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  • 1.
    Aarons, Gregory
    et al.
    Univ Calif San Diego, La Jolla, CA 92093 USA.;Child & Adolescent Serv Res Ctr, San Diego, CA USA..
    Green, Amy
    Univ Calif San Diego, La Jolla, CA 92093 USA..
    Moullin, Joanna
    Univ Calif San Diego, La Jolla, CA 92093 USA.;Univ Technol Sydney, Sydney, NSW, Australia..
    Ehrhart, Mark
    San Diego State Univ, San Diego, CA 92182 USA.;Univ Cent Florida, Orlando, FL 32816 USA..
    Ducarroz, Simon
    Ctr Reg Prevent Canc, Ctr Hygee, St Priest En Jarez, France..
    Sevdalis, Nick
    Kings Coll London, London, England..
    Hasson, Henna
    Karolinska Inst, Stockholm, Sweden.;Stockholm Cty Council, Ctr Epidemiol & Community Med, Stockholm, Sweden..
    von Thiele Schwarz, Ulrica
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Karolinska Inst, Stockholm, Sweden.
    James, Sigrid
    Univ Kassel, Kassel, Germany..
    Willging, Cathleen
    Pacific Inst Res & Evaluat, Behav Hlth Res Ctr Southwest, Albuquerque, NM USA..
    Fostering international collaborations in implementation science2018Inngår i: Implementation Science, ISSN 1748-5908, E-ISSN 1748-5908, Vol. 13Artikkel i tidsskrift (Annet vitenskapelig)
  • 2.
    Abildgaard, J. S.
    et al.
    National Research Centre for the Working Environment, Denmark, Denmark.
    Hasson, H.
    Karolinska Institutet, Sweden.
    von Thiele Schwarz, Ulrica
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Løvseth, L. T.
    St Olavs University Hospital, Norway.
    Ala-Laurinaho, A.
    Finnish Institute of Occupational Health, Finland, Finland.
    Nielsen, K.
    University of Sheffield, UK, United Kingdom.
    Forms of participation: The development and application of a conceptual model of participation in work environment interventionsInngår i: Economic and Industrial Democracy, ISSN 0143-831X, E-ISSN 1461-7099Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    In the realm of work environment improvements, the Nordic countries have led the way in demonstrating that employee participation is a key requisite for achieving improvements. Despite this, there is a lack of precision as to what ‘participatory’ in a participatory work environment intervention means. In this study, the authors present a conceptual model for participation in work environment interventions and apply it to protocols and manuals from eight participatory interventions to determine the form of participation used in each intervention. The authors suggest that the conceptual model can be applied in the design and assessment of participatory work environment interventions. 

  • 3.
    Adair, Brooke
    et al.
    Australian Catholic Univ, Ctr Disabil & Dev Res, Fitzroy, Vic, Australia..
    Ullenhag, Anna
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Rosenbaum, Peter
    McMaster Univ, Hamilton, ON, Canada..
    Granlund, Mats
    Jonkoping Univ, CHILD, SIDR, Sch Hlth Sci, Jonkoping, Sweden..
    Keen, Deb
    Griffith Univ, Autism Ctr Excellence, Mt Gravatt, Qld, Australia..
    Imms, Christine
    Australian Catholic Univ, Ctr Disabil & Dev Res, Fitzroy, Vic, Australia..
    Measures used to quantify participation in childhood disability and their alignment with the family of participation-related constructs: a systematic review2018Inngår i: Developmental Medicine & Child Neurology, ISSN 0012-1622, E-ISSN 1469-8749, Vol. 60, nr 11, s. 1101-1116Artikkel, forskningsoversikt (Fagfellevurdert)
    Abstract [en]

    AimWe aimed to identify measures used to assess the participation of disabled children and to map the measures' content to the family of participation-related constructs (fPRC) to inform future research and practice. MethodSix databases were searched to identify measures used to assess participation in health, psychology, and education research. Included studies involved children aged 0 to 18 years with a permanent impairment or developmental disability and reported use of a quantitative measure of participation. A second search sought relevant literature about each identified measure (including published manuals) to allow a comprehensive understanding of the measure. Measurement constructs of frequently reported measures were then mapped to the fPRC. ResultsFrom an initial yield of 32 767 articles, 578 reported one or more of 118 participation measures. Of these, 51 measures were reported in more than one article (our criterion) and were therefore eligible for mapping to the fPRC. Twenty-one measures quantified aspects of participation attendance, 10 quantified aspects of involvement as discrete scales, and four quantified attendance and involvement in a manner that could not be separated. InterpretationImproved understanding of participation and its related constructs is developing rapidly; thoughtful selection of measures in research is critical to further our knowledge base.

  • 4. Agneta, Breitholtz
    et al.
    Snellman, Ingrid
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Ingegerd, Fagerberg
    Ersta Skondal Univ Coll, Stockholm, Sweden..
    Older persons self determination within municipal home care services2010Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 19, s. 142-142Artikkel i tidsskrift (Annet vitenskapelig)
  • 5.
    Agnew, L.
    et al.
    University of Queensland, Brisbane, Australia .
    Johnston, V.
    University of Queensland, Brisbane, Australia .
    Ludvigsson, M. L.
    Linköping University, Linköping, Sweden; Rehab Väst, County Council of Östergötland, Sweden.
    Peterson, G.
    Linköping University, Linköping, Sweden; Linköping University, Linköping, Sweden.
    Overmeer, Thomas
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Johansson, G.
    Karolinska Institutet, Stockholm, Sweden.
    Peolsson, A.
    University of Queensland, Brisbane, Australia; Linköping University, Linköping, Sweden.
    Factors associated with work ability in patients with chronic whiplash-associated disorder grade II-III: A cross-sectional analysis2015Inngår i: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 47, nr 6, s. 546-551Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: To investigate the factors related to self-perceived work ability in patients with chronic whiplash-associated disorder grades II-III. Design: Cross-sectional analysis. Patients: A total of 166 working age patients with chronic whiplash-associated disorder. Methods: A comprehensive survey collected data on work ability (using the Work Ability Index); demographic, psychosocial, personal, work- and condition-related factors. Forward, stepwise regression modelling was used to assess the factors related to work ability. Results: The proportion of patients in each work ability category were as follows: poor (12.7%); moderate (39.8%); good (38.5%); excellent (9%). Seven factors explained 65% (adjusted R2= 0.65, p < 0.01) of the variance in work ability. In descending order of strength of association, these factors are: greater neck disability due to pain; reduced self-rated health status and health-related quality of life; increased frequency of concentration problems; poor workplace satisfaction; lower self-efficacy for performing daily tasks; and greater work-related stress. Conclusion: Condition-specific and psychosocial factors are associated with self-perceived work ability of individuals with chronic whiplash-associated disorder.

