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  • 51.
    Andersson, Henrik
    et al.
    University of Borås, Sweden.
    Ullgren, Andreas
    University of Borås, Sweden.
    Holmberg, Mats
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. University of Borås, Sweden.
    Karlsson, Thomas
    University of Gothenburg, Gothenburg, Sweden.
    Herlitz, Johan
    University of Borås, Sweden.
    Wireklint Sundström, Birgitta
    University of Borås, Sweden.
    Acute coronary syndrome in relation to the occurrence of associated symptoms: A quantitative study in prehospital emergency care.2017Ingår i: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 33, s. 43-47Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

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

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

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

  • 52.
    Andersson, Jeanette
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    "Blir jag mer skrivbordsprodukt kommer min själ att dö": Förskolerektorers arbetsvillkor2020Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Studiens syfte var att utifrån krav-resursmodellen undersöka hur förskolerektorer uppfattade sina arbetsförhållanden samt hur detta påverkade deras ledarskap för att skapa en bild av rektorers syn på sin arbetsbörda och dess påverkan på ledarskap. Detta undersöktes med hjälp av semistrukturerade intervjuer av åtta kvinnliga förskolerektorer mellan 48 och 63 år som sedan tematiserades. Resultaten visade att rektorerna upplever emotionella krav av ensamt ansvar, påfrestande samtal, brist på kontroll och bristande öppenhet i organisationen att synliggöra problem, men även en hög grad av administrativa arbetsuppgifter samt tidsbrist. Utöver det upplever alla rektorer att det finns flertalet uppgifter som inte bör vara deras ansvar, varav flera de känner sig tvungna att utföra då de är ytterst ansvariga för sin enhet. I diskussionen sammanfattas slutsatsen att rektorerna har för hög kvantitativ och emotionell arbetsbörda, vilket innebär att bland annat ledarskapet blir lidande och att det finns en tystnadskultur som motverkar förändring av problemen.

  • 53.
    Andersson, Kin
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Predictors of re-employment: A question of attitude, behavior, or gender?2015Ingår i: Scandinavian Journal of Psychology, ISSN 0036-5564, E-ISSN 1467-9450, Vol. 56, nr 4, s. 438-446Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

  • 54.
    Andersson, Lena
    et al.
    Uppsala University.
    Eriksson, Henrik
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Nordgren, Lena
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Differences between heart failure clinics and primary health care regarding information and follow-up2013Ingår i: British Journal of Community Nursing, ISSN 1462-4753, E-ISSN 2052-2215, Vol. 18, nr 6, s. 288-292Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

  • 55.
    Andersson, Linn
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    "Var drar man gränsen för solidaritet?": En studie om kommunens och ideella organisationers insatser för tiggande EU-medborgare.2014Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

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

  • 56.
    Andersson, Marita
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Utvärdering av multimodal rehabilitering för patienter med långvarig smärta: En jämförande behandlingsstudie i primärvård2015Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

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

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

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

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

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

  • 57.
    Angantyr, Malin
    et al.
    Mälardalens högskola.
    Hansen, Eric M.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Eklund, Jakob
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Malm, K.
    Skara, Sweden.
    Reducing Sex Differences in Children’s Empathy for Animals Through a Training Intervention2016Ingår i: Journal of Research in Childhood Education, ISSN 0256-8543, E-ISSN 2150-2641, Vol. 30, nr 3, s. 273-281Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

  • 58.
    Aparicio, Ciro
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Aytar, Osman
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Jonsson, Bosse
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Moberg, Johan
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Nordh, Lillemor
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Studenter som kunskapsbärare: En förstudie om studenter som kunskapsbärare mellan verksamhetsförlagd och högskoleförlagd utbildning i Fysioterapeutprogrammet, Sjuksköterskeprogrammet och Socionomprogrammet2015Rapport (Övrig (populärvetenskap, debatt, mm))
  • 59.
    Appelgren Engstrom, Heléne
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Häggström-Nordin, Elisabet
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Kvinnors och barns hälsa, Uppsala universitet.
    Borneskog-Sinclair, Catrin
    Linköpings universitet.
    Almqvist, Anna-Lena
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Mothers in Same-Sex Relationships Describe the Process of Forming a Family as a Stressful Journey in a Heteronormative World: A Swedish Grounded Theory Study.2018Ingår i: Maternal and Child Health Journal, ISSN 1092-7875, E-ISSN 1573-6628, Vol. 22, nr 10, s. 1444-1450Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objectives The aim of this study was to gain insight into how women in same-sex relationships experience the process of forming a family through the use of assisted reproduction technique (ART), from planning the pregnancy to parenthood, and their experience of parental support from healthcare professionals. Methods The participants were 20 women in a same-sex relationship who had conceived through ART at a Swedish clinic. Semi-structured interviews including open questions about pregnancy, parenthood and support from healthcare professionals were conducted. The interviews were tape-recorded and transcribed verbatim. The data were analysed according to grounded theory. Results The core category, A stressful journey through a heteronormative world, emerged from the analysis, as did three subcategories: A journey fraught with difficulties and decisions; The nuclear family as the norm; and A need for psychological support. Same-sex parents expressed a need for more information about how to access ART in Sweden. Both the healthcare organization and treatment were perceived as heteronormative. In particular, these women lacked psychological support during the demanding process of utilizing a sperm donor to conceive. Conclusions for Practice Professionals in antenatal care should undergo mandatory cultural competency training to ensure cultural sensitivity and the provision of updated information, tailored brochures and early parental support for families with same-sex parents. All parents need guidance and support from competent, caring personnel throughout the entire process of forming a family.

  • 60.
    Appelgren Engström, Heléne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    SUPPORTING PARENTHOOD IN FAMILIES WITH TWO MOTHERS2018Konferensbidrag (Refereegranskat)
    Abstract [en]

    Background: The number of planned two-mother families are growing as legislation about assisted reproduction technique (ART) changes. Since 2005 two-mother families are offered ART within the Swedish National Health Care (SOSFS 2005:17), and about 120 female couples underwent ART with donated sperm during the first years after this legislation. Although there is an increasing amount of research on planned two-mother families, there is still limited knowledge of what early parental support these mothers may need.

    Aim: The aim was to study same-sex mother’s experiences and perceptions of family forming and early parental support.

    Methods: Participants was recruited by nurses at child health care centers and via Internet. The sampling method was both purposeful and theoretical. Twenty mothers (birth-mothers & non-birth mothers) in a same-sex relationship, who conceived through ART at Swedish clinics participated and semi-structured interviews were performed. Open questions about parenthood, parental support from health care professionals and parental leave were posed. The interviews were tape-recorded and transcribed verbatim. Data collection and data analysis were performed in parallel. The analyze strategy was constant comparative analysis in tree steps, open-, axial and selective coding.

    Results: The result describe mother in same-sex relationships experiences of forming a family through assisted reproductions techniques at Swedish clinics.  Their path to parenthood, how the mothers faced different decisions, and their experiences of early parental support from health care professionals in antenatal and child health care is described. Moreover the mothers’ perception of parenting and their thoughts about gender equality and parental leave is described.

