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  • 301.
    Dahlgren, Monica
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Bredenhof Heijkenskjöld, Katarina
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Entreprenöriellt lärande i verksamhetsförlagd utbildning inom sjuksköterskeprogrammet: samverkan i kreativa former2015In: Verksamhetsförlagd utbildning: -att lära i team för att verka i team., 2015Conference paper (Other academic)
    Abstract [sv]

    Vår presentation har sin utgångspunkt i projektet Entreprenörskap på HVV (E-HVV) vid Mälardalens högskola. Tillväxtverket har initierat att entreprenörskap ska finnas genom hela utbildningssystemet utifrån ”Sense of initiative and entrepreneurship”, en av EU:s åtta kärnkompetenser för livslångt lärande vilket även gäller för högskolor och universitet.Vi har utifrån egen erfarenhet märkt att det finns behov för studenterna i sjuksköterskeprogrammet att utveckla entreprenöriella kompetenser som exempelvis mod, initiativ, självständighet, ansvar inte minst i verksamhetsförlagd utbildning (VFU). Ett av målen för Sjuksköterskeprogrammets VFU vid Mälardalens högskola är att entreprenöriell utveckling genomförs som en del av högskolemässig VFU. Kliniska adjunkterna vid akademinsamverkar kontinuerligt i detta kvalitetsarbete inom Landstinget Västmanland. Utgångspunkten är Intentionsdokumentet för högskolemässig verksamhetsförlagd utbildning vid Landstinget Västmanland, ett samverkansdokument med kontinuerlig uppföljning i lärosätets forum för samverkan gällande VFU, Branschråd Vård. Med inspiration från E-HVV startades ett nytt projekt i samproduktion med Västmanlands sjukhus vidLandstinget Västmanland, Entreprenöriellt lärande i VFU. Målet var att implementera entreprenöriellt lärande som en del av högskolemässig VFU vid Västmanlands sjukhus. 

     

    Projektet pågick från juni 2014 till juni 2015 med seminarier för huvudhandledarna i sex steg. Steg 1 bestod av en kort föreläsning om entreprenörskap samt workshops med olika kreativitetsövningar i syfte att skapa nya idéer för VFU. Huvudhandledarna identifierade behov av entreprenöriella kompetenser hos blivande sjuksköterskor samt studenterna behov gällande entreprenöriellt lärande i VFU. I steg 2 utvärderades landstingets handlingsplan för VFU. Utifrån resultatet identifierade huvudhandledarna sju utvecklingsområden för sitt pedagogiska arbete de kommande två åren.Steg 3. Med hjälp av cafémetodik konkretiserade huvudhandledarna idéer i syfte att utveckla de sju framtagna utvecklingsområdena. I samband med detta föddes idén till en tävling för att utmana huvudhandledarnas nyskapande i arbetsprocessen. Steg 4 handlade om inspiration och handledning för skapa en gemensam plattform för idéerna. Frågor som ”Var står ni nu?  Hur långt har ni kommit? Förväntningar och farhågor?”ställdes. Think pair share, idé- och visionskarta användes som metoder utifrån frågan Varför finns vår idé? I steg 5 arbetade huvudhandledarna på egen hand med sina idéer. Bedömningskriterier för tävlingen togs fram och en jury bildades med representanter från akademin, deltagande vårdverksamhet samt den entreprenör som konsulterats i projektet. Steg 6 var en final där tävlingsbidragen presenterades vid en ”öppen föreläsning” och bedömdes av juryn. Alla som bidragit i tävlingen fick en muntlig motivering samt omdöme av sitt arbete. Första pris gick till Metodrum inom vårdenheten, andra pris Reflektionskortlekoch tredje pris Peer-learning i studentsalar. Diplom delades ut till samtliga tävlingsdeltagare. Citat från en lärare i publiken ”Ett fint planerat och arrangerat presentationstillfälle. Enormt engagerade huvudhandledare som var för sig gjorde intressanta och tankeväckande presentationer som visade på nytänkande vad gäller studentens lärande i vårdandet.”

  • 302.
    Dahlgren, Monica
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Bredenhof Heijkenskjöld, Katarina
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Entreprenöriellt lärande i verksamhetsförlagd utbildning2017In: Pedagogik för sjuksköterskor / [ed] Håkan Sandberg, Lund: Studentlitteratur AB, 2017, p. 225-247Chapter in book (Other academic)
    Abstract [sv]

    Att som huvudhandledare få tänka själv och fritt, att få tänka utanför ramarna är jätteinspirerande. När saker och ting är tillåtna i lärandemiljön, desto större chans att studenterna vågar säga vad de tycker och tänker samt att de blir mer öppna för idéer i sitt lärande. Att se saken som en ständig utveckling och ta del av andras idéer ger alla chansen att utvecklas oavsett om det gäller studenter, handledare, huvudhandledare eller lärare. 

  • 303.
    Dahlgren, Monica
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Bredenhof Heijkenskjöld, Katarina
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Kan entreprenöriellt lärande utveckla mod hos sjuksköterskestudenter?2017In: HSS2017. Högskola och samhälle i samverkan. 18-19 maj 2017.: Entreprenörskap och kunskapsutveckling, 2017Conference paper (Other academic)
    Abstract [sv]

    Kan entreprenöriellt lärande utveckla mod hos sjuksköterskestudenter?

    Sjuksköterskestudenter i verksamhetsförlagd utbildning blir handledda och bedömda i sitt lärande av handledande sjuksköterskor. Att lära under bedömning kan hindra studenterna att våga öva och pröva sig fram i sitt lärande att vårda människor och främja hälsa. Vi har lärt oss att entreprenörskap bland annat handlar om att vara strategisk, risktagande, att reflektera och argumentera vilket möjligtvis kan främja studentens mod och självständighet. Entreprenöriellt lärande handlar om att lära av entreprenörskap.

  • 304.
    Dahlgren, Monica
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Bredenhof Heijkenskjöld, Katarina
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Hägglund, Sara
    Mälardalen University, School of Education, Culture and Communication, Educational Sciences and Mathematics.
    Palm, Caroline
    Tillväxtverket, Sweden.
    Nilsson, Nils
    Linnéuniversitetet, Sweden.
    Ellborg, Katarina
    Linnéuniversitetet, Sweden.
    Entreprenörskap i högre utbildning: Dialogseminarium om entreprenörskap för att möta framtidens utmaningar2015In: HSS2015 Högskola och samhälle i samverkan. Kalmar, Sverige. 28-29 maj 2015., 2015Conference paper (Other (popular science, discussion, etc.))
    Abstract [sv]

    Innovationsbehovet blir allt starkare i en komplex värld och allt större krav ställs på kompetens och entreprenöriell förmåga. En av universitetens utmaningar är att koppla samman kunskap och entreprenöriella förmågor så att studenternas kunskap sätts i arbete. Hur arbetar vi med dessa frågor i samverkan?

  • 305.
    Dahlgren, Monica
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Göransson, Eija
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Högskolemässig lärandemiljö i verksamhetsförlagd utbildning.2016In: Samproduktionens retorik och praktik: - inom området hälsa och välfärd. / [ed] Inger K Holmström; Jonas Stier; Per Tillgren & Gunnel Östlund., Lund: Studentlitteratur AB, 2016, p. 71-80Chapter in book (Other academic)
    Abstract [sv]

    I kapitelt beskrivs två lokala exempel av samproduktion mellan högskola och landsting samt mellan högskola och kommun. Detta samarbete grundas i avtal och överenskommelser i form av bland annat handlingsplaner när det gäller verksamhetsförlagd utbildning (VFU) för sjuksköterskeprogrammet vid Mälardalens högskola (MDH). Kapitelförfattarna är delaktiga i att samverka och samarbeta för en högskolemässig VFU. Vad högskolemässighet i VFU är, diskuteras i kapitlet, liksom hur samverkan utvecklats till samarbete och samproduktion. Det visar sig att parterna har gemensamma intressen för kvalitetsfrågor och att aktiviteter har skapats för att uppnå en levande process i dessa exempel, där avtal, intetionsdokument och handlingsplaner samt de gemensamma intressena, förutsätter varandra i kontinuerlig samverkan, samarbete och samproduktion. 

  • 306.
    Dale, Richard Allan
    et al.
    Univ Gothenburg, Sweden.
    Sverker, Annette
    Linköping University, Sweden.
    Hasselberg, Marie
    Karolinska Institutet, Sweden.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Hensing, Gunnel
    Univ Gothenburg, Sweden.
    Young adults' experiences with near-injury situations: a critical incident study in Sweden.2017In: International Journal of Child, Youth & Family Studies, E-ISSN 1920-7298, Vol. 8, no 1, p. 97-111Article in journal (Refereed)
    Abstract [en]

    As injuries are the main health threat for young adults (18-29 years) in industrial countries, a better understanding of injury risk is needed for this population. Using the Critical Incident Technique, this study explores how young people experience situations that have the potential to cause physical injury (i.e., near-injury situations). Clearly, understanding how and why near-injury situations arise can be used to develop strategies to help prevent severe injury. Content analysis was used to categorize the characteristics of the experiences into unexpected risk in ordinary tasks, duty first, and price for learning. Young adults' exposures to new or unusual environmental conditions, especially in unexpected risk in ordinary tasks, should be considered when planning injury prevention strategies. A combination of individual, social, and contextual demands and expectations was identified in both work-and sports-related experiences with near-injury situations. The price for learning, which arises from the added risk involved in learning situations, is another condition that was identified and requires further attention. The Critical Incident Technique proved to be a useful method for identifying near-injury situations that might otherwise have been difficult to recall. Young adults' efforts to display their ability to handle difficult situations at work and in their everyday lives was identified as a major contributor to near-injury situations.