  • 6.
    Ahlstedt, C.
    et al.
    Department of Public Health and Caring Sciences, Health Services Research, Uppsala University, Uppsala, Sweden.
    Eriksson Lindvall, C.
    Department of Business Studies Uppsala University, Uppsala, Sweden.
    Holmström, Inger K.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Department of Public Health and Caring Sciences, Health Services Research, Uppsala University, Uppsala, Sweden.
    Muntlin Athlin, Å.
    Department of Public Health and Caring Sciences, Health Services Research, Uppsala University, Uppsala, Sweden.
    What makes registered nurses remain in work?: An ethnographic study2019Inngår i: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 89, s. 32-38Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Registered nurses’ work-related stress, dissatisfaction and burnout are some of the problems in the healthcare and that negatively affect healthcare quality and patient care. A prerequisite for sustained high quality at work is that the registered nurses are motivated. High motivation has been proved to lead to better working results. The theory of inner work life describes the dynamic interplay between a person's perceptions, emotions and motivation and the three key factors for a good working life: nourishment, progress and catalysts. Objectives: The aim of the study was to explore registered nurses’ workday events in relation to inner work life theory, to better understand what influences registered nurses to remain in work. Design: A qualitative explorative study with an ethnographic approach. Methods: Participant observation over four months; in total 56 h with 479 events and 58 informal interviews during observation; all registered nurses employed at the unit (n = 10) were included. In addition, individual interviews were conducted after the observation period (n = 9). The dataset was analysed using thematic analysis and in the final step of the analysis the categories were reflected in relation to the three key factors in theory of inner work life. Results: Nourishment in a registered nurse context describes the work motivation created by the interpersonal support between colleagues. It was important to registered nurses that physicians and colleagues respected and trusted their knowledge in the daily work, and that they felt comfortable asking questions and supporting each other. Progress in the context of registered nurses’ work motivation was the feeling of moving forward with a mix of small wins and the perception of solving more complex challenges in daily work. It was also fundamental to the registered nurses’ development through new knowledge and learning during daily work. Catalysts, actions that directly facilitate the work, were highlighted as the possibility to work independently along with the opportunity to work together with other registered nurses. Conclusion: This study has a number of implications for future work and research on creating an attractive workplace for registered nurses. Working independently, with colleagues from the same profession, integrated with learning, visible progress, and receiving feedback from the work itself, contribute to work motivation. 

  • 7.
    Ahlström, Sara
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Janeslatt, G.
    Uppsala Univ, Dept Publ Hlth & Caring Sci, Disabil & Habilitat, Uppsala, Sweden..
    Almqvist, Lena
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    DEVELOPMENT AND EVALUATION OF A MODEL FOR INTERVENTION USING THE METHOD MY TIME AND TIME ASSITIVE DEVICES FOR CHILDREN WITH COGNITIVE DISABILITIES2019Inngår i: Journal of Intellectual Disability Research, ISSN 0964-2633, E-ISSN 1365-2788, Vol. 63, nr 7, s. 776-776Artikkel i tidsskrift (Fagfellevurdert)
  • 8.
    Ahmadi, Fereshteh
    et al.
    University of Gävle, Gävle, Sweden.
    Darvishpour, Mehrdad
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Ahmadi, Nader
    University of Gävle, Gävle, Sweden;.
    Palm, Irving
    Uppsala Universitet, Uppsala, Sweden.
    Diversity barometer: attitude changes in SwedenInngår i: Nordic Social Work Research, ISSN 2156-857X, E-ISSN 2156-8588Artikkel, forskningsoversikt (Fagfellevurdert)
    Abstract [en]

    he aim of this article is to elucidate and discuss the results of the 2016 Diversity Barometer (Mångfaldsbarometern) and compare these results with those obtained from ten years of the longitudinal Diversity Barometers for 2005?2014. An additional aim is to demonstrate whether and how Swedish people?s experiences of and attitudes toward people with a foreign background and ethnic diversity have changed.A random sample of the Swedish population took part in the annual study, which was carried out in the form of a nationwide postal survey. The results show that negative attitudes toward ethnic and cultural diversity in general, and migrant population in particular, have increased to some extent and with respect to certain issues. Views on diversity in relation to culture and religion ? especially Islam ? were more negative than views on diversity in relation to work. Those who have larger experience of contact with foreigners show a more positive attitude toward diversity compared with those with limited experience and contact. Individuals who have higher education, those who identify themselves as female, younger persons and those living in large cities are more positive than other groups. In our analysis of the empirical data, we proceeded from a social work perspective and applied contact theory and group conflict theories relating attitudes to group position.

  • 9.
    Ahmed, Mobyen Uddin
    et al.
    Mälardalens högskola, Akademin för innovation, design och teknik, Inbyggda system.
    Begum, Shahina
    Mälardalens högskola, Akademin för innovation, design och teknik, Inbyggda system.
    Kerstis, Birgitta
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Petrovic, Nikola
    Mälardalens högskola, Akademin för innovation, design och teknik, Inbyggda system.
    Sandborgh, Maria
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Third Eye: An Intelligent Assisting Aid for Visual Impairment Elderly2016Inngår i: Medicinteknikdagarna 2016 MTF, 2016Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Background Visually impaired older persons need support in daily activities, e.g. moving around inside the house; making and eating food and taking medicine independently. A system that simulates the environment based on both dynamic and static objects, identify obstacles, navigates and translates sensory information in voice would be valuable to support their daily activities. Today several sensors and camera-based systems are popular as ambient-assisted living tools for older adults. However, intelligent assisting aid (IAA) to support older individuals with a recently acquired visual impairment is limited. The proposed system ‘Third Eye’ focuses on the advanced research and development of an IAA to support older individuals with a recently acquired visual impairment. The main goal in this system is to provide a usable, feasible and cost-effective solution for older persons to support their daily activities using intelligent sensor based system. Method The system consists of the following five phases to meet several central challenges in developing IAA in such domain. • User-perspective, focuses on user-driven technical development, investigating needs of potential users. The study will have a participatory design with focus group interviews of lead users. • Sensor-based system, focuses on the identification obstacles based on ultrasounds and/or radio frequencies embedded in white-cane or weaker. • Camera-based system, focuses on image based information translation into voice embedded in white-cane or weaker or glasses. • System of systems, focuses on integration of above systems where knowledge is engineered and suitable representations are learned and reasoning for decisions are made [9]. • Experimental, focuses on usability and feasibility of the IAA, with idiographic and group studies Results The initial results have shown the necessity of the proposed AAI systems for older individuals with a recently acquired visual impairment. However, more extension work e.g., process and analyze the information and synthesize it with existing literature for developing the system is ongoing.