     

    Keywords: two-mother families, assisted reproduction technique, experiences, antenatal and child health care, parenthood, parental support

  • 61.
    Appelgren Engström, Heléne
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Häggström-Nordin, Elisabet
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Borneskog, Catrin
    Mälardalens högskola, Akademin för hälsa, vård och välfärd. Linköpings universitet.
    Almqvist, Anna-Lena
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Mothers in same‐sex relationships—Striving for equal parenthood:: A grounded theory study2019Ingår i: JOURNAL OF CLINICAL NURSING, ISSN 0962-1067, Vol. 28, nr 19-20, s. 3700-3709Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    To get a deeper understanding of how mothers in same-sex relationships think and reason about their parenthood in terms of gender equality, and how they experience early parental support from child healthcare professionals. Background: There is an increasing amount of research on how women in same-sex relationships experience healthcare services when forming a family. Yet there is limited knowledge of what kind of early parental support these women may request. Design: Grounded theory. Follows guidelines for qualitative research (COREQ). Method: Twenty women ranging from 25 to 42 years of age participated in semi-structured interviews. Data collection and analysis took place in parallel, as recommended in grounded theory methodology. Results: The results are described by the core category Same-sex mothers request professional support to achieve equal parenthood, which includes five categories: (a) equality in everyday life, (b) diversity in mother and child attachment, (c) justification of the family structure, (d) ambivalent thoughts about their child's future and (e) a special need for networking and request for professional support. These findings provide a deeper understanding of how same-sex mothers experience their parenthood and the parental support that is offered. Conclusion: Child healthcare professionals need to be sensitive and recognise both mothers as equal parents and offer early parenting groups where two-mother families feel included and supported. Relevance to clinical practice: Healthcare professionals need to be aware of diverse family formations and meet each parent as a unique individual without heteronormative assumptions. Same-sex mothers must be treated as equal parents and acknowledged as mothers. Healthcare professionals should offer inclusive and supportive parental groups to same-sex families. They should also inform and support nonbirth mothers about the possibility to breastfeed.

  • 62.
    Arkkukangas, Marina
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Evaluation of the Otago Exercise Programme with or without motivational interviewing: Feasibility, experiences, effects and adherence among older community-dwelling people2017Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    Falls and injuries related to falls are one of the most common health problems among older people and are becoming increasingly more frequent. Regular exercise has been identified as one of the most effective fall-prevention activities for older people; however, awareness of the impact of exercise programmes and adherence to recommended exercise among the elderly population is generally low. Research examining how an exercise programme is administered to and experienced by elderly community-dwelling people is needed.

    The overall aim of this thesis was to investigate the feasibility, experiences and effects of and adherence to the fall-preventive Otago Exercise Programme (OEP) with or without motivational interviewing (MI) among community-dwelling people aged 75 years or older.

    Four studies were performed from October 2012 to May 2016 in a sample of 175 people. Both quantitative and qualitative research methods were used. The methods included the feasibility for conducting a randomized controlled trial (RCT) (I), individual face-to-face interviews (II), an RCT (III) and a prospective cohort study (IV). The intervention was given to two groups. The participants who received OEP with or without MI were compared with a control group that received standard care.

    The feasibility of performing an exercise intervention with or without MI was acceptable from the perspective of the participating physiotherapists. From the perspective of the older participants performing the exercise with behavioural change support, the inclusion of monitored exercises in everyday life and daily routines was important. The participants also expressed experiencing more strength, improved physical functioning and greater hope for an extended active life during old age.

    From the short-term perspective, there were significant improvements within the OEP combined with MI group in terms of physical performance, fall self-efficacy, activity level, and handgrip strength. Improved physical performance and fall self-efficacy were also found within the control group; however, corresponding differences did not occur in the OEP group without MI. There were no significant differences between the study groups after 12 weeks of regular exercise. Adherence to the exercises in the pooled exercise group was 81% at the 12-week follow-up.

    At the 52-week follow-up, the behavioural factors being physically active and obtaining behavioural support in terms of MI had a significant association with adherence to the exercise programme.

    These studies provide some support for the combination of OEP with MI as the addition of MI was valuable for achieving adherence to the exercise programme over time in older community-dwelling people.

     

  • 63.
    Arkkukangas, Marina
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Johnson, S. T.
    Uppsala University, Uppsala, Sweden.
    Hellström, K.
    Uppsala University, Uppsala, Sweden.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Eriksson, S.
    Centre for Clinical Research Sörmland, Sweden.
    Johansson, Ann-Christin
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    A feasibility study of a randomised controlled trial comparing fall prevention using exercise with or without the support of motivational interviewing2015Ingår i: Preventive Medicine Reports, ISSN 2211-3355, Vol. 2, s. 134-140Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: The aim of this investigation was to study the feasibility of a randomised controlled trial (RCT) based on a multicentre fall prevention intervention including exercise with or without motivational interviewing compared to standard care in community-living people 75. years and older. Method: The feasibility of a three-armed, randomised controlled trial was evaluated according to the following: process, resources, management by questionnaire, and treatment outcomes. The outcome measures were fall frequency, physical performance and falls self-efficacy evaluated after three months. Twelve physiotherapists conducted the measurements and treatments and responded to the questionnaire. The first 45 participants recruited to the ongoing RCT were included: 16 individuals in the Otago Exercise Program group (OEP), 16 individuals in the OEP combined with motivational interviewing group (MI), and 13 individuals in the control group. The study was conducted from November 2012 to December 2013. Results: The feasibility of the study process, resources and management reached the set goals in most aspects; however, the set goal regarding the MI guide and planned exercise for the participating older people was not completely reached. No significant differences were found between the groups regarding the outcome measures. Conclusion: This study confirmed the acceptable feasibility for the study protocol in the ongoing RCT.

  • 64.
    Arkkukangas, Marina
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Sundler, Annelie
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Eriksson, Staffan
    Johansson, Ann Christin
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Older persons’ experiences of a home-based exercise programme with behavioural change support2017Ingår i: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 33, nr 12, s. 905-913Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: It is a challenge to promote exercise among older persons. Knowledge is needed regarding the maintenance of exercise aiming at preventing falls and promoting health and wellbeing in older persons.

    Purpose: This descriptive study used a qualitative inductive approach to describe older persons’ experiences of a fall-preventive, home-based exercise programme with support for behavioural change.

    Methods: Semi-structured interviews were conducted with twelve older persons aged 75 years or older, and a qualitative content analysis was performed.

    Results: Four categories emerged: facilitators of performing exercise in everyday life, the importance of support, perceived gains from exercise, and the existential aspects of exercise.

    Conclusion: With support from physiotherapists, home-based exercise can be adapted to individual circumstances in a meaningful way. By including exercises in everyday life and daily routines could support the experience of being stronger, result in better physical functioning and give hope for an extended active life in old age.

