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  • 1.
    Anbäcken, Els-Marie
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Gustafsson, Lena-Karin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Elfström, Magnus
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Zander, Viktoria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    A holistic way ofworking interprofessionally in home care with and for older people2016Conference paper (Refereed)
  • 2.
    Anbäcken, Els-Marie
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Zander, Viktoria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Bondesson, Anna
    Mälardalen University, School of Health, Care and Social Welfare.
    Pettersson, Tina
    Mälardalen University, School of Health, Care and Social Welfare.
    Gustafsson, Lena-Karin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Team-Talk and Time; keys to support in complex care of older adults at home2021In: ECSWR 2021 10th European Conference for social work research: Book of abstracts, 2021, p. 215-Conference paper (Refereed)
  • 3.
    Bergstrom, M.
    et al.
    Linkoping Univ, Dept Social & Welf Studies, Norrkoping, Sweden..
    Sverker, A.
    Linkoping Univ, Dept Social & Welf Studies, Norrkoping, Sweden.;Linkoping Univ, Dept Act & Hlth, Linkoping, Sweden.;Linkoping Univ, Dept Med & Hlth Sci, Linkoping, Sweden.;Linkoping Univ, Dept Rehabil Med, Linkoping, Sweden..
    Ranada, A. Larsson
    Linköping Univ, Sweden..
    Valtersson, E.
    Linköping Univ, Sweden..
    Thyberg, I.
    Linköping Univ, Sweden..
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Björk, M.
    Linköping Univ, Sweden..
    SIGNIFICANT OTHERS AS BOTH BARRIERS AND FACILITATORS FOR PARTICIPATION IN DAILY ACTIVITIES IN PERSONS WITH EARLY RHEUMATOID ARTHRITIS - AN INTERVIEW STUDY WITHIN THE SWEDISH TIRA PROJECT2017In: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 76, p. 1518-1518Article in journal (Other academic)
  • 4.
    Bergström, Maria
    et al.
    Linköpings universitet, Sweden.
    Sverker, Annette
    Linköpings universitet, Sweden.
    Larsson Ranada, Åsa
    Linköpings universitet, Sweden.
    Valtersson, Eva
    Östergötlandsregionen, Sweden.
    Thyberg, Ingrid
    Linköpings universitet, Sweden.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Björk, Matilda
    Linköpings universitet, Sweden.
    Närståendes betydelse för delaktighet i vardagen hos personer med reumatoid artrit2019In: Best Practice, ISSN 1329-1874Article in journal (Other (popular science, discussion, etc.))
  • 5.
    Bertilsson, Monica
    et al.
    Göteborgs universitet.
    Petersson, Eva-Lisa
    Göteborgs universitet.
    Östlund, Gunnel
    Linköpings universitet.
    Wearn, Magda
    Göteborgs universitet.
    Hensing, Gunnel
    Göteborgs universitet.
    Capacity to work while depressed and anxious - a phenomenological study2013In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 35, no 20, p. 1705-1711Article in journal (Refereed)
    Abstract [en]

    Purpose: The aim was to explore experiences of capacity to work in persons working while depressed and anxious in order to identify the essence of the phenomenon capacity to work. Method: Four focus groups were conducted with 17 participants employed within the regular job market. Illness experiences ranged from symptoms to clinical diagnoses. A phenomenological approach was employed. Results: The phenomenon of capacity to work was distinguished by nine constituents related to task, time, context and social interactions. The phenomenon encompassed a lost familiarity with one’s ordinary work performance, the use of a working facade and adoption of new time-consuming work practices. Feelings of exposure in interpersonal encounters, disruption of work place order, lost “refueling” and a trade-off of between work capacity and leisure-time activities was also identified. The reduced capacity was pointed out as invisible, this invisibility was considered troublesome. Conclusions: A complex and comprehensive concept emerged, not earlier described in work capacity studies. Rehabilitation processes would benefit from deeper knowledge of the individual’s capacity to work in order to make efficient adjustments at work. Results can have particular relevance both in clinical and occupational health practice, as well as in the workplaces, in supporting re-entering workers after sickness absence.Implications for Rehabilitation

    • The reduced capacity to work due to depression and anxiety is not always understandable or observable for others, therefore, the rehabilitation process would benefit from increased knowledge and understanding of the difficulties afflicted individuals experience at work.