  • 10.
    Ahrlow, Catarina
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Leijthoff, Sofia
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    "JAG VILLE KUNNA SÄTTA ETT EX FRAMFÖR PROSTITUERAD": Sex kvinnors livsberättelser om sina prostitutionserfarenheter.2019Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Syftet med studien var att beskriva och analysera kvinnors självupplevda erfarenheter av prostitution. Studien önskade besvara frågeställningen: vilka förväntningar, händelser, upplevelser och känslor som format dessa kvinnors resa i steget in, genom och ur prostitution? Studien som var av en kvalitativ ansats har baserats på sex ostrukturerade livsberättelser av kvinnor med erfarenhet av prostitution. Fokus vid intervjuerna har varit kvinnornas egna beskrivningar, upplevelser och känslor av resan in, under och ur prostitution. Studien har haft ett socialpsykologiskt perspektiv som utgångspunkt och dess teoretiska ramverk har bestått av Scheffs begrepp om skam, Goffmans teori om stigma samt Fuchs Ebaugh’s teori “the process of role exit”. Studiens resultat visade på att flera samverkande händelser och upplevelser i kvinnornas liv påverkade deras känslor och förväntningar på sig själva, vilket var framträdande inslag i kvinnornas livsberättelser om deras process, in- genom och ut ur prostitution. Kvinnornas upplevelser och känslor kring prostitutionen framkom vara komplexa. För att kunna bemöta och stödja kvinnor med prostitutionserfarenhet krävs av socialarbetare en förmåga att lyssna utan att döma och kunskap om prostitutionsprocessen. Detta för att inte ytterligare skambelägga och stigmatisera kvinnor med prostitutionserfarenhet.

  • 11.
    Akhavan, Sharareh
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Patienters uppfattning om Vård på lika villkor2015Inngår i: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 92, nr 2, s. 189-199Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [sv]

    Att ta reda på patienternas uppfattningar om vård och de välfärdstjänster som samhället erbjuder är viktig för att kunna kvalitetsutveckla vården. Syftet med denna studie var att undersöka patienternas perspektiv om jämlikhet i vård samt deras idéer om metoder för att utveckla en mer jämlik vård. För att nå syftet används kvalitativ metod i form av intervjuer med patienter och representanter för patientföreningar. Resultatet visar att patienter anser att läkarkontinuitet, tid vid besök, tillgänglighet, kommunikation och bemötande kan utvecklas och blir bättre för att en mer jämlik vård ska uppnås. 

  • 12.
    Akhavan, Sharareh
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Promoting Equity in Primary Health Care2015Inngår i: Primary Health Care, ISSN 2167-1079, Vol. 5, nr 216Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Equity in access to primary health care services is a central objective of the Swedish health care system. Yet, several reports have illustrated that disparities still exist in the primary health sector, and have increased since the beginning of the 1990s. This commentary analyzes and explains the reasons for continuing inequality in access to and utilization of primary health care services in a welfare system. Social and structural factors, communication, macro-sociological aspects and health care providers’ attitudes and perceptions are discussed as substantial contributors to inequality in access to and utilization of primary health care services. In conclusion, some intervention strategies for promoting more equitable primary health care are suggested.

  • 13.
    Akhavan, Sharareh
    Mälardalens högskola, Akademin för hälsa, vård och välfärd. Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Social determinants of health for female Iranian immigrants in Sweden.2012Inngår i: The Iranian community in Sweden – Multidisciplinary perspectives. / [ed] Hosseini-Kaladjani H., Tumba: The Multicultural Centre , 2012Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 14.
    Akhavan, Sharareh
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Vad sker med personalens inställning till Vård på lika villkor när verksamheterna deltar i Lärandeprojektet?2015Inngår i: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 92, nr 2, s. 176-188Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Equity in health and providing care on equal terms is one of the most important aspects of a welfare society. Several reports indicate that the health care services are not equal. The purpose of this study was to study health care providers’ perceptions on equitable care and their ideas about methods to achieve a more equitable care. An web survey was sent to health care providers whose unit were involved in the project "Care on equal terms" before and after the project period. The results show that health care providers perceived that the factors that influence clients’/ patients’ access to care on equal terms consists of: structural / organizational factors in the health care organization or in the society and clients’/ patients’ social situation.

  • 15.
    Akhavan, Sharareh
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd. Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Aytar, Osman
    Mälardalens högskola, Akademin för hälsa, vård och välfärd. Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Bogg, Lennart
    Mälardalens högskola, Akademin för hälsa, vård och välfärd. Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd. Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Tillgren, Per
    Mälardalens högskola, Akademin för hälsa, vård och välfärd. Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Blev det ett genombrott?: Utvärdering av det nationella lärandeprojektet – Vård på lika villkor2014Rapport (Annet vitenskapelig)
    Abstract [sv]

    Sjukvården i Sverige är i dag inte jämlik, har brister i tillgänglighet och erbjuds inte på likvärdiga villkor trots Hälso- och sjukvårdslagens mål om en god hälsa och en vård på lika villkor för hela befolkningen.

    För att bryta den pågående trenden och öka jämlikheten gjordes en överenskommelse mellan regeringen och SKL om lärandeprojektet Vård på lika villkor (under åren 2011–2014). Syftet med projektets har varit att inom socioekonomiskt resurssvaga bostadsområden öka jämlikheten i första linjens vård. Detta genom att testa, utveckla och identifiera effektiva arbetssätt och metoder vid sju primärvårdsverksamheter från fem landsting i Sverige.

    Mälardalens högskola, Akademin för hälsa, vård och välfärd, fick av SKL i uppdrag att svara för forskarstöd och att genomföra en utvärdering av de metoder och arbetssätt som utvecklades och testades i lärandeprojektet.

    Resultatet från den genomförda utvärderingen som belyser den genomförda processen, mål- och resultat samt hälsoekonomiska aspekter beskrivs närmare i denna rapport.