  • 307.
    Damir, Isovic
    et al.
    Mälardalen University, School of Innovation, Design and Engineering, Embedded Systems.
    Wallin, Fredrik
    Mälardalen University, School of Business, Society and Engineering. Mälardalen University, School of Innovation, Design and Engineering, Embedded Systems.
    Gustafsson, Christine
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    THE COPRODUCTIVE UNIVERSITY: Education and research in coproduction with the wider community2013Conference paper (Refereed)
    Abstract [en]

    Mälardalen University has a long history of a successful cooperation and coproduction with the industry and public sector in Sweden. This has eventually led it to become one of the leading higher education institutes in Sweden for excellent coproduction with different societal actors, both internationally and nationally. The university has through its coproduction activities become convinced of its value and of the wide range of opportunities it can bring to all parties involved. In this paper, we share our experience through some good examples both from research and education and discuss what is needed for successful and sustainable coproduction with industry and public sector.

  • 308.
    Danielsson, Christina Bodin
    et al.
    Stockholm Univ Sweden.
    Bodin, Lennart
    Karolinska Inst, Sweden.
    Wulff, Cornelia
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Stockholm Univ, Sweden.
    Theorell, Tores
    Stockholm Univ, Sweden.
    The relation between office type and workplace conflict: A gender and noise perspective2015In: Journal of Environmental Psychology, ISSN 0272-4944, E-ISSN 1522-9610, Vol. 42, p. 161-171Article in journal (Refereed)
    Abstract [en]

    This exploratory study aimed to investigate the impact of the office design on workplace conflicts, with a special attention to noise in the office. A gender perspective was applied. The sample consisted of 5229 employees from the Swedish Longitudinal Occupational Survey of Health 2010 (SLOSH), working in different office types. In the multivariate analysis office type was used as the explanatory variable with adjustments for age, supervisory position and labour market sector. Analysis stratified for gender was used. Among women a significant impact of office type per se on workplace conflicts was found, but not among men. For women several office types differed significantly from the cell-office with regard to prevalence of conflicts during the past two years, but for men only the combi-office differed from the cell-office. Noise had an impact on workplace conflicts, but is not the only explanatory factor since the effect of office type remained also after adjustment for noise in multivariate analyses. Other environmental factors inherent in the office type might thus explain the occurrence of conflicts. (C) 2015 Elsevier Ltd. All rights reserved.

  • 309.
    Danielsson, Lena
    et al.
    Vastmanlands Sjukhus, Reg Vastmanland, Vasteras, Sweden..
    Lundstrom, Marie-Louise
    Vastmanlands Sjukhus, Reg Vastmanland, Vasteras, Sweden..
    Holmström, Inger K.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Kerstis, Birgitta
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Anaesthetizing children-From a nurse anaesthetist's perspective-A qualitative study2018In: Nursing Open, E-ISSN 2054-1058, Vol. 5, no 3, p. 393-399Article in journal (Refereed)
    Abstract [en]

    Aim: The aim of this study was to describe nurse anaesthetists' experiences of encountering and caring for children in connection to anaesthesia. Design: Qualitative design. Methods: Sixteen written narratives based on eight nurse anaesthetists' experiences of meeting children was analysed using qualitative content analysis. Results: The overarching theme was: "anaesthetizing children is a complex caring situation, including interactions with the child and parents as well as ensuring patient safety, affected by the perioperative team and organizational prerequisites". The nurses stated that in their interaction with the family, their goal was to ensure that children and parents felt secure and calm. "Striving to work in confidence" underlined the team and organizational influences. Encountering children involves more than knowledge about technical equipment, procedures and drugs. Knowledge about children's development and fears and parents' needs are essential for an optimal caring situation. Organizations need to realize that extra time, skills and resources are needed to safely anaesthetize children.

  • 310.
    Danielsson, Lena
    et al.
    Region Västmanland, Sweden.
    Lundström, Louisa
    Region Västmanland, Sweden.
    Holmström, Inger K.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Uppsala universitet.
    Kerstis, Birgitta
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Anaesthetizing children from a nurse anaethetist's perspective2019In: Barnveckan, Örebro, 2019Conference paper (Refereed)
  • 311.
    Darbyshire, Philip
    et al.
    Monash University Victoria Australia.
    Gustafsson, Christine
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Müllersdorf, Maria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    External scrutiny, faculty research culture and the changing university2016In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 72, no 11, p. 2571-2575Article in journal (Other academic)
  • 312.
    Darvishpour, Mehrdad
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Jämställdhet, etnicitet och "andra män" - ett intersektionellt perspektiv på förändringar av maskulinitet efter migration2014In: Män och jämställdhet: betänkande / av Utredningen om män och jämställdhet, Stockholm: Fritzes, 2014, , p. 35Chapter in book (Other academic)
  • 313.
    Darvishpour, Mehrdad
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Ahmadi, Fereshtih
    Högskolan i Gävle, Sweden.
    Mella, Orlando
    Uppsala Universitet, Sweden.
    Palm, Irving
    Uppsala Universitet, Sweden.
    Mångfaldsbarometern: Tio år av attitydmätningar i Sverige2015 (ed. 1)Book (Other academic)
    Abstract [sv]

    Boken är en samling av de flesta texter som har

    publicerats i samband med Mångfaldsbarometern.

    I det första kapitlet redogör Fereshteh Ahmadi,

    Mehrdad Darvishpour och Irving Palm för resultat

    från Mångfaldsbarometern från 2005 – 2014 och

    även andra undersökningar. De presenterar också

    en sociologisk analys av insamlade data under

    tio år.

    I det andra kapitlet presenterar Orlando Mella de

    första årens resultat utifrån ett sociologiskt perspektiv,

    både teoretiskt och metodologiskt.

    I det tredje kapitlet förklarar Orlando Mella resultaten

    av sju års mätningar av attityder till mångfald, av mätningar

    av attityder mot mångfald och fastställer och

    tolkar vissa tendenser som stabila profiler.

    I det fjärde kapitlet fokuseras på mångfalden i arbetslivet.

    Den svenska välfärden är tydligt relaterad till invandring.

    Att underlätta för invandrare att få möjlighet

    till arbete och egen försörjning har ansetts viktigt för

    deras integrering i samhället. Invånarnas egna erfarenheter

    av kontakter med personer med utländsk bakgrund

    visar sig påverka befolkningens attityder liksom kön,

    ålder och utbildning.

    I det femte kapitlet behandlas problem kring integration.

    Mångfaldsbarometern 2009 som kompletterats med

    ett antal intervjuer visar att en stor andel av befolkningen

    har positiva erfarenheter av invandrare och menar att

    de skall ha samma rättigheter och möjligheter som den

    infödda befolkningen. Studien visar dock att den sociala

    toleransen har sina gränser och tycks förändras över tid.

    Kapitlen 6-15 består av de årliga rapporterna av

    Mångfaldsbarometern. I dessa rapporter hittar man

    statistik och förklaringar till de olika tabeller och figurer

    som presenteras.

    I slutet av boken presenteras en lista över en del

    viktiga artiklar som skrevs i massmedia om Mångfaldsbarometern.

  • 314.
    Darvishpour, Mehrdad
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Asztalos Morell, Ildikó
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Mahmoodian, Mohammadrafi
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Projektet samarbete med Västerås stad och Eskilstuna kommunen om ensamkommande barn2016Report (Other academic)
    Abstract [sv]

    Syftet med projektet var att genom ett antal möten med fokusgrupper sammansatta av medarbetare i välfärdstjänster i Eskilstuna kommun och Västerås stad förankra vår forskningsidé om samverkanproblematiken kring mottagandet av ensamkommande barn. Genom den direkta kontakten med medarbetarna ville projektgruppen säkra de centrala forskningsfrågornas praktiska relevans. Därtill ville projektgruppen i samverkan med olika aktörer (t.ex. kommun, socialtjänst, landstinget, skola, civilsamhälle) identifiera goda exempel och utmaningar i mottagandet av ensamkommande barn och deras hälsa, välfärd och integrationsprocess. Resultaten tyder på att kommunerna, trots den särskilt stora belastningen som migrationsvågen år 2015 innebar, hade förmåga att anpassa sig och hantera mottagande av de ensamkommande barnen. Vid sidan av kommunernas ansträngningar visar studien att även följande faktorer hade betydelse för barnens förmåga att hantera vardagens svårigheter: 1) barnens egna resurser i form av motivation och vilja till integration exempelvis genom skolintegration, 2) nätverkets runt barnen och 3) civilsamhället. I materialet framkommer även ett antal utmaningar för det kommunala arbetet: svårigheter med att tillgodose behovet av emotionella stöd och att skapa tillit hos barnen, brist på resurser och god kommunikation mellan olika organisationer, barnens oro för avvisning och vissa otydligheter kring ansvarsfördelning mellan olika myndigheter. En avslutande rapport som återspeglar resultaten av projektet kommer att publiceras elektroniskt. Trots att projektet officiellt avslutats pågår en diskussion om ett fortsatt samarbete kring forskningsplan och forskningscirkel med fokus på bemötande, omhändertagande, uppföljning och etablering av ensamkommande barn. Ett konkret förslag som planeras är att projektgruppen ska medverka i arbetet med en enkätundersökning och uppföljning i Västerås stad om barnens upplevelse av kommunens mottagande. För att kunna genomföra allt detta avser projektgruppen att dels söka medel från HVV:s för samproduktion och dels söka medel från Forte för att fortsätta forskning, forskningscirklar och samproduktion kring kommuner och landstingen mottagande av ensamkommande barn.

