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  • 101.
    Aytar, Osman
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Interkulturella möten för integration i praktiken: Utvärdering av verksamheten flyktingguide/språkvän i Eskilstuna kommun och kommunens regionala/nationella samordningsroll2016Rapport (Annet vitenskapelig)
    Abstract [sv]

    Syftet med utvärderingen var att identifiera styrkor och svagheter för Eskilstunamodellen för flyktingguide/språkvän i förhållande till verksamhetsmålen på lokal, regional och nationell nivå under 2013-2015. Kvalitativa intervjuer har genomförts med nyanlända och deras språkvänner och med ett urval av projektmedarbetare i Eskilstuna, i Södermanland och i andra kommuner i olika regioner. En observation har genomförts vid en gruppmatchning och tillgängliga dokument från lokal, regional och national nivå har analyserats. I resultat- och diskussionsavsnitten presenteras resultat, reflektioner och slutsatser i form av rekommendationer för hur verksamheter på de tre nivåerna kan utvecklas. Några centrala slutsatser från utvärderingen är:

    * Resultaten visar generellt att verksamhetsmålen på lokal, regional och nationell nivå är uppfyllda.

    * Av de styrkor som har kommit fram i resultaten kan ett visst antal framgångsrika erfarenheter och praktiker lyftas fram.

    * Av de svagheter som kommit fram i resultaten kan nya utvecklings-, förbättrings- och      förändringsarbeten identifieras i förhållande till respektive verksamhets förutsättningar och behov.

    * Av de formella och praktiska benämningar såsom flyktingguide/språkvän, språkvän,      kulturvän, etablerade-oetablerade, volontärer eller liknande, vilka förekommer i olika verksamheter, framgår att det behövs en översyn över benämningar som passar bättre till respektive verksamhets form och innehåll.

    * Av genomgång av befintliga dokument och intervjuresultat framgår att det behövs mer sammanhängande utvärderingsperspektiv i synnerhet i relativt stora verksamheter.

    * Resultaten visar också på behovet av en systematisk dokumentation när förändringsarbeten genomförs.

  • 102.
    Aytar, Osman
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Involuntary Marriages From a Human Rights Perspective: Towards an Analytical Framework2018Inngår i: The Journal of Mesopotamian Studies, ISSN 2147-6659, Vol. 3, nr 1, s. 95-120Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this article is to develop an analytical framework for understanding involuntary marriages from a human rights perspective based on the United Nations’ human rights conventions and the European Convention for the Protection of Human Rights and Fundamental Freedoms. The empirical material used as a basis for an analytical framework consists of 16 thematic open-ended interviews with Kurds in Sweden. A total of eight of the 16 respondents were below 18 years of age when they married. The results from these interviews show that the majority of interviewees’ marriages are arranged. The results also show that the reasons behind these marriages and the consequences of them are complex and go beyond being mere expressions of gender roles. In addition to the fathers who typically have greater influence than the mothers do, there are differences in power and influence among women as well, such as mothers’ power over daughters and step-mothers’ power over step-daughters. Therefore, there is a need for new and wider perspectives on involuntary marriages, and the analytical framework developed in this article is a part of such a purpose.

  • 103.
    Aytar, Osman
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    ”Ja, så tänker vi också …”: – Ett programteoretiskt perspektiv på det nationella Lärandeprojektet – Vård på lika villkor2015Inngår i: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 92, nr 2, s. 116-131Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Developing a program theory for a project and evaluate the project based on this program theory has both its merits and limitations. These merits and limitations in turn may be depend on the existing attitude towards a particular program theory. This study is about exploring how different phases and parts of the national learning project Care on equal terms (2011-2014) functioned in relation to the program theory developed in the beginning of the project. The result shows that the program theoretical perspective on the project contributed to a better structuring of the various forms of evaluation, given a broader understanding of the project's components and provided better opportunities to improve monitoring of the project by the research team in collaboration with the project management of the Swedish Association of Local Authorities and Regions (SALAR) and the participating health care units.

  • 104.
    Aytar, Osman
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Akahavan, Sharareh
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Granath, Marianne
    Sveriges kommuner och landsting.
    Wallin, Hanna
    Sveriges kommuner och landsting.
    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
    Using program theory-driven evaluation in primary care units: An integrated evaluation perspective on a learning project providing equitable care in Sweden2013Konferansepaper (Fagfellevurdert)
  • 105.
    Aytar, Osman
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Brunnberg, Elinor
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Mälardalen Research Center, Sweden.
    Empowering Unaccompanied Children in Everyday Life in a New Country: A Resilience Support Centre in Sweden Evaluated from the Perspective of Program Theory2016Inngår i: Revista de Asistenta Sociala, ISSN 1583-0608, Social Work Review, ISSN 1583-0608, Vol. 15, nr 2, s. 35-56Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Unaccompanied asylum-seeking children coming to Sweden are almost all fleeing from violent or threatening situations in their home country and have been sent abroad for their protection. They form a specific growing group of children looked after by local authorities in kinship foster families, network foster families or traditional foster families, as well as in small institutions (HVB-hem) or interim accommodation (Mellanbo) as preparation for independent living. This study explores success factors and impeding factors in a social work intervention for empowering unaccompanied children at a support centre for daily activities in a Swedish municipality from a program-theory perspective. The unaccompanied children in this study are staying in foster families. The data was collected at the centre and with a mixed method design. The results show that unaccompanied children’s relationships with other children improved; they developed their ability to plan and adapt; some of them started to attend regular schools; and traumatic experiences were processed to some extent. All of these can be interpreted as increased empowerment in unaccompanied children’s everyday life. However, there were still significant gaps in participation in clubs and associations and leisure activities, and some children were mentally unwell. Success factors, challenges and risks coexist in a transnational life situation in which most unaccompanied asylum-seeking children continue to interact with their parents and other family members in their home country or another country using modern technology (online parenting).

  • 106.
    Aytar, Osman
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Brunnberg, Elinor
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Social Work in a Center for Unaccompanied Children in Sweden - A Child Rights Perspektive2015Inngår i: Rights of children in the Nordic welfare states: conceptual and empirical enquiries / [ed] Gro Jacobsen, København: NSU Press , 2015Kapittel i bok, del av antologi (Fagfellevurdert)
    Abstract [en]

    Unaccompanied asylum-seeking children coming to Sweden are almost all fleeing from violent or threatening situations in their home country and have been sent abroad for their protection. They form a specific growing group of children looked after by local authorities in kinship foster families, network foster families or traditional foster families, as well as in institutions (HVB-hem) or interim accommodation (Mellanbo) as preparation for independent living. This research study explores some daytime activities within social work for unaccompanied children at a support centre, Solitario. The centre existed for three years and some of the activities are now included in regular activities by the local authorities supporting unaccompanied children. The methods used in this study were 12 in-depth interviews with children, in-depth interviews with all staff at the centre and systematic longitudinal assessments performed by staff of 17 children attending the centre in 2009 as well as in 2011. The results show that there is a breakdown of the structures and communities that should support the unaccompanied child in the everyday life. There is not good enough cooperation and coproduction in supporting the best of the child in line with United Nations’ Convention on the Rights of the Child (UN CRC). The basic idea of UN CRC is that the child should be seen as an independent subject and actor. Because of their living situation, unaccompanied children are forced to take action and to do so independent of their microsystem – their nuclear family – or with just a trans-national support in web-based microsystem relationships.