  • 16.
    Akhavan, Sharareh
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Aytar, Osman
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Bogg, Lennart
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Tillgren, Per
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Temaledare: Vård på lika villkor – Vad kan vi lära av Lärandeprojektet?2015Inngår i: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 92, nr 2, s. 103-106Artikkel i tidsskrift (Annet vitenskapelig)
  • 17.
    Akhavan, Sharareh
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Karlsen, S.
    University College London.
    Practitioner and client explanations for disparities in health care use between migrant and non-migrant groups in Sweden: A qualitative study2013Inngår i: Journal of Immigrant and Minority Health, ISSN 1557-1912, E-ISSN 1557-1920, Vol. 15, nr 1, s. 188-197Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    To investigate variations in explanations given for disparities in health care use between migrant and non-migrant groups, by clients and care providers in Sweden. Qualitative evidence collected during in-depth interviews with five 'migrant' health service clients and five physicians. The interview data generated three categories which were perceived by respondents to produce ethnic differences in health service use: "Communication issues", "Cultural differences in approaches to medical consultations" and "Effects of perceptions of inequalities in care quality and discrimination". Explanations for disparities in health care use in Sweden can be categorized into those reflecting social/structural conditions and the presence/absence of power and those using cultural/behavioural explanations. The negative perceptions of 'migrant' clients held by some Swedish physicians place the onus for addressing their poor health with the clients themselves and risks perpetuating their health disadvantage. The power disparity between doctors and 'migrant' patients encourages a sense of powerlessness and mistreatment among patients.

  • 18.
    Akhavan, Sharareh
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Tillgren, Per
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Client/patient perceptions of achieving equity in primary health care: a mixed methods study2015Inngår i: International Journal for Equity in Health, ISSN 1475-9276, E-ISSN 1475-9276, Vol. 14, nr 1, s. 1-12, artikkel-id 196Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Abstract Introduction: To provide health care on equal terms has become a challenge for the health system. As the front line in health services, primary care has a key role to play in developing equitable health care, responsive to the needs of different population groups. Reducing inequalities in care has been a central and recurring theme in Swedish health reforms. The aim of this study is to describe and assess client/patient experiences and perceptions of care in four primary health care units (PHCUs) involved in Sweden's national Care on Equal Terms project. Methods: Mixed Method Research (MMR) was chosen to describe and assess client/patient experiences and perceptions of health care with regard to equity. There was a focus group discussion, and individual interviews with 21 clients/patients and three representatives of patient associations. Data from the Swedish National Patient Survey (NPS), conducted in 2011 and followed up in 2013, were also used. Results: The interview data were divided into two main categories and three subcategories. The first category "Perception of equitable health care" had two subcategories, namely "Health care providers' perceptions" and "Fairness and participation". The second category "To achieve more equitable health care" had four subcategories: "Encounter", "Access", "Interpreters and bilingual/diverse health care providers" and "Time pressure and continuity". Results from the NPS showed that two of the PHCUs improved in some aspects of patient perceived quality of care (PPQC) while two were not so successful. Conclusions: Clients/patients perceived health care providers' perceptions of their ethnic origin and mental health status as important for equitable health care. Discriminatory perceptions may lead to those in need of care refraining from seeking it. More equitable care means longer consultations, better accessibility in terms of longer opening hours, and ways of communicating other than just via voice mail. It also involves continuity in care and access to an interpreter if needed. Employing bilingual/diverse kinds of health providers is a way of providing more equitable primary health care.

  • 19.
    Akhavan, Sharareh
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Tillgren, Per
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Aytar, Osman
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Bogg, Lennart
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Practice and Policy in Promoting Health and Equity –experiences from a national project in primary health care in Sweden2016Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Introduction: The Swedish Health Care Law requires the health system to provide good care on equal terms to all. However, several reports from different governmental agencies have revealed that health care is uneven in quality, lacking in accessibility, and not offered on equal terms to all people. Recent public health reports show that inequalities in health in the population have increased. To provide health care on equal terms has become a challenge for health care.

    In order to apply methods for developing practice and policy in promoting health and equity the Swedish Association of Local Authorities and Regions developed and implemented a national project entitled Care on Equal Terms. The project began in 2011 and was completed in 2014 at seven Primary Health Care Units (PHCUs) in five regions. The aim of this study was to evaluate the outcomes of this project.

    Methods: Based on a program theoretical approach an evaluation design was developed which included process, results and economical evaluation. In the data collection and analysis mixed methods were applied.

    Results: According to the process evaluation, seven different strategies were applied in the process to develop primary health care on equal terms. One of the key observations was that in order to achieve health on more equal terms, health care needs to be provided on unequal terms, i. e. more needs to be done to reach those who need more assistance to access health services. Health promotion was one of the applied strategies and it was the most common strategy at some of the health care centers with the aim of developing patients' knowledge, awareness and understanding about health, care and self-care. The results evaluation showed that the PHCUs staff identified structural and organizational factors in health care as important factors for developing health promotion and equity in access. The health economic evaluation showed that the costs for implementing the activities for an improved equity were limited. Yet the majority of the PHCUs thought that the detailed regulation of their financing and reporting requirements were a limitation in their work for improved equity. Four of five county councils have recently introduced a primary care provider payment system (ACG) which may not be supportive of efforts to improve equity in access.

    Conclusions: It is possible to develop and maintain practices that can contribute to more equitable care and increase health care personnel’s awareness about practice and policy in promoting health and equity.

  • 20.
    Alayed, Abdulrahman S.
    et al.
    Sophiahemmet Högskola, Sweden.
    Lööf, Helena
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Sophiahemmet Högskola, Sweden.
    Johansson, Unn-Britt
    Sophiahemmet Högskola, Sweden.
    Saudi Arabian ICU safety and nurses' attitudes2014Inngår i: International Journal of Health Care Quality Assurance, ISSN 0952-6862, E-ISSN 1758-6542, Vol. 27, nr 7, s. 581-593Artikkel i tidsskrift (Fagfellevurdert)
  • 21.
    Ali, Warsan
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Davidsson, Gisella
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Att leva med två kulturer: Upplevelser hos andra generationens invandrare2014Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Andra generationens invandrare slits enligt tidigare studier mellan två kulturella världar och ställs därav inför utmaningen att skapa en fungerande helhet mellan världarna. Syftet med studien var att undersöka vad upplevelsen av att tillhöra två kulturer kan betyda för självbilden hos andra generationens invandrare. Deltagarna var 10 kvinnor och fem män. Vi utgick ifrån ett hermeneutiskt perspektiv och intervjuerna transkriberades och tematiserades utifrån fokus på meningen. I resultatet redovisades tre huvudteman och 12 underteman. Resultatet för första huvudtemat visade att omgivningen har en inverkan på känslan av tillhörighet. För andra huvudtemat visade det sig att ha två kulturer bidrog med ett flertal faktorer som påverkade deltagarna. Sista huvudtemat visade att språket var en viktig del av självuppfattningen. Samtliga av dessa huvudteman kan tänkas ha påverkat självbilden både negativt och positivt. Resultatet visar bl.a. att omgivningen har en inverkan på självbilden och att deltagarna påverkades av hur de vill bli sedda.