  • 65.
    Arkkukangas, Marina
    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.
    Eriksson, Staffan
    Uppsala University, Sweden.
    Johansson, Ann-Christin
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Centrum för klinisk forskning LTV.
    Fall Preventive Exercise with or without behavior change support for community-dwelling older adults: A Randomized Controlled Trial With Short-Term Follow-up.2019Ingår i: Journal of Geriatric Physical Therapy, ISSN 1539-8412, E-ISSN 2152-0895, Vol. 42, nr 1, s. 9-17Artikel i tidskrift (Refereegranskat)
  • 66.
    Arkkukangas, Marina
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Eriksson, Staffan
    Johansson, Ann-Christin
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    One- year adherence to the Otago Exercise Programme with or without motivational interviewing in older peopleManuskript (preprint) (Övrigt vetenskapligt)
  • 67.
    Arkkukangas, Marina
    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.
    Eriksson, Steffan
    Uppsala Univ, Sweden.
    Johansson, Ann-Christin
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Uppsala Univ, Ctr Clin Res, Vasteras, Sweden..
    One-Year Adherence to the Otago Exercise Program With or Without Motivational Interviewing in Community-Dwelling Older Adults2018Ingår i: Journal of Aging and Physical Activity, ISSN 1063-8652, E-ISSN 1543-267X, Vol. 26, nr 3, s. 390-395Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study investigated if behavioral factors, treatment with behavioral support, readiness to change, fall self-efficacy, and activity habits could predict long-term adherence to an exercise program. Included in this study were 114 community-dwelling older adults who had participated in one of two home-based exercise interventions. Behavioral factors associated with adherence to the exercise program over 52 weeks were analyzed. The behavioral factors, specifically activity habits at baseline, significantly predicted adherence to the exercise program, with an odds ratio = 3.39, 95% confidence interval [1.38, 8.32], for exercise and an odds ratio = 6.11, 95% confidence interval [2.34, 15.94], for walks. Being allocated to a specific treatment including motivational interviewing was also significantly predictive: odds ratio = 2.47, 95% confidence interval [1.11, 5.49] for exercise adherence. In conclusion, activity habits and exercise in combination with motivational interviewing had a significant association with adherence to the exercise program at a 1-year follow-up.

  • 68.
    Arman, M.
    et al.
    Karolinska Institutet, Huddinge, Sweden.
    Ranheim, Albertine
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Rydenlund, K.
    Forensic Psychiatric Regional Clinic, Vadstena, Sweden.
    Rytterström, P.
    Linköping University, Norrköping, Sweden.
    Rehnsfeldt, A.
    Stord/Haugesund University College, Stord, Norway.
    The Nordic Tradition of Caring Science: The Works of Three Theorists2015Ingår i: Nursing Science Quarterly, ISSN 0894-3184, E-ISSN 1552-7409, Vol. 28, nr 4, s. 288-296Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The Nordic tradition of caring science has had a significant influence on healthcare research, healthcare education and clinical development in the Nordic countries from 1990 to the present. Theoretical contributions from the professors and scientists Katie Eriksson, Kari Martinsen and Karin Dahlberg form the basis for this paper. The tradition has established a paradigm of ethics, ontology and epistemology for the caring science domain. Short introductions present the scientific background of Eriksson, Martinsen, and Dahlberg, and show how interpretive teamwork has led to the formation of an intertwining of the essential qualities of the theories. The synthesis emphasizes caring science as a human science, and views caring as a natural phenomenon where the patient’s world, vulnerability, health, and suffering are primary. In the art and act of caring, relationships and dialogue are essential; they provide parameters where caring becomes visible in its absence.

  • 69.
    Arman, Maria
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd. Karolinska Institutet, Sweden.
    Alvenäng, Annika
    Alanus University, Stuttgart, Sweden.
    El Madani, Nadia
    Vidarkliniken, Sweden.
    Hammarqvist, Ann- Sofie
    Vidarkliniken, Sweden.
    Ranheim, Albertine
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Caregiving for existential wellbeing: existential literacy. A clinical study in an anthroposophic healthcare context2013Ingår i: IPDJ International Practice Development Journal, ISSN 2046-9292, Vol. 3, nr 1, s. 1-15Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background and context: The occurrence of existential caregiving as a natural element of healthcare is the focus of this research. According to the literature, there is a lack of understanding of this issue, from a theoretical as well as a clinical point of view. In this design ‘existential’ and ‘spiritual’ are seen as synonymous and without religious association. Existential questions are regarded as questions about life, death, meaning, love, vulnerability, responsibility and dependence. The context for the project is an integrated anthroposophic hospital that offers rehabilitation for patients with cancer.

    Aims and objectives

    : With the support of an anthroposophic and caring scientific view of human beings, and by using concrete examples, the aim is to develop and deepen an understanding of existential care for patients in life-decisive phases in the care and rehabilitation of cancer. Clinical application research was used in cooperation with academic researchers and clinically active colleagues. Eleven clinicians from varying professions and two researchers collaborated over the course of two years. The data used came from 65 case reports of significant care situations experienced by the team members. A joint interpretive qualitative analysis led to the formulation of the findings.

    Conclusions

    : Existential caregiving in practice requires an ‘existential literacy’, using the metaphor of human life as a text or a book whose contents are legible only for the one versed in the language. In order to gain a complete understanding of caregiving, an ability to read a suffering human’s language and decipher its meaning is essential. The patient’s narrative might open up a caregiver’s awareness in a single illuminating moment. An authentic and listening attitude together with an active restriction of one’s own suppositions increase the possibility of providing existential care. Compassion and professional judgement function as the caregiving compass and ‘lexica’ for existential care.

    Implications for practice:

    1. An understanding of existential caregiving moments implies a developed insight into and sensitivity for the patient’s signs and needs
    2. Existential caring moments have countless variations, while bodily and intimate situations are sometimes found to be an opening to spontaneous, trustful interactions. Such moments could be learning moments if reflected and shared
    3. For training in the ability to ‘read the patient’, clinical reflections in groups where existential literacy is collectively sought are an option
    4. Clinical application research can allow caring scientific theory and healthcare research to be implemented in practice immediately, which may enhance quality of care and ultimately benefit the patient
  • 70.
    Aronsson, Gunnar
    et al.
    Stockholm Univ, S-10691 Stockholm, Sweden .
    Astvik, Wanja
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Stockholm Univ, Dept Psychol, S-10691 Stockholm, Sweden .
    Gustafsson, Klas
    Karolinska Inst, Dept Clin Neurosci, Div Insurance Med, Stockholm, Sweden.
    Work Conditions, Recovery and Health: A Study among Workers within Pre-School, Home Care and Social Work2014Ingår i: British Journal of Social Work, ISSN 0045-3102, E-ISSN 1468-263X, Vol. 44, nr 6, s. 1654-1672Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The study investigated the working conditions associated with the accumulation of stress and lack of recovery and how recovery is related to health. The study group was employed in pre-school, home care and social work (n = 193). Recovery was assumed to be an explanatory variable for the relations between work and health. The response rate on a survey was 79 per cent. Cluster analysis identified three groups: the 'Recovered' (36 per cent of the total group) and 'Not Recovered' (25 per cent) and the 'In-between' (39 per cent). The Not Recovered displayed the whole chain of risk factors, involving difficult working conditions to which they responded with increased compensatory strategies. Despite this group having significantly greater reports of ill health, work absenteeism was not greater, which is likely related to their substituting sickness absence with sickness presence. As many as 43 per cent of the social workers were found to belong to the Not Recovered group. Multiple regression analyses controlling for background variables revealed that the Not Recovered group had a significantly higher relative risk for poor self-rated health than those in the Recovered group. Even sharper increases in relative risk existed for the other five symptoms that were analysed. Practical implications and new research questions are discussed.