  • 107.
    Aytar, Osman
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Att utvärdera med processtänkande för lärande2015Inngår i: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 92, nr 2, s. 162-175Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Change-projects can be evaluated in different ways. One of the ways is to evaluate with process thinking, which means that evaluators are involved in the process from the very beginning. Involvement of evaluators already in the beginning of a project can mean several challenges for both the project itself and the evaluators. This study is about describing and analyzing how and with what results the perspective of process thinking on evaluation of the national learning project Care on equal terms was used. The results indicate, among other things, that it was a good choice to bring in evaluation perspective at the beginning of the project. Process thinking has, among other things, contributed to the activities throughout the project, and played a role in learning from and implementation of the project itself.

  • 108.
    Aytar, Osman
    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.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Bogg, Lennart
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Akhavan, Sharareh
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Health Care Provider’s Perceptions about and Experiences of Achieving Equitable Health Care: An Evaluation Study2017Inngår i: Quality in Primary Care, ISSN 1479-1072, E-ISSN 1479-1064, Vol. 25, nr 5, s. 289-296Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: In June 2011 the Swedish government signed an agreement with The Swedish Association of Local Authorities and Regions (SALAR), for a three year project to develop and implement “Health care on equal terms.” The project, which involved seven Primary Health Care Units (PHCU) from five county councils in different parts in Sweden, was completed in early 2014. The aim of the project was to develop methods and activities that could promote more equal health care provision in socio-economically disadvantaged areas.

    Aim: To assess and compare health care providers’ experiences of and perceptions about equitable health care at the beginning and end of the national project “Health care on equal terms”.

    Methods: A web survey was sent to all staff at the seven participating Primary Health Care Units (PHCU) at the beginning (2012) and the end (2013) of the project. Data were analyzed with descriptive statistics and the open issues with content analysis.

    Results: In 2013, the percentage of health care providers who reported thinking patients’ ethnicity had no or very little impact on access to care increased, but the proportion of those who reported that they had “no idea” that patients’ gender, age, mental health and physical functioning were significant for access to care was lower in 2013 than in 2012. The results from analysis of the open-ended questions did not show meaningful changes in the respondents’ perceptions of the issues addressed in 2012-2013, but the analysis contributes to a deeper explanation of the answers.

    Conclusion: The main conclusion is that it was possible to implement changes aiming for more equitable care through projects with a focus on learning.

  • 109.
    Azerkan, Fatima
    et al.
    Karolinska Inst, Stockholm, Sweden.
    Widmark, Catarina
    Karolinska Inst, Stockholm, Sweden.
    Sparen, Par
    Karolinska Inst, Stockholm, Sweden.
    Weiderpass, Elisabete
    Karolinska Inst, Stockholm, Sweden.
    Tillgren, Per
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Karolinska Inst, Stockholm, Sweden.
    Faxelid, Elisabeth
    Karolinska Inst, Stockholm, Sweden.
    When Life Got in the Way: How Danish and Norwegian Immigrant Women in Sweden Reason about Cervical Screening and Why They Postpone Attendance2015Inngår i: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 10, nr 7, artikkel-id e0107624Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Introduction Danish and Norwegian immigrant women in Sweden have an increased risk of cervical cancer compared to Swedish-born women. In addition, Danish and Norwegian immigrant women follow the national recommendations for attendance at cervical screening to much lesser extent than Swedish-born women. The aim of this study was to explore how Danish and Norwegian immigrant women in Sweden reason about attending cervical screening, focusing on women's perceptions as to why they and their compatriots do not attend. Methods Eight focus group discussions (FGDs) were conducted with Danish and Norwegian immigrant women living in Stockholm. The women were between 26 and 66 years of age at the time of the FGDs, and were aged between <1 and 48 years old when they immigrated to Sweden. A FGD guide was used, which included questions related to cervical screening, and obstacles and motivators to attend cervical screening. The FGDs were tape recorded and transcribed, and the results analysed according to the principles of qualitative content analysis. Results The main theme was "Women have a comprehensive rationale for postponing cervical screening, yet do not view themselves as non-attenders". Investigation of women's rationale for non-attendance after being invited to cervical screening revealed some complex reasons related to immigration itself, including competing needs, organisational and structural factors and differences in mentality, but also reasons stemming from other factors. Postponing attendance at cervical screening was the category that linked all these factors as the reasons to why women did not attend to cervical screening according to the recommendations of the authorities. Conclusions The rationale used to postpone cervical screening, in combination with the fact that women do not consider themselves to be non-attenders, indicates that they have not actively taken a stance against cervical screening, and reveals an opportunity to motivate these women to attend.

  • 110.
    Bamvita, J.M.
    et al.
    University of Montreal, Canada.
    Peter, Larm
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Checknita, D.
    Uppsala University, Sweden.
    Vitaro, F.
    University of Montreal, Canada.
    Tremblay, R.E.
    University College Dublin, Ireland.
    Cote, G.
    University of Quebec, Canada.
    Hodgins, S.
    University of Montreal, Canada.
    Childhood predictors of adult psychopathy scores among males followed from age 6 to 332017Inngår i: Journal of criminal justice, ISSN 0047-2352, E-ISSN 1873-6203, Vol. 53, s. 55-65Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose: Psychopathic traits are associated with multiple negative outcomes. The present prospective, longitudinal study identified associations of childhood factors with adult psychopathy scores.

     Methods: 311 men, aged, on average, 33 years, were assessed using the Psychopathy Checklist-Revised (PCL-R). Predictors included neighbourhood deprivation, parents' characteristics, teacher ratings of behaviour at ages 6, 10 and 12, and academic performance at age 12. Hierarchical linear regression models were computed to identify predictors at different ages of PCL-R total and facet scores. 

    Results: Age 33 PCL-R total and facet scores were significantly, and independently, associated with father's and mother's criminality and mother's age at participant's birth when teacher ratings of childhood behaviours and mathematics marks were included in the models. Anxiety was negatively associated with facet 1 scores at age 6. At age 12, 22% of the variance in facet 2 scores was predicted by father's violent convictions, mother's age and criminal charges, and reactive aggression. Facet 3 scores were associated with mother's age (marginally), inattention, and reactive aggression. Facet 4 scores were associated with father's violent criminality, mother's age, conduct probleins, inattention, and reactive aggression. 

    Conclusion: Etiological research and prevention programs should focus on antecedents of psychopathic traits present in early childhood.

  • 111.
    Barrientos, Christian
    et al.
    Norrtälje Hospital, Sweden.
    Holmberg, Mats
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Sörmland County Council, Eskilstuna, Sweden.
    The care of patients assessed as not in need of emergency ambulance care: registered nurses' lived experiences2018Inngår i: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 38, s. 10-14Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim: The aim of this study was to describe the care of patients assessed as not in need of emergency ambulance care, from Registered Nurse's lived experiences. Background: Non-emergency patients in need of ambulance care are described as vulnerable and patients in ambulance care have earlier been found to be dependent on the Registered Nurse. However, little is known about the care of non-emergency patients in the ambulance setting, from the perspective of Registered Nurses. Methods: A reflective lifeworld research design was chosen. Five Registered Nurses with experience of ambulance care were individually interviewed. Results: The result reveals the essence of the phenomenon as a desire to provide good care in an on-going struggle between one's own and others' expectations. Three meaning constituents emerged in the description; Being in a struggle between different expectations, Being in a questioned professional role, and Being in lack of support and formal directives. Conclusion: Registered Nurses' care for patients assessed as not in need of emergency ambulance care, is a complex struggle between different expectations. This may be related to the encounter between the nurse's and the patient's lifeworld.