  • 22.
    Almqvist, Anna-Lena
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Almqvist, Lena
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Making oneself heard: Children's experiences of empowerment in Swedish preschools2015Inngår i: Early Child Development and Care, ISSN 0300-4430, E-ISSN 1476-8275, Vol. 185, nr 4, s. 580-595Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Children’s experiences of empowerment in relation to preschool peers and in child–adult interactions were studied, involving 25 four-to six-year-olds from four Swedish preschools. Group interviews using puppets comprised pre-constructed scenarios to examine preschools’ activities. Children took photos of indoor and outdoor preschool environments, followed by a photo-elicitation interview. Data were analysed by content analysis. Results showed that authority was expressed in relation to teachers and parents. Children negotiated about handling situations and described relations with teachers as uncomplicated; the contrary was the case with peers. Structure meant that children could choose between courses of action within set frames, describing empowerment as decision-making within limitations. Results indicated the importance of preschool teachers stimulating children to reflect on their own ability by discussing issues concerning children’s sense of empowerment, using methods similar to the ones in this study.

  • 23.
    Almqvist, Anna-Lena
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Dahlgren, Lars
    Umeå universitet, Sweden.
    Swedish fathers' motives for parental leave take-up in different scenarios2015Inngår i: Care Policies in Korea, Japan and Sweden, Paju(Gyungkido), South Korea: Yang Seo Won , 2015, 1, s. 215-242Kapittel i bok, del av antologi (Fagfellevurdert)
  • 24.
    Almqvist, Anna-Lena
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Dahlgren, Lars
    Umeå University.
    Swedish fathers' motives for parental leave take-up in different scenarios2013Inngår i: Women, Men and Children in families: Private Troubles and Public Issues / [ed] Eriikka Oinonen, Katja Repo, Tampere: Tampere University Press , 2013, 1, s. 91-112Kapittel i bok, del av antologi (Fagfellevurdert)
  • 25.
    Almqvist, Anna-Lena
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Dahlgren, Lars
    Sociologiska institutionen, Umeå universitet.
    Swedish fathers’ motives for parental leave take-up on different scenes.2013Manuskript (preprint) (Annet vitenskapelig)
  • 26.
    Almqvist, Anna-Lena
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Duvander, Ann-Zofie
    Stockholm University, Stockholm, Sweden.
    Changes in gender equality?: Swedish fathers’ parental leave,division of childcare and housework2014Inngår i: Journal of Family Studies, ISSN 1322-9400, Vol. 20, nr 1, s. 19-27Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Sweden is well known for its family policy and this study explores whether fathers’ parental leave is related to later division of childcare and housework. Two materials were used; a panel survey (2003, 2009) and an interview study (2008). Respondents in the survey had their first child between the waves and the interview-study focused on parents of 2–3 year olds. The survey is analyzed by logistic regression and the interviews by grounded theory. The results indicate that when fathers took long leave parents shared both household tasks and childcare more equally after the leave. Higher expectations of sharing childcare is related to a higher share of divided childcare once becoming parents, although it seems that some tasks are more often shared than others. When the father took long leave both parents mention that the child relates to the father as much as the mother in everyday life.

  • 27.
    Almqvist, Anna-Lena
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Kaufman, Gayle
    Davidson College, North Carolina, US.
    Fathers, Work and Family in Sweden and the US2014Konferansepaper (Fagfellevurdert)
    Abstract [en]

    This paper investigated Swedish and US fathers’ experiences of work-family conflict, possible solutions, and actual changes to their work situation in relation to becoming a parent. The Swedish data were drawn from interviews completed in 2008 with 16 fathers with a child born in 2005 or 2006. The US data came from interviews conducted between 2005 and 2007 with 26 fathers with at least one child age five or younger. The semi-structured interviews were analyzed according to grounded theory. In terms of conflicts, half of the Swedish fathers mention time pressures or stress, with some referring to work-life balance as a puzzle. Findings indicate that the US fathers think that they work too much overtime as well as shift hours, and they also mention arguments with their partner about responsibility at home. At the same time, a majority of both US and Swedish fathers emphasize family as a priority over work. In terms of possible solutions, a common theme among Swedish fathers is to mention that ideal work hours would be less than their current hours, with some wishing for a shorter work week (e.g., 4 days) and others a shorter work day (e.g., 6 hours). US fathers most commonly wish for a more flexible work-life situation. In terms of actual changes, several fathers adjust their work lives in response to their family life. Among Swedish fathers, the most common changes involve working fewer hours, adjusting their start and end times, and taking advantage of flexible hours. Swedish fathers also emphasize trading off with their partners, including ‘shift parenting.’ As for US fathers, some have changed their job to be more at home, some changed from working three shifts and some fathers solved the situation by intense work during a limited time.

  • 28.
    Almqvist, Anna-Lena
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Kaufman, Gayle
    Davidson College, North Carolina, USA.
    What  Work-Family Conflicts Do Fathers Experience in Sweden and in the United States?2016Inngår i: Balancing Work and Family in a Changing Society: The Fathers' Perspective / [ed] Isabella Crespi, Elisabetta Ruspini, Basingstoke: Palgrave Macmillan, 2016, 1, s. 176-189Kapittel i bok, del av antologi (Fagfellevurdert)
    Abstract [en]

    This chapter investigated Swedish and US fathers’ experiences of work-family conflict, possible solutions, and actual changes to their work situation in relation to becoming a parent. The Swedish data were drawn from interviews completed in 2008 with 16 fathers with a child born in 2005 or 2006. The US data came from interviews conducted between 2005 and 2007 with 26 fathers with at least one child age five or younger. The Swedish semi-structured interviews were analyzed according to grounded theory. In terms of conflicts, half of the Swedish fathers mention time pressures or stress, with some referring to work-life balance as a puzzle. Findings indicate that the US fathers think that they work too much overtime as well as shift hours, and they also mention arguments with their partner about responsibility at home. At the same time, a majority of both US and Swedish fathers emphasize family as a priority over work. In terms of possible solutions, a common theme among Swedish fathers is to mention that ideal work hours would be less than their current hours, with some wishing for a shorter work week (e.g., 4 days) and others a shorter work day (e.g., 6 hours). US fathers most commonly wish for a more flexible work-life situation. In terms of actual changes, several fathers adjust their work lives in response to their family life. Among Swedish fathers, the most common changes involve working fewer hours, adjusting their start and end times, and taking advantage of flexible hours. Swedish fathers also emphasize trading off with their partners, including ‘shift parenting.’ As for US fathers, some have changed their job to be more at home, some changed from working three shifts and some fathers solved the situation by intense work during a limited time.

