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  • 1.
    Beyermann, Alexandra
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Asp, Margareta
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Godskesen, Tove
    Palliative Research Centre, Department of Health Care Sciences, Marie Cederschiöld University, Stockholm, Sweden; Centre for Research Ethics & Bioethics, Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Söderman, Mirkka
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Nurses’ challenges when supporting the family of patients with ALS in specialized palliative home care: A qualitative study2023In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 18, no 1, article id 2238984Article in journal (Refereed)
    Abstract [en]

    Purpose: Being a family member to someone who has amyotrophic lateral sclerosis (ALS) is demanding and often requires sacrificing a lot. Family members can experience fatigue, anxiety, guilt and need support. The aim was to explore registered nurses’ (RNs’) experiences of providing support to the families of patients with ALS within specialized palliative home care (SPHC).

    Methods: A qualitative explorative design. Interviews were conducted with RNs (n = 11) from five SPHCs in Sweden and analysed using qualitative content analysis.

    Results: The results emerged in the following categories:”To support in an increasingly difficult everyday life”, based on the sub-categories: “Creating a trusting relationship”, “Balancing between the needs of patients and their families”, and “Sharing knowledge about dying to the families”;”To support in emotionally challenging situations”, based on the sub-categories: “Harbouring family members’ difficult feelings”, “Providing support even though the situation is unpleasant” and “Being able to give support by receiving confirmation and support from others”.

    Conclusions: RNs working in SPHC have an important role in providing support in several ways to the families of patients with ALS, through facilitating their everyday life and giving emotional support when needed, based on the needs of both patients and the families.

  • 2.
    Gusdal, Annelie K.
    et al.
    School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna/Västerås, Sweden.
    Söderman, Mirkka
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna/Västerås, Sweden.
    Pettersson, Tina
    Mälardalen University, School of Health, Care and Social Welfare. School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna/Västerås, Sweden.
    Kaup, Jaana
    Mälardalen University, School of Health, Care and Social Welfare. School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna/Västerås, Sweden.
    Gustafsson, Lena-Karin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna/Västerås, Sweden.
    Healthcare and social care professionals’ experiences of respite care: a critical incident study2024In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 19, no 1Article in journal (Refereed)
  • 3.
    Gustafsson, Lena-Karin
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Bondesson, Anna
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Pettersson, Tina
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Söderman, Mirkka
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Dilemmas in rehabilitation and patient strategies in an intensive home intervention: a follow-up study2023In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 18, no 1, article id 2253001Article in journal (Refereed)
    Abstract [en]

    Background The original project, where older persons received reablement performed by an interprofessional team showed success factors for IHR. However, since there is a lack of knowledge about why some persons do not recover despite receiving IHR, this study follows up patients' experiences of IHR.Aim To describe older persons' perceived dilemmas in the reablement process within the framework of IHR.Method 11 CIT interviews with participants who have previously received IHR, were analysed, interpreted and categorized according to CIT. The study was approved by the Swedish Ethical Review Authority.Results The results showed disease-related dilemmas, fatigue or pain so that participants could not cope with the prescribed exercises. New diseases appeared, as well as medication side effects made exercising difficult, and painkillers became a prerequisite for coping with IHR. Low self-motivation and mistrust towards the staff emerged like lack of trust due to otherness such as sex, cultural background, or language also became critical.Conclusions Interventions that consider individual- and contextual dilemmas are very important. By recognizing critical situations, this study can work as a basis of evidence to further develop interventions for older people living in their own homes and to ensure them to stay there.

  • 4.
    Gustafsson, Lena-Karin
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Söderman, Mirkka
    Mälardalen University, School of Health, Care and Social Welfare.
    Omvårdnad i hemmet vid komplexa vårdbehov2022 (ed. 1)Book (Other academic)
    Abstract [sv]

    God och nära vård innebär att vård som utförs i hemmet ska likställas med övrig vård. Skillnaden är endast platsen där alltmer komplexitet inryms i sjuksköterskans vardag.