  • 112.
    Begum, Shahina
    et al.
    Mälardalens högskola, Akademin för innovation, design och teknik, Inbyggda system.
    Kerstis, Birgitta
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Barua, Shaibal
    Mälardalens högskola, Akademin för innovation, design och teknik, Inbyggda system.
    Westerlund, Hanna
    Camanio Care AB, Sweden.
    Hjortsberg, Cecilia
    Västerås stad, Sweden.
    Food4You: A Personalized System for Adaptive Mealtime Situations for Elderly2017Inngår i: Medicinteknikdagarna 2017 MTD 2017, 2017Konferansepaper (Fagfellevurdert)
  • 113.
    Belin, Matts-Åke
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    FROM VISION ZERO TO PRACTICAL REALITY - KNOWLEDGE TO SHARE2016Inngår i: Injury Prevention, ISSN 1353-8047, E-ISSN 1475-5785, Vol. 22, s. A8-A8Artikkel i tidsskrift (Fagfellevurdert)
  • 114.
    Belin, Matts-Åke
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Swedish Transport Adm, Trafikverket, Borlänge, Sweden.
    Vision Zero as a new way of thinking2016Inngår i: JOURNAL OF THE AUSTRALASIAN COLLEGE OF ROAD SAFETY, ISSN 1832-9497, Vol. 27, nr 3, s. 60-62Artikkel i tidsskrift (Annet vitenskapelig)
  • 115.
    Belin,, M-Å.
    et al.
    Swedish Transport Administration, Borlänge, Sweden.
    Vedung, Evert
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Meleckidzedeck, K.
    World Health Organization (WHO), Geneva, Switzerland .
    Tingvall, C.
    Swedish Transport Administration, Borlänge, Sweden .
    Carrots, sticks and sermons: State policy tools for influencing adoption and acceptance of new vehicle safety systems2014Inngår i: Driver Acceptance of New Technology: Theory, Measurement and Optimisation, Ashgate, 2014, s. 241-250Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 116.
    Berensson, K.
    et al.
    the Swedish Association of Local Authorities and Regions, Stockholm, Sweden.
    Tillgren, Per
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Health impact assessment (HIA) of political proposals at the local level: successful introduction, but what has happened 15 years later?2017Inngår i: Global Health Promotion, ISSN 1757-9759, E-ISSN 1757-9767, Vol. 24, nr 2, s. 43-51Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Health impact assessments (HIAs) were first introduced in Sweden in the mid-to-late 1990s, with the aim of placing health issues on the political agenda and helping to reduce health inequalities. In the early 2000s, HIAs entered a second phase and the Swedish Parliament adopted a national public health policy. A national survey conducted in 2001 showed that 10/289 municipalities had begun to use HIA and 55/289 had decided to use HIA or had initiated an adoption process. In a 2013 follow-up study based on a strategic sample of municipalities, 9/36 municipalities reported using HIA and/or similar tools. Corresponding figures for the 21 Swedish regions were 10 regions in 2001 and four in 2013. HIA and similar tools (sustainability analyses, child impact assessments, and others) were applied to the same extent as HIA. Fifteen years after implementation began, HIA is still being used. Regions show a clear decrease in the use of HIA. There are several explanations for this development. One is the political context, and other explanations are shifts in which actors are responsible for HIA and for public health at the local/regional levels.

  • 117. Bergman, Stefan
    et al.
    Gerdle, Björn
    Hagberg, Mats
    Jacobsson, Ulf
    Linton, Steven J
    Strender, Lars-Erik
    Stålnacke, Britt-Marie
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Långvarig smärta i nacke, skuldror och rygg i Nationella riktlinjer för rörelseorganens sjukdomar 2010 – stöd för styrning och ledning: Preliminär version2010Rapport (Fagfellevurdert)
  • 118.
    Bergstrom, M.
    et al.
    Linkoping Univ, Dept Social & Welf Studies, Norrkoping, Sweden..
    Sverker, A.
    Linkoping Univ, Dept Social & Welf Studies, Norrkoping, Sweden.;Linkoping Univ, Dept Act & Hlth, Linkoping, Sweden.;Linkoping Univ, Dept Med & Hlth Sci, Linkoping, Sweden.;Linkoping Univ, Dept Rehabil Med, Linkoping, Sweden..
    Ranada, A. Larsson
    Linköping Univ, Sweden..
    Valtersson, E.
    Linköping Univ, Sweden..
    Thyberg, I.
    Linköping Univ, Sweden..
    Östlund, Gunnel
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Björk, M.
    Linköping Univ, Sweden..
    SIGNIFICANT OTHERS AS BOTH BARRIERS AND FACILITATORS FOR PARTICIPATION IN DAILY ACTIVITIES IN PERSONS WITH EARLY RHEUMATOID ARTHRITIS - AN INTERVIEW STUDY WITHIN THE SWEDISH TIRA PROJECT2017Inngår i: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 76, s. 1518-1518Artikkel i tidsskrift (Annet vitenskapelig)
  • 119.
    Bergström, M
    et al.
    Linköpings universitet, Sweden.
    Sverker, Annette
    Linköpings universitet, Sweden.
    Larsson Ranada, Å
    Linköpings universitet, Sweden.
    Valtersson, Eva
    Landstinget i Östergötland, Sweden.
    Thyberg, Ingrid
    Linköpings universitet, Sweden.
    Östlund, Gunnel
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Björk, Mathilda
    Linköpings universitet, Sweden.
    “Significantothers as both barriers and facilitators for participation in daily activitiesin persons with rheumatoid arthritis.”: an interview study within the Swedish TIRA project2017Konferansepaper (Fagfellevurdert)
  • 120.
    Berthelsen, Hanne
    et al.
    Malmo Univ, Ctr Work Life & Evaluat Studies, Malmo, Sweden..
    Muhonen, Tuija
    Malmo Univ, Ctr Work Life & Evaluat Studies, Malmo, Sweden..
    Toivanen, Susanna
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Stockholm Univ, Dept Publ Hlth Sci, Stockholm, Sweden..
    What happens to the physical and psychosocial work environment when activity-based offices are introduced into academia?2018Inngår i: Journal of Corporate Real Estate, ISSN 1463-001X, E-ISSN 1479-1048, Vol. 20, nr 4, s. 230-243Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose There is an increased interest for introducing activity-based offices at universities. The purpose of this study is to contribute to the knowledge about the importance of the built environment for the psychosocial work environment within academia by analyzing how staff at a large Swedish university experienced the physical and psychosocial work environment before and after moving to activity-based offices. Design/methodology/approach A Web-based survey was distributed to all employees at two faculties at a university three months before (2015, n = 217, response rate 51 per cent) and nine months after (2016, n = 200, response rate 47 per cent) relocation to a new activity-based university building. Findings In the new premises, a vast majority (86 per cent) always occupied the same place when possible, and worked also more often from home. The social community at work had declined and social support from colleagues and supervisors was perceived to have decreased. The participants reported a lower job satisfaction after the relocation and were more likely to seek new jobs. No aspects in the physical or psychosocial work environment were found to have improved after the relocation. Research/limitations implications The study had a two-wave cross-sectional design, which does not allow establishing causal relations. Practical implications There is reason to be cautious about relocation to activity-based offices at universities. The potential savings in costs for premises may lead to may be followed by an increase in other costs. The risk that staff cannot concentrate on their work in activity-based university workplaces and lose their sense of community with colleagues are factors, which in the long run may lead to decreased efficiency, more conflicts and poorer well-being. Originality/value This paper contributes with new knowledge concerning changes in the physical and psychosocial work environment when relocating from cell offices to activity-based offices in a university setting.