    • Identifying tasks that contribute to “refueling” at work might enhance the success of the rehabilitation.

    • Rehabilitation programs could be tailored to better address the inabilities that impact on the capacity to work when depressed and anxious.

  • 6.
    Björk, M.
    et al.
    Linköping Univ, Sweden..
    Thyberg, I.
    Linköping Univ, Sweden..
    Valtersson, E.
    Linköping Univ, Sweden..
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Stenstrom, B.
    Linköping Univ, Sweden..
    Sverker, A.
    Linköping Univ, Sweden..
    DISABILITY IN THE FEET RELATED TO PARTICIPATION IN DAILY LIFE IN PATIENTS WITH EARLY RA - AN INTERVIEW STUDY IN THE SWEDISH TIRA PROJECT2017In: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 76, p. 112-112Article in journal (Other academic)
  • 7.
    Björk, M.
    et al.
    Linköping University, Linköping, Sweden.
    Thyberg, I.
    Linköping University, Linköping, Sweden.
    Valtersson, E.
    Linköping University, Linköping, Sweden.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Stenström, B.
    Linköping University, Linköping, Sweden.
    Sverker, A.
    Linköping University, Linköping, Sweden.
    Foot Barriers in Patients With Early Rheumatoid Arthritis: An Interview Study Among Swedish Women and Men2018In: Arthritis care & research, ISSN 2151-464X, E-ISSN 2151-4658, Vol. 70, no 9, p. 1348-1354Article in journal (Refereed)
    Abstract [en]

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

  • 8.
    Björk, Matilda
    et al.
    Linköpings universitet, Sweden.
    Valtersson, Eva
    Region Östergötland, Sweden.
    Thyberg, Ingrid
    Linköpings universitet, Sweden.
    Stenström, Birgitta
    Reumatikerförbundet, Stockholm, Sweden.
    Sverker, Annette
    Region Östergötland, Sweden.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Funktionshinder i foten och begränsad delaktighet i vardagen vid tidig RA2018In: Best Practice, ISSN 1329-1874, Vol. 35, no 10, p. 14-19Article in journal (Other (popular science, discussion, etc.))
  • 9.
    Blomberg, Helena
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Lindstedt Rautell, Philip
    Mälardalen University, School of Innovation, Design and Engineering, Embedded Systems.
    Curuklu, Baran
    Mälardalen University, School of Innovation, Design and Engineering, Embedded Systems.
    Children helping to co-construct a digital tool that is designed to increase children’s participation in child welfare investigations in Sweden.2022In: Qualitative Social Work, ISSN 1473-3250, E-ISSN 1741-3117, Vol. 21, no 2, p. 367-392Article in journal (Refereed)
    Abstract [en]

    How do children (aged 6-12 years) understand and make use of a digital tool that is under development? This article builds on an ongoing interdisciplinary research project in which children, social workers (the inventers of this social innovation) and researchers together develop an interactive digital tool (application) to strengthen children's participation during the planning and process of welfare assessments. Departing from social constructionism, and using a discursive narrative approach with visual ethnography, the aim of the article is to display how the children co-construct the application and contribute with "stories of life situations" by drawing themselves as characters and the places they frequent. The findings show that the children improved the application by suggesting more affordances so that they could better create themselves/others, by discovering bugs, and by showing how it could appeal to children of various ages. The application helped the children to start communicating and bonding when creating themselves in detail, drawing places/characters and describing events associated with them, and sharing small life stories. The application can help children and social workers to connect and facilitate children's participation by allowing them to focus on their own perspectives when drawing and sharing stories.

