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Östlund, Gunnel, associate professorORCID iD iconorcid.org/0000-0002-3068-5384
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Publikasjoner (10 av 97) Visa alla publikasjoner
Hjalmarsson, A., Östlund, G., Asp, M., Kerstis, B. & Holmberg, M. (2023). Balancing power: Ambulance personnel's lived experience of older persons' participation in care in the presence of municipal care personnel. Scandinavian Journal of Caring Sciences
Åpne denne publikasjonen i ny fane eller vindu >>Balancing power: Ambulance personnel's lived experience of older persons' participation in care in the presence of municipal care personnel
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2023 (engelsk)Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background: Patient participation is considered to promote well-being and is, therefore, central in care contexts. Care-dependent older persons living at home constitute a vulnerable population with increased ambulance care needs. Care transfers risk challenging participation in care, a challenge that can be accentuated in situations involving acute illness.Aim: To illuminate meanings of older persons' participation in ambulance care in the presence of municipal care personnel from the perspective of ambulance personnel.Method: A phenomenological hermeneutical method was used to analyse transcripts of narrative interviews with 11 ambulance personnel.Results: The ambulance personnel's lived experience of older persons' participation includes passive and active dimensions and involves a balancing act between an exercise of power that impedes participation and equalisation of power that empowers participation. The main theme 'Balancing dignity in relation to manipulating the body' included the themes Providing a safe haven and Complying with bodily expressions, which means shouldering responsibility for existential well-being and being guided by reactions. The main theme 'Balancing influence in relation to perceived health risks' included the themes Agreeing on a common perspective, Directing decision-making mandate, and Sharing responsibility for well-being, which means shouldering responsibility for health focusing on risks. Influence is conditional and includes performance requirements for both the older person and municipal care personnel.Conclusion: Care-dependent older persons' participation in care from the perspective of ambulance personnel means recognising passive and active dimensions involving human dignity, the ability to influence care, and optimising care efforts through collaboration. This study provides a deepened understanding of the balancing of power involved in ambulance care determining participation, where power is equalised or exercised depending on personal engagement, health risks, and available care options. The knowledge provided holds the potential to improve ambulance care to benefit older persons in critical life situations.

HSV kategori
Identifikatorer
urn:nbn:se:mdh:diva-62178 (URN)10.1111/scs.13162 (DOI)000947937400001 ()36908069 (PubMedID)2-s2.0-85150591793 (Scopus ID)
Tilgjengelig fra: 2023-04-05 Laget: 2023-04-05 Sist oppdatert: 2024-01-09bibliografisk kontrollert
Östlund, G., Rautell Lindstedt, P., Curuklu, B. & Blomberg, H. (2023). Developing welfare technology to increase children’s participation in child welfare assessments: an empirical case in Sweden. European Journal of Social Work
Åpne denne publikasjonen i ny fane eller vindu >>Developing welfare technology to increase children’s participation in child welfare assessments: an empirical case in Sweden
2023 (engelsk)Inngår i: European Journal of Social Work, ISSN 1369-1457, E-ISSN 1468-2664Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

The purpose of the article is to describe and problematise the practice-initiated idea of developing a digital tool for children in child welfare investigations and whether and how this welfare technology is useful for social workers. The results include interview data and descriptions of the research process. The social workers are of the opinion that the digital application increases the possibilities for children’s participation in child investigations, even though their main focus is to create an alliance with the parents. During the research process the digital tool has developed from an empirical idea to a conversation tool and been tested with different user groups. However, the law on procurement limits the possibilities for data storage if the digital tool is to be used in the future. In sum, in order to develop child protection work further, more practice-based research needs to be conducted so that researchers can develop the practice’s ideas and identify the obstacles, opportunities, organisational conditions and development needs. The social workers in this study believe that the digital tool is useful for accessing children's perspectives and experiences, even though relational work with children is not their main task in child welfare investigations. 