  • 121.
    Berthelsen, Hanne
    et al.
    Malmo Univ, Ctr Work Life & Evaluat Studies, Malmo, Sweden..
    Muhonen, Tuija
    Malmo Univ, Ctr Work Life & Evaluat Studies, Malmo, Sweden..
    Toivanen, Susanna
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Stockholm Univ, Dept Publ Hlth Sci, Stockholm, Sweden..
    What happens to the physical and psychosocial work environment when activity-based offices are introduced into academia?2018Inngår i: Journal of Corporate Real Estate, ISSN 1463-001X, E-ISSN 1479-1048, Vol. 20, nr 4, s. 230-243Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose There is an increased interest for introducing activity-based offices at universities. The purpose of this study is to contribute to the knowledge about the importance of the built environment for the psychosocial work environment within academia by analyzing how staff at a large Swedish university experienced the physical and psychosocial work environment before and after moving to activity-based offices. Design/methodology/approach A Web-based survey was distributed to all employees at two faculties at a university three months before (2015, n = 217, response rate 51 per cent) and nine months after (2016, n = 200, response rate 47 per cent) relocation to a new activity-based university building. Findings In the new premises, a vast majority (86 per cent) always occupied the same place when possible, and worked also more often from home. The social community at work had declined and social support from colleagues and supervisors was perceived to have decreased. The participants reported a lower job satisfaction after the relocation and were more likely to seek new jobs. No aspects in the physical or psychosocial work environment were found to have improved after the relocation. Research/limitations implications The study had a two-wave cross-sectional design, which does not allow establishing causal relations. Practical implications There is reason to be cautious about relocation to activity-based offices at universities. The potential savings in costs for premises may lead to may be followed by an increase in other costs. The risk that staff cannot concentrate on their work in activity-based university workplaces and lose their sense of community with colleagues are factors, which in the long run may lead to decreased efficiency, more conflicts and poorer well-being. Originality/value This paper contributes with new knowledge concerning changes in the physical and psychosocial work environment when relocating from cell offices to activity-based offices in a university setting.

  • 122.
    Bjurling-Sjöberg, P.
    et al.
    Department of Anesthesiology, Mälar Hospital, Eskilstuna, Sweden.
    Engström, Gabriella
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Christine E. Lynn College of Nursing, Florida Atlantic University, Boca Raton, FL, United States.
    Lyckner, S.
    Department of Anesthesiology, Mälar Hospital, Eskilstuna, Sweden.
    Rydlo, Cecilia
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Intensive care nurses' conceptions of a critical pathway in caring for aortic-surgery patients: A phenomenographic study2013Inngår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 29, nr 3, s. 166-173Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of the present study was to identify and describe intensive care nurses' different conceptions of a critical pathway in caring for patients that have undergone aortic-surgery. Individual semi-structured interviews with eight specialist registered nurses at a Swedish intensive care unit were conducted and phenomenographically analysed. Three descriptive categories, with a total of five sub-categories, constituted the outcome-space of how the pathway was conceived of in caring: as a guide open to individual patients needs (clinical judgement governs caring and patient autonomy governs caring), as an instrument to promote patient safety (a source of knowledge, a planning tool and a reference standard) and as a source of support for professional confidence. In accordance with current literature, the nurses in the present study identified a number of advantages in applying the pathway in caring even if they were also conscious that the use of a pathway can give rise to unreflective standardisation. The nurses' conceptions indicate that the pathway prescribed for managing patients who have undergone aortic surgery is supportive and facilitates patient safety without jeopardising respect for the patient's individual care needs. This insight may be used to influence a thoughtful dialogue about the practice of pathways in intensive care.

  • 123.
    Bjurling-Sjöberg, P.
    et al.
    Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden .
    Wadensten, B.
    Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden .
    Pöder, U.
    Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden .
    Nordgren, Lena
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden .
    Jansson, I.
    Institute of Health and Caring Sciences, University of Gothenburg, Gothenburge, Sweden .
    Factors affecting the implementation process of clinical pathways: A mixed method study within the context of Swedish intensive care2015Inngår i: Journal of Evaluation In Clinical Practice, ISSN 1356-1294, E-ISSN 1365-2753, Vol. 21, nr 2, s. 255-261Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Rationale, aims and objectives Clinical pathways (CPs) can improve quality of care on intensive care units (ICUs), but are infrequently utilized and of varying quality. Knowledge regarding factors that facilitate versus hinder successful implementation of CPs is insufficient and a better understanding of the activities and individuals involved is needed. The aim of this study was to explore the implementation process of CPs within the context of ICUs. Methods An exploratory design with a sequential mixed method was used. A CP survey, including all Swedish ICUs, was used to collect quantitative data from ICUs using CPs (n = 15) and interviews with key informants (n = 10) were used to collect qualitative data from the same ICUs. Descriptive statistics and qualitative content analysis were used, and the quantitative and qualitative findings were integrated. Results The CP implementation was conceptualized according to two interplaying themes: a process to realize the usefulness of CPs and create new habits; and a necessity of enthusiasm, support and time. Multiple factors affected the process and those factors were organized in six main categories and 14 subcategories. Conclusions Bottom-up initiatives, interprofessional project groups and small ICUs seem to enhance successful implementation of CPs while inadequate electronic health record systems, insufficient support and time constrains can be barriers. Support regarding the whole implementation process from centralized units at the local hospitals, as well as cooperation between ICUs and national guidance, has the potential to raise the quality of CPs and benefit the progress of CP implementation.

  • 124.
    Björk, M.
    et al.
    Linköping Univ, Sweden..
    Thyberg, I.
    Linköping Univ, Sweden..
    Valtersson, E.
    Linköping Univ, Sweden..
    Östlund, Gunnel
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Stenstrom, B.
    Linköping Univ, Sweden..
    Sverker, A.
    Linköping Univ, Sweden..
    DISABILITY IN THE FEET RELATED TO PARTICIPATION IN DAILY LIFE IN PATIENTS WITH EARLY RA - AN INTERVIEW STUDY IN THE SWEDISH TIRA PROJECT2017Inngår i: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 76, s. 112-112Artikkel i tidsskrift (Annet vitenskapelig)
  • 125.
    Björk, M.
    et al.
    Linköping University, Linköping, Sweden.
    Thyberg, I.
    Linköping University, Linköping, Sweden.
    Valtersson, E.
    Linköping University, Linköping, Sweden.
    Östlund, Gunnel
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Stenström, B.
    Linköping University, Linköping, Sweden.
    Sverker, A.
    Linköping University, Linköping, Sweden.
    Foot Barriers in Patients With Early Rheumatoid Arthritis: An Interview Study Among Swedish Women and Men2018Inngår i: Arthritis care & research, ISSN 2151-464X, E-ISSN 2151-4658, Vol. 70, nr 9, s. 1348-1354Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: Foot impairments are related to reduced mobility and participation restrictions in daily activities in patients with established rheumatoid arthritis (RA). The new biologic medications are effective and reduce disease activity, but not disability to the same extent. Foot impairments are assumed to be related to participation restrictions also in patients with early RA, diagnosed after the introduction of biologic medications. Knowledge of foot impairments needs to be explored further after the introduction of biologic disease-modifying antirheumatic drugs (bDMARDs). The aim of this study was to explore the patients’ perspective of foot impairments related to early RA. Methods: The sample included 59 patients (ages 20–63 years) who were interviewed about participation dilemmas in daily life using the critical incident technique. The interviews were audio-recorded and transcribed. Data related to foot impairments were extracted and analyzed thematically. A research partner validated the analysis. Results: Patients with early RA described a variety of participation restrictions related to foot impairments: foot hindrances in domestic life, foot impairments influencing work, leisure activities restricted by one's feet, struggling to be mobile, and foot impairments as an early sign of rheumatic disease. Conclusion: There is a need to focus on foot impairments related to early RA, and for health care professionals to understand these signs. A suggestion for future research is to conduct a longitudinal followup of foot impairment related to medication, disease activity, and disability in patients diagnosed after the introduction of bDMARDs. 