  • 315.
    Darvishpour, Mehrdad
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Asztalos Morell, Ildikó
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Månsson, Niclas
    Mälardalen University, School of Education, Culture and Communication, Educational Sciences and Mathematics.
    Mahmoodian, Mohammadrafi
    Hoppe, Magnus
    Mälardalen University, School of Business, Society and Engineering, Industrial Economics and Organisation.
    Ensamkommande ungdomars röster om mottagande, inkludering och jämställdhetsutveckling2019In: Ensamkommandes upplevelser & professionellas erfarenheter / [ed] Mehrdad Darvishpour; Niclas Månsson, Liber, 2019Chapter in book (Other academic)
  • 316.
    Darvishpour, Mehrdad
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Asztalos Morell, Ildikó
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Månsson, Niclas
    Mälardalen University, School of Education, Culture and Communication, Educational Sciences and Mathematics.
    Mahmoodian, Mohammadrafi
    Hoppe, Magnus
    Mälardalen University, School of Innovation, Design and Engineering. Mälardalen University, School of Business, Society and Engineering, Industrial Economics and Organisation. Mälardalen University, School of Education, Culture and Communication.
    Sammanfattning av arbetsrapport om  nyanlända barns och ungdomars inkludering  och jämställdhetsutveckling2018Report (Other academic)
    Download full text (pdf)
    fulltext
  • 317.
    Darvishpour, Mehrdad
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Lahdenperä, Pirjo
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Honour-Related Problems in School Contexts in Sweden - theoretical perspective and prevention2014Report (Refereed)
    Abstract [en]

    This report: Honour-Related Problems in School Contexts in Sweden - theoretical perspctive and prevention, presents an outline of definitions, problems areas and theoretical perspctive within this reserach field. It also provides a description of the preventataive measures schools should take to confront honour-related problems experienced by pupils. Some questions pinpointed in this report ramain urgent matters. The repot highlights the relationship between integrations politics and school policies concerning honour-related problems. The writers raise certain dilemmas which can become issues in the conflict between children's right and parent's right and wich may be manifested in the contact between school ans home.

    Download full text (pdf)
    fulltext
  • 318.
    Darvishpour, Mehrdad
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Lahdenperä, Pirjo
    Mälardalen University, School of Education, Culture and Communication, Educational Sciences and Mathematics.
    Lorentz, Hans
    Mälardalen University, School of Education, Culture and Communication.
    Hedersrelaterad problematik i skolan: - en kunskaps-och forskningsöversikt2010Report (Other academic)
    Abstract [sv]

    Denna rapport är en kunskapsöversikt över svenska forskningsprojekt som berör frågor om hedersrelaterad problematik i skolan. I rapporten ger författarna sin tolkning av hur det kan komma sig att hedersrelaterade normer vidmakthålls i vissa familjer i Sverige i dag. I rapporten diskuteras även åtgärder som skolan kan vidta för att arbeta med den hedersrelaterade problematiken.

    I rapporten framhålls bland annat att hedersrelaterade problem i skolan kan uppfattas som riskfyllda med tanke på stigmatisering och rädsla för främlingsfientlighet och ökning av fördomar, men att detta inte på något sätt får hindra skolpersonalen att ta itu med problemen och att vara observanta på vad hederstänkande kan medföra. Hederstänkande får inte stå i vägen för alla elevers rätt till kunskap oberoende av kön, etnicitet etc.

    Rapporten är författad av Mehrdad Darvishpour, filosofie doktor i sociologi från Stockholms Universitet och lektor i socialt arbete på Mälardalens högskola, Pirjo Lahdenperä, professor i pedagogik på Akademin för utbildning, kultur och kommunikation (UKK) vid Mälardalens högskola, och Hans Lorentz, filosofie doktor i pedagogik från Lunds universitet och lektor i pedagogik vid UKK på Mälardalens högskola. Rapporten ingår i en serie av forskarrapporter från DEJA.

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  • 319.
    Darvishpour, Mehrdad
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Månsson, NiclasSödertörns högskola, Sweden.
    Ensamkommandes upplevelser & professionellas erfarenheter: integration, inkludering och jämställdhet2019Collection (editor) (Other academic)
  • 320.
    Darvishpour, Mehrdad
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Månsson, Niclas
    Mälardalen University, School of Education, Culture and Communication, Educational Sciences and Mathematics.
    Möjligheter och utmaningar för jämställdhetsutveckling bland ensamkommande ungdomar i Sverige2020Conference paper (Other academic)
  • 321.
    Darvishpour, Mehrdad
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Månsson, Niclas
    Mälardalen University, School of Education, Culture and Communication, Educational Sciences and Mathematics.
    Asztalos Morell, Ildikó
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Hoppe, Magnus
    Mälardalen University, School of Business, Society and Engineering, Industrial Economics and Organisation.
    Samverkan och utmaningar – mottagande av ensamkommande ungdomar2019In: Ensamkommandes upplevelser & professionellas erfarenheter / [ed] Mehrad Darvishpour; Niclas Månsson, Liber, 2019Chapter in book (Other academic)
  • 322.
    Darvishpour, Mehrdad
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Westin, CharlesStockholms universitet, Sweden.
    Migration och etnicitet: Perspektiv på ett mångkulturellt Sverige2015Collection (editor) (Other academic)
    Abstract [sv]

    Denna bok, som här ges ut i en omarbetad upplaga, ger en introduktion till den sociologiska forskningen om etnicitet och migration i Sverige. Med utgångspunkt i teorier om makt söker vi beskriva och analysera hur etnicitet som kategori skapas och upprätthålls och hur detta strukturerar samhället.

    Debatten om migrations- och integrationspolitik, om social exkludering och utanförskap, om strukturell diskriminering och postkolonialism, om banal nationalism och identiteter, om ”vi och dom”, har fått stor aktualitet inte minst till följd av Sverigedemokraternas uppsving efter valet 2014 samt utvecklingen efter terrordåden 7 januari 2015 i Paris. Inför denna upplaga har några nya kapitel som tar upp frågor av stor aktualitet tillkommit.

    Migration och etnicitet behandlar teorier om etniska relationer och identiteter i förhållande till social stratifiering, mångkulturalism och exkluderingsmekanismer. Den tar upp invandrings- och flyktingpolitik, situationen för samer och romer, samt ett antal sakområden som bl.a. gäller representation, diskriminering och segregering, men också stereotyper, generationskonflikter och åldrande.

    Boken riktar sig till studenter och forskare inom sociologi, socialt arbete och IMER, men den lämpar sig också för andra samhällsveten- skapliga utbildningar som behandlar etnicitet och migrationsfrågor.

  • 323.
    De Souza Gonzales, Jaqueline
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Raatiniemi, Mervat
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Att vårda personcentrerat: En litteraturstudie utifrån sjuksköterskors perspektiv2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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  • 324.
    Dean, E.
    et al.
    University of British Columbia, Canada.
    Skinner, M.
    University of Otago, Asia Western Pacific, Dunedin, New Zealand.
    Myezwa, H.
    University of Witwatersrand, Johannesburg, South Africa.
    Mkumbuzi, V.
    University of Malawi, Blantyre, Malawi.
    Mostert, K.
    University of Pretoria, Hatfield, South Africa.
    Parra, D. C.
    Washington University in St Louis School of Medicine, St Louis, USA.
    Shirley, D.
    The University of Sydney, Lidcombe, Australia, Asia Western Pacific, Australia.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    de Andrade, A. D.
    Universidade Federal de Pernambuco, South America, Recife, Brazil.
    Abaraogu, U. O.
    University of Nigeria Enugu Campus, Enugu, Nigeria.
    Bruno, S.
    Universidade Federal do Rio Grande do Norte, South America, Natal, Brazil.
    Clark, D.
    University of Alabama, North America/Caribbean, Birmingham, AL, United Kingdom.
    Gylfadóttir, S.
    Reykjalundur Rehabilitation Center, Europe, Iceland.
    Jones, A.
    Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong.
    Veluswamy, S. K.
    Hospitals, Asia Western Pacific, Bangalore, India.
    Lomi, C.
    Karolinska University Hospital, Europe, Stockholm, Sweden.
    Moffat, M.
    New York University, North America/Caribbean, NY.
    Morris, D.
    University of Alabama, USA.
    Stensdotter, A. -K
    Norwegian University of Science and Technology, NTNU, Europe, Trondheim, Norway.
    Wong, W. P.
    Singapore Institute of Technology, Asia Western Pacific, Singapore.
    Group, Global Health Working
    Health Competency Standards in Physical Therapist Practice2019In: Physical Therapy, ISSN 0031-9023, E-ISSN 1538-6724, Vol. 99, no 9, p. 1242-1254Article in journal (Refereed)
    Abstract [en]

