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Talman, L., Wilder, J., Stier, J. & Gustafsson, C. (2019). Participation in daily life for adults with profound intellectual (and multiple) disabilities: How high do they climb on Shier's ladder of participation?. Journal of Intellectual Disabilities, Article ID UNSP 1744629519863959.
Åpne denne publikasjonen i ny fane eller vindu >>Participation in daily life for adults with profound intellectual (and multiple) disabilities: How high do they climb on Shier's ladder of participation?
2019 (engelsk)Inngår i: Journal of Intellectual Disabilities, ISSN 1744-6295, E-ISSN 1744-6309, artikkel-id UNSP 1744629519863959Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Participation is the goal of Swedish disability policy, but it is difficult to achieve for adults with profound intellectual (and multiple) disabilities (PI(M)D). Since these adults are dependent on others in every aspect of their lives, others control their ability to participate in everyday life decisions. This study used observations, analyzed with Shier's ladder of participation, to elucidate and describe participation in daily life for adults with PI(M)D living in a group home. The results showed that the adults often reached the first three levels of Shier's ladder, one adult reached the fourth level once, and no one reached the fifth level. Participation on a higher level, therefore, seems hard to reach for adults. Staff members' attitudes toward the adults' capability can also be a barrier to participation. Applying Shier's ladder of participation can provide valuable information that might lead to increased participation in daily life for adults with PI(M)D.

sted, utgiver, år, opplag, sider
SAGE PUBLICATIONS LTD, 2019
Emneord
group home, participation, profound intellectual (and multiple) disabilities, Shier's ladder of participation
HSV kategori
Identifikatorer
urn:nbn:se:mdh:diva-45010 (URN)10.1177/1744629519863959 (DOI)000478327200001 ()31319749 (PubMedID)
Tilgjengelig fra: 2019-08-15 Laget: 2019-08-15 Sist oppdatert: 2019-11-17
Talman, L., Wilder, J., Stier, J. & Gustafsson, C. (2019). Staff members and managers’ views of the conditions for the participation of adults with profound intellectual and multiple disabilities. JARID: Journal of applied research in intellectual disabilities, 32(1), 143-151
Åpne denne publikasjonen i ny fane eller vindu >>Staff members and managers’ views of the conditions for the participation of adults with profound intellectual and multiple disabilities
2019 (engelsk)Inngår i: JARID: Journal of applied research in intellectual disabilities, ISSN 1360-2322, E-ISSN 1468-3148, Vol. 32, nr 1, s. 143-151Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background

Participation is a central aspect of quality of life, and it is indicative of high‐quality outcomes for people with intellectual disabilities. However, participation is difficult to achieve for adults with profound intellectual and multiple disabilities.

Aim

To describe staff members’ perceptions of what participation means for adults with profound intellectual and multiple disabilities.

Method

Using a phenomenographic approach, 27 interviews were analysed resulting in variations in the conditions for participation.

Results

The interviews revealed conditions for participation at individual, staff and organisational levels.

Conclusion

Participation appears to be an un‐reflected phenomenon, and several conditions must be met to achieve it. The conditions are experienced being fundamental for adults within the target group to achieve any kind of participation. The staff members and managers’ perceptions of participation as conditional can make it more difficult for adults within the target group to achieve the Swedish disability policy goal of participation.

HSV kategori
Identifikatorer
urn:nbn:se:mdh:diva-40175 (URN)10.1111/jar.12516 (DOI)000458679000013 ()29998545 (PubMedID)2-s2.0-85050675304 (Scopus ID)
Tilgjengelig fra: 2018-07-03 Laget: 2018-07-03 Sist oppdatert: 2019-11-17
Talman, L., Wilder, J., Stier, J. & Gustafsson, C. (2019). Staff’s and managers’ conceptions of participation for adults with profound intellectual disabilities or profound intellectual and multiple disabilities. Scandinavian Journal of Disability Research, 21(1), 78-88
Åpne denne publikasjonen i ny fane eller vindu >>Staff’s and managers’ conceptions of participation for adults with profound intellectual disabilities or profound intellectual and multiple disabilities
2019 (engelsk)Inngår i: Scandinavian Journal of Disability Research, ISSN 1501-7419, E-ISSN 1745-3011, Vol. 21, nr 1, s. 78-88Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