  • 71.
    Aronsson, Vanda
    et al.
    Stockholm Univ.
    Toivanen, Susanna
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Stockholm Univ, Dept Publ Hlth Sci, Stockholm, Sweden..
    Leineweber, Constanze
    Stockholm Univ, Stress Res Inst, S-10691 Stockholm, Sweden..
    Nyberg, Anna
    Stockholm Univ, Stress Res Inst, S-10691 Stockholm, Sweden..
    Can a poor psychosocial work environment and insufficient organizational resources explain the higher risk of ill-health and sickness absence in human service occupations?: Evidence from a Swedish national cohort2019Ingår i: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 47, nr 3, s. 310-317Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: The aim of this study was to investigate differences in burnout, self-rated health (SRH) and sickness absence between human service occupations (HSOs) and other occupations, and whether they can be attributed to differences in psychosocial work environment and organizational resources. Methods: Data were derived from the Swedish Longitudinal Occupational Survey of Health, an approximately representative sample of the Swedish working population (n = 4408). Employment in HSOs, psychosocial work environment and organizational resources in 2012 predicted relative risks of sickness absence, burnout and suboptimal SRH in 2014 using modified Poisson regressions. The psychosocial work factors' and organizational resource variables' relative importance were estimated by adding them to the models one by one, and with population attributable fractions (PAFs). Results: Employment in HSOs was associated with a higher risk of sickness absence and the risk was explained by psychosocial and organizational factors, particularly high emotional demands, low work-time control and exposure to workplace violence. Employment in HSOs was not associated with burnout after sociodemographic factors were adjusted for, and furthermore not with SRH. A lower risk of suboptimal SRH was found in HSOs than in other occupations with equivalent psychosocial work environment and organizational resources. PAFs indicated that psychosocial work environment and organizational resource improvements could lead to morbidity reductions for all outcomes; emotional demands were more important in HSOs. Conclusions: HSOs had higher risks of sickness absence and burnout than other occupations. The most important work factors to address were high emotional demands, low work-time control, and exposure to workplace violence.

  • 72.
    Asenlof, Pemilla
    et al.
    Uppsala Univ, Uppsala, Sweden..
    Igelstrom, Helena
    Uppsala Univ, Uppsala, Sweden..
    Sandborgh, Maria
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Fritz, Johanna
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    INTEGRATION OF PHYSIOTHERAPY IN BEHAVIORAL MEDICINE INTERVENTION RESEARCH2018Ingår i: International Journal of Behavioral Medicine, ISSN 1070-5503, E-ISSN 1532-7558, Vol. 25, nr Suppl 1:1, s. S3-S3Artikel i tidskrift (Övrigt vetenskapligt)
  • 73.
    Asenlöf, Pernilla
    et al.
    Department of Public Health and Caring Sciences/Section of Caring Sciences, Uppsala University, Uppsala.
    Denison, Eva
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Lindberg, Per
    Department of Public Health and Caring Sciences/Section of Caring Sciences, Uppsala University, Uppsala.
    Individually tailored treatment targeting activity, motor behavior, and cognition reduces pain-related disability: a randomized controlled trial in patients with musculoskeletal pain.2005Ingår i: Journal of Pain, ISSN 1526-5900, E-ISSN 1528-8447, Vol. 6, nr 9, s. 588-603Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study compares the outcomes of an individually tailored behavioral medicine intervention (experimental) with physical exercise therapy (control). The experimental intervention was systematically individualized according to each participant's behavioral treatment goals and functional behavioral analyses. One hundred twenty-two patients seeking care at 3 primary health care clinics because of musculoskeletal pain were randomized. Ninety-seven completed the trial. Data were collected at baseline, immediately after treatment, and at a 3-month follow-up. Analyses of data from completers, as well as intention-to-treat analyses, showed that the experimental group experienced lower levels of disability (P = .01), lower maximum pain intensity (P = .02), higher levels of pain control (P = .001), and lower fear of movement (P = .022) as a result of treatment condition. Self-efficacy (P = .0001) and physical performance (P = .0001) increased over time for both groups. Participants in the experimental group generally reported more positive effects after treatment. Treatment fidelity was maintained during the course of the study. Activity can be resumed and pain might be managed by the patients themselves if treatment incorporates the biopsychosocial explanatory model of pain and strategies are tailored according to individual's priorities of everyday life activities and empirically derived determinants of pain-related disability. PERSPECTIVE: This study shows that the biomedical and the psychosocial perspectives of the experiences and consequences of pain complement rather than contradict each other. Primary health care patients with persistent musculoskeletal pain benefit more from a systematic tailoring of treatments according to biopsychosocial factors than from a physically based exercise intervention.

  • 74.
    Ask, Lina Schollin
    et al.
    Karolinska Inst, Stockholm, Sweden.
    Hjern, Anders
    Karolinska Inst, Stockholm, Sweden.
    Lindstrand, Ann
    Karolinska Inst, Stockholm, Sweden.
    Olen, Ola
    Sjögren, Eva
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Blennow, Margareta
    Sachs Children & Youth Hosp, Stockholm, Sweden.
    Ortqvist, Ake
    Karolinska Inst, Stockholm, Sweden.
    Receiving early information and trusting Swedish child health centre nurses increased parents' willingness to vaccinate against rotavirus infections2017Ingår i: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 106, nr 8, s. 1309-1316Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: Rotavirus vaccines are effective against severe infections, but have a modest impact on mortality in high-income countries. Parental knowledge and attitudes towards vaccines are crucial for high vaccination coverage. This study aimed to identify why parents refused to let their infant have the vaccination or were unsure. Methods: This cross-sectional study was based on 1,063 questionnaires completed by the parents of newborn children in 2014. Stepwise logistic regression was used to identify the main predictors. Results: Most (81%) parents intended to vaccinate their child against the rotavirus, while 19% were unwilling or uncertain. Parents with less education and children up to five weeks of age were more likely to be unwilling or uncertain about vaccinating their child. Factors associated with a refusal or uncertainty about vaccinating were not having enough information about the vaccine, no intention of accepting other vaccines, paying little heed to the child health nurses' recommendations, thinking that the rotavirus was not a serious illness and not believing that the vaccine provided protection against serious forms of gastroenteritis. Conclusion: Early information, extra information for parents with less education and close positive relationships between parents and child health nurses were important factors in high rotavirus vaccination rates.

  • 75.
    Asp, Margareta
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Begreppet Vila2017Ingår i: Vårdvetenskapliga begrepp i teori och praktik / [ed] Wiklund, L & Bergbohm, I, Lund: Studentlitteratur AB, 2017, 2, s. 437-447Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 76.
    Asp, Margareta
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Begreppsutveckling på livsvärldsfenomenologisk grund2017Ingår i: Vårdvetenskapliga begrepp i teori och praktik / [ed] Wiklund Gustin L & Bergbom I, Lund: Studentlitteratur AB, 2017, 2, s. 49-77Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 77.
    Asp, Margareta
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Editorial, SJCS September 2017 issue: NCCS in the past and for the future2017Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 31, nr 3, s. 425-426Artikel i tidskrift (Refereegranskat)
  • 78.
    Asp, Margareta
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Rest: A Health-Related phenomenon and concept in Caring Science2015Ingår i: Global Qualitative Nursing Research, ISSN 2333-3936, Vol. 2, artikel-id 2333393615583663Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Rest is a health-related phenomenon. Researchers have explored the phenomenon of rest, but further concept development is recommended. The aim of my study was to develop and describe a concept of rest, from interviews with a total of 63 participants about their lived experiences of rest. I performed the developing process in two stages: first with descriptive phenomenology and second with a hermeneutic approach. The concept of rest is comprised of the essences of both rest and “non-rest,” and there is a current movement between these two conditions in peoples’ lives. The essence of rest is being in harmony in motivation, feeling, and action. The essence of non-rest is being in disharmony in motivation, feeling, and action. The essences reveal some meaning constituents. Health care professionals and researchers can use the concept as a frame of reference in health care praxis and in applied research.