    I boken beskrivs patientens hem som en vårdplats, förutsättningar för kvalitativ vård i hemmet samt komplexa vårdsituationer kopplade till olika patientfall. Dessa sträcker sig från neonatal hemvård till multi­sjuka äldre och specifika tillstånd som ALS, cancer, hjärtsvikt, KOL samt kognitiv svikt och demenssjukdomar. Omslagsbilden, en ”vårdfläta”, symboliserar både samordnade och integrerade insatser som går över varandras traditionella gränser för att möta patientens behov.

    Omvårdnad i hemmet vid komplexa vårdbehov fokuserar sjuksköterskans aktuella och breda arbetsfält – hälso- och sjukvård i hemmet och vänder sig till blivande sjuksköterskor och studenter på avancerad nivå, andra vårdprofessioner samt yrkesverksamma.

  • 5.
    Gustafsson, Lena-Karin
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Söderman, Mirkka
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Bondesson, Anna
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Pettersson, Tina
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Kaup, Jaana
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    HEMMA projektet - om äldres förutsättningar för kvarboende2023Report (Other academic)
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  • 6.
    Gustafsson, Lena-Karin
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Söderman, Mirkka
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Bondesson, Anna
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Pettersson, Tina
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Gusdal, Annelie K
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Växelvård idag och i framtiden2023Report (Other academic)
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  • 7.
    Pietilä Rosendahl, Sirpa
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Söderman, Mirkka
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Mazaheri, Monir
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
    Immigrants with dementia in Swedish residential care: An exploratory study of the experiences of their family members and nursing staff2016In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 16, no 18Article in journal (Refereed)
    Abstract [en]

    Background

    Worldwide, there is a growing population of older people who develop dementia in a country other than that of their origin. When their dementia has reached an advanced stage, residential care is most often needed. People with dementia in Sweden are often cared for in group homes. For immigrants, this may mean a linguistically challenging care environment for both healthcare staff and the patients’ family members.

    The aim of this study was to explore and describe the experiences of family members and professional caregivers regarding the care provided to immigrants with dementia in group homes in Sweden.

    Methods

    An exploratory, descriptive study with a qualitative approach was chosen. In-depth semi-structured interviews were conducted with nine professional caregivers and five family members of people with dementia with Finnish, Estonian, Hungarian and Ingrian backgrounds; all were chosen purposefully. All people with dementia had lost their Swedish language skills as their second language. The data was analysed using qualitative content analysis.

    Results

    Three main categories and seven subcategories were identified. The first main category: A new living situation comprised the subcategories: adjusting to new living arrangements and expectations regarding activities and traditional food at the group home, the second main category: Challenges in communication with the subcategories: limited communication between the immigrant with dementia and the Swedish-speaking nursing staff and the consequences of linguistic misunderstandings and nuanced communication in a common language and the third main category: The role of the family member at the group home with the subcategories: a link to the healthy life story of the family member with dementia andan expert and interpreter for the nursing staff.

    Conclusions

    The family member played a crucial role in the lives of immigrants with dementia living in a group home by facilitating communication between the nursing staff and the PWD and also by making it possible for PWD to access the cultural activities they wanted and which professional caregivers were either not able to recognise as needed or could not deliver.