    Although the physical therapist profession is the leading established, largely nonpharmacological health profession in the world and is committed to health promotion and noncommunicable disease (NCD) prevention, these have yet to be designated as core physical therapist competencies. Based on findings of 3 Physical Therapy Summits on Global Health, addressing NCDs (heart disease, cancer, hypertension, stroke, diabetes, obesity, and chronic lung disease) has been declared an urgent professional priority. The Third Summit established the status of health competencies in physical therapist practice across the 5 World Confederation for Physical Therapy (WCPT) regions with a view to establish health competency standards, this article's focus. Three general principles related to health-focused practice emerged, along with 3 recommendations for its inclusion. Participants acknowledged that specific competencies are needed to ensure that health promotion and NCD prevention are practiced consistently by physical therapists within and across WCPT regions (ie, effective counseling for smoking cessation, basic nutrition, weight control, and reduced sitting and increased activity/exercise in patients and clients, irrespective of their presenting complaints/diagnoses). Minimum accreditable health competency standards within the profession, including use of the WCPT-supported Health Improvement Card, were recommended for inclusion into practice, entry-to-practice education, and research. Such standards are highly consistent with the mission of the WCPT and the World Health Organization. The physical therapist profession needs to assume a leadership role vis-à-vis eliminating the gap between what we know unequivocally about the causes of and contributors to NCDs and the long-term benefits of effective, sustained, nonpharmacological lifestyle behavior change, which no drug nor many surgical procedures have been reported to match.

  • 325.
    Dean, E.
    et al.
    University of British Columbia, Vancouver, Canada .
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    What is the role of lifestyle behaviour change associated with non-communicable disease risk in managing musculoskeletal health conditions with special reference to chronic pain?2015In: BMC Musculoskeletal Disorders, E-ISSN 1471-2474, Vol. 16, no 1, article id 87Article in journal (Refereed)
    Abstract [en]

    Background: Other than activity and exercise, lifestyle practices such as not smoking and healthy nutrition, well established for preventing and managing lifestyle-related non-communicable diseases (i.e., heart disease, cancer, hypertension, stroke, obstructive lung disease, diabetes, and obesity), are less emphasized in the physical therapy guidelines for addressing chronic pain, e.g., back pain. This state-of-the-art review examines the relationships between lifestyle behaviours and musculoskeletal health, with special reference to chronic pain, and their clinical and research implications. Discussion: A state-of-the-art review was conducted to synthesize evidence related to lifestyle factors (not smoking, healthy diet, healthy weight, optimal sleep and manageable stress, as well as physical activity) and musculoskeletal health, with special reference to chronic pain. The findings support that health behaviour change competencies (examination/assessment and intervention/treatment) may warrant being included in first-line management of chronic pain, either independently or in conjunction with conventional physical therapy interventions. To address knowledge gaps in the literature however three lines of clinical trial research are indicated: 1) to establish the degree to which traditional physical therapy interventions prescribed for chronic pain augment the benefits of lifestyle behaviour change; 2) to establish the degree to which adopting healthier lifestyle practices, avoids or reduces the need for conventional physical therapy; and 3) to establish whether patients/clients with healthier lifestyles and who have chronic pain, respond more favourably to conventional physical therapy interventions than those who have less healthy lifestyles. Summary: Lifestyle behaviour change is well accepted in addressing lifestyle-related non-communicable diseases. Compelling evidence exists however supporting the need for elucidation of the role of negative lifestyle behaviours on the incidence of chronic pain, and the role of positive lifestyle behaviours on its incidence and effective management. Addressing lifestyle behaviour change in patients/clients with chronic pain, e.g., back pain, as a first-line intervention might not only constitute a novel approach, but also reduce the socioeconomic burden related to chronic pain as well as non-communicable diseases.

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  • 326.
    Dean, Elizabeth
    et al.
    Univ British Columbia, Canada.
    Moffat, Marilyn
    NYU, USA.
    Skinner, Margot
    University of Otago, New Zealand.
    de Andrade, Armele Dornelas
    Universidade Federal de Pernambuco, Brazil.
    Myezwa, Hellen
    Witwatersrand University, South Africa.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Toward core inter-professional health promotion competencies to address the non-communicable diseases and their risk factors through knowledge translation: Curriculum content assessment2014In: BMC Public Health, E-ISSN 1471-2458, Vol. 14, p. 717-Article in journal (Refereed)
    Abstract [en]

    Background: To increase the global impact of health promotion related to non-communicable diseases, health professionals need evidence-based core competencies in health assessment and lifestyle behavior change. Assessment of health promotion curricula by health professional programs is a first step. Such program assessment is a means of 1. demonstrating collective commitment across health professionals to prevent non-communicable diseases; 2. addressing the knowledge translation gap between what is known about non-communicable diseases and their risk factors consistent with 'best' practice; and, 3. establishing core health-based competencies in the entry-level curricula of established health professions. Discussion: Consistent with the World Health Organization's definition of health (i.e., physical, emotional and social wellbeing) and the Ottawa Charter, health promotion competencies are those that support health rather than reduce signs and symptoms primarily. A process algorithm to guide the implementation of health promotion competencies by health professionals is described. The algorithm outlines steps from the initial assessment of a patient's/client's health and the indications for health behavior change, to the determination of whether that health professional assumes primary responsibility for implementing health behavior change interventions or refers the patient/client to others. An evidence-based template for assessment of the health promotion curriculum content of health professional education programs is outlined. It includes clinically-relevant behavior change theory; health assessment/examination tools; and health behavior change strategies/interventions that can be readily integrated into health professionals' practices. Summary: Assessment of the curricula in health professional education programs with respect to health promotion competencies is a compelling and potentially cost-effective initial means of preventing and reversing non-communicable diseases. Learning evidence-based health promotion competencies within an inter-professional context would help students maximize use of non-pharmacologic/non-surgical approaches and the contribution of each member of the health team. Such a unified approach would lead patients/clients to expect their health professionals to assess their health and lifestyle practices, and empower and support them in achieving lifelong health. Benefits of such curriculum assessment include a basis for reflection and discussion within and across health professional programs that could impact the epidemic of non-communicable diseases globally, through inter-professional education and evidence-based practice related to health promotion.

  • 327.
    Dean, Elizabeth
    et al.
    University of British Columbia.
    Nordgren, Lena
    Centre for Clinical Research in Sörmland, Sörmland County Council, Eskilstuna, Sweden.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    An Exploration of the Scientific Writing Experience of Non-native English-speaking Doctoral Supervisors and Students Using a Phenomemographic Approach2015In: Journal of Biomedical Education, ISSN 2314-5021, article id 542781Article in journal (Refereed)
    Abstract [en]

    Nonnative English-speaking scholars and trainees are increasingly submitting their work to English journals. The study’s aim was to describe their experiences regarding scientific writing in English using a qualitative phenomenographic approach. Two focus groups (5 doctoral supervisors and 13 students) were conducted. Participants were nonnative English-speakers in a Swedish health sciences faculty. Group discussion focused on scientific writing in English, specifically, rewards, challenges, facilitators, and barriers. Participants were asked about their needs for related educational supports. Inductive phenomenographic analysis included extraction of referential (phenomenon as a whole) and structural (phenomenon parts) aspects of the transcription data. Doctoral supervisors and students viewed English scientific writing as challenging but worthwhile. Both groups viewed mastering English scientific writing as necessary but each struggles with the process differently. Supervisors viewed it as a long-term professional responsibility (generating knowledge, networking, and promotion eligibility). Alternatively, doctoral students viewed its importance in the short term (learning publication skills). Both groups acknowledged they would benefit from personalized feedback on writing style/format, but in distinct ways. Nonnative English-speaking doctoral supervisors and students in Sweden may benefit from on-going writing educational supports. Editors/reviewers need to increase awareness of the challenges of international contributors and maximize the formative constructiveness of their reviews.