One goal of disability policies in Sweden and other countries is to ensure that people with disabilities are afforded an equal level of daily life participation as other citizens. However, few studies have examined this in adults with profound intellectual disabilities (PID) or profound intellectual and multiple disabilities (PIMD). This study used a phenomenographic approach to interview managers and staff at a social care organisation in a medium-sized Swedish municipality. It aimed to elucidate and describe conceptions of participation to highlight conceptual variations. Divergent conceptualisations were found, reflecting a lack of organisational consensus about the meaning of participation. Trying to fulfil policy goals of daily life participation for adults with PID or PIMD without a common understanding of the meaning of participation is difficult, so people at all levels of an organisation need to have a shared understanding and definition of it.

sted, utgiver, år, opplag, sider
Stockholm University Press, 2019
Emneord
Participation, Phenomenography, Profound intellectual and multiple disabilities, Profound intellectual disability, Social care, Article, caregiver support, conception, daily life activity, health care access, health care personnel, human, intellectual impairment, interview, manager, mental health service, perception, qualitative research, quality of life, semi structured interview, social status, social work, staff
HSV kategori
Identifikatorer
urn:nbn:se:mdh:diva-46555 (URN)10.16993/sjdr.53 (DOI)2-s2.0-85068443584 (Scopus ID)
Tilgjengelig fra: 2019-12-16 Laget: 2019-12-16 Sist oppdatert: 2019-12-16bibliografisk kontrollert
Talman, L., Gustafsson, C., Stier, J. & Wilder, J. (2018). Staffs’ documentation of participation for adults with profound intellectualdisability or profound intellectual and multiple disabilities. Disability and Rehabilitation, 40(21), 2527-2537
Åpne denne publikasjonen i ny fane eller vindu >>Staffs’ documentation of participation for adults with profound intellectualdisability or profound intellectual and multiple disabilities
2018 (engelsk)Inngår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 40, nr 21, s. 2527-2537Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Purpose: This study investigated what areas of International Classification of Functioning, Disability and Health were documented in implementation plans for adults with profound intellectual disability or profound intellectual and multiple disabilities with focus on participation.

Methods: A document analysis of 17 implementation plans was performed and International Classification of Functioning, Disability and Health was used as an analytic tool.

Results: One hundred and sixty-three different codes were identified, especially in the components Activities and participation and Environmental factors. Participation was most frequently coded in the chapters Community, social and civic life and Self-care. Overall, the results showed that focus in the implementation plans concerned Self-care and Community, social and civic life. The other life areas in Activities and participation were seldom, or not at all, documented.

Conclusions: A deeper focus on participation in the implementation plans and all life areas in the component Activities and participation is needed. It is important that the documentation clearly shows what the adult wants, wishes, and likes in everyday life. It is also important to ensure that the job description for staff contains both life areas and individual preferences so that staff have the possibility to work to fulfill social and individual participation for the target group.

  • Implications for rehabilitation
  • There is a need for functioning working models to increase participation significantly for adults with profound intellectual disability or profound intellectual and multiple disabilities.

  • For these adults, participation is achieved through the assistance of others and support and services carried out must be documented in an implementation plan.

  • The International Classification of Functioning, Disability and Health can be used to support staff and ensure that information about the most important factors in an individual’s functioning in their environment is not omitted in documentation.

HSV kategori
Identifikatorer
urn:nbn:se:mdh:diva-40173 (URN)10.1080/09638288.2017.1340979 (DOI)000446621800007 ()28633543 (PubMedID)2-s2.0-85021127139 (Scopus ID)
Tilgjengelig fra: 2018-07-03 Laget: 2018-07-03 Sist oppdatert: 2019-11-17
Blomberg, H. & Stier, J. (2016). Metaphorical expression used in Swedish news media narratives to portray the shortage of nurses and their working conditions. Journal of Advanced Nursing, 72(2), 382-395
Åpne denne publikasjonen i ny fane eller vindu >>Metaphorical expression used in Swedish news media narratives to portray the shortage of nurses and their working conditions
2016 (engelsk)Inngår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 72, nr 2, s. 382-395Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Aim: The aim of the study is to uncover and reveal how nurses as a profession and their working conditions are dramatized and portrayed inSwedish media narratives about the shortage of nurses. Background: The media is an arena where stakeholders can air their views of the healthcare sector in general and the situation for nurses in particular. The focus in this study is the debate in Sweden on the shortage of nurses. Design: Qualitative discursive study. Method: A discourse analysis of media narratives about nurses and their working conditions published in several Swedish newspapers from 2009-2014. 1779 articles were included in the study. A selection (113 articles) of these articles was further analysed using a qualitative discursive psychological approach. Findings: Nurses are portrayed as being good, concerned about and critical of healthcare managers and politicians for not taking action. The accused actors justify their actions by partially accepting or displacing responsibility. The shortage of nurses is framed as a social problem - a threat to patients' safety. Seven different types of metaphorical expression frame the problem as inevitable, beyond control, abstract, an individual and collegial problem and nurses as replaceable. In addition, nurses and patients are dehumanized and no-one is held responsible. Conclusions: This study analyses the role of the media in emphasizing the seriousness or obscurity of the problem and possible solutions to it. Alternative narratives are needed to re-frame the nursing shortage and to find sustainable solutions. 