  • 8.
    Söderman, Mirkka
    Mälardalen University, School of Health, Care and Social Welfare. Karolinska institutet, Sweden.
    Healthcare professionals’ work with sickness absence- with focus on oncology2020Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Background: Physicians have an important role in patients’ sickness absence (SA) process,and many initiatives have been taken to influence their sickness certification practice. Manyphysicians experience sickness certification as a problematic task. This also applies tooncologists, a group in which a larger proportion has sickness certification tasks more oftencompared to physicians with other specialties. Experiences of encounters with healthcareprofessionals is one factor that has been shown to be of importance regarding SA and abilityto return to work (RTW) among sickness absentees in general. Breast cancer (BC) is the mostcommon cancer among women of working age, however, knowledge about their experiencesof encounters with healthcare professionals regarding SA and work is scarce.Aim: To increase the knowledge about healthcare professionals’ work with SA, how womenwith BC experience encounters with healthcare professionals, and possible associations withSA and RTW.Method: In study I-III, data from three different Swedish surveys were analyzed. Study I: 342oncologists who had sickness certification consultations were included. Study II: A cohort of690 women in Stockholm, who had had surgery for primary BC, and were aged 24-63 yearswere included. Study III: A random sample of 6197 women in Sweden, aged 19-65 years, andon SA since 4-8 months were included. Of those, 187 were on SA due to BC. In study I-III,descriptive statistics were calculated, and logistic regression with odds ratios (OR) with 95%confidence intervals (CI) were used for analyses of associations. Study IV: A systematicliterature review of interventions regarding physicians’ sickness certification practices. Metaanalyseswere performed to produce summarized relative risk estimates with 95% CI fromthe data pooled using random effect models.Results: Study I: A majority of the oncologists had consultations involving sicknesscertification weekly and one fifth experienced such consultations as problematic at least oncea week. Associations were found between oncologists stating not having enoughorganizational resources for work with such tasks and experiencing different aspects ofsickness certification as problematic. Study II: A majority of the women with BC hadexperienced encounters regarding work with healthcare. An association was found bothbetween women having experienced advice and support regarding work and having beenencouraged to work and having less SA, as well as between to have been encouraged to be onSA and having more SA. The latter was partly explained by disease and treatment factors.Study III: Positive encounters with healthcare professionals in connection to SA wereexperienced by almost all the women on SA, both women with BC and with other SAdiagnoses. About half of the women stated that positive encounters promoted their ability toRTW, slightly fewer among women with BC. Four specific types of encounters; “allowed meto take own responsibility”, “encouraged me to carry through my own solutions”, “madereasonably high demands”, and “sided with me/stood on my side” were also experienced to alesser extent by women with BC. Study IV: Nine intervention studies were included. Theeffect measures varied considerably. Significant intervention effects in intended directionwere found in four of the nine interventions, in two interventions unintended effects werefound. The meta-analyses indicated a summarized effect on any RTW (first, partial or full)among the patients.Conclusion: Although oncologists often had sickness certification tasks, such tasks wereseldom experienced as problematic. However, lack of resources for sickness certificationtasks was associated with experiencing such tasks as problematic. Most of the women withBC had experienced encounters from healthcare professionals regarding work and SA theyear after the surgery. Most of the women, both on SA due to BC or due to other diagnoses,had experienced positive encounters, and that such encounters promoted being able to RTW.The results indicate that physicians’ sickness certification practice can be influenced byinterventions.

  • 9.
    Söderman, Mirkka
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Intervention studies regarding physicians’ sickness certification practice – a scoping review2021Conference paper (Refereed)
  • 10.
    Söderman, Mirkka
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Långvarig cancerrelaterad smärta2022In: Långvarig smärta ur vårdande perspektiv / [ed] Helena Lööf, Studentlitteratur AB, 2022, 1, p. 157-174Chapter in book (Other academic)
  • 11.
    Söderman, Mirkka
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Oncologist’s experiences of sickness certification of patients: a nationwide survey2019Conference paper (Refereed)
  • 12.
    Söderman, Mirkka
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    POSITIVE ENCOUNTERS WITH HEALTHCARE AMONG WOMEN SICKNESS ABSENT WITH BREAST CANCER OR OTHER DIAGNOSES2017Conference paper (Refereed)
  • 13.
    Söderman, Mirkka
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Positive encounters with healthcare among womensickness absent with breast cancer or other diagnoses2017Conference paper (Refereed)
  • 14.
    Söderman, Mirkka
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Women’s experiences of encounters related to work with healthcare after breast cancer surgery and its association with sickness absence; a prospective two-year follow up2018Conference paper (Refereed)
  • 15.
    Söderman, Mirkka
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Bondesson, Anna
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Pettersson, Tina
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Gustafsson, Lena-Karin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    “Intensive-Home-Rehabilitation” Intervention for Older Persons: A Follow-Up Study of Team Members’ Perceptions2023In: Journal of Multidisciplinary Healthcare, ISSN 1178-2390, E-ISSN 1178-2390, Vol. 16, p. 2207-2216Article in journal (Refereed)
    Abstract [en]