  • 328.
    Dean, Elizabeth
    et al.
    Univ British Columbia, Vancouver, BC, Canada..
    Skinner, Margot
    Univ Otago, Dunedin, New Zealand..
    Yu, Homer Peng-Ming
    Sichuan Univ, Chengdu, Peoples R China..
    Jones, Alice Ym
    Univ Queensland, Australia..
    Gosselink, Rik
    Katholieke Univ Leuven, Leuven, Belgium..
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Why COVID-19 strengthens the case to scale up assault on non- communicable diseases: role of health professionals including physical therapists in mitigating pandemic waves2021In: AIMS PUBLIC HEALTH, ISSN 2327-8994, Vol. 8, no 2, p. 369-375Article in journal (Refereed)
    Abstract [en]

    As SARS-CoV-2, the virus responsible for COVID-19, spread globally, the most severely affected sub-populations were the elderly and those with multi-morbidity largely related to noncommunicable diseases (NCDs), e.g., heart disease, hypertension, type 2 diabetes, obesity. NCDs are largely preventable with healthy nutrition, regular activity, and not smoking. This perspective outlines the rationale for health professionals' including physical therapists' role in reducing COVID-19 susceptibility. Evidence is synthesized supporting the pro-inflammatory effects of the western diet, increasingly consumed globally, inactivity, and smoking; and the immune-boosting, anti-inflammatory effects of a whole food plant-based diet, regular physical activity, and not smoking. An increased background of chronic low-grade systemic inflammation associated with unhealthy lifestyle practices appears implicated in an individual's susceptibility to SARS-CoV-2. It is timely to re-double efforts across healthcare sectors to reduce the global prevalence of NCDs on two fronts: one, to reduce SARS-CoV-2 susceptibility; and two, to reduce the impact of subsequent waves given high blood pressure and blood sugar, common in people with multi-morbidity, can be improved within days/weeks with anti-inflammatory healthy lifestyle practices, and weight loss and atherosclerosis reduction/reversal, within months/years. With re-doubled efforts to control NCD risk factors, subsequent waves could be less severe. Health professionals including physical therapists have a primary role in actively leading this initiative.

  • 329. Dean, Elizabeth
    et al.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Komplekse problemstillinger. (Principles for Management of the Patient with Complex Co-morbidity).2017In: Basisbog i Fysioterapi / [ed] Lund, H., Bjørnlund, I.B., Sjöberg, N.E., Copenhagen: Munksgaard Forlag, 2017, 2Chapter in book (Other academic)
  • 330. Dean, Elizabeth
    et al.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Lifestyle and musculoskeletal health.2015In: Grieve’s Modern Musculoskeletal Physiotherapy. / [ed] GA. Jull, A. Morre, D. Falla, J. Lewis, C. McGarthy, M. Sterling, London: Elsevier, 2015, 4, p. 117-125Chapter in book (Other academic)
  • 331. Dean, Elizabeth
    et al.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Role of physiotherapy in lifestyle and health promotion in musculoskeletal conditions2015In: Grieve’s Modern Musculoskeletal Physiotherapy / [ed] GA. Jull, A. Morre, D. Falla, J. Lewis, C. McGarthy, M. Sterling, London: Elsevier, 2015, 4, p. 364-378Chapter in book (Other academic)
  • 332.
    Dellve, Lotta
    et al.
    Göteborgs universitet, Sweden.
    Håkansta, Carin
    Karlstads universitet, Sweden.
    Toivanen, Susanna
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Stockholm University, Dept of Publ Health Sciences, Stockholm, Sweden.
    Kylin, Camilla
    Karlstads universitet, Sweden.
    Lindberg, Per
    Högskolan i Gävle, Sweden.
    Rydenfält, Christofer
    Lunds tekniska högskola, Sweden.
    Ståhl, Christian
    Linköpings universitet, Sweden.
    Berglund, Leif
    Luleå tekniska universitet, Sweden.
    Kaltenbrunner Nykvist, Monica
    Högskolan i Gävle, Sweden.
    Snabbt förändrade arbetsmiljöer kräver forskning som bidrar till bred kunskap och metodik2018In: Arbetsmarknad & Arbetsliv, ISSN 1400-9692, E-ISSN 2002-343X, Vol. 24, no 3-4, p. 85-89Article in journal (Refereed)
  • 333.
    Djarv, T.
    et al.
    Karolinska University Hospital, Stockholm, Sweden.
    Axelsson, C.
    University College of Borås, Borås, Sweden.
    Herlitz, J.
    Karolinska University Hospital, Stockholm, Sweden.
    Strömsöe, Anneli
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Israelsson, J.
    Linnaeus University, Kalmar, Sweden.
    Claesson, A.
    Karolinska University Hospital, Stockholm, Sweden.
    Traumatic cardiac arrest in Sweden 1990-2016: A population-based national cohort study2018In: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, E-ISSN 1757-7241, Vol. 26, no 1Article in journal (Refereed)
    Abstract [en]

    Background: Trauma is a main cause of death among young adults worldwide. Patients experiencing a traumatic cardiac arrest (TCA) certainly have a poor prognosis but population-based studies are sparse. Primarily to describe characteristics and 30-day survival following a TCA as compared with a medical out-of-hospital cardiac arrest (medical CA). Methods: A cohort study based on data from the nationwide, prospective population-based Swedish Registry for Cardiopulmonary Resuscitation (SRCR), a medical cardiac arrest registry, between 1990 and 2016. The definition of a TCA in the SRCR is a patient who is unresponsive with apnoea where cardiopulmonary resuscitation and/or defibrillation have been initiated and in whom the Emergency Medical Services (EMS, mainly a nurse-based system) reported trauma as the aetiology. Outcome was overall 30-day survival. Descriptive statistics as well as multivariable logistic regression models were used. Results: In all, between 1990 and 2016, 1774 (2.4%) cases had a TCA and 72,547 had a medical CA. Overall 30-day survival gradually increased over the years, and was 3.7% for TCAs compared to 8.2% following a medical CA (p <0.01). Among TCAs, factors associated with a higher 30-day survival were bystander witnessed and having a shockable initial rhythm (adjusted OR 2.67, 95% C.I. 1.15-6.22 and OR 8.94 95% C.I. 4.27-18.69, respectively). Discussion: Association in registry-based studies do not imply causality but TCA had short time intervals in the chain of survival as well as high rates of bystander-CPR. Conclusion: In a medical CA registry like ours, prevalence of TCAs is low and survival is poor. Registries like ours might not capture the true incidence. However, many individuals do survive and resuscitation in TCAs should not be seen futile. 

  • 334.
    Donevan, M.
    et al.
    Akademiska sjukhuset, Uppsala, Sweden.
    Mattebo, Magdalena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    The relationship between frequent pornography consumption, behaviours, and sexual preoccupancy among male adolescents in Sweden2017In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 12, p. 82-87Article in journal (Refereed)
  • 335.
    Dong, Hengjin
    et al.
    Zhejiang University, Center for Health Policy Studies, China.
    Duan, Shengnan
    Zhejiang University, Center for Health Policy Studies, China.
    Bogg, Lennart
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Karolinska institutet, Global health, Sweden.
    Wu, Yuan
    Zhejiang University, Center for Health Policy Studies, China.
    You, Hua
    Zhejiang University, Center for Health Policy Studies, China.
    Chen, Jinhua
    Zhejiang University, Center for Health Policy Studies, China.
    Ye, Xujun
    Zhejiang University, Center for Health Policy Studies, China.
    Seccombe, Karen
    School of Community Health, Portland State University, Portland, Oregon, USA.
    Yu, Hai
    Zhejiang University, Center for Health Policy Studies, China.
    The impact of expanded health system reform on governmental contributions and individual copayments in the new Chinese rural cooperative medical system2016In: International Journal of Health Planning and Management, ISSN 0749-6753, E-ISSN 1099-1751, Vol. 31, no 1, p. 36-48Article in journal (Refereed)
    Abstract [en]

    In 2002, the Chinese central government created a new rural cooperative medical system (NCMS), ensuring that both central and local governments partner with rural residents to reduce their copayments, thus making healthcare more affordable. Yet, significant gaps in health status and healthcare utilization persisted between urban and rural communities. Therefore, in 2009, healthcare reform was expanded, with (i) increased government financing and (ii) sharply reduced individual copayments for outpatient and inpatient care. Analyzing data from China's Ministry of Health, the Rural Cooperative Information Network, and Statistical Yearbooks, our findings suggest that healthcare reform has reached its preliminary objectives-government financing has grown significantly in most rural provinces, especially those in poorer western and central China, and copayments in most rural provinces have been reduced. Significant intraprovincial inequality of support remains. The central government contributes more money for poor provinces than for rich ones; however, NCMS schemes operate at the county level, which vary significantly in their level of economic development and per capital gross domestic products (GDP) within a province. Data reveal that the compensation ratios for both outpatient and inpatient care are not adjusted to compensate for a rural county's level of economic development or per capita GDP. Consequently, a greater financial burden for healthcare persists among persons in the poorest rural regions. A recommendation for next step in healthcare reform is to pool resources at prefectural/municipal level and also adjust central government contributions according to the GDP level at prefectural/municipal level.

  • 336.
    Drake, Emma
    et al.
    Stockholm University, Stockholm, Sweden.
    Toivanen, Susanna
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Stockholm University, Stockholm, Sweden.
    Leineweber, Constanze
    Stockholm University, Stockholm, Sweden.
    Nyberg, Anna
    Stockholm University, Stockholm, Sweden.
    Is combining human service work with family caregiving associated with additional odds of emotional exhaustion and sickness absence? A cross-sectional study based on a Swedish cohort2020In: International Archives of Occupational and Environmental Health, ISSN 0340-0131, E-ISSN 1432-1246, Vol. 93, no 1, p. 55-65Article in journal (Refereed)
    Abstract [en]

    PURPOSE: The aim of the study is to examine to what extent human service work and family caregiving is associated with emotional exhaustion and sickness absence, and to what extent combining human service work and family caregiving is associated with additional odds.