  • 79.
    Asp, Margareta
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Ekstedt, Mirjam
    KTH, Stockholm, Sweden.
    Trötthet, vila och sömn2014Ingår i: Omvårdnadens grunder: Hälsa och ohälsa / [ed] A-K Edberg & H Wijk, Lund: Studentlitteratur AB, 2014, 2:1, s. 363-417Kapitel i bok, del av antologi (Övrig (populärvetenskap, debatt, mm))
  • 80.
    Asp, Margareta
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Ekstedt, Mirjam
    KTH Royal Institute of Technology.
    Trötthet, vila, sömn2019Ingår i: Omvårdnadens grunder: Hälsa och ohälsa / [ed] Edberg A-K & Wijk H, Lund: Studentlitteratur , 2019, 3, s. 377-420Kapitel i bok, del av antologi (Övrig (populärvetenskap, debatt, mm))
  • 81.
    Asp, Margareta
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Simonsson, B.
    Reg Västmanland, Competence Ctr Hlth, Västerås, Sweden..
    Larm, P.
    Uppsala Univ, Clin Res Ctr, Västerås, Sweden..
    Molarius, A.
    Reg Västmanland, Competence Ctr Hlth, Västerås, Sweden..
    The association between physical activity and obesity differs by physical mobility among elderly2017Ingår i: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 27, nr Supplement: 3Artikel i tidskrift (Övrigt vetenskapligt)
  • 82.
    Asp, Margareta
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Simonsson, B.
    Competence Ctr Hlth Reg Västmanland, Västerås, Sweden.
    Peter, Larm
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Uppsala Univ, Sweden.
    Molarius, A.
    Karlstad Univ, Sweden.
    Physical mobility, physical activity, and obesity among elderly: findings from a large population-based Swedish survey2017Ingår i: Public Health, ISSN 0033-3506, E-ISSN 1476-5616, Vol. 147, s. 84-91Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: To examine how physical activity and physical mobility are related to obesity in the elderly. Study design: A cross-sectional study of 2558 men and women aged 65 years and older who participated in a population survey in 2012 was conducted in mid-Sweden with an overall response rate of 67%. Methods: Obesity (body mass index >= 30 kg/m(2)) was based on self-reported weight and height, and physical activity and physical mobility on questionnaire data. Chi-squared test and multiple logistic regressions were used as statistical analyses. Results: The overall prevalence of obesity was 19% in women and 15% in men and decreased after the age of 75 years. A strong association between both physical activity and obesity, and physical mobility and obesity was found. The odds for obesity were higher for impaired physical mobility (odds ratio [OR] 2.83, 95% confidence interval [CI] 2.14-3.75) than for physical inactivity (OR 1.63, 95% CI 1.28-2.08) when adjusted for gender, age, socio-economic status and fruit and vegetable intake. However, physical activity was associated with obesity only among elderly with physical mobility but not among those with impaired physical mobility. Conclusion: It is important to focus on making it easier for elderly with physical mobility to become or stay physically active, whereas elderly with impaired physical mobility have a higher prevalence of obesity irrespective of physical activity.

  • 83.
    Astvik, Wanja
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Larsson, Robert
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Welander, Jonas
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Tillit i styrning och ledning för en hållbar arbetsmiljö inom socialtjänsten – en fallstudie av Nyköpings kommun.2018Ingår i: Styra och leda med tillit: Forskning och praktik / [ed] Louise Bringselius, Stockholm: Regeringskansliet/Norstedts Juridik , 2018, s. 139-165Kapitel i bok, del av antologi (Övrigt vetenskapligt)
    Abstract [sv]

    Kapitlet syftar till att beskriva hur en mer tillitsbaserad styrning och ledning kan gestalta sig inom socialtjänstens verksamheter genom en analys av individ- och familjeomsorgen i Nyköpings kommun. Resultaten visar att grunduppdraget, det vill säga det ansvar som verksamheten förväntas ta gentemot medborgarna utifrån lagstiftningen har stort utrymme i styrningen snarare än mål, som de för tillfället styrande politikerna formulerar. Kvantitativa mått kompletteras med kvalitativa verksamhetsbeskrivningar och kontinuerlig dialog om verksamhetens kvalitet, brister och utvecklingsbehov. Ansvarsavgränsningar som inte gynnar klientens bästa kan motverkas genom hur ekonomistyrningen används. Här framstår det som väsentligt att undvika konkurrens, incitament och repressalier i styrningen som leder till fokus på den egna enhetens ekonomi snarare än verksamhetens kvalitet. Styrning och ledning som söker säkerställa förmåga, integritet och hjälpvillighet hänger intimt samman med arbetsmiljöfrågorna. När organisationen identifierar och åtgärdar reella hinder som försvårar ett professionellt socialt arbete är det tydligt att organisation tar ansvar för både verksamhetskvalitet och arbetsmiljö. Att säkerställa integritet och hjälpvillighet innebär också en konsekvent hållning till principer och värderingar som speglar ett offentligt ämbetsmannaetos. Via öppenhet och dialog i organisationen är det de gemensamma värdena som bidrar till ett gemensamt ansvar för verksamhetens kvalitet och en hållbar arbetsmiljö.

  • 84.
    Astvik, Wanja
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Melin, Marika
    Stockholms Universitet.
    Överlevnadsstrategier i socialt arbete: Hur påverkar copingstsrategier kvalitet och hälsa?2013Ingår i: Arbetsmarknad & Arbetsliv, ISSN 1400-9692, Vol. 19, nr 4, s. 61-73Artikel i tidskrift (Refereegranskat)
    Abstract [sv]

    Förändringarna inom välfärdstjänstesektorn i Sverige har det senaste decenniet varit genomgripande. Rationaliseringar och ett decentraliserat resultat- och kostnadsansvar har i många fall medfört ökade arbetskrav, och socialsekreterares situation framstår som särskilt svår. Ansvaret att hantera obalansen mellan krav och resurser har decentraliserats till den enskilde socialsekreteraren. När resurserna inte matchar de kvalitetskrav som ställs tvingas socialsekreterarna till strategier som antingen äventyrar deras egen hälsa eller kvaliteten i arbetet. 