    Background: Reablement as a concept includes a health-promoting perspective with the goal of strengthening health and the ability to perform and participate in daily activities, a broader perspective than in general home care and rehabilitation. Reablement interventions have shown to be both more effective and to a greater extent improve the function and health-related quality of life of older persons when compared to traditional home-based care. Success factors for intensive-home-rehabilitation (IHR), an intervention based on the reablement concept, have been described earlier; however, there is a lack of knowledge about why some persons do not recover despite receiving IHR. Aim: The aim was to shed light on the older persons’ conditions during IHR from the perspective of the rehabilitation team members and to describe obstacles to recovery. Methods: Qualitative analysis of health and care records of persons (65+) who received IHR (n=19) performed by an interprofes-sional team. Results: The analysis revealed various problematic situations, dilemmas, that occurred in the older persons’ lives during IHR, as well as their consequences and the strategies employed by the older persons as a result. IHR aspects perceived as successful by the older persons also emerged, as well as differences in experiences of the physical and mental aspects of the IHR. Analysis also revealed reasons why the IHR might be experienced as broadly successful. Conclusion: The older persons seemed to be satisfied with IHR and achieved their goals; however, some seemed to need more time to reach their goals. Background factors such as having additional diagnoses and living alone might affect the rehabilitation process. Implication for Practice: The study provides knowledge regarding the importance of IHR for the recovery process for the increasing numbers of older persons, which might also be useful in other patient groups requiring otherwise long-term rehabilitation and recovery such as after covid-19 infection. 

  • 16.
    Söderman, Mirkka
    et al.
    Karolinska Institutet.
    Friberg, E.
    Karolinska Institutet.
    Alexanderson, K.
    Karolinska Institutet.
    Wennman-Larsen, A.
    Karolinska Institutet.
    Women's experiences of encounters with healthcare professionals' regarding work after breast-cancer surgery and associations with sickness absence: a 2-year follow-up cohort study.2019In: Supportive Care in Cancer, ISSN 0941-4355, E-ISSN 1433-7339Article in journal (Refereed)
  • 17.
    Söderman, Mirkka
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Gustafsson, Lena-Karin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Older persons’ experiences of intensive home rehabilitation: a follow-up study of the interventio2022Conference paper (Refereed)
  • 18.
    Söderman, Mirkka
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Gustafsson, Lena-Karin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Respite care for ageing in dignity when suffering from dementia - a interdisciplinary mixed method project2023Conference paper (Refereed)
  • 19.
    Söderman, Mirkka
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Gustafsson, Lena-Karin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    The variety of dilemmas in the rehabilitation process and the older persons' strategies to face them – A follow up study of a IHR intervention2023Conference paper (Refereed)
  • 20.
    Söderman, Mirkka
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Gustafsson, Lena-Karin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Uppföljning IHR FORSKNINGSRAPPORT2022Report (Other academic)
    Abstract [sv]