    METHODS: Data were derived from participants in paid work from the Swedish Longitudinal Occupational Survey of Health, year 2016 (n = 11 951). Logistic regression analyses were performed and odds ratios and 95% confidence intervals estimated for the association between human service work and family caregiving, respectively, as well as combinations of the two on one hand, and emotional exhaustion and self-reported sickness absence on the other hand. Interaction between human service work and family caregiving was assessed as departure from additivity with Rothman's synergy index.

    RESULTS: Human service work was not associated with higher odds of emotional exhaustion, but with higher odds of sickness absence. Providing childcare was associated with higher odds of emotional exhaustion, but lower odds of sickness absence, and caring for a relative was associated with higher odds of both emotional exhaustion and sickness absence. There was no indication of an additive interaction between human service work and family caregiving in relation to neither emotional exhaustion nor sickness absence.

    CONCLUSIONS: We did not find support for the common assumption that long hours providing service and care for others by combining human service work with family caregiving can explain the higher risk of sickness absence or emotional exhaustion among employees in human service occupations.

  • 337.
    Drennan, Stephanie
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Kahn, Aneesa
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Fysiska vårdmiljöns betydelse för patientens återhämtning: En allmän litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Den fysiska vårdmiljön kan inge subjektiva som objektiva upplevelser och kan då antingen inge trygghet eller otrygghet för patienten. I den fysiska vårdmiljön finns bland annat arkitektur, belysning, natur, ljud samt design beskriven. Den fysiska vårdmiljön har även en central betydelse för patientens återhämtning samt välbefinnande. Problem: När vårdpersonal inte har tillräckligt med kunskap om hur den fysiska vårdmiljön kan påverka patientens återhämtning, kan det innebära ökat lidande för denne. Kunskap om betydelsen av den fysiska vårdmiljön är därför väsentlig för att främja patientens hälsa, förebygga ohälsa, lindra lidande samt främja återhämtningen. Syfte: Syftet med detta examensarbete var att skapa en översikt över den fysiska vårdmiljöns betydelse för patientens återhämtning. Metod: Allmän litteraturöversikt med tio valda artiklar, åtta med kvantitativ ansats samt två med kvalitativ ansats. Resultat: I resultatet framkom betydelse av den fysiska vårdmiljöns för patientens återhämtning. Tillgång till eget rum bidrog till att patienterna hade möjlighet att sätta sig själva i fokus. Dagsljuset minskade ångest hos patienterna. Växter och naturen minskade trötthet. Musiken påverkade vissa fysiologiska funktioner. Slutsats: Fysisk vårdmiljö kan stödja patientens återhämtning, vilket i sin tur har en positiv inverkan på patientens välbefinnande.

    Nyckelord: litteraturöversikt, patient, vårdmiljö, återhämtning

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  • 338.
    Dunlavy, A. C.
    et al.
    Stockholm University/Karolinska Institutet.
    Juárez, S.
    Stockholm University/Karolinska Institutet.
    Toivanen, Susanna
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Stockholm University/Karolinska Institutet.
    Rostila, M.
    Stockholm University/Karolinska Institutet.
    Suicide risk among native- and foreign-origin persons in Sweden: a longitudinal examination of the role of unemployment status2019In: Social Psychiatry and Psychiatric Epidemiology, ISSN 0933-7954, E-ISSN 1433-9285, Vol. 54, no 5, p. 579-590Article in journal (Refereed)
    Abstract [en]

    Purpose: Prior research has documented an association between unemployment and elevated suicide risk. Yet, few Swedish studies have explicitly considered how such risk may vary by different migration background characteristics among persons of foreign-origin, who often experience diverse forms of labor market marginalization. This study examines the extent to which unemployment status may differentially influence suicide risk among the foreign-origin by generational status, region of origin, age at arrival, and duration of residence. Methods: Population-based registers were used to conduct a longitudinal, open cohort study of native-origin and foreign-origin Swedish residents of working age (25–64 years) from 1993 to 2008. Hazard ratios and 95% confidence intervals for suicide mortality were estimated using gender-stratified Cox proportional hazards models. Results: Elevated suicide risk observed among foreign-origin unemployed groups was generally of a similar or lower magnitude than that found in unemployed native-origin, although unemployed second-generation Swedish men demonstrated significantly greater (p < 0.05) excess risk of suicide than that observed among their native-origin counterparts. Unemployed foreign-born men with a younger age at arrival and longer duration of residence demonstrated an increased risk of suicide, while those who arrived as adults, and a shorter duration of residence did not show any increased risk. Among foreign-born women, excess suicide risk persisted regardless of age at arrival and duration of residence in the long-term unemployed. Conclusions: Multiple migration background characteristics should be considered when examining relationships between employment status and suicide among the foreign-origin.

  • 339.
    Dunstan, Debra
    et al.
    University of New England, Australia.
    Mortelmanns, Katrien
    Department Research and Development, Occupational Health Services 'Group IDEWE', Belgium.
    Tjulin, Åsa
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    MacEachen, Ellen
    University of Waterloo, Canada .
    The role of co-workers the return-to-work process2015In: International Journal of Disability Mangement Research, ISSN 1833-8550, E-ISSN 1834-4887, Vol. 10, p. 9-16Article in journal (Refereed)
    Abstract [en]

    There is a large body of research examining work disability management and the return to work (RTW) of sick or injured workers. However, although this research makes clear the roles of the returning worker and supervisor, that of the co-workers is less well understood. To increase understanding of this topic, we have identified, reviewed, and discussed three studies that emerged from our connection with a Canadian research-training program. The first study, conducted in Sweden by Tjulin, MacEachen, and Ekberg (2009), showed that co-workers can play a positive rolein RTW, but this is often invisible to supervisors. The second study, undertaken by Dunstan and MacEachen (2013) in Canada, found that RTW could both positively and negatively impact co-workers. For instance, co-workers may benefit from learning new skills, but may also be burdened by the need to assume extra work to accommodate a returning worker. The third study, performed in Belgium by Mortelmans and Verjans (2012) and Mortelmans, Verjans, and Mairiaux (2012) reported the need to include the expectations and objections of co-workers in RTW plans and implemented a three-step RTW tool that involves co-workers. Taken together, these studies highlight the social context of work, the positive roleplayed by co-workers in the RTW process, the impacts of workplace social relations on RTW outcomes, and the benefits to all of involving co-workers in RTW plans. 

  • 340.
    Ebbevi, David
    et al.
    Karolinska Inst, Dept Global Publ Hlth, Stockholm, Sweden.;Karolinska Univ Hosp, Astrid Lindgren Childrens Hosp, Stockholm, Sweden..
    von Thiele Schwarz, Ulrica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Karolinska Inst, Dept Learning Informat Management & Eth, Stockholm, Sweden..
    Hasson, Henna
    Karolinska Inst, Dept Learning Informat Management & Eth, Stockholm, Sweden..
    Sundberg, Carl Johan
    Karolinska Inst, Dept Learning Informat Management & Eth, Stockholm, Sweden..
    Frykman, Mandus
    Karolinska Inst, Dept Learning Informat Management & Eth, Stockholm, Sweden..
    Boards of directors' influences on occupational health and safety: a scoping review of evidence and best practices2021In: International Journal of Workplace Health Management, ISSN 1753-8351, E-ISSN 1753-836X, Vol. 14, no 1, p. 64-86Article in journal (Refereed)
    Abstract [en]

    Purpose To review the literature and identify research gaps in the role and influence boards of directors of companies have in occupational health and safety (OHS). Design/methodology/approach This was done in a scoping review built on a structured search in MEDLINE (PubMed), EMBASE, PsycINFO, Sociological Abstracts, CCInfoWeb, EconLit, Web of Science, CINAHL and gray literature. Citations and reference lists were tracked. Inclusion criteria were publication in English. Exclusion criteria were studies covering companies using subcontractors to arrange OHS, or with Findings Forty-nine studies were included. The majority contained empirical data (n = 28; 57%), some were entirely normative (n = 16; 33%), and a few contained normative claims far beyond empirical data (n = 5; 10%). Empirical studies gave no insight into the scope of impact of board activities on OHS, and no studies assess the causal mechanisms by which board activities influence OHS outcomes. Most studies focused on both health and safety (n = 20; 41%) or only safety (n = 15; 31%). Context might explain the focus on safety rather than health, but is not clearly elucidated by the studies. Several studies are describing leadership behavior, although not framed as such. A narrative summary is presented to facilitate future research. Research limitations/implications Future research should include: (1) which board activities influence OHS, (2) how board activities influence OHS, (3) the influence of context and (4) the leadership role of boards of directors. Originality/value This study identifies a total lack of research on the basic mechanics of the relationship between boards and OHS.