  • 126.
    Björkman, Carolina
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Att möta genus: En diskursanalys av hur genus framställs i det offentliga rummet2017Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Studien vill belysa hur genusstrukturer är inbäddade i reklam och marknadsföring i det offentliga rummet i den centrala staden. Syftet är att synliggöra hur genus skapas i reklam och skyltning i Sverige 2016, vilka semiotiska resurser som används och därmed synliggöra de sociala förväntningar som finns kring ett visst kön. För att göra detta används en diskursanalys av framförallt bild, men även text, för att identifiera vilka konstruktioner som görs. Huvudfokus är att belysa vilka framställningar som förstärker ett visst genus och att strukturera upp på vilka sätt de liknar eller skiljer sig från varandra. Studien utgår ifrån ett socialkonstruktionistiskt perspektiv och har ett fokus på språkets konstruerande och socialiserande verkan. Genom att relatera studien till tidigare forskningsresultat kan genuskonstruktionens förändring jämföras och synliggöras. Resultatet visar att kvinnor och män framställs på alltmer lika sätt och att könsnormativa överskridanden förekommer, men att genus på vissa plan fortfarande framställs på olika sätt beroende på kön. Studien visar att det både sker reproduktioner och förändringar i förhållande till traditionella framställningar av kön, vilket bland annat visas genom kroppen, dess positionering och rörelser, men även förmedlas genom uttryck av allvarlighet, upptagenhet och intimitet.

  • 127.
    Blomberg, Helena
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Nurses' blogs as part of a political process - Professional identity as a rhetorical resource for negotiating responsibility and blame2016Inngår i: Discourse, Context & Media, ISSN 2211-6958, E-ISSN 2211-6966, Vol. 13, s. 82-88Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The working conditions of nurses in the Swedish healthcare system are often debated in the news media, where the various stakeholders' (nurses, union, politicians and healthcare managers) versions of events are laid out. By using social media, nurses can participate in the debate and in a political process by drawing on narrative elements as responses to politicians' and healthcare managers' neglect of the nurses' situations. This article reports on a study of 50 topic driven blogs written by nurses from 2013 to 2015 and published on the website of a union magazine for healthcare professionals. Departing from a discursive narrative approach, the aim of the study is to analyse how the nurses narrate their working conditions and what they convey. The study shows that the bloggers create a we-ness by constructing and displaying their professional identity, illustrating unfair working conditions, conveying criticism and negotiating responsibility and blame. Addressing other nurses, the bloggers presume that others in the profession experience similar things in their workplaces and thereby encourage them to take action and make the injustices known. In order to gain credibility for the reported events and the relations, rhetorical resources such as factual accounts, categories, pronouns and a media discourse are used. The media discourse that is (re)produced in the blogs and elsewhere may result in nurses being trapped in their way of talking about their working situation, normalising it and having difficulty finding solutions.

  • 128.
    Blomberg, Helena
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    “We’re not magicians!” On the use of rhetorical resources in Swedish news media narratives portraying the social services and social workers2019Inngår i: Qualitative Social Work, ISSN 1473-3250, E-ISSN 1741-3117, Vol. 18, nr 2, s. 229-246Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This article focuses on how the Swedish news media depicts the functioning of the social services and the situation of social workers. The empirical material consists of 586 articles published online during the years 2010–2015. A discursive approach makes up the theoretical and methodological framework. The aims of the article are to identify and categorise media narratives about social services and social workers, how they are portrayed, what is conveyed and how the stakeholders’ (politicians, managers and social workers) negotiate the question of responsibility for the situation in the social services. The study identifies and categorises seven different types of media narrative. In these narratives, social workers are portrayed in various ways, such as unwilling to stay in the profession, concerned, hardworking, etc. Reports on the crisis in the social services tend to dominate, e.g. how the social services fail to follow-up cases of child abuse, social workers’ heavy workload and that legal security cannot be guaranteed. Stakeholders, faced with reported criticism, maintain credibility by taking some responsibility and/or displacing liability by using various rhetorical resources. The media produces a public image of the lack of responsibility for solving the problematic situation. In this respect, the take-action-narratives are central to the debate, which argues for joint action to be taken to find solutions. Although the media is a powerful and scrutinising tool, it also needs to report on the improvements that have been made in order to give a more balanced picture of the social services.

  • 129.
    Blomberg, Helena
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Börjesson, Mats
    Stockholms universitet, avd för Barn och ungdomsvetenskap; Sweden.
    The chronological I: The use of time as a rhetorical resource when doing identity in bullying narratives2013Inngår i: Narrative Inquiry, ISSN 1387-6740, E-ISSN 1569-9935, Vol. 23, nr 2, s. 245-261Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of the article is to problematise and discuss the usefulness of the chronological I as a new analytical approach for studying the doing of identity in storytelling. The chronological I can be both a rhetorical resource for narrators and a new analytical tool for studying the process of doing identity. The article suggests that the chronological I adds a new analytical dimension to different types of narrative analysis. The article takes its point of departure in the understanding of the narrator as using time as a rhetorical resource for telling or doing identity in ongoing interactions. In this discursive narrative approach, narratives are viewed as socially situated actions in a context in which the narrator has to relate to culturally accepted agreements about responsibility and agency. The data for this article is based on interviews with twelve individuals exposed to workplace bullying. As this topic is sensitive, there is a need for narrators to manage their accountability when asked to account for their agency or non agency in the reported events.

  • 130.
    Blomberg, Helena
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Malardalen Univ, Sociol, Sch Hlth Care & Welf, Vasteras, Sweden..
    Stier, Jonas
    Dalarna Univ, Intercultural Studies, Falun, Sweden..
    Flashback as a Rhetorical Online Battleground: Debating the (Dis)guise of the Nordic Resistance Movement2019Inngår i: SOCIAL MEDIA + SOCIETY, ISSN 2056-3051, Vol. 5, nr 1, artikkel-id 2056305118823336Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The right-wing Swedish Nordic Resistance Movement (NRM) is increasingly active on social media. Using discursive psychology, this text explores the rhetorical organization of text and rhetorical resources used on the Swedish online forum Flashback. The aim is to reveal and problematize truth claims about NRM made by antagonists and protagonists. Questions are (1) how and what do NRM antagonists and protagonists convey in Flashback posts about NRM, and its ideology and members? (2) how do NRM antagonists and protagonists make truth claims about NRM in Flashback posts? The empirical material consisting of 1546 Flashback posts analyzed to identify typical discussions on "NMR's true nature"; accomplished social actions stemming from the posts. Findings show that the Flashback thread can be understood as being a rhetorical battle that concerns the "truth" about NRM, where a variety of rhetorical resources are used to render statements credibility and those involved legitimacy.