  • 29.
    Almqvist, Anna-Lena
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Lassinantti, Kitty
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Social Work Practices for Young People with Complex Needs: An Integrative Review2018Inngår i: Child and Adolescent Social Work Journal, ISSN 0738-0151, E-ISSN 1573-2797, Vol. 35, nr 3, s. 207-219Artikkel, forskningsoversikt (Fagfellevurdert)
    Abstract [en]

    The aim of this integrative review is to investigate research of social work practices for adolescents and young adults with complex needs. The research questions are: What are the major themes in studies of practices for young people with complex needs? How do studies suggest that complex needs can be met in ways that are beneficial for young people? A young person with complex needs is in this review defined as an adolescent or young adult who, due to mental ill-health in combination with different types of social vulnerabilities, is receiving assistance from multiple welfare services. Searches were conducted in seven databases. These searches resulted in a sample of 1677 records, published 2007-2016, which in the screening process were reduced to 24 publications, all peer-reviewed articles. The participants in the studies in the articles consisted of young people, parents and professionals from mainly Anglo-Saxon countries. The articles were analyzed with qualitative summative content analysis. Three empirically generated themes were found in studies of work practices targeting young people with complex needs: collaboration-, relationship- and empowerment-oriented practices. In conclusion, the practices contain a wide variety of features, but with the joint aim of acknowledging young people's needs. The results can be used by practitioners and policymakers to further the development of services for youth with mental ill-health and social vulnerabilities, who use multiple welfare services.

  • 30.
    Almqvist, Anna-Lena
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Lassinantti, Kitty
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Young people with complex needs meet complex organizations: an interview study with Swedish professionals about sustainable work practices2018Inngår i: Community, Work and Family, ISSN 1366-8803, E-ISSN 1469-3615, Vol. 21, nr 5, s. 620-635Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This paper concerns preconditions for the well-being of young people with mental ill-health combined with social vulnerabilities, also referred to as youth with complex needs. Research questions are: What barriers to sustainable work practices for young people labelled as having complex needs do professionals encounter? What do professionals identify as possible ways to overcome these barriers? Sustainable work practices are reflected in three themes: empowerment, relationships and collaboration. The findings are based on semi-structured interviews with 24 professionals, 3 men and 21 women, working in psychiatric care and the social services in two Swedish municipalities in 2016 and 2017. Major barriers are lack of continuity and co-ordination in staff and support, and fragmentation of work practices. As a consequence of the increased specialization of human service organizations, young people have to interact with many different professionals which could cause disparate interventions. Possible ways mentioned to overcome these barriers are supported through good interactional skills, using keyworkers as well therapeutic alliances, wrap-around services and case management. Complexity is linked to organizations and work practices rather than to young people. An often dysfunctional service delivery system in organizations with rigid boundaries may also affect professionals’ aim for sustainable support.

  • 31.
    Almqvist, Lena
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Sjöman, Madeleine
    Jönköping university, Sweden.
    Golsäter, Marie
    Jönköping university, Sweden.
    Granlund, Mats
    Jönköping university, Sweden.
    Children's behavior problems as a predictor of staff implemented intervention in preschool and engagement outcomes.2014Konferansepaper (Fagfellevurdert)
  • 32.
    Anbäcken, Els-Marie
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    A Japanese Narrative 1992 - 2016.: Applying a Relational Perspective on Ageing, Life and Care2019Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    A Japanese Narrative 1992 - 2016.

    Applying a Relational Perspective on Ageing, Life and Care

     A qualitative longitudinal study evolved as I followed the Suzuki couple in Japan for more than two decades through life turning points and crises. Would the traditions of filial duty guide their choices, or would the Suzuki couples’ clearly voiced wish to live on their own and take care of themselves be respected?  I have followed their temporary move to their daughter’s residence following upon the 1995 Hanshin Earthquake when they lost their house, their permanent move to a condominium purchased by son, and a couple of years thereafter, the sudden death of Mr Suzuki. Since his death, I met Ms Suzuki every or every other year, last time was in 2016  when she still lived at home (with dementia) and enjoyed regular visits to a day care center

    This paper will discuss views on ageing, care and life from a relational point of view and within a life course perspective. This paper also encounters death as part of life and relations    Though a one case study, this paper will also draw on some previous studies in the fields of social and cross-cultural gerontology.

  • 33.
    Anbäcken, Els-Marie
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Aloneness and loneliness in later life, reflections from a longitudinal Japanese case study: 2016Konferansepaper (Annet vitenskapelig)
  • 34.
    Anbäcken, Els-Marie
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Linköpings universitet, Socialt arbete.
    Dementia care and  “best practice”- in everyday life until end of life2018Inngår i: International Conference Innovation, Prevention and Care for NCDs and Global Health,, 2018Konferansepaper (Fagfellevurdert)
  • 35.
    Anbäcken, Els-Marie
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    ”KÖP –projektet”: Kunskapsöversikt för praktiker, BEST PRACTICE Äldreomsorg2017Konferansepaper (Annet vitenskapelig)
  • 36.
    Anbäcken, Els-Marie
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Methods in social care work for older persons with dementia- from daily life to end of life2018Inngår i: Nationell forskningskonferens i socialt arbete; Abstractsammanställning av Sara Thunberg, Daniel Uhnoo, Anders Bruhn / [ed] Anders Bruhn och Åsa Källström, Örebro: Örebro University , 2018Konferansepaper (Annet vitenskapelig)
  • 37.
    Anbäcken, Els-Marie
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Gustafsson, Lena-Karin
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Elfström, Magnus
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Zander, Viktoria
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Östlund, Gunnel
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    A holistic way ofworking interprofessionally in home care with and for older people2016Konferansepaper (Fagfellevurdert)
  • 38.
    Anbäcken, Els-Marie
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Linköpings universitet, Socialt arbete.
    Hashimoto, Masaaki
    Inagaki, Mikako
    Yamamoto, Etsuko
    Hellström, Linda
    Nilsson, Karin
    Voices from inside. A study of nursing home residents´ views of life, ageing and care in Japan and Sweden2008Inngår i: Older people in an international local context: The cases of Japan and Sweden / [ed] Els-Marie Anbäcken & Yasuhito Kinoshita, Stockholm: Dreamforce , 2008, 1, s. 165-213Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 39.
    Andersson, Anna Karin
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Everyday functioning in six year-old children born preterm: From a child perspective towards the child's perspective2017Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    The overall aim of the thesis was to explore everyday functioning in six year-old children born preterm, from the children’s perspectives and from their parents’ perspectives. The relation between everyday functioning and neonatal risk factors, behavioural characteristics was studied with descriptive and correlational statistics, ANOVA and multiple linear regression (I). Patterns of everyday functioning were explored in a cluster analysis following a person-oriented approach (II). In a mixed method approach, the children’s and their parents’ perceptions on children’s competence in everyday activities were explored with a pictorial instrument and analysed with descriptive statistics and qualitative content analysis (III). The children’s perceptions of meaningful everyday life situations were explored in a photo voice study, analysed with qualitative content analysis. In total, 144 children born preterm and 222 children born at term and their parents were involved.