    Sammanfattning

    En forskargrupp på HVV genomförde 2015-2019 ett forskningsprojekt i samarbete med Eskilstuna Kommun och MKHV. Intensiv hemrehabilitering (IHR) designades som en intervention där forskningspersonerna, äldre personer (65+), som ansökt om omvårdnadsinsatser i den kommunala hemtjänsten fått intensiv hemrehabilitering utfört av ett interprofessionellt team. Resultaten jämfördes med en kontrollgrupp som fått sedvanlig hemtjänst. Intervjuer genomfördes 2016 med 24 av de äldre personerna som ingick i projektet. Framgångsfaktorer för IHR har visat sig vara att vårdaren är motiverande, skapar en positiv atmosfär, känner av den gemensamma rytmen och gör något utöver det förväntade i strävan att stödja personen. Däremot saknas det kunskap om varför vissa personer inte återhämtar sig trots att de fått IHR. Nu när det gått några sedan de senaste mätningarna finns en önskan om att följa upp patienter/brukares erfarenheter av den intensiva hemrehabiliteringen. Syfte: Forskningsprojektet avser att genom uppföljning belysa äldres erfarenheter av en IHR-intervention samt beskriva eventuella hinder för återhämtning. Frågeställningar är bland andra: Vilka upplevelser av omsorgsinsatser i hemmet beskriver deltagarna efter interventionen intensiv hemrehabilitering? Vilka dilemman framträder i rehabiliteringsprocessen? Metod: En fallkontrollundersökning genom journalgranskning, protokoll med kvalitativa frågeställningar och kvalitativ analys. Urvalet utgick från ett rimligt material att utöva en kvalitativ uppföljning för att beskriva situationen för de äldre personerna som fått IHR. Personer som fått IHR inkluderades. Detta är ett kvalitativt projekt och räknar inte statistisk styrka. Materialet består av 19 journaler/brukardokumentationer samt 11 djupintervjuer. Resultat: I journaltexterna framkom bakgrundsfaktorer som kan påverka behov av hjälp såsom att ha tilläggsdiagnoser och att vara ensamboende. De äldre personerna upplevde sig dels behöva mer tid för att kunna nå målet med interventionen, dels att målet inte kunde uppnås då fysiska besvär som försvårar träningen och förlänger rehabiliteringsprocessen. Detta kunde vara smärta, ostadighet och rädsla för att ramla. Psykiska faktorer som försvårar träningen och förlänger rehabiliteringsprocessen kunde vara kommunikativa brister som att inte vara införstådd med vad IHR innebar eller den äldre personens kognitiva förmåga att uppfatta information. Slutsatser: Förutom fysiska faktorer finns det psykiska faktorer som kan försvåra träningen och förlänga rehabiliteringsprocessen. Exklusionskriterierna till IHR kan behöva ses över så att inte i denna typ av interventioner enbart exkludera personer med allvarlig kognitiv dysfunktion utan att även mildare kognitiv dysfunktion tas med i beaktningen. Likväl när det gäller personer med vissa typer av psykiska sjukdomar som kan påverka förmågan att ta till sig interventionen. Övriga slutsatser rapporteras förutom till Eskilstuna kommun i vetenskapliga publikationer under våren.

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  • 21.
    Söderman, Mirkka
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Lööf, Helena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Återhämtningsprocessen vid långvarig smärta2022In: Långvarig smärta ur ett vårdande perspektiv / [ed] Helena Lööf, Studentlitteratur AB, 2022, p. 175-192Chapter in book (Other academic)
  • 22.
    Söderman, Mirkka
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Pietilä Rosendahl, Sirpa
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Caring for the ethnic elders suffering from dementia – experiences of nursing staff2014In: Caring for the ethnic elders suffering from dementia – experiences of nursing staff, 2014Conference paper (Refereed)
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    fulltext
  • 23.
    Söderman, Mirkka
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Malardalen Univ, Sch Hlth Care & Social Welf, Box 325, SE-63105 Eskilstuna, Sweden.;Karolinska Inst, Dept Clin Neurosci, Div Insurance Med, SE-17177 Stockholm, Sweden..
    Pietilä Rosendahl, Sirpa
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Malardalen Univ, Sch Hlth Care & Social Welf, Box 325, SE-63105 Eskilstuna, Sweden.;Univ Skovde, Sch Hlth & Educ, Box 408, SE-54128 Skovde, Sweden..
    Sallstrom, Christina
    Karlstad Univ, Dept Hlth Sci, Fac Hlth Sci & Technol Karlstad, Sweden..
    Caring and Uncaring Encounters between Assistant Nurses and Immigrants with Dementia Symptoms in Two Group Homes in Sweden: an Observational Study2018In: Journal of Cross-Cultural Gerontology, ISSN 0169-3816, E-ISSN 1573-0719, Vol. 33, no 3, p. 299-317Article in journal (Refereed)
    Abstract [en]

