1ri\u00f0 2014 hlaut h\u00fan s\u00e9rfr\u00e6\u00f0ileyfi fr\u00e1 Emb\u00e6tti landl\u00e6knis sem s\u00e9rfr\u00e6\u00f0ingur \u00ed \u00a0heilsug\u00e6slu- og heimahj\u00fakrun. Doktorsverkefni\u00f0 sem Inga hefur unni\u00f0 a\u00f0 hlaut me\u00f0al annars styrki \u00far Ranns\u00f3knasj\u00f3\u00f0i H\u00e1sk\u00f3la \u00cdslands og RHL\u00d6, Ranns\u00f3knastofu H\u00e1sk\u00f3la \u00cdslands og Landsp\u00edtala \u00ed \u00f6ldrunarfr\u00e6\u00f0um. Samhli\u00f0a n\u00e1mi hefur Inga Valger\u00f0ur sinnt kennslu \u00ed heimahj\u00fakrun vi\u00f0 H\u00cd og stundakennslu \u00ed framhaldsn\u00e1mi \u00ed heilsug\u00e6sluhj\u00fakrun vi\u00f0 HA. \u00de\u00e1 starfar h\u00fan sem s\u00e9rfr\u00e6\u00f0ingur \u00ed hj\u00fakrun hj\u00e1 Heimahj\u00fakrun Heilsug\u00e6slu h\u00f6fu\u00f0borgarsv\u00e6\u00f0isins, og hefur \u00fear m.a. unni\u00f0 a\u00f0 \u00fer\u00f3un og innlei\u00f0ingu rafr\u00e6nnar skr\u00e1ningar \u00ed heimahj\u00fakrun og interRAI- Home Care matst\u00e6kinu. Foreldrar Ingu Valger\u00f0ar eru Gunnhildur Sigur\u00f0ard\u00f3ttir og Kristinn J\u00f3nsson. Eiginma\u00f0ur hennar er P\u00e9tur Vilberg Gu\u00f0nason og b\u00f6rn \u00feeirra eru Gunnhildur, Vilborg og Kristinn.<\/p>\n<\/div><\/div>","protected":false},"featured_media":5763,"template":"","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"_phd_date_start":"2025-04-23T13:00:00+00:00","_phd_date_end":"2025-04-23T16:00:00+00:00","_phd_location":"A\u00f0albygging H\u00e1t\u00ed\u00f0asalur","_phd_admission":"A\u00f0gangur \u00f3keypis","_phd_thesis_title":"Um\u00f6nnunar\u00fearfir \u00ed heima\u00fej\u00f3nustu: \u00de\u00e6ttir sem sp\u00e1 fyrir um flutning \u00e1 hj\u00fakrunarheimili og um\u00f6nnunarbyr\u00f0i a\u00f0standenda. 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