  • 131.
    Blomberg, Helena
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Stier, Jonas
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Havererade vårdkontakter: De professionellas vittnesmål om vanskliga vårdrelationer; hur de kan förstås, hanteras och förebyggas2014Rapport (Annet vitenskapelig)
  • 132.
    Blomberg, Helena
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Stier, Jonas
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Metaphorical expression used in Swedish news media narratives to portray the shortage of nurses and their working conditions2016Inngår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 72, nr 2, s. 382-395Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

  • 133.
    Blomberg, Helena
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Stier, Jonas
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    The launching and establishment of a social problem: An analysis of the debate on Swedish national level gymnastics in Dagens Nyheter 2012-2013.2015Inngår i: Sociologisk forskning, ISSN 0038-0342, Vol. 52, nr 1, s. 61-79Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    In 2012 Sweden's largest daily newspaper, Dagens Nyheter, published a number of articles on the state of affairs in Swedish national level gymnastics. In these articles, ex-gymnasts, coaches, parents and physicians stepped forward and testified about recurrent wrongdoings and abuse against young (particularly) female gymnasts. In response to the criticism, the accused coaches and representatives of the Swedish Gymnastics Federation downsized or dismissed the criticism as inaccurate. This being said, and using discursive psychology and a qualitative design, this article sheds light upon this debate by viewing it as a struggle between a hegemonic discourse of "the goodness" of sports, on the one hand, a number of unfavorable and negative testimonies of the state of affairs in Swedish national level gymnastics on the other. More concretely, this struggle has been analyzed with regard to the discursive and rhetoric resources the involved parties' used to pursue their claims about the state of affairs in Swedish national level gymnastics and the impact these resources had for their credibility and legitimacy. Questions were: Who is entitled "to spell out" their view on the state of affairs within Swedish national level gymnastics? What is mediated and how? How are descriptions and accounts about reality constructed as credible and factual? It is concluded that social problems are launched via co-production; in this process, the gymnastics community, the research community, single individuals, and the media - were co-actors.

  • 134.
    Blomberg, Helena
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Welander, Jonas
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    ”Kör tills du brakar, sedan kastar vi ut dig om du inte flyr innan”: Socialsekreterares berättelser om uppbrottet från arbetsplatsen.2016Konferansepaper (Fagfellevurdert)
  • 135.
    Bogg, Lennart
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. lennart.bogg@ki.se.
    Primärvårdens ersättnings- och styrsystem i förändring: ACG - Kejsarens nya kläder?2015Inngår i: Socialmedicinsk Tidskrift, ISSN 0037-833X, ISSN ISSN 0037-833X, Vol. 92, nr 2, s. 70-86, artikkel-id 1277Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [sv]

    Utvärderingen av SKL-projektet ’Vård på Lika Villkor’ visade att primärvårdensersättnings- och styrsystem genomgått stora förändringar under senare årmed olika utformning i landstingen. Primärvårdens ersättnings- och styrsystemi samtliga landsting i Sverige beskrivs och analyseras med särskild fokus påACG-systemet i en litteraturanalys med avseende på ACG-systemets effekterpå vårdens jämlikhet, innehåll kvalitet och effektivitet. Totalt har 51 relevantaartiklar analyserats. Slutsatsen är att studierna huvudsakligen avsett ACGsystemetsförmåga att predikera framtida vårdbehov, men att ingen av deanalyserade artiklarna har studerat effekter på vårdens jämlikhet, innehåll,kvalitet eller effektivitet. En brittisk studie visar dessutom att det finns en mycketenklare och mindre kostsam metod som dessutom predikerar vårdbehov bättreän ACG.

  • 136.
    Bogg, Lennart
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Karolinska Institutet, Stockholm, Sweden.
    Diwan, V.
    Karolinska Institutet, Stockholm, Sweden.
    Vora, K. S.
    Indian Institute of Public Health, Gandhinagar, Gujarat, India.
    DeCosta, A.
    Karolinska Institutet, Stockholm, Sweden.
    Impact of Alternative Maternal Demand-Side Financial Support Programs in India on the Caesarean Section Rates: Indications of Supplier-Induced Demand2016Inngår i: Maternal and Child Health Journal, ISSN 1092-7875, E-ISSN 1573-6628, Vol. 20, nr 1, s. 11-15Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: This paper examines two state-led public–private demand-side financial support programs aiming to raise hospital delivery rates in two neighbouring Indian states—Gujarat and Madhya Pradesh. The national Janani Suraksha Yojana (JSY) was complemented with a public–private partnership program Janani Sahayogi Yojana (JSaY) in Madhya Pradesh in which private obstetricians were paid to deliver poor women. A higher amount was paid for caesarean sections (CS) than for vaginal deliveries (VD). In Gujarat state, the state program Chiranjeevi Yojana (CY) paid private obstetricians a fixed amount for a block 100 deliveries irrespective of delivery mode. The two systems thus offered an opportunity to observe the influence of supplier-induced demand (SID) from opposite incentives related to delivery mode. Methods: The data from the two programs was sourced from the Departments of Health and Family Welfare, Governments of Gujarat and Madhya Pradesh, India. Results: In JSaY program the CS rate increased from 26.6 % (2007–2008) to 40.7 % (2010–2011), against the background rate for CS in Madhya Pradesh, of only 4.9 % (2004–2006). Meanwhile in CY program in Gujarat, the CS rate decreased to 4.3 % (2010–2011) against a background CS rate of 8.1 % (2004–2006). Conclusions: The findings from India are unique in that they not only point to a significant impact from the introduction of the financial incentives but also how disincentives have an inverse impact on the choice of delivery method.

  • 137.
    Bogg, Lennart
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Söderbäck, Maja
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Tillgren, Per
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Thailand and Sweden as welfare regimes: examples from the healthcare sector2014Konferansepaper (Fagfellevurdert)
    Abstract [en]

    The characteristics of a welfare state is largely related to social justice and welfare reforms. This is mainly in the form of legislation, economic transfers and services that help to ensure that all citizens receive a basic economic security and access to services such as health care and nursing. A key factor for this is a country's economy and political will. In Thailand, there was a strong economic growth during the 1970s. The corresponding development in Sweden took place in the mid 1940's. Health and welfare is the main area of collaboration between the Ministry of Health in Thailand and Mälardalen University. The aim of this study is from a welfare perspective, a comparison of the similarities and differences in the basic elements of the health care systems in Thailand and Sweden.

    The study is based on analysis of national policy documents from Thailand and Sweden as well as from United Nations Agency.

    Both countries emphasize health and welfare from a social rights perspective in constitutions and other laws. E.g. the Thailand Constitution of 2007 states that a person shall enjoy an equal right to receive standard public health service, and the indigent shall have the right to receive free medical treatment from State's infirmary. The Swedish Constitution recognizes that the personal, economic and cultural welfare should be the fundamental goal of public activity through, among other things promote social care and social security, and good conditions for health. In the Swedish Health Care Act of 1982, the goal is a good health and care on equal terms for the entire population.

    Both Thailand and Sweden have a national system of Universal Health Coverage (UHC), which is defined according to World Health Organization (WHO) as ensuring that all people can use the promotive, preventive, curative, rehabilitative and palliative health services they need, of sufficient quality to be effective, while also ensuring that the use of these services does not expose the user to financial hardship.