  • 85.
    Astvik, Wanja
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Melin, Marika
    Stockholms Universitet, Sweden.
    Allvin, Michael
    Uppsala Universitet, Sweden.
    Survival strategies in social work: A study of how coping strategies affect service quality, professionalism and employee health.2014Ingår i: Nordic Social Work Research, ISSN 2156-857X, E-ISSN 2156-8588, Vol. 4, nr 1, s. 52-66Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The restructuring of human service organisations into more lean organisations has brought increased work demands for many human service professions. Social work stands out as a particularly exposed occupational group, in which high work demands are paired with a large individual responsibility to carry out the job. The objectives of the study were to identify what kind of coping strategies social workers employ to handle the imbalance between demands and resources in work and to investigate how different strategies affect outcomes regarding health, service quality and professional development. 16 individual interviews and four group interviews with another 16 social workers were conducted. The analysis identified five different main types of strategies: Compensatory, Demand-reducing, Disengagement, Voice and Exit. An extensive use of compensatory strategies was connected with negative outcomes in health. Often these compensatory strategies were replaced or combined with different means of reducing the work demands, which in turn influence performance and service quality in a negative way. The results highlight dilemmas the social workers are facing when the responsibility to deal with this imbalance are “decentralised” to the individual social worker. When resources do not match the organisational goals or quality standards, the social workers are forced into strategies that either endanger their own health or threaten the quality of service.

  • 86.
    Astvik, Wanja
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Mälardalens högskola, Akademin för ekonomi, samhälle och teknik.
    Welander, Jonas
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Larsson, Robert
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Reasons for Staying: A Longitudinal Study of Work Conditions Predicting Social Workers’ Willingness to Stay in Their OrganisationIngår i: British Journal of Social Work, ISSN 0045-3102, E-ISSN 1468-263XArtikel i tidskrift (Refereegranskat)
    Abstract [en]

    Extensive staff turnover within the statutory social services is a serious problem in Sweden and in other European countries. This study examines which work conditions predict social workers’ willingness to stay in their organisation. A web-based questionnaire was used to gather data. The participating social workers responded to two questionnaires over a one-year period. To identify the social workers who wanted to stay and also remained in the organisation, the group ‘Stayers’ (n = 1,368) consisted of social workers who reported low intentions to quit at T1. The group ‘Leavers’ (n = 1,182) were social workers who had actually resigned at T2. The data were analysed using univariate and multivariate logistic regression analyses. The multivariate analysis shows that the work conditions that predicted staying in the organisation were low degrees of conflicting demands and quantitative demands, high degrees of openness and human resource orientation in the organisation and a high degree of perceived service quality. The results are discussed in relation to public management and managerial responsibility to create sustainable work conditions that facilitate the provision of good social services for citizens.

  • 87.
    Asztalos Morell, Ildiko
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Malardalen Univ, Sociol, Vasteras, Sweden.;Uppsala Ctr Russian & Eurasian Studies, Uppsala, Sweden..
    Self-Sacrificing Motherhood Reconciling Traumatic Life Experiences of Hungarian Collectivisation2016Ingår i: SOVIET PAST IN THE POST-SOCIALIST PRESENT: METHODOLOGY AND ETHICS IN RUSSIAN, BALTIC AND CENTRAL EUROPEAN ORAL HISTORY AND MEMORY STUDIES, TAYLOR & FRANCIS LTD , 2016, Vol. 14, s. 179-198Konferensbidrag (Refereegranskat)
  • 88.
    Asztalos Morell, Ildikó
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Can Renewable energy contribute to poverty reduction? A case study on Romafa, a Hungarian Leader2015Ingår i: Evaluating the European approach to rural development: Grass-roots experienceso f the LEADER Programme / [ed] Leo Granberg, Kjell andersson and Imre Kovách, Burlington: Ashgate, 2015, s. 183-206Kapitel i bok, del av antologi (Refereegranskat)
  • 89.
    Asztalos Morell, Ildikó
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Collectivization and the transfer of soft capital in two life stories from Hungary2012Ingår i: Journal of Depopulation and Rural Development Studies, ISSN 1578-7168, E-ISSN 2340-4655, nr 13, s. 125-153Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Through the analysis of two life stories of former peasants who had experienced collectivization in the early sixties in Hungary the paper sets focus on personal strategies of handling the trauma of societal transitions. Firstly, with help of social and cultural capital theories the importance of what Bourdieu named the transubstantiation of immaterial assets is explored in the process of adaptation from one system to the other. Secondly, the paper elucidates how these survival strategies constitute key elements of self-representations and which kind of meanings are attached to the collectivization experience in the personal life story. Following Gergen's distinction between the plot and the story, the paper elaborates narrative constructions of the representations of self. Emphasis is placed on how the representations allow the narrator to reinstate self-respect through positioning the self in the traumatic event of collectivization. Realistic and constructivist approaches are combined utilizing life story analysis. The two cases represent gender- and class-specific polarities characterizing diversities of the collectivization experience.

  • 90.
    Asztalos Morell, Ildikó
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Contestations of the Swedish Deportation Regime: Civil Mobilisation for and with Afghan Youth2018Ingår i: Refugee Protection and Civil Society in Europe / [ed] Margit Feischmidt, Ludger Pries and Celine Cantat, London: Palgrave Macmillan, 2018, s. 319-351Kapitel i bok, del av antologi (Refereegranskat)
    Abstract [en]

    Sweden was the country within the EU that received the highest number of unaccompanied asylum-seeking children (UASC) and youth in relation to the country’s population during 2015. Out of the 162,877 asylum-seekers arrived during 2015, half were children and half of the children (35,369) arrived unaccompanied. UASC possess special rights as children during the asylum process. Whereas their asylum grounds are assessed by the Migration Agency, the minors’ everyday whereabouts are under the responsibility of municipalities. Being a minor gives access to preferential treatment and rights compared to adult asylum seekers, both in terms of access to municipal services, such as healthcare, schools, housing, social support, and in terms of considerations of asylum grounds leading to residency in Sweden.

    However, from 2016, austerity measures were put in place that, combined with an intensified and long-running securitisation of migration management, had serious consequences for these children and youth. Among the most imperative developments, there has been an increased suspicion of UASC’s self-declared age in the asylum process, combined with a medicalisation of age determination. The “writing up” of minors’ age has increased, thereby commonly leading to the rejection of UASC’s asylum claims and a deportation order. Due to a long processing time at the Migration Agency and in the Swedish migration courts, many youths have also turned 18 during their wait for a final case decision.

    In reponse to these developments, protests have been organised and Sweden has seen a growing civil societal engagement on behalf of and together with UASC. This chapter explores civil societal engagement, both by and on behalf of unaccompanied asylum-seeking children (UASC) of Afghan origin in Sweden. It focuses on the period starting after 2015, and proceeds through an analysis of the Facebook site: “Stoppa utvisningarna av afghanska ungdomar!” [Stop the deportation of Afghan youths!] [Stop deportations]. This site, initiated in the fall of 2016 quickly gathered 20,000 supporters, brought together youth from Afghanistan and Swedish civilians engaged in demanding better asylum procedures for asylum-seeking youth from Afghanistan. This paper will focus on the interconnections between civil society mobilisation and UASC mobilisation around the struggles concerning

    1 I am thankful to Anna Lundberg, whose comments and suggestions on relevant theoretical frameworks have greatly contributed to the improvement of this text. I am also thankful to the editors of this book who have contributed with insightful comments to develop this text. Ingrid Eckerman, the initiator of the facebook site “Stoppa utvisningar!” has commented on a version of this text and contributed with valuable additional aspects, which were incorporated into this version, for which I am thankful.

    1

    securitisation, anti-deportation and amnesty2. It will particularly examine how mobilisation based on different types of agencies were mediated through social media.