    The results indicated that from the parents’ perspective most children born preterm and full-term were perceived with strong everyday functioning featuring strong motor, process and communication skills, a positive interaction pattern and low levels of behaviour problems. As a group, the children born very preterm were perceived weaker in their everyday functioning than the full-term group but the pattern of performance skills, interaction and behaviour varied similar to that of children born full-term. Further, it was found that preterm birth was not the main predictor, instead hyperactivity had most influence on everyday functioning. Moreover, the children born preterm perceived themselves to be overall strong performers of everyday activities. They wanted to be active and do things and for that they wanted to have skills and significant others i.e. siblings, parents, friends and pets to interact with and to feel safe and loved. Further, the children born preterm expressed a will to develop, improve and gain new skills and to have more opportunities to do meaningful things.

    In conclusion, the results in this thesis indicate that young children born preterm are able to reflect on their everyday functioning, and express needs and desires for their participation in meaningful everyday life situations. Moreover, preterm birth is not the sole predictor of everyday functioning more critical is the interaction of individual, behavioural and contextual factors.     

  • 40.
    Andersson, Anna Karin
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Almqvist, Lena
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Strand Brodd, Katarina
    Martin, Lene
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Born too soon: a project about everyday functioning, health and welfare2014Konferansepaper (Fagfellevurdert)
  • 41.
    Andersson, Anna Karin
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Martin, Lene
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Strand Brodd, K.
    Uppsala University, Sweden.
    Almqvist, Lena
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Patterns of everyday functioning in preschool children born preterm and at term2017Inngår i: Research in Developmental Disabilities, ISSN 0891-4222, E-ISSN 1873-3379, Vol. 67, s. 82-93Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background/Aim Children born preterm are at risk of neonatal complications but the long-term consequences for everyday functioning is not well known. The study aimed to identify patterns of everyday functioning in preschool children born preterm and at term in relation to perinatal data, neonatal risk factors, behaviour, and socioeconomic status. Registry data and data from parent rated questionnaires were collected for 331 children. Method A person-oriented approach with a cluster analysis was used. Results A seven cluster solution explained 65.91% of the variance. Most children (n = 232) showed patterns of strong everyday functioning. A minority of the children (n = 99), showed diverse patterns of weak everyday functioning. Perinatal characteristics, neonatal risk factors and socio-economics did not predict cluster group membership. Children born preterm were represented in all clusters. Conclusion, implications Most preschool children are perceived by their parents with strong everyday functioning despite being born preterm. However small groups of children are, for various reasons, perceived with weak functioning, but preterm birth is not the sole contributor to patterns of weak everyday functioning. More critical for all children's everyday functioning is probably the interaction between individual factors, behavioural factors and contextual factors. To gain a broader understanding of children's everyday functioning. Child Health Services need to systematically consider aspects of body function, activity and in addition participation and environmental aspects.

  • 42.
    Andersson, Anna Karin
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Martin, Lene
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Strand Brodd, K.
    Uppsala University, Sweden.
    Almqvist, Lena
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Predictors for everyday functioning in preschool children born preterm and at term2016Inngår i: Early Human Development, ISSN 0378-3782, E-ISSN 1872-6232, Vol. 103, s. 147-153Artikkel i tidsskrift (Fagfellevurdert)
  • 43.
    Andersson, Anna Karin
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Martin, Lene
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Strand Brodd, Katarina
    Almqvist, Lena
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Childrens and parents percpetions of everyday functioning in preschool children born preterm2017Konferansepaper (Fagfellevurdert)
  • 44.
    Andersson, Ann-Katrin
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Sköld, Peter
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    "Personalen måste hjälpa mig att resa mig upp": Erfarenheter av hälsofrämjande motivationsarbete inom rättspsykiatrisk vård2016Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Tidigare forskning har visat att patienter inom rättspsykiatrisk slutenvård lider av övervikt och svår fetma i högre grad än någonsin tidigare. Betydelsen av en positiv förstärkning från vårdpersonalen är viktig för att patienterna ska orka fullfölja sina livsstilförändringar. Syftet med studien är att beskriva sjuksköterskors och patienters erfarenheter av hälsofrämjande motivationsarbete inom rättspsykiatrisk vård. Studien har en kvalitativ ansats där författarna har använt semistrukturerade intervjufrågor. Författarna har intervjuat fem sjuksköterskor och fem patienter. Intervjuerna har bearbetats utifrån en kvalitativ innehållsanalys. I resultatet framkommer att sjuksköterskor erfar att det är svårt med motivationsarbetet då vården styrs av regler och struktur, men att även strukturen ligger till grund för motivationsarbetet. Sjuksköterskornas erfarenheter är att det gör skillnad i det hälsofrämjande motivationsarbetet när de har en relation med patienterna. Deras erfarenhet är även att de har sig själva som verktyg vilket speglar av sig till patienterna. Patienterna erfar att vårdens struktur är byråkratisk, vilket bidrar till bristande motivation i det hälsofrämjande arbetet. Engagerad vårdpersonal och positiva förebilder bidrar till en mer inspirerande motivationskultur på vårdavdelningar men negativa erfarenheter av personalens engagemang hämmar motivationen. Slutsatsen är att det blir skillnad i det hälsofrämjande motivationsarbetet när sjuksköterskor och patienter har en relation och arbetar mot gemensamma mål.

    Nyckelord: hälsofrämjande arbete, kvalitativ innehållsanalys, motivation, rättspsykiatriska patienter, sjuksköterskor inom rättspsykiatrisk vård.

  • 45.
    Andersson, Henrik
    et al.
    University of Borås, Sweden.
    Ullgren, Andreas
    University of Borås, Sweden.
    Holmberg, Mats
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. University of Borås, Sweden.
    Karlsson, Thomas
    University of Gothenburg, Gothenburg, Sweden.
    Herlitz, Johan
    University of Borås, Sweden.
    Wireklint Sundström, Birgitta
    University of Borås, Sweden.
    Acute coronary syndrome in relation to the occurrence of associated symptoms: A quantitative study in prehospital emergency care.2017Inngår i: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 33, s. 43-47Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    INTRODUCTION: Acute chest pain is a common symptom among prehospital emergency care patients. Therefore, it is crucial that ambulance nurses (ANs) have the ability to identify symptoms and assess patients suffering from acute coronary syndrome (ACS). The aim of this study is to explore the occurrence of dyspnoea and nausea and/or vomiting in the prehospital phase of a suspected ACS and the associations with patients' outcome.