    Background: The total number of people with dementia symptoms is expected to double every 20years and there will also be an increase in the number of older immigrants in several countries. There are considerable deficiencies in the present knowledge of how to conduct well-functioning health care for immigrants with dementia symptoms. The aim of this study was to explore caring and uncaring encounters between assistant nurses and immigrants in two group homes for persons with dementia symptoms in Sweden: a Finnish-speaking as well as a Swedish-speaking context. In addition, this study aims to describe how caring and uncaring encounters are manifested in these two contexts according to Halldorsdottir's theory of Caring and Uncaring encounters. Method: Descriptive field notes from 30 separate observations were analyzed using qualitative deductive content analysis. Results: The main category caring encounters focused on reaching out to initiate connection through communication, removing masks of anonymity by acknowledging the unique person, acknowledgment of connection by being personal. Reaching a level of truthfulness by being present and showing respect, raising the level of solidarity by equality and true negotiation of care, based on the residents' needs. The main category, uncaring encounters, focused on disinterest in and insensitivity towards the other, coldness in the connection and lack of humanity in care situations. The observations showed that caring encounters occurred more in the Finnish-speaking context and uncaring encounters more often in the Swedish context. Conclusion: Encounters could be caring, uncaring, and carried out using a person-centered approach. Communication and relationships could be facilitated using the same language but also through learning to interpret residents' needs and desires.

  • 24.
    Söderman, Mirkka
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Rosendahl, Sirpa
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Caring for the ethnic elders living with dementia – experiences of nursing staff2016In: Journal of Cross-Cultural Gerontology, ISSN 0169-3816, E-ISSN 1573-0719, Vol. 31, no 3, p. 311-326Article in journal (Refereed)
    Abstract [en]

    The total number of persons living with dementia is estimated to double every 20 years and ageing migrant populations are growing in several countries. There are gaps in the health and social care of people from other countries, regardless of the efforts made when someone has a dementia diagnosis; similarly, receiving care in sheltered accommodation is less common. The aim of this study was to explore and describe the nursing staff’s experiences of caring for non-Swedish speaking persons living with dementia in a Finnish speaking group home in relation to a Swedish speaking group home in Sweden. 27 qualitative semi-structured interviews were analysed using qualitative content analyses. The first main category, “communication”, concentrated on language abilities and deficiencies, non-verbal language, highlighting the consequences of not understanding and the benefits of a common language. The second main category, “culturally oriented activities”, focused on being served traditional food, celebrating holidays at the group home, the importance of traditions and the importance of familiar music as cultural elements. The Swedish speaking nursing staff could provide qualitative and equitable care, but the challenge was greater for them than for the bilingual nursing staff who spoke the same language as the residents.

  • 25.
    Söderman, Mirkka
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Rylander, Annelie
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Brytpunktssamtal i hemmet2022In: Omvårdnad i hemmet vid komplexa vårdsituationer / [ed] Lena-Karin Gustafsson; Mirkka Söderman, Studentlitteratur AB, 2022, 1, p. 105-127Chapter in book (Other academic)
  • 26.
    Söderman, Mirkka
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Rylander, Annelie
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Omvårdnad av personer med cancer2022In: Omvårdnad i hemmet vid komplexa vårdbehov / [ed] Lena-Karin Gustafsson; Mirkka Söderman, Studentlitteratur AB, 2022, 1, p. 207-236Chapter in book (Other academic)
  • 27.
    Söderman, Mirkka
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Rylander, Annelie
    Mälardalen University, School of Health, Care and Social Welfare.
    Gustafsson, Lena-Karin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    The path of recovery towards a new way of living among cancer survivors2022Conference paper (Refereed)
  • 28.
    Söderman, Mirkka
    et al.
    Karolinska Institutet, Stockholm, Sweden.
    Wennman-Larsen, A.
    Karolinska Institutet, Stockholm, Sweden.
    Alexanderson, K.
    Karolinska Institutet, Stockholm, Sweden.
    Friberg, E.
    Karolinska Institutet, Stockholm, Sweden.
    Experiences of  positive encounters with healthcare professionals among women on long-term sickness absence due to breast cancer or due to other diagnoses: a nationwide  survey.2019In: BMC Public Health, E-ISSN 1471-2458, Vol. 19, article id 349Article in journal (Refereed)
  • 29.
    Söderman, Mirkka
    et al.
    Karolinska Institutet, Stockholm, Sweden.
    Wennman-Larsen, A.
    Karolinska Institutet, Stockholm, Sweden.
    Alexanderson, K.
    Karolinska Institutet, Stockholm, Sweden.
    Friberg, E.
    Karolinska Institutet, Stockholm, Sweden.
    Positive encounters with healthcare among women sickness absent with breast cancer or other diagnoses2017In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 27, no Issue suppl_3Article in journal (Refereed)
  • 30.
    Söderman, Mirkka
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Wennman-Larsen, A
    Karolinska Inst, Dept Clin Neurosci, Div Insurance Med, S-17177 Stockholm, Sweden.
    Hoving, J L
    Karolinska Inst, Dept Clin Neurosci, Div Insurance Med, S-17177 Stockholm, Sweden.
    Alexanderson, L
    Karolinska Inst, Dept Clin Neurosci, Div Insurance Med, S-17177 Stockholm, Sweden.
    Friberg, E
    Karolinska Inst, Dept Clin Neurosci, Div Insurance Med, S-17177 Stockholm, Sweden.
    Interventions regarding physicians' sickness certification practice: a systematic literature review with meta-analyses2022In: Scandinavian Journal of Primary Health Care, ISSN 0281-3432, E-ISSN 1502-7724, Vol. 40, no 1, p. 104-114Article in journal (Refereed)
    Abstract [en]