sted, utgiver, år, opplag, sider
Routledge, 2023
Emneord
Child welfare assessments, children’s participation, digital tools, human-computer interaction, social work, article, child, child protection, child welfare, conversation, human, human computer interaction, information storage, interview, social worker, Sweden
HSV kategori
Identifikatorer
urn:nbn:se:mdh:diva-63969 (URN)10.1080/13691457.2023.2243053 (DOI)001043187300001 ()2-s2.0-85166940233 (Scopus ID)
Tilgjengelig fra: 2023-08-16 Laget: 2023-08-16 Sist oppdatert: 2023-12-06bibliografisk kontrollert
Hjalmarsson, A., Östlund, G., Asp, M., Kerstis, B. & Holmberg, M. (2023). Entrusting life to professionals: A phenomenological hermeneutical study of older persons' participation in prehospital emergency care involving municipal home care and ambulance services. Scandinavian Journal of Caring Sciences
Åpne denne publikasjonen i ny fane eller vindu >>Entrusting life to professionals: A phenomenological hermeneutical study of older persons' participation in prehospital emergency care involving municipal home care and ambulance services
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2023 (engelsk)Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Artikkel i tidsskrift (Fagfellevurdert) Epub ahead of print
Abstract [en]

Background: Participation in care is considered to promote safe and qualitative care. Care-dependent older persons ageing in place have increased emergency care needs, which initiate inter-organisational collaboration involving municipal home care and ambulance services. Previous research concludes that uncertainties exist regarding what participation in care means in clinical practice, which necessitates the need to illuminate the phenomenon for older persons in critical life situations.

Aim: This study aimed to illuminate meanings of participation in prehospital emergency care from the perspective of care-dependent older persons experiencing acute illness at home.

Design: This study has a qualitative design with a lifeworld approach.

Method: A phenomenological hermeneutical method was used to analyse transcribed telephone interviews with eleven care-dependent persons aged 70–93 years.

Results: Care-dependent older persons' participation in prehospital emergency care means ‘Entrusting life to professional caregivers’ when being in helpless solitude and existentially unsafe, which emphasises a deepened interpersonal dependence. Meanings of participation in care from the perspective of older persons involve Being reassured in togetherness, Being pliant in trust of emergency expertise, Being enabled through the agency of professional caregivers, and Encountering readiness in the emergency care chain.

Conclusion: Care-dependent older persons' participation in prehospital emergency care is existential and involves interpersonal dependence. Togetherness brings reassurance, safety and opportunity for emotional rest while accessing the professional caregivers' power, competence and abilities which provide opportunities for existence and movement towards well-being and continued living.

Implications for practice: Prehospital emergency care from the perspective of care-dependent older persons transcends organisational boundaries and includes the municipal mobile safety alarm service. The involved municipal and regional organisations need to provide support by implementing lifeworld-led care models and care alternatives that enable professionals to recognise the existential dimension of participation in care.

sted, utgiver, år, opplag, sider
John Wiley and Sons Inc, 2023
Emneord
ambulance services, home care services, mobile safety alarm, older persons, participation in care, phenomenological hermeneutical method, prehospital emergency care
HSV kategori
Identifikatorer
urn:nbn:se:mdh:diva-64750 (URN)10.1111/scs.13223 (DOI)001095083000001 ()2-s2.0-85175615979 (Scopus ID)
Tilgjengelig fra: 2023-11-15 Laget: 2023-11-15 Sist oppdatert: 2024-01-24bibliografisk kontrollert
Gustafsson, L.-K., Söderman, M., Bondesson, A., Pettersson, T., Östlund, G. & Gusdal, A. K. (2023). Växelvård idag och i framtiden.
Åpne denne publikasjonen i ny fane eller vindu >>Växelvård idag och i framtiden
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2023 (svensk)Rapport (Annet vitenskapelig)
Publisher
s. 88
HSV kategori
Forskningsprogram
vårdvetenskap
Identifikatorer
urn:nbn:se:mdh:diva-64040 (URN)
Tilgjengelig fra: 2023-08-17 Laget: 2023-08-17 Sist oppdatert: 2023-08-29bibliografisk kontrollert
Hjalmarsson, A., Östlund, G., Asp, M., Kerstis, B. & Holmberg, M. (2022). A matter of participation?: A critical incident study of municipal care personnel in situations involving care-dependent older persons and emergency medical services. International Journal of Qualitative Studies on Health and Well-being, 17(1), Article ID 2082062.
Åpne denne publikasjonen i ny fane eller vindu >>A matter of participation?: A critical incident study of municipal care personnel in situations involving care-dependent older persons and emergency medical services
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2022 (engelsk)Inngår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 17, nr 1, artikkel-id 2082062Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Purpose This study aimed at describing municipal care personnel's experiences of and actions in situations when older persons need emergency medical services (EMS) at home. Methods An inductive descriptive design adhering to critical incident technique (CIT) was used. Data were collected through interviews and free text written questionnaires, analysed in accordance with CIT procedure. Results Experiences related to the main areas of Lifesaving competence and Collaborative care. Lifesaving competence involved having sufficient knowledge to guide older persons in emergencies without organizational support. The lack of care alternatives carries dependence on inter-organizational collaboration, as well as having to accept the collaborative conditions provided by the EMS. Actions meant Adjusting to situational needs and EMS authority, which involved safeguarding the person while being directed by the EMS. Conclusions Lack of organizational support, care alternatives, and structured collaboration jeopardize care-dependent older persons' health, and ability to influence care when emergency situations occur at home. Municipal care personnel's actions as the older person's representative support human agency, allowing older persons to become active participants in care despite acute suffering. This study underlines the importance of further developing welfare policies that facilitate and regulate inter-organizational responsibilities of health and social care to favour older people.