Emneord
discursive psychology, metaphorical expressions, narratives, nurses, nursing shortage, the media
HSV kategori
Identifikatorer
urn:nbn:se:mdh:diva-30691 (URN)10.1111/jan.12839 (DOI)000367947700014 ()26497298 (PubMedID)2-s2.0-84954027781 (Scopus ID)
Tilgjengelig fra: 2016-01-11 Laget: 2016-01-11 Sist oppdatert: 2019-11-17
Talman, L., Wilder, J., Stier, J. & Gustafsson, C. (2016). Participation for adults with profound intellectual disabilities: Perceptions of managers and staff. Journal of Intellectual Disability Research, 60(7-8), 812-812
Åpne denne publikasjonen i ny fane eller vindu >>Participation for adults with profound intellectual disabilities: Perceptions of managers and staff
2016 (engelsk)Inngår i: Journal of Intellectual Disability Research, ISSN 0964-2633, E-ISSN 1365-2788, Vol. 60, nr 7-8, s. 812-812Artikkel i tidsskrift, Meeting abstract (Annet vitenskapelig) Published
sted, utgiver, år, opplag, sider
WILEY-BLACKWELL, 2016
HSV kategori
Identifikatorer
urn:nbn:se:mdh:diva-40312 (URN)000383462000949 ()
Tilgjengelig fra: 2018-08-22 Laget: 2018-08-22 Sist oppdatert: 2019-11-07
Holmström, I. K., Stier, J., Tillgren, P. & Östlund, G. (Eds.). (2016). Samproduktionens retorik och praktik: inom hälsa och välfärd (1ed.). Lund: Studentlitteratur AB
Åpne denne publikasjonen i ny fane eller vindu >>Samproduktionens retorik och praktik: inom hälsa och välfärd
2016 (svensk)Collection/Antologi (Annet (populærvitenskap, debatt, mm))
sted, utgiver, år, opplag, sider
Lund: Studentlitteratur AB, 2016. s. 258 Opplag: 1
HSV kategori
Identifikatorer
urn:nbn:se:mdh:diva-31401 (URN)978-91-44-11482-8 (ISBN)
Tilgjengelig fra: 2016-04-11 Laget: 2016-04-11 Sist oppdatert: 2020-01-28bibliografisk kontrollert
Stier, J. & Blomberg, H. (2016). The quest for truth: The use of discursive and rhetorical resources in newspaper coverage of the (mis)treatment of young Swedish gymnasts. Discourse & Communication, 10(1), 65-81
Åpne denne publikasjonen i ny fane eller vindu >>The quest for truth: The use of discursive and rhetorical resources in newspaper coverage of the (mis)treatment of young Swedish gymnasts
2016 (engelsk)Inngår i: Discourse & Communication, ISSN 1750-4813, E-ISSN 1750-4821, Vol. 10, nr 1, s. 65-81Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

In 2012, the Swedish newspaper Dagens Nyheter (DN) published a series of articles criticising Swedish national level gymnastics for being abusive. This text analyses the subsequent debate by identifying the discursive and rhetorical resources used by the involved parties. The analysis shows how the parties negotiate accountability, manage dilemmas of stake and what the possible social consequences of these are. Five narratives are singled out in the debate: the counter narrative, the victim narrative, the defence-speech narrative, the expert narrative and the ‘not-us-narrative’. In these narratives, the involved parties used rhetorical resources to account for reality. Hence, the gymnastics community, the research community, individuals and journalists are all portrayed as actors co-producing a social problem.