    METHODS: This study has a quantitative design based on data from hospital records and from a previous interventional study (randomised controlled trial) including five Emergency Medical Service (EMS) systems in western Sweden in the years 2008-2010.

    RESULTS: In all, 1836 patients were included in the interventional study. Dyspnoea was reported in 38% and nausea and/or vomiting in 26% of patients. The risk of death within one year increased with the presence of dyspnoea. The presence of nausea and/or vomiting increased the likelihood of a final diagnosis of acute myocardial infarction (AMI).

    CONCLUSION: This study shows that dyspnoea, nausea and/or vomiting increase the risk of death and serious diagnosis among ACS patients. This means that dyspnoea, nausea and/or vomiting should influence the ANs' assessment and that special education in cardiovascular nursing is required.

  • 46.
    Andersson, Kin
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Predictors of re-employment: A question of attitude, behavior, or gender?2015Inngår i: Scandinavian Journal of Psychology, ISSN 0036-5564, E-ISSN 1467-9450, Vol. 56, nr 4, s. 438-446Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This longitudinal study examined the predictive value of attitudes, personal-related variables, job search behaviour, and demographic variables on re-employment among 142 assembly workers who had been made redundant. Participants completed a questionnaire within a week after leaving their jobs, and another 15 months later. Results of hierarchical logistic regression revealed that gender (being male), was the strongest predictor of re-employment. Willingness to relocate and desire to change occupation also increased the odds of re-employment 15 months after dismissal. On the other hand - having children at home and anonymous-passive job-search behaviour, which is more prevalent among women, decreased the odds for re-employment. The study is contributing to research by revealing gender differences in job search behaviour and the importance of focusing qualitative differences instead of merely quantitative measures in job-search behaviour. And even more important, despite attitude and job-search behaviour, there is still differences that seems to be related to gender and family responsibility.

  • 47.
    Andersson, Lena
    et al.
    Uppsala University.
    Eriksson, Henrik
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Nordgren, Lena
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Differences between heart failure clinics and primary health care regarding information and follow-up2013Inngår i: British Journal of Community Nursing, ISSN 1462-4753, E-ISSN 2052-2215, Vol. 18, nr 6, s. 288-292Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    There is a paucity of knowledge concerning how people with heart failure experience differences between specialised heart failure clinics and primary healthcare in Sweden. This study aimed to describe differences regarding information and followup in heart failure clinics and primary healthcare. The study was conducted in Sweden in 2011. Four people (three men, one woman; aged 60 to 84) with heart failure (NYHA II) were interviewed. The interviews were analysed with qualitative content analysis. The findings revealed after referral from the heart failure clinic to primary healthcare, follow-ups were omitted. Still, the patients needed care, support and information. The findings are illuminated in four themes. The patients' varying and individual needs can be difficult to recognise and manage unless they are followed-up from either HFC or PHC on a regular basis.

  • 48.
    Andersson, Linn
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    "Var drar man gränsen för solidaritet?": En studie om kommunens och ideella organisationers insatser för tiggande EU-medborgare.2014Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [en]

    EU-citizens who are coming to Sweden to beg is a current topic. The purpose of the study was to investigate the actions offered by the municipality and non-profit organizations to help these people. A qualitative approach was chosen and altogether five interviews were carried out, three with municipal representatives and two with different non-profit organizations. The result showed that there is a number of different actions and many of these are based on collaboration with the two parties. All informants were of the opinion that the implementation worked well but that there were clear limitations. The limitations included lack of knowledge about the current group and language difficulties. The results also showed that the most common merits was that the vulnerable EU-citizens were treated as people and that they got food and a roof over their heads. The results were analysed by previous research, Maslow's hierarchy of needs and Antonovsky’s sense of coherence. One of the study’s conclusions was that further knowledge about vulnerable EU-citizens who begs is necessary.

  • 49.
    Andersson, Marita
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Utvärdering av multimodal rehabilitering för patienter med långvarig smärta: En jämförande behandlingsstudie i primärvård2015Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Bakgrund: Långvarig smärta är ett vanligt förekommande problem och bidrar till lidande för den det drabbar, samt för med sig stora kostnader för samhället. Multimodal rehabilitering (MMR) sker i team utifrån ett biopsykosocialt synsätt och är en lämplig rehabiliteringsform för personer med långvarig smärta. Detta betyder att förutom fysiologiska aspekter omfattar behandlingen kognitiva, psykologiska, beteendemässiga och arbetsrelaterade komponenter.

    Syfte: Att utvärdera effekten av MMR för patienter med långvarig smärta inom primärvård avseende upplevd aktivitetsbegränsning, self-efficacy, samt sömnkvalitet.

    Metod: Studien hade en jämförande kvasiexperimentell design. Redan insamlad data via självskattningsformulär från 50 patienter analyserades efter MMR jämfört med före. De mätinstrument som användes var Pain Disability Index, Self-efficacy Scale samt två frågor om sömn.

    Resultat: Patienternas upplevda aktivitetsbegränsning minskade signifikant efter rehabiliteringen och self-efficacy ökade signifikant. Inga skillnader i sömnen kunde ses efter MMR jämfört med före.

    Slutsats: MMR i denna form förbättrade patienternas upplevda aktivitetsbegränsning och ökade self-efficacy, men avseende sömnkvalitet framkom ingen skillnad. För att bättre kunna möta och behandla sömnproblem hos smärtpatienter föreslås förbättringar i innehållet i MMR angående de behandlingsmodaliteter som erbjuds.

  • 50.
    Angantyr, Malin
    et al.
    Mälardalens högskola.
    Hansen, Eric M.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Eklund, Jakob
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Malm, K.
    Skara, Sweden.
    Reducing Sex Differences in Children’s Empathy for Animals Through a Training Intervention2016Inngår i: Journal of Research in Childhood Education, ISSN 0256-8543, E-ISSN 2150-2641, Vol. 30, nr 3, s. 273-281Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    ABSTRACT: Humane education programs designed to increase children’s empathy for animals are becoming more common. A quasi-experiment tested the effectiveness of one such program by comparing 80 children who had completed the program with a control group of 57 children who had not. The children read a story involving an injured dog and rated the degree of empathic concern they felt for him. The results showed that girls tended to express more empathy for a dog than did boys, but this difference was not significant for children who underwent an animal empathy training program. This suggests that humane education programs can reduce sex differences by increasing boys’ empathy. 

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