    To start with the paper sheds light on the emergence of social movements in Sweden. Secondly, it explores how the theoretical frameworks of “pragmatic voluntarism” and “subversive humanitarianism” contribute to problematise pro-refugee movements and how pro-refugee movements could be understood as struggles for reconfiguring hegemonic perceptions of refugees. Thirdly, it discusses the way how narrative analysis contributes to understand of these reconfigurative processes. Finally, following a brief reflection on the origins and activities of the site, the article explores the activities on this site as expressions of positions ranging from “pragmatic voluntarism” to “subversive humanitarianism”. It explores also the kind of alternative subjectivities they offer for UASC, and the kind of space they create between “exclusion” and “inclusion”. 

  • 91.
    Asztalos Morell, Ildikó
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    On the Roma precarious experience facing Pentecostalism2015Ingår i: The new social division:: Making and unmaking Precariousness / [ed] Donatella Della Porta, Sakari Hänninen, Martti Siisiäinen & Tiina Silvasti, London: Palgrave Macmillan, 2015, s. 139-158Kapitel i bok, del av antologi (Refereegranskat)
  • 92.
    Asztalos Morell, Ildikó
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Poverty and Governance: Rural Municipal Strategies Facing Ethnic and Social Marginalisation and Long-Term Unemployment in Hungary2016Ingår i: The Uppsala Yearbook of Eurasian Studies / [ed] Kaj Hobér, London: Wildy, Simmonds & Hill Publishing , 2016, 1, s. 183-211Kapitel i bok, del av antologi (Övrigt vetenskapligt)
    Abstract [en]

    This paper is to scrutinise the way that public work [közfoglalkoztatás] is adapted and utilised, as a national tool for the reintegration of the long-term unemployed into the world of labour in Hungary in a rural municipality characterised by highly ethnified unemployment. Public work as a workfare strategy to counteract welfare dependency of long-term unemployed was first formulated in 1996. Municipalities became obliged to organise public work from 2000. Meanwhile, it became a central tool for counteracting unemployment from 2009 as part of the “Way to work” [Ùt a munkához] strategy of the Socialist-Liberal coalition. The conservative government renamed this strategy as START, reducing eligibilities attached to it several times between 2011 and 2015.[1] Public work as a strategy to overcome long-term unemployment was subjected to extensive and varied criticism[2] describing public work as a “cul de sac”, rather than leading out of exclusion from the labour market, and was accused of being non-voluntary and having punitive features.[3]Studies indicate that the rate of return to the labour market even decreased in villages utilising extensive public work programmes

  • 93.
    Asztalos Morell, Ildikó
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Self-sacrificing motherhood: Rhetoric and agency in the era of collectivization in two parallel life-stories"2015Ingår i: The Soviet Past in the Post-Soviet Present / [ed] Ilic, Melanie and Leinard, D, London: Palgrave Macmillan, 2015, s. 179-198Kapitel i bok, del av antologi (Refereegranskat)
  • 94.
    Asztalos Morell, Ildikó
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    ‘Solidarity not alms’: Civil rights movements contesting the evictions and denial of social rights from vulnerable European Union citizens in Sweden2018Ingår i: Local Economy, ISSN 0269-0942, E-ISSN 1470-9325, Vol. 33, nr 2, s. 147-171Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The chief aims of the Swedish municipality-based Facebook network SEM, ‘Solidarity with EU migrants’ [Solidaritet med EU migranter!] are to fight for better conditions and humane treatment of migrants primarily from Romania, who came to Sweden in hope of finding work and the ability to provide for their families. The site is to transmit relevant news, actions, organise money collections, political actions and alike. Those volunteers active in the group believe that ‘righteousness and solidarity’ should apply, even those who are in the grip of European Union bureaucracy.1 Using theories of civil movements in the IT age, I elaborate on how the activists on the site respond to the challenges of the criminalisation of vulnerable European Union citizens, by balancing their engagement between the dimensions of ‘pragmatic voluntarism’ versus ‘subversive humanitarianism’. Furthermore, I explore how the site counteracts hegemonic master narratives on Roma as both idle and victims, who need to be saved from begging, by providing alternative narratives of subjectivities and identities to the Roma men and women they work with and for, seeing them as agents struggling to improve the lives of their families.

  • 95.
    Asztalos Morell, Ildikó
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    The agency of Roma women’s NGO in marginalised rural municipalities in Hungary2018Ingår i: Gendering Postsocialism: Old Legacies and New Hierarchies, Taylor and Francis , 2018, s. 121-137Kapitel i bok, del av antologi (Övrigt vetenskapligt)
    Abstract [en]

    In the postsocialist period, Roma women have been recurrently politicised as undeserving mothers, giving birth to too many children and abusing the generous state-financed childcare support system (Durst, 2001; Asztalos Morell, 2017). Less common is to portray Roma women’s agency and resistance towards such allegations. One such example is the protest action by 369 Roma women from two villages who pressed charges against the mayor in one of the neighbouring villages for defamation. The mayor stated at a municipal meeting: In villages where the majority of inhabitants are Roma … women consume by intention such medicine, that leads to the birth of crazy [bolond] children, in order to get entitlement to double family benefits … I have checked, and it is true that a pregnant woman hit her stomach with a rubber hammer in order to give birth to handicapped child. (Origo, 2009) Similar conflicts indicate the sensitivity of local community cohesion and highlight the broken trust between municipal administrations and the local Roma communities. Such cleavages have intensified in the context of the crises of the postsocialist socio-economic transition that have left peripheral rural communities in a state of continuous decline. © 2018 selection and editorial matter, Yulia Gradskova and Ildikó Asztalos Morell; individual chapters, the contributors.

  • 96.
    Asztalos Morell, Ildikó
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Swedish Univ Agr Sci, Dept Urban & Rural Dev, Umea, Sweden..
    The Role of Public Private Partnership in the Governance of Racialised Poverty in a Marginalised Rural Municipality in Hungary2019Ingår i: Sociologia Ruralis, ISSN 0038-0199, E-ISSN 1467-9523, Vol. 59, nr 3, s. 494-516Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This article explores the local governance of poverty alleviation in a marginalised Hungarian rural community, with over 50 per cent Roma inhabitants, most of whom were either unemployed or participated in public work projects. Kisbalog is among those marginalised rural communities which are characterised by increasing social polarisation and ethnic cleavages as a result of selective outmigration and a municipal leadership which negotiates access to public work along racialised notions of deservingness. Hungary follows the EU concept of public private partnerships for local governance. This article unravels the room for manoeuvre for NGOs working for poverty alleviation in the context of the racialised narratives of a paternalistic local welfare state. Utilising Young's notions of social justice it explores the complicit nature of recognitional, associative and distributional justice in order to understand the interplay in partnerships between public and private agencies. From among three types of strategies, coercive, isolated and deliberative, the last one has the potential to bring about transformative changes.