sted, utgiver, år, opplag, sider
Taylor & Francis, 2022
Emneord
Ambulance dispatch personnel, ambulance personnel, critical incident technique, emergency medical services, emergency situations, experiences, inter-organizational collaboration, municipal care personnel, municipal home care services, older persons
HSV kategori
Identifikatorer
urn:nbn:se:mdh:diva-59402 (URN)10.1080/17482631.2022.2082062 (DOI)000811326800001 ()35703409 (PubMedID)2-s2.0-85132078328 (Scopus ID)
Tilgjengelig fra: 2022-06-29 Laget: 2022-06-29 Sist oppdatert: 2023-04-17bibliografisk kontrollert
Gustafsson, L.-K., Zander, V., Bondesson, A., Pettersson, T., Anbäcken, E.-M. & Östlund, G. (2022). Actions taken to safeguard the intended health care chain of older people with multiple diagnoses-a critical incident study. BMC Nursing, 21(1), Article ID 260.
Åpne denne publikasjonen i ny fane eller vindu >>Actions taken to safeguard the intended health care chain of older people with multiple diagnoses-a critical incident study
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2022 (engelsk)Inngår i: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 21, nr 1, artikkel-id 260Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background: Older people with multiple diagnoses often have problems coping with their daily lives at home because of lack of coordination between various parts of the healthcare chain during the transit from hospital care to the home. To provide good care to those persons who have the most complex needs, regions and municipalities must work together. It is of importance to develop further empirical knowledge in relation to older persons with multiple diagnoses to illuminate possible obstacles to person-centred care during the transition between healthcare institutions and the persons livelihood. The aim of the present study was to describe nurses' experienced critical incidents in different parts of the intended healthcare chain of older people with multiple diagnoses.

Methods: The sample consisted of 18 RNs in different parts of the healthcare system involved in the care of older people with multiple diagnoses. Data were collected by semi structured interviews and analysed according to Critical Incident Technique (CIT). A total of 169 critical incidents were identified describing experiences in recently experienced situations.

Results: The result showed that organizational restrictions in providing care and limitations in collaboration were the main areas of experienced critical incidents. Actions took place due to the lack of preventive actions for care, difficulties in upholding patients' legal rights to participation in care, deficiencies in cooperation between organizations as well as ambiguous responsibilities and roles. The RNs experienced critical incidents that required moral actions to ensure continued person-centred nursing and provide evidence-based care. Both types of critical incidents required sole responsibility from the nurse. The RNs acted due to ethics, 'walking the extra mile', searching for person-centred information, and finding out own knowledge barriers.