    In terms of selected indicators shows for the year 2012 that the Total health expenditure (THE) % of Gross Domestic Product (GDP) amounts in Thailand 4% and 10% in Sweden, general government expenditure on health as % of GDP are 3% resp. 8%, prevention and public health services are 9 resp. 4%, physician density per 1,000 population 0.3 resp. 3.9. The proportion of beds at public/private hospitals are 78/21% resp. 99/1%.

    The example from the health care system shows that the two countries have legislation that emphasizes health as a social right and a public financing of health care. In terms of specific indicators, there are wide variations in terms of costs to society and the individual including prevention and public health services, access to doctors and proportion of beds in public and private hospitals.

  • 138.
    Borg, S.
    et al.
    Linköping University, Sweden.
    Öberg, B.
    Linköping University, Sweden.
    Nilsson, L.
    Linköping University, Sweden.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Bäck, M.
    Linköping University, Sweden.
    The role of a behavioural medicine intervention in physiotherapy for the effects of rehabilitation outcomes in exercise-based cardiac rehabilitation (ECRA) - the study protocol of a randomised, controlled trial2017Inngår i: BMC Cardiovascular Disorders, ISSN 1471-2261, E-ISSN 1471-2261, Vol. 17, nr 1, artikkel-id 134Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: To help patients with coronary artery disease (CAD) benefit from the positive health effects attained by exercise-based cardiac rehabilitation (CR), adherence to these programmes according to international guidelines is important. Strategies to increase adherence to exercise-based CR are mainly an unexplored area. The objective of this study is to investigate the effects of a behavioural medicine intervention in physiotherapy, containing goal-setting, self-monitoring and feedback, with the aim of improving rehabilitation outcomes for exercise-based CR, compared with usual care. Methods: This is a randomised, controlled trial. A total of 160 patients with CAD will be included consecutively at the Coronary Care Unit at a university hospital in Sweden. Patients are randomised 1:1 using sealed envelopes to usual care or a behavioural medicine intervention in physiotherapy, in addition to usual care for 4 months. Outcome assessment at baseline, 4 and 12 months includes submaximal aerobic capacity (primary outcome), exercise adherence, muscle endurance, level of physical activity, biomarkers, anxiety and depression, health-related quality of life, patient enablement and self-efficacy (secondary outcomes). Discussion: This is the first study to evaluate the role of an integrated behavioural medicine intervention in exercise-based CR in the effects of rehabilitation outcomes. The results of this study will provide valuable information about the effect of these interventions in exercise-based CR and it has the potential to inform and assist in further treatment in secondary prevention for patients with CAD. Trial registration: The study include all items from the World Health Organization Trial Registration Data Set. Trial registration number: NCT02895451, 2016-08-16, retrospectively registered. 

  • 139.
    Bose, C. Nahlen
    et al.
    Karolinska Inst, Stockholm, Sweden..
    Bjorling, G.
    Karolinska Inst, Stockholm, Sweden.;Red Cross Univ Coll, Stockholm, Sweden..
    Elfström, Magnus
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Persson', H.
    Karolinska Inst, Dept Clin Sci, Danderyd Hosp, Stockholm, Sweden..
    Saboonchi, F.
    Karolinska Inst, Stockholm, Sweden.;Red Cross Univ Coll, Stockholm, Sweden..
    ASSESSMENT OF COPING IN A CHRONIC HEART FAILURE PATIENT POPULATION: THE BRIEF COPE RESTRUCTURED2014Inngår i: International Journal of Behavioral Medicine, ISSN 1070-5503, E-ISSN 1532-7558, Vol. 21, s. S17-S17Artikkel i tidsskrift (Annet vitenskapelig)
  • 140.
    Bose, C. Nahlen
    et al.
    Karolinska Inst, Stockholm, Sweden.
    Bjorling, G.
    Karolinska Inst, Stockholm, Sweden.
    Elfström, Magnus
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Persson, H.
    Karolinska Inst, Stockholm, Sweden.
    Saboonchi, F.
    Karolinska Inst, Stockholm, Sweden.
    Implementation of coping effectiveness training in patients with chronic heart failure: participants evaluations indicate psychosocial benefits2015Inngår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 14, s. S10-S10Artikkel i tidsskrift (Fagfellevurdert)
  • 141.
    Boussaid, Lena
    et al.
    Karlstads Universitet, Sweden.
    Wiklund, Lena
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Handledning: - att stödja andras professionella utveckling2019Inngår i: Vårdande vid psykisk ohälsa - på avancerad nivå / [ed] Wiklund Gustin, Lena, Lund: Studentlitteratur AB, 2019, 3, s. 673-697Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 142.
    Breitholtz, Agneta
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Snellman, Ingrid
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Fagerberg, Ingegerd
    Ersta Sköndal University College, Stockholm, Sweden, Karolinska Institutet, Stockholm.
    Carers’ ambivalence in conflict situations with older persons2013Inngår i: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 20, nr 2, s. 226-237Artikkel i tidsskrift (Annet vitenskapelig)
    Abstract [en]

    The aim of this study was to illuminate the meaning of professional carers’ experiences in caring situations when a conflict of interest arises with the older person receiving care. The findings reveal the complexity of the carers’ ambivalence when facing a conflict of interest, weighing between the older persons’ right to self-determination and external demands. The carers are alone in their ambivalence and the conclusion is that they need help and support to be more present in the encounter. The implication for this study is a person-centred practice, and to focus on people as interdependent on support carers to maintain older people’s right to self-determination in the relationship.

  • 143.
    Breitholtz, Agneta
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
    Snellman, Ingrid
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Fagerberg, Ingegerd
    Department of Health Care Sciences of Ersta Sköndal University College and Researcher.
    Older people’s dependence on caregivers’ help in their own homes and their lived experiences of their opportunity to make independent decisions2013Inngår i: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 8, nr 2, s. 139-148Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this study was to illuminate the meaning of older people’s dependence on caregivers’ help, and of their opportunity to make independent decisions.

    Background. Throughout the world, the older population is growing, and in Sweden, the system of care for older people is currently undergoing change. Older people in the need of care are expected to live at home for as long as possible.

    Design.A qualitative and life world approach was used.

    Methods. Audio-taped interviews were conducted with twelve older persons living at home, dependent on daily municipal home help service. A phenomenological hermeneutic method was utilised to disclose the meanings of lived experiences.

    Finding. The findings revealed three themes : being facilitated to make one’s own decisions, being hindered from making one’s own decisions, struggling for vs. resigning oneself to losing the opportunity to make one’s own decisions.

    The comprehensive understanding revealed that as older people become more dependent on caregivers’ help, their opportunity to self-determine is challenged and this is stressful for them.

    Conclusion. The older persons assess their opportunity to self-determine differently, depending on who they are as a person. The caregivers need an awareness of this, and further research is needed to gain knowledge and understanding of how caregivers can improve the way they support and enhance older people’s opportunity to decide for themselves.

    Implications for practice. The findings revealed older persons need to exercise more self-determination and caregivers’ need for knowledge to enable this. Further, it indicates a move towards a person-centred approach to focus on persons as individuals and see them as interdependent. The findings contribute to improvements in similar contexts worldwide.

  • 144.
    Bring, Annika
    et al.
    Uppsala University.
    Bring, Johan
    University of Gävle.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Wasteson, Elisabeth
    Mid Sweden University.
    Åsenlöf, Pernilla
    Uppsala University.
    Coping patterns and their relation to daily activity, worries, depressive mood, and pain intensity in acute Whiplash Associated Disorders2013Inngår i: International Journal of Behavioral Medicine, ISSN 1070-5503, E-ISSN 1532-7558, Vol. 20, nr 2, s. 293-303Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND:

    There is a lack of knowledge regarding how individuals with acute whiplash-associated disorders (WAD) appraise and cope with situation-specific stressors.