  • 97.
    Asztalos Morell, Ildikó
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Utmaningar och möjligheter för digitaliserat arbete och organisering – delstudie 6: Arbetsvillkor, kunskapsöverföring och innovation2017Rapport (Övrigt vetenskapligt)
    Abstract [sv]

    En av utgångspunkterna för denna studie är att teknik förändrar arbetets villkor, samtidigt som tekniken i sig är inte deterministisk. Sättet varpå teknik implementeras bygger på social organisering. Arbetets sociala villkor är drivande för utvecklingen av tekniken såväl som för hur tekniken utnyttjas. Denna studie undersökte olika samband mellan teknologisk utveckling och hur utnyttjandet och utvecklingen av teknik organiseras inom ett metall­industriföretag. För det första undersöktes styrning, handlingsutrymme, innovation och kunskapsöverföring (delstudie 6 inom DAO-projektet). Vidare undersöktes även förändrade kunskapskrav, flexibilitet, kompetensförsörjning och mångfald (delstudie 7 inom DAO projektet). Digitalisering av styrning (IT) och auto­matisering av maskiner (OT) är två aspekter av teknologiska förändringar som driver utvecklingen framåt. Genom att särskilja fem olika sätt för hur dessa förändringar kan sammankopplas har jag kunnat särskilja hur arbetets villkor har förändrats.

    • När det gäller traditionell teknologi, alltså utan IT och OT, besitter operatörerna unika kunskaper som är svåra att standardisera. Utvecklingen av OT sker genom att dessa kunskaper överförs till standardiserade enheter. Operatörernas roll omvandlas till övervakning av maskiner som körs av OT-system.
    • Då IT-styrning kopplas till produktionen påläggs ansvar på operatörerna att följa dessa IT-system och därigenom anpassa den egna produktionens styrning. Man hämtar order från IT-system och återkopplar till systemet när man har arbetat färdigt en order. IT-systemet dokumenterar tidsåtgången och samlar information om produktionen från det som operatörerna förväntas mata in.
    • Då IT kopplas till OT förväntas det att misstag som uppstår p.g.a. den ”mänskliga faktorn” fasas ut. Operatörernas roll förvandlas återigen; de övervakar då både OT-opererade maskiner och IT-system som styr produktionen. Samtidigt förväntas operatörer kunna förstå hur deras fysiska maskiner fungerar för rutinmässigt underhåll och körning då IT ”krånglar”. Därmed blir operatörernas roll mindre fysiskt belastande, men också mer komplex som följd av över­vakningen av maskiner.
    • Då komplexa produktionsprocesser byggs ihop blir operatörers arbete mer direkt kopplat till andra operatörers arbeten. Teamsamverkan och stöd från med­arbetarna ökar i betydelse.
  • 98.
    Asztalos Morell, Ildikó
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Utmaningar och möjligheter för digitaliserat arbete och organisering – delstudie 7: Digitalisering och förändrade kunskapskrav, flexibilitet, kompetensförsörjning och mångfald2017Rapport (Övrigt vetenskapligt)
    Abstract [sv]

    En av utgångspunkterna för denna studie var att teknik förändrar arbetets villkor, samtidigt som teknik i sig är inte deterministisk. Sättet teknik implementeras bygger på social organisering. Arbetets sociala villkor är drivande för utveckling av tekniken likväl för hur tekniken utnyttjas. Denna studie undersökte olika samband mellan teknologiska utveckling och hur utnyttjandet och utvecklingen av teknik organiseras inom ett metallindustriföretag. För de ena undersöktes styrning, handlingsutrymme, innovation och kunskapsöverföring (del 1) för de andra undersöktes förändrad kunskapskrav, flexibilitet, kompetensförsörjning och mångfald (del 2). Digitalisering av styrningen (IT) och automatisering av maskiner (OT) är två aspekter av teknologiska förändringar som driver utvecklingen framåt.

     

    Kompetens och kunskapskraven för operatörerna har förändrats med digitalisering och automatisering. Paradoxalt arbetsuppgifter både utarmas (tyst kunskap av operatörer standardiseras och utförs av OT styrd teknologi) och blir komplexare (man inte bara övervakar maskiner och IT som styr dem, men behöver även kunna ingripa fysiskt i vissa arbetsmoment eller i fall av ”strul”). Då teknologin är sammanbyggd i löpande band krävs större ansvar för teamet. Är det strul på ett ställe i produktionskedjan, påverkas alla andra.

     

    Operatörsyrken inom metallindustrin ansågs vara typiskt ”manliga” yrken, något som man associerar med tunga lyft och hårda arbetsvillkor. Manlighetsidealen är också kopplade till kontroll över teknik, i motsatts till kvinnlighetsidealen, som är kopplad till omsorg, något som återspeglas i typiska kvinnliga yrken inom omsorg och administration.  Det finns föreställningar digitalisering och automatisering förändrar arbetets innehåll och genom det öppnar för ny organisering av arbete bortom denna könsstereotypiska uppdelning. Vi kan konstatera att digitalisering och automatisering har gjort traditionellt fysisk arbete, så som operatörsyrken inom metallindustri mindre fysiskt krävande. Krav på IT kunnande har ökat, något som tidigare har varit associerad med kvinnliga yrken. Samtidigt digitaliseringen har det lett till att traditionellt kvinnliga yrken, som har använt digital teknologi i uppföljningen av produktionen, har rationaliserats bort. Den nya teknologin har potential att öppna upp för nya sociala mönster, där genusstereotypa åtskillnader kunde lösas upp. Trotts denna öppning verkar att könstereotypa tankesätt finns kvar och könssammansättningen av operatörsyrken domineras fortfarande av män. Studien undersöker bland annat, hur sociala föreställningar om mångfald men även förändrad konkurrens and rekryteringsstrategier bidrar till att förändringsprocessen går sakta, trotts företagets uttalade policy för diversifiering.

     

    Företagets kompetensförsörjningsstrategi förändrades i följd av den ekonomiska krisen och i relation till förändrade efterfrågan på och sammansättningen av arbetskraften. Ökad intern och extern flexibilisering har varit en respons som tillämpas i flera sammanhang.

     

    För det ena, företaget övergick från högkonjunkturens ”öppna porten till samhället” modell där Arbetsförmedlingen och Konvux var viktiga partners för att rekrytera och utbilda efterfrågad arbetskraft till en ny modell i rekrytering. Som följd av ekonomiska krisen rekryteras i nuläget nya operatörer huvudsakligen genom bemanningsföretag. Rekryteringen sker till instegsjobb att täcka tillfälliga fluktuationer p.g.a. sjukdom.

     

    För det andra tillämpas flexibilisering internt. Operatörerna bör lära sig flertal moment i sitt flöde som möjliggör interna omplaceringar. Sådan flexibilitet är även en respons till förändringar i teknologin. Digitaliserad och automatiserad teknologi verkar vara mer känslig till produktionsstopp p.g.a. teknologiskt problem som kan ursaka oplanerade 

  • 99.
    Asztalos Morell, Ildikó
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Voicing Roma Women: Intersectional Marginalities and Social Entrepreneurship of a Roma Women's NGO in Hungary2015Ingår i: Institutionalizing Gender Equality: Historical and global Perspectives / [ed] Yulia Gradskova and Sara Sanders, London: Lexington Books, 2015, s. 149-173Kapitel i bok, del av antologi (Refereegranskat)
  • 100.
    Asztalos Morell, Ildikó
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Workfare with a human face?: Innovative utiliziation of public work in rural municipalities in Hungary2014Ingår i: Metszetek, ISSN 2063-6415, Vol. 3, nr 4Artikel i tidskrift (Refereegranskat)
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