Conclusions: In conclusion and based on this critical incident study, home-based healthcare of older people with multiple diagnoses requires a nurse that is prepared to take personal and moral responsibility to ensure person-centred home-based healthcare. Furthermore, the development of in-between adjustments of organizations to secure cooperation, and transference of person-centred knowledge is needed.

sted, utgiver, år, opplag, sider
BMC, 2022
Emneord
Critical incidence technique, Home-based healthcare, Multiple diagnoses, Older people, Person-centred care, Care-coordination
HSV kategori
Identifikatorer
urn:nbn:se:mdh:diva-60077 (URN)10.1186/s12912-022-01039-1 (DOI)000858454500004 ()36131284 (PubMedID)2-s2.0-85138507105 (Scopus ID)
Tilgjengelig fra: 2022-10-05 Laget: 2022-10-05 Sist oppdatert: 2023-02-13bibliografisk kontrollert
Mattebo, M., Östlund, G. & Elfström, M. L. (2022). Availability of attachment relations and safe school environment are associated with subjective well-being in 15-year-olds – with girls reporting less well-being and less equality. International Journal of Educational Research Open, 3, Article ID 100145.
Åpne denne publikasjonen i ny fane eller vindu >>Availability of attachment relations and safe school environment are associated with subjective well-being in 15-year-olds – with girls reporting less well-being and less equality
2022 (engelsk)Inngår i: International Journal of Educational Research Open, ISSN 2666-3740, Vol. 3, artikkel-id 100145Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background: Understanding young people's subjective well-being, such as how they experience equality, safety, and supportive environments, is particularly important for identifying possible preventive interventions in the school context. Aim: The aim of this study was to investigate similarities and differences between 15-year-old girls’ and boys’ subjective well-being, and its associations with psychosocial factors. Methods: The study was explorative and cross-sectional. A total of 195 adolescent girls and 116 boys in Grade 9 from four Swedish junior high schools completed a questionnaire on subjective well-being; emotional support opportunities; gender equality; experience of emotional, physical, and sexual violence in close relationships; insecurity due to harassment in the school environment or on social media; and pornography consumption. Results: Compared to boys, girls indicated worse subjective well-being and more harassment in school and on social media, and reported that boys received benefits based on gender. Boys reported higher pornography consumption compared with girls. Girls reporting decreased subjective well-being experienced more harassment on social media and in school, and more recent sexual violence. Among boys, with decreased subjective well-being, more psychological risks such as self-harm and suicidal thoughts was reported. Both girls and boys with decreased subjective well-being reported less availability of attachment and insecure close relations. Conclusion: The absence of a safe and supportive environment, such as feeling secure at school, and lack of close and trusting relationships are associated with 15-year-olds’ subjective well-being for the worse, regardless of gender. It is suggested that school personnel extend the relational possibilities in the school context. 

sted, utgiver, år, opplag, sider
Elsevier Ltd, 2022
Emneord
Emotional well-being, Gender, GP-CORE, Junior high school, Psychosocial health, Young people
HSV kategori
Identifikatorer
urn:nbn:se:mdh:diva-59456 (URN)10.1016/j.ijedro.2022.100145 (DOI)2-s2.0-85132303860 (Scopus ID)
Tilgjengelig fra: 2022-06-29 Laget: 2022-06-29 Sist oppdatert: 2023-02-23bibliografisk kontrollert
Blomberg, H., Östlund, G., Lindstedt Rautell, P. & Curuklu, B. (2022). Children helping to co-construct a digital tool that is designed to increase children’s participation in child welfare investigations in Sweden.. Qualitative Social Work, 21(2), 367-392
Åpne denne publikasjonen i ny fane eller vindu >>Children helping to co-construct a digital tool that is designed to increase children’s participation in child welfare investigations in Sweden.
2022 (engelsk)Inngår i: Qualitative Social Work, ISSN 1473-3250, E-ISSN 1741-3117, Vol. 21, nr 2, s. 367-392Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

How do children (aged 6-12 years) understand and make use of a digital tool that is under development? This article builds on an ongoing interdisciplinary research project in which children, social workers (the inventers of this social innovation) and researchers together develop an interactive digital tool (application) to strengthen children's participation during the planning and process of welfare assessments. Departing from social constructionism, and using a discursive narrative approach with visual ethnography, the aim of the article is to display how the children co-construct the application and contribute with "stories of life situations" by drawing themselves as characters and the places they frequent. The findings show that the children improved the application by suggesting more affordances so that they could better create themselves/others, by discovering bugs, and by showing how it could appeal to children of various ages. The application helped the children to start communicating and bonding when creating themselves in detail, drawing places/characters and describing events associated with them, and sharing small life stories. The application can help children and social workers to connect and facilitate children's participation by allowing them to focus on their own perspectives when drawing and sharing stories.