sted, utgiver, år, opplag, sider
Sage, 2016
Emneord
Discursive phychology, rhetorical resources, media narratives, gymnastics, newspaper
HSV kategori
Identifikatorer
urn:nbn:se:mdh:diva-30689 (URN)10.1177/1750481315600310 (DOI)000368276300004 ()2-s2.0-84954425128 (Scopus ID)
Tilgjengelig fra: 2016-01-11 Laget: 2016-01-11 Sist oppdatert: 2019-11-17
Larsson, R., Stier, J., Åkerlind, I. & Sandmark, H. (2015). Implementing health-promoting leadership in municipal organizations: Managers' experiences with a leadership program. Nordic Journal of Working Life Studies, 5(1), 93-114
Åpne denne publikasjonen i ny fane eller vindu >>Implementing health-promoting leadership in municipal organizations: Managers' experiences with a leadership program
2015 (engelsk)Inngår i: Nordic Journal of Working Life Studies, ISSN 2245-0157, E-ISSN 2245-0157, Vol. 5, nr 1, s. 93-114Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

The aim of this study was to analyze how line and middle managers experience and describe barriers and enablers in the implementation of a health-promoting leadership program in municipal organizations. A qualitative case study design was applied to examine the leadership program in a case involving implementation of an organizational health intervention. Data were mainly collected using semi-structured interviews with line and middle managers participating in the leadership program. Interviews with senior managers, notes from meetings/workshops, and written action plans were used as complementary data. The interview data were analyzed using a thematic analysis, and the complementary data using a summative content analysis. The findings show that the interviewed line and middle managers experienced this leadership program as a new approach in leadership training because it is based primarily on employee participation. Involvement and commitment of the employees was considered a crucial enabler in the implementation of the leadership program. Other enablers identified include action plans with specific goals, earlier experiences of organizational change, and integration of the program content into regular routines and structures. The line and middle managers described several barriers in the implementation process, and they described various organizational conditions, such as high workload, lack of senior management support, politically initiated projects, and organizational change, as challenges that limited the opportunities to be drivers of change. Taken together, these barriers interfered with the leadership program and its implementation. The study contributes to the understanding of how organizational-level health interventions are implemented in public sector workplaces.

HSV kategori
Forskningsprogram
arbetslivsvetenskap
Identifikatorer
urn:nbn:se:mdh:diva-27152 (URN)10.19154/njwls.v5i1.4767 (DOI)000360069000007 ()
Tilgjengelig fra: 2014-12-19 Laget: 2014-12-19 Sist oppdatert: 2017-12-05bibliografisk kontrollert
Stier, J. & Eriksson, M. (2015). Leadership culture and the position of girls and young women within elite gymnastics. In: : . Paper presented at 12th European Sociological Association conference, Prague 25-28th of August 2015..
Åpne denne publikasjonen i ny fane eller vindu >>Leadership culture and the position of girls and young women within elite gymnastics
2015 (engelsk)Konferansepaper, Oral presentation with published abstract (Annet vitenskapelig)
Abstract [en]

Mainstream discourse on sport and young people brings positive aspects, such as enjoyment, development and health promotion to the fore. Sport is also presumed to be secure. Drawing on a study of leadership culture within Swedish elite gymnastics, the paper examines how coaches and gymnasts approach issues such as food and diet, weight and weight control, injuries and pain, sport relationships (coach-gymnast, coach-gymnast-parents, coach-sport association, etcetera), knowledge and competence, as well as the relationship between leadership culture and policy documents such as the National guidelines for elite gymnastics and the UN convention on the rights of the child. The analysis brings the gendering practices of the coaches – often an adult man - to the fore and indicates that girls and young women are subjected to more control, verbal abuse, and stricter demands on both obedience and diet than boys and young men. Boys and young men seem to be treated more democratically and receive more positive feedback and social support. These results are discussed in relation to the intersection of age and gender inequality, as well as constructions of both gender and the child, for example, how the treatment of girls and young women is associated with a well-established notion that female gymnasts need a child-like body to be able to perform at the elite level. Furthermore, prevailing conceptions of the optimal body of a successful gymnast is discussed, particularly in the light of the pubertal development of girl's' and boys' bodies.

HSV kategori
Identifikatorer
urn:nbn:se:mdh:diva-30526 (URN)
Konferanse
12th European Sociological Association conference, Prague 25-28th of August 2015.
Tilgjengelig fra: 2015-12-22 Laget: 2015-12-22 Sist oppdatert: 2015-12-23bibliografisk kontrollert
Organisasjoner
Identifikatorer
ORCID-id: ORCID iD iconorcid.org/0000-0001-7832-2155