  • 341.
    Edelbring, Samuel
    et al.
    Örebro Universitet.
    Elvén, Maria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Wiegleb Edström, Desiree
    Örebro Universitet.
    Vrouvides, Jennifer
    EDU Institution of Higher Education, Malta.
    Huwendiek, Sören
    University of Bern, Switzerland.
    Development of a framework for a structured clinical reasoning curriculum: Outcomes from a multiprofessional European project2021Conference paper (Refereed)
    Abstract [en]

    Background: Despite clinical reasoning standing at the core of health professions practice, it is often taught implicitly and informally within the health professions and there is a lack of its structured education. Multiple professions can gain from a supportive framework with explicit learning objectives and expressed key educational aspects. Our aim was to develop such a framework to support development of a longitudinal and adaptive clinical reasoning curriculum for students and teachers in health professions education.Summary of Work: Educators and researchers from several universities and learning institutions across Europe and the USA gathered to strengthen clinical reasoning education (DID-ACT consortium). As a part of a greater Kern-cycle of curriculum-development, participants worked in multiprofessional groups to identify resources, learning activities and assessments addressing target areas derived from a needs analysis.Summary of Results: The DID-ACT framework is based on a learner-centered and active learning pedagogical approach using contextualized patient-scenarios as point of departure. Thirty-five learning objectives were formulated regarding clinical reasoning theories, cognitive biases, about gathering, interpreting and synthesizing patient information and participation, as well as collaborative aspects of clinical reasoning. Learning activities and assessment methods were constructively aligned using a competence-based approach. Progression was described at novice, intermediate and advanced student levels, and at a teaching level.Discussion and Conclusions: Whereas competence-based learning objectives and curricular goals relating to clinical reasoning exist, DID-ACTs collaborative effort presents a novel contribution. It adds to previous work in its explicit focus on clinical reasoning and multiprofessional approach. The presented framework will be used to develop blended learning for students and educators within the consortium and can contribute to future standardized clinical reasoning curricula.Take-home Messages: Clinical reasoning is often taught implicitly and informally within the health professions. A collaborative effort has developed a curricular framework to buttress students clinical reasoning and support educators. This framework highlights key curricular aspects and presents a range of resources, learning activities and assessments.

  • 342.
    Ehn, Maria
    et al.
    Mälardalen University, School of Innovation, Design and Engineering, Embedded Systems.
    Carlén Eriksson, Lennie
    Mälardalen University, School of Innovation, Design and Engineering, Embedded Systems.
    Åkerberg, Nina
    Västerås Municipality, Västerås, Sweden.
    Johansson, Ann-Christin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Activity Monitors as Support for Older Persons’ Physical Activity in Daily Life: Qualitative Study of the Users’ Experiences2018In: JMIR mhealth and uhealth, E-ISSN 2291-5222, Vol. 6, no 2, article id e34Article in journal (Refereed)
    Abstract [en]

    Background

    Falls are a major threat to the health and independence of seniors. Regular physical activity (PA) can prevent 40% of all fall injuries. The challenge is to motivate and support seniors to be physically active. Persuasive systems can constitute valuable support for persons aiming at establishing and maintaining healthy habits. However, these systems need to support effective behavior change techniques (BCTs) for increasing older adults’ PA and meet the senior users’ requirements and preferences. Therefore, involving users as codesigners of new systems can be fruitful. Prestudies of the user’s experience with similar solutions can facilitate future user-centered design of novel persuasive systems.

    Objective

    The aim of this study was to investigate how seniors experience using activity monitors (AMs) as support for PA in daily life. The addressed research questions are as follows: (1) What are the overall experiences of senior persons, of different age and balance function, in using wearable AMs in daily life?; (2) Which aspects did the users perceive relevant to make the measurements as meaningful and useful in the long-term perspective?; and (3) What needs and requirements did the users perceive as more relevant for the activity monitors to be useful in a long-term perspective?

    Methods

    This qualitative interview study included 8 community-dwelling older adults (median age: 83 years). The participants’ experiences in using two commercial AMs together with tablet-based apps for 9 days were investigated. Activity diaries during the usage and interviews after the usage were exploited to gather user experience. Comments in diaries were summarized, and interviews were analyzed by inductive content analysis.

    Results

    The users (n=8) perceived that, by using the AMs, their awareness of own PA had increased. However, the AMs’ impact on the users’ motivation for PA and activity behavior varied between participants. The diaries showed that self-estimated physical effort varied between participants and varied for each individual over time. Additionally, participants reported different types of accomplished activities; talking walks was most frequently reported. To be meaningful, measurements need to provide the user with a reliable receipt of whether his or her current activity behavior is sufficient for reaching an activity goal. Moreover, praise when reaching a goal was described as motivating feedback. To be useful, the devices must be easy to handle. In this study, the users perceived wearables as easy to handle, whereas tablets were perceived difficult to maneuver. Users reported in the diaries that the devices had been functional 78% (58/74) of the total test days.

    Conclusions

    Activity monitors can be valuable for supporting seniors’ PA. However, the potential of the solutions for a broader group of seniors can significantly be increased. Areas of improvement include reliability, usability, and content supporting effective BCTs with respect to increasing older adults’ PA.

  • 343.
    Ehn, Maria
    et al.
    Mälardalen University, School of Innovation, Design and Engineering, Embedded Systems.
    Derneborg, M.
    Region Västmanland, Västerås, Sweden.
    Revenäs, Åsa
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Region Västmanland, Ortopedkliniken Västerås.
    Cicchetti, Antonio
    Mälardalen University, School of Innovation, Design and Engineering, Embedded Systems.
    User-centered requirements engineering to manage the fuzzy front-end of open innovation in e-health: A study on support systems for seniors’ physical activity2021In: International Journal of Medical Informatics, ISSN 1386-5056, E-ISSN 1872-8243, Vol. 154, article id 104547Article in journal (Refereed)
    Abstract [en]

    Background: Although e-health potentials for improving health systems in their safety, quality and efficiency has been acknowledged, a large gap between the postulated and empirically demonstrated benefits of e-health technologies has been ascertained. E-health development has classically been technology-driven, often resulting in the design of devices and applications that ignore the complexity of the real-world setting, thus leading to slow diffusion of innovations to care. Therefore, e-health innovation needs to consider the mentioned complexity already from the start. The early phases of innovation, fuzzy front-end (FFE) defined as “the period between when an opportunity is first considered and when an idea is judged ready for development” has been identified to have the highest impact on the innovation process and its outcome. The FFE has been recognized as the most difficult stage to manage in the innovation process as it involves a high degree of uncertainty. Such a phase becomes even more difficult when different sectors and organizations are involved. Therefore, effective methods for involving different organizations and user groups in the FFE of innovation are needed. Objective: The aim of this study was to manage the FFE of a collaborative, open innovation (OI) process, to define a software system supporting seniors’ physical activity (PA) by applying a framework of methods from software requirements engineering (RE) to elicit and analyze needs and requirements of users and stakeholders, as well as the context in which the system should be used. Methods: Needs and requirements of three future user groups were explored through individual- and focus group interviews. Requirements were categorized and analyzed in a workshop with a multidisciplinary team: a system overview was produced by conceptual modelling using elicited functional requirements; high-level non-functional requirements were negotiated and prioritized. Scenario descriptions of system's supportive roles in different phases of a behavioral change process were developed. Results: User-centered RE methods were successfully used to define a system and a high-level requirements description was developed based on needs and requirements from three identified user groups. The system aimed to support seniors’ motivation for PA and contained four complementary sub-systems. The outcome of the study was a Concept of Operations (ConOps) document that specified the high-level system requirements in a way that was understandable for stakeholders. This document was used both to identify and recruit suitable industrial partners for the following open innovation development and to facilitate communication and collaboration in the innovation process. Conclusions: Applying software RE methods and involving user groups in the early phases of OI can contribute to the development of new concepts that meet complex real-world requirements. Different user groups can complement each other in conveying needs and requirements from which systems can be designed. Empirical studies applying and exploring different methods used to define new e-health solutions can contribute with valuable knowledge about handling innovation FFE.

  • 344.
    Ehn, Maria
    et al.
    Mälardalen University, School of Innovation, Design and Engineering, Embedded Systems.
    Derneborg, Mattias
    Region Västmanland, Sweden.
    Ekström, Martin
    Mälardalen University, School of Innovation, Design and Engineering, Embedded Systems.
    Johansson, Ann-Christin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Inter- disciplinary and -sectorial cooperation for development of technology supporting behavioral change: Peer reviewed poster abstract2017Conference paper (Other academic)
  • 345.
    Ehn, Maria
    et al.
    Mälardalen University, School of Innovation, Design and Engineering, Embedded Systems.
    Johansson, Ann-Christin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Revenäs, Åsa
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Region Västmanland.
    Technology-Based Motivation Support for Seniors' Physical Activity-A Qualitative Study on Seniors' and Health Care Professionals' Views2019In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 16, no 13Article in journal (Refereed)
    Abstract [en]

    This paper investigates seniors' and health care professionals' (HCPs) perceptions on needed contributions and qualities of digital technology-based motivation support for seniors' physical activity (PA). Seniors and HCPs expressed their views in focus groups, which were analyzed separately by inductive content analysis. Similarities and differences in seniors' and HCPs' views were identified through thematic analysis of qualitative results from both focus groups. This article's main findings are that both seniors and HCPs believed digital technology should support and make PA more enjoyable in ways to strengthen seniors' control and well-being. However, seniors emphasized support for social interaction, while HCPs also requested support for increasing seniors' insight into PA and for facilitating their dialogue with seniors. Conclusions to be drawn are that seniors and HPCs shared overall views on digital technology's main contributions but had different perspectives on how those contributions could be obtained. This highlights the importance of the early identification of user groups and exploration of their different needs when developing new solutions. Moreover, seniors' and HCPs' perceptions included aspects relevant for personal motivation, technology acceptance, and PA behavioral change according to self-determination theory, unified theory of acceptance and use of technology, and behavioral change techniques for increasing PA.