HSV kategori
Forskningsprogram
socialt arbete
Identifikatorer
urn:nbn:se:mdh:diva-53277 (URN)10.1177/1473325021990864 (DOI)000618471700001 ()2-s2.0-85100548381 (Scopus ID)
Forskningsfinansiär
Forte, Swedish Research Council for Health, Working Life and Welfare, 2018-01319
Tilgjengelig fra: 2021-01-31 Laget: 2021-01-31 Sist oppdatert: 2022-06-13bibliografisk kontrollert
Hochwälder, J., Gustafsson, L.-K., Östlund, G., Zander, V. & Elfström, M. L. (2022). Psychometric evaluation of the subjective well-being measure GP-CORE in a group of older adults in Sweden.. BMC Geriatrics, 22(1), Article ID 913.
Åpne denne publikasjonen i ny fane eller vindu >>Psychometric evaluation of the subjective well-being measure GP-CORE in a group of older adults in Sweden.
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2022 (engelsk)Inngår i: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 22, nr 1, artikkel-id 913Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

BACKGROUND: The world's growing population of older adults is one population that needs to be focused more regarding subjective well-being. It is therefore important to evaluate self-report instruments that measures general well-being for this specific group - older adults. The aim of the present study was to investigate psychometric properties of the Swedish translation of the GP-CORE (general population - Clinical Outcomes in Routine Evaluation) in a group of older adults (> 65 years).

METHODS: In this study, a psychometric evaluation of the GP-CORE is presented for 247 Swedish older adults (> 65 years), 184 women and 63 men who applied for home care assistance for the first time.

RESULTS: The psychometric evaluation showed high acceptability; provided norm values in terms of means, standard deviations and quartiles; showed satisfactory reliability in terms of both internal consistency and stability; showed satisfactory validity in terms of convergent and discriminant validity; provided a very preliminary cut-off value and quite low sensibility and sensitivity and showed results which indicated that this scale is sensitive to changes. One gender difference was identified in that women without a cohabitant had a higher well-being than men without a cohabitant (as measured by GP-CORE).

CONCLUSIONS: The GP-CORE showed satisfactory psychometric properties to be used to measure and monitor subjective well-being in older adults (> 65 years) in the general population of community dwelling. Future studies should establish a cut-off value in relation to another well-being measure relevant for mental health in older adults.

Emneord
GP-CORE, Geriatric mental health, Older adults, Psychometrics, Subjective well-being
HSV kategori
Identifikatorer
urn:nbn:se:mdh:diva-61079 (URN)10.1186/s12877-022-03625-z (DOI)000889533600001 ()36443687 (PubMedID)2-s2.0-85142817038 (Scopus ID)
Tilgjengelig fra: 2022-11-30 Laget: 2022-11-30 Sist oppdatert: 2023-03-30bibliografisk kontrollert
Östlund, G., Blomberg, H., Rautell Lindstedt, P. & Curuklu, B. (2021). DIG Child ett digitalt metodverktyg för ökad delaktighet.. In: : . Paper presented at Barnrättsdagarna, Stiftelsen Allmänna Barnhuset, 14-15 september, Digital nationell konferens.
Åpne denne publikasjonen i ny fane eller vindu >>DIG Child ett digitalt metodverktyg för ökad delaktighet.
2021 (svensk)Konferansepaper, Oral presentation with published abstract (Annet vitenskapelig)
HSV kategori
Identifikatorer
urn:nbn:se:mdh:diva-56187 (URN)
Konferanse
Barnrättsdagarna, Stiftelsen Allmänna Barnhuset, 14-15 september, Digital nationell konferens
Forskningsfinansiär
Forte, Swedish Research Council for Health, Working Life and Welfare, 2018-01319
Tilgjengelig fra: 2021-10-13 Laget: 2021-10-13 Sist oppdatert: 2021-12-14bibliografisk kontrollert
Organisasjoner
Identifikatorer
ORCID-id: ORCID iD iconorcid.org/0000-0002-3068-5384