    PURPOSE:

    The aim of the study was to describe the daily process of coping reported in a daily coping assessment by individuals with acute WAD within 1 month after the accident. More specifically, profiles of coping strategies were identified and patterns between stressors, primary and secondary appraisals, and coping strategy profiles were described in relation to reported level of activity, worries, depressed mood and pain intensity during the day.

    METHOD:

    A descriptive and exploratory design was applied. Two hundred and twenty-nine whiplash-associated disorders-daily coping assessment (WAD-DCA) collected during seven consecutive days from 51 participants with acute WAD in Sweden, were included. Cluster analysis was used to obtain coping strategy profiles and data were graphically visualised as patterns through the coping process.

    RESULTS:

    When measuring coping as a daily process relating to the specific stressful situation, different coping process patterns appeared. During days with a high degree of physical and mental well-being, high self-efficacy beliefs seemed to be working as an important secondary appraisal, whereas during days with a low degree of physical and mental well-being primary appraisals of the stressor as a threat and catastrophic thoughts were present in the coping process.

    CONCLUSIONS:

    Early identification of situational- and individual-specific stressors, appraisals and coping efforts as measured by the WAD-DCA may contribute to the understanding of the coping process in the acute stage of WAD and its possible impact on recovery and adjustment.

  • 145.
    Bring, Annika
    et al.
    Uppsala University, Sweden.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Wasteson, Elisabeth
    Mid Sweden University, Sweden.
    Åsenlöf, Pernilla
    Uppsala University, Sweden.
    Daily stressors in patients with acute Whiplash Associated Disorders2012Inngår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 34, nr 21, s. 1783-1789Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose: Stressors in acute whiplash associated disorders (WAD), as reported on a daily basis, have hitherto been neglected in research. The primary aim of this study was to describe the most stressful daily situation or event reported by individuals with acute WAD within a month of a whiplash trauma. Another aim was to describe the meaning and significance of these daily stressors, i.e. primary appraisal. Method: A descriptive design with a content analysis approach was used. 260 WAD-daily coping assessments (WAD-DCA) generated during 1 week by 51 participants with acute WAD were included in the study. Stressors were analysed using qualitative content analysis. Results: The reported stressors generated 13 categories covering a wide range of stressful situations in daily life related to (i) work, (ii) physical symptoms, (iii) feelings and cognitions, (iv) family and home responsibilities and (v) recreation. The majority of the stressors were appraised as "expected" as well as "disabling". Most threatening stressors were related to work, driving and feelings/cognitions. Conclusions: The wide variety of stressors indicates that it is not only pain itself that influences daily life in acute WAD. Early identification of individual and situation-specific stressors gives new data regarding what bothers individuals suffering from WAD after a collision and may be helpful in understanding the coping process in relation to specific stressors and stressor appraisals

  • 146.
    Bring, Annika
    et al.
    Uppsala university, Sweden.
    Åsenlöf, Pernilla
    Uppsala university, Sweden.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Comparison of different treatment approaches after acute WAD – Standard-treatment compared to behavioural medicine interventions: A randomized group study2010Inngår i: European Journal of Pain, ISSN 1090-3801, E-ISSN 1532-2149, Vol. 13, nr S1, s. S265-Artikkel i tidsskrift (Fagfellevurdert)
  • 147.
    Bring, Annika
    et al.
    Uppsala University, Uppsala, Sweden.
    Åsenlöf, Pernilla
    Uppsala University, Uppsala, Sweden.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    What is the comparative effectiveness of current standard treatment, against an individually tailored behavioural programme delivered either on the internet or face-to-face for people with acute whiplash associated disorder?: A randomized controlled trial.2016Konferansepaper (Fagfellevurdert)
  • 148.
    Bring, Annika
    et al.
    Uppsala Universitet, Sweden.
    Åsenlöf, Pernilla
    Uppsala Universitet, Sweden.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    What is the comparative effectiveness of current standard treatment, against an individually tailored behavioural programme delivered either on the Internet or face-to-face for people with acute whiplash associated disorder?: A randomized controlled trial2016Inngår i: International Journal of Behavioral Medicine, ISSN 1070-5503, E-ISSN 1532-7558, Vol. 30, nr 5, s. 187-188, artikkel-id Meeting Abstract: O579Artikkel i tidsskrift (Fagfellevurdert)
  • 149.
    Bring, Annika
    et al.
    Uppsala Universitet, Sweden.
    Åsenlöf, Pernilla
    Uppsala Universitet, Sweden.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    What is the comparative effectiveness of current standard treatment, against an individually tailored behavioural programme delivered either on the Internet or face-to-face for people with acute whiplash associated disorder?: A randomized controlled trial2016Inngår i: Clinical Rehabilitation, ISSN 0269-2155, E-ISSN 1477-0873, Vol. 30, nr 5, s. 441-453Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVE: To investigate the comparative effectiveness of current standard treatment, against an individually tailored behavioural programme delivered via the Internet or face-to-face for people with acute whiplash associated disorders.

    DESIGN: A multicentre, randomized, three-group design, with concealed allocation.

    SUBJECTS AND SETTINGS: A total of 55 participants (37 female), age 18-65, with acute Whiplash Associated Disorder (Grade I-II), recruited at two emergency clinics in Sweden.

    INTERVENTIONS: Before randomization all participants received standard self-care instructions. The Internet and face-to-face groups followed a seven-week behavioural programme involving individual tailoring, via email (Internet group), or in sessions at a physical therapy unit (face-to-face group). The control group only received the self-care instructions.

    MAIN MEASURES: Pain-related disability, pain intensity, self-efficacy in daily activities, catastrophizing and fear of movement/(re)injury. Assessments were performed at baseline (2-4 weeks postinjury) and at three, six and 12 months postintervention.

    RESULTS: Both the Internet (n = 16) and face-to-face (n = 14) group showed a larger decrease in pain-related disability than the control group (n = 16); -12 and -11, respectively, compared with -5 in the control group at 12-months follow-up. Significant differences between the groups in overall treatment effect were shown in all outcomes except pain intensity. All groups improved significantly over time in all outcomes, except for fear of movement/(re)injury and catastrophizing in the control group.

    CONCLUSION: An individually tailored behavioural programme improved biopsychosocial factors in patients with whiplash associated disorders up to 12 months after treatment. Internet-delivered intervention was as effective as clinic-based face-to-face therapy sessions.

  • 150.
    Broberg, Anders
    et al.
    Göteborgs universitet, Sweden.
    Almqvist, Kjerstin
    Karlstads universitet, Sweden.
    Appell, Petra
    Karstads universitet, Sweden.
    Axberg, Ulf
    Göteborgs universitet, Sweden.
    Cater, Åsa
    Örebro universitet, Sweden.
    Draxler, Helena
    Karlstads universitet, Sweden.
    Eriksson, Maria
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Grip, Karin
    Göteborgs universitet, Sweden.
    Hjärthag, Fredrik
    Karlstads universitet, Sweden.
    Hultmann, Ole
    Göteborgs universitet, Sweden.
    Iversen, Clara
    Uppsala universitet, Sweden.
    Röbäck de Souza, Karin
    Göteborgs universitet, Sweden.
    Utveckling av bedömningsinstrument och stödinsatser för våldsutsatta barn2015Rapport (Annet vitenskapelig)
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