    Objective A variety of interventions aiming to influence physicians' sickness certification practice have been conducted, most are, however, not evaluated scientifically. The aim of this systematic literature review was to obtain updated knowledge about interventions regarding physicians' sickness certification practice and to summarize their possible effects, in terms of sickness absence (SA) or return to work (RTW) among patients. Methods We searched PubMed and Web of Science up through 15 June 2020 and selected peer-reviewed studies that reported effects of controlled interventions that aimed to improve physicians' sickness certification practice and used SA or RTW among patients as outcome measures. Meta-analyses were conducted using random-effect models. Results Of the 1399 identified publications, 12 studies covering 9 interventions were assessed as relevant and included in the review. Most (70%) were from the Netherlands, two had a controlled, and seven a randomized controlled study design. All interventions included some type of training of physicians, and two interventions also included IT-support. Regarding the outcomes of SA/RTW, 30 different effect measures were used. In the meta-analyses, no statistically significant effect in favor of the interventions was observed for having any RTW (i.e. first, partial, or full) nor full RTW. Conclusions The individual studies showed that physicians' sickness certification practice might be influenced by interventions in both the intended and non-intended direction, however, no statistically significant effect was indicated by the meta-analysis. The included studies varied considerably concerning intervention content and effect measures.

  • 31.
    Söderman, Mirkka
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Wennman-Larsen, Agneta
    Alexanderson, Kristina
    Svärd, Veronica
    Friberg, Emilie
    Oncologists’ experiences of and prerequisites for sickness certification tasks: A nationwide questionnaire study2021In: European Journal of Cancer Care, ISSN 0961-5423, E-ISSN 1365-2354, Vol. 30, no 4, article id e13414Article in journal (Refereed)
    Abstract [en]

    Oncologists frequently have sickness certification (SC) consultations, however, little is known about their experiences of such tasks.ObjectiveTo investigate oncologists’ experiences of organisational prerequisites for SC tasks, and if lack of resources was related to experiencing SC as problematic.MethodQuestionnaire data from 342 oncologists in Sweden were used for descriptive statistics and to calculate odds ratios (OR) with 95% confidence intervals (CI).ResultsThe majority (92.2%) had SC consultations weekly; 17.8% of the oncologists experienced such consultations as problematic weekly. About a third appreciated the national guidelines for SC (34.5%) and had joint routines/policies regarding SC at their clinic (29.7%). Experiencing SC consultations as problematic was associated with stating not having enough resources for such work (OR 3.47; 95% CI 1.92–6.25). Lack of resources was associated with: experiencing lack of competence in insurance medicine (3.34; 1.92–5.82), conflicts with patients regarding SC (4.22; 1.96–9.07), finding it problematic to manage the two roles as medical expert and as the patient's treating physician (3.31; 2.04–5.34), or to assess work capacity (2.28; 1.46–3.56).ConclusionAlthough oncologists often had SC tasks, most did not experience them as problematic weekly. However, lack of resources for SC tasks was associated with experiencing SC as problematic.

1 - 31 of 31
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