  • 346.
    Ehn, Maria
    et al.
    Mälardalen University, School of Innovation, Design and Engineering, Embedded Systems.
    Richardson, Matt X.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Landerdahl Stridsberg, Sara
    Redekop, Ken
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Wamala, Sarah
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Mobile Safety Alarms Based on GPS Technology in the Care of Older Adults: Systematic Review of Evidence Based on a General Evidence Framework for Digital Health Technologies.2021In: Journal of Medical Internet Research, E-ISSN 1438-8871, Vol. 23, no 10, article id e27267Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: GPS alarms aim to support users in independent activities. Previous systematic reviews have reported a lack of clear evidence of the effectiveness of GPS alarms for the health and welfare of users and their families and for social care provision. As GPS devices are currently being implemented in social care, it is important to investigate whether the evidence of their clinical effectiveness remains insufficient. Standardized evidence frameworks have been developed to ensure that new technologies are clinically effective and offer economic value. The frameworks for analyzing existing evidence of the clinical effectiveness of GPS devices can be used to identify the risks associated with their implementation and demonstrate key aspects of successful piloting or implementation.

    OBJECTIVE: The principal aim of this study is to provide an up-to-date systematic review of evidence based on existing studies of the effects of GPS alarms on health, welfare, and social provision in the care of older adults compared with non-GPS-based standard care. In addition, the study findings were assessed by using the evidence standards framework for digital health technologies (DHTs) established by the National Institute for Health and Care Excellence (NICE) in the United Kingdom.

    METHODS: This review was conducted according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Primary studies published in peer-reviewed journals and gray literature from January 2005 to August 2020 were identified through searches in 13 databases and several sources of gray literature. Included studies had individuals (aged ≥50 years) who were receiving social care for older adults or for persons with dementia; used GPS devices as an intervention; were performed in Canada, the United States, European Union, Singapore, Australia, New Zealand, Hong Kong, South Korea, or Japan; and addressed quantitative outcomes related to health, welfare, and social care. The study findings were analyzed by using the NICE framework requirements for active monitoring DHTs.

    RESULTS: Of the screened records, 1.6% (16/986) were included. Following the standards of the NICE framework, practice evidence was identified for the tier 1 categories Relevance to current pathways in health/social care system and Acceptability with users, and minimum evidence was identified for the tier 1 category Credibility with health, social care professionals. However, several evidence categories for tiers 1 and 2 could not be assessed, and no clear evidence demonstrating effectiveness could be identified. Thus, the evidence required for using DHTs to track patient location according to the NICE framework was insufficient.

    CONCLUSIONS: Evidence of the beneficial effects of GPS alarms on the health and welfare of older adults and social care provision remains insufficient. This review illustrated the application of the NICE framework in analyses of evidence, demonstrated successful piloting and acceptability with users of GPS devices, and identified implications for future research.

  • 347.
    Ehn, Maria
    et al.
    Mälardalen University, School of Innovation, Design and Engineering, Embedded Systems.
    Ström, Lars
    Livanda-Internetkliniken, Sweden.
    Johansson, Titti
    Region Västmanland, Sweden.
    Cicchetti, Antonio
    Mälardalen University, School of Innovation, Design and Engineering, Embedded Systems.
    Revenäs, Åsa
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Region Västmanland, Ortopedkliniken Västerås, Sweden.
    SALUTOGEN: User-center development and prototype testing of a system supporting seniors’ physical activity for fall prevention2019Conference paper (Refereed)
    Abstract [en]

    Background:

    Physical activity (PA) can contribute to fall prevention among seniors. Many seniors need to increase their PA and regularly perform balance-enhancing activities. Changing behavior is often challenging, especially long-term. Therefore, support for change and long-term maintenance of PA behavior contributing to fall prevention is essential. Technology-based applications are widely exploited to support PA but do not match seniors’ needs. Therefore, new solutions are needed that support seniors’ PA for fall prevention leveraging theory for behavioral change and the specific target user’ needs.

    Aim, Method:

    SALUTOGEN is a research and innovation project aiming to develop and test a system prototype of technology-based motivation support for seniors’ PA including balance training. The developed technology includes apps for tablet and mobile phone that together provide seniors with motivation support for PA, activity measurement and video-coaching. 

    The project is based on iterative user-centered methodology including: development of needed app components; evaluation of single apps and their integration; pilot feasibility evaluation with seniors and coaches in real world settings.  

    Results:

    Valuable feedback from seniors was collected and used in the iterative development, especially from the motivation support perspective. The evaluation showed that the apps must be very intuitive and easy to understand. Preliminary results from the on-going pilot evaluation indicate that the coaching is highly appreciated by seniors and coaches. Moreover, the seniors’ and coaches’ experience in using the technology highly depends on the technology’s usability and reliability. 

    Conclusions:

    Technology-based interventions can play an important role in supporting seniors’ PA for fall prevention. Results from the project indicate that solution’s key elements are perceived important and appreciated by seniors and coaches. However, it is crucial for the users that the technical applications are light, intuitive and robust.

  • 348.
    Ehrlich, Kethy
    et al.
    Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institute, Huddinge, Sweden; Department of Geriatric Medicine, Danderyd Hospital, Stockholm, Sweden .
    Boström, Anne-Marie
    Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institute, Huddinge, Sweden; Department of Geriatric Medicine, Danderyd Hospital, Stockholm, Sweden.
    Mazaheri, Monir
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Heikkilä, Kristiina
    Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institute, Huddinge, Sweden.
    Emami, Azita
    Karolinska Institute, Stockholm, Sweden; Biobehavioral Nursing & Health Systems, School of Nursing, University of Washington, Seattle, WA, USA.
    Family caregivers’ assessments of caring for a relative with dementia: A comparison of urban and rural areas2015In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 10, no 1, p. 27-37Article in journal (Refereed)
    Abstract [en]

    Aim: This study aimed to describe and compare urban and rural family caregivers' reactions to caring for a relative with dementia and to examine the associations between caregiving and socio-demographic factors. Background: Most studies on family caregivers' experiences caring for older people with dementia have been conducted in urban areas, and little is known about the experiences of family caregivers living in rural areas. Design: A cross-sectional study design was used. Methods: A total of 102 caregivers (response rate 85%) from urban (n = 57) and rural (n = 46) areas completed the Caregiver Reaction Assessment (CRA) Scale and demographic information. Data were analysed using descriptive and inferential statistics and linear regression models. Results: Overall, family caregivers reported high satisfaction even if they also reported high impact on finances and daily living. Rural caregivers experienced a higher negative impact on finances but reported more support from family members than urban caregivers. Age, gender and relationship were significantly associated with four of the five CRA subscales. Educational level and geographical setting were not associated with any of the CRA subscales. Conclusions: The results of the study raise questions about the financial situation of older female caregivers and on the expectations of built-in family structures in urban and rural areas. Further studies focusing on the meaning and constitution of a family would help us to understand how these factors influence family caregiving both in rural and urban areas. Implications for practice: To provide person-centred care and to avoid stereotyped caregiving, a better picture of traditions in family caregiving can improve a more differentiated and appropriate professional caregiving pliable with the cultural context in which it is carried out.

  • 349.
    Einarsson, Sofia
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Nilsson, Sofie
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Måltidsmiljöns betydelse för näringsintaget hos personer med demenssjukdom2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Personer med demenssjukdom på särskilt boende riskerar att bli undernärda till följd av sin nedsatta kognitiva förmåga. Risken för undernäring ökar ju längre sjukdomen fortskrider. Svårigheterna för patienterna att inta föda kan bero på fysiska, psykologiska, miljömässiga och sociala faktorer. Dessa personer är i stort behov av stöd av vårdpersonal i sitt dagliga mat- och vätskeintag. Problem: En måltidsmiljö som inte är anpassad efter de demenssjukas behov kan leda till undernäring, minskat livskvalitet samt öka risken för komplikationer och värsta fall ha en dödlig utgång. Syfte: Beskriva måltidsmiljöns betydelse för näringsintaget hos personer med demenssjukdom utifrån vårdpersonalens perspektiv.Metod: En allmän litteraturöversikt. Resultat: Fyra teman identifierades som viktiga för att skapa en god måltidsmiljö: Social samvaro, Doft och aptit, Den fysiska miljön ochIndividuella preferenser. Slutsatser: En gynnsam måltidsmiljö kan stödja de boendes självständighet, öka näringsintaget och öka livskvaliteten hos personer med demenssjukdom. Några aspekter som identifierades i måltidsmiljön för att öka näringsintaget var anpassning till individuella behov och preferenser, en fin hemlik miljö med personalnärvaro under måltiderna och en noga tilltänkt bordsplacering. Minskade distraktioner i miljön samt att servera mat de boende var bekanta med sedan tidigare visade sig också vara gynnsamt.

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  • 350.
    Ekberg, Alexandra
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Lind, Lina
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Synen på att vårda patienter med psykisk ohälsa2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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