  • 10.
    Brunnberg, Elinor
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Darvishpour, Merhdad
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Gupta, Shweta
    Kanaskar, Mukesh
    Kulkarni, Vijay
    Verghese, Usha
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Metodik för samarbetsinriktat lärande2016In: Samproduktionens retorik och praktik: inom hälsa och välfärd / [ed] Knutsson Holmström, Inger, Stier, Jonas, Tillgren, Per & Östlund, Gunnel, Lund: Studentlitteratur AB, 2016, 1, p. 167-177Chapter in book (Other (popular science, discussion, etc.))
  • 11.
    Dahlbäck, Maria
    et al.
    Östergötlands läns landsting.
    Dahlgren, Sarah
    Östergötlands läns landsting.
    Östlund, Gunnel
    Linköpings universitet.
    Sverker, Annette
    Linköpings universitet.
    Utveckling och lärande genom interprofessionell samverkan2012In: Personlig och professionell utveckling inom socionomutbildningen: en antologi / [ed] Ottelid, M., Östersund: Mittuniversitetet , 2012, p. 92-110Chapter in book (Other academic)
  • 12.
    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.

  • 13.
    Elfström, Magnus
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Wulff Hamrin, Cornelia
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Correlates of desire to work in persons visiting psychiatric outpatient clinics2019Conference paper (Other academic)
    Abstract [en]

    Persons with mental health problems often express a clear desire to work, although whatfactors that contribute to this healthy aspiration are less clear. The purpose of this study thuswas to explore person, healthcare, and work-related factors in relation to desire to work inpersons visiting psychiatric outpatient clinics. The sample consisted of 272 persons visitingone of four psychiatric outpatient centres from two county councils in the south of Sweden.The possible participants were asked if they wanted to participate in research while waitingfor their scheduled appointments. A comprehensive questionnaire consisting of factors inthe research literature as well as factors advocated by patient organisations was used. Theparticipants’ ratings were analysed using non-parametric group comparisons and logisticregressions. Free-text answers were analysed by content. Higher education, better mentalhealth self-efficacy, and more experiences of demands and conflicts at the workplace wereall significantly related to desire to work in bivariate analyses. However, fighting spirit andsocial support at work had the strongest associations with desire to work in the multivariatelogistic analyses. The Nagelkerke R2 was .34. Free text answers indicated the importanceof managers’ role for the psychosocial work climate, and for receiving help with structuringthe workday to allow recovery after sickness absence. In contrast to the traditional prevocationalrehabilitation approach, and in line with a supportive work environment approach,the results points to the possibility to influence a further improved desire to work throughsupportive leadership and an open and communicative psychosocial climate.

  • 14.
    Elfström, Magnus
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Zander, Viktoria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Gustafsson, Lena-Karin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Reablement for older persons by an interprofessional home rehabilitation team: An ongoing RCT2018Conference paper (Other academic)
    Abstract [en]

    The aim is to evaluate the effects of intensive home rehabilitation regarding multidimensional health perceptions and other quality of life domains, physical ability and capacity among older people (65+). The design is a randomized controlled study of a reablement intervention with controls receiving traditional home care. The intervention is goal- and user oriented, home-based, time limited (3 months), and organized by an interprofessional team consisting of the professions nurse, enrolled nurses, physiotherapists, social worker, and occupational therapists. The effects of the intervention are measured by self-reported health and quality of life (EQ-5D-5L, HACT) including psychological well-being (GP-CORE), physical capacity (SPPB, hand dynamometer test), activity performance (COPM), and home care hours needed. Data are collected at inclusion (T1; applying for home care), after the three months intervention (T2), and at six months (T3). Primary outcome analyses will be performed according to intention to treat; 2 x 3 mixed design (group x time) ANCOVA with each dependent variable at T1 as covariate. Based on a medium effect size in favour of the intervention in the pilot study, and a dropout of 20%, the power calculation indicated that 240 persons should be included. The project will contribute with evidence of the effects of interprofessional home rehabilitation for reablement, and consequences for older persons’ bio-psycho-social health. The project is ongoing with more than 120 persons included. The intervention may result in reduced costs for care, but especially individual gains in relation to reduced care needs, maintained independence and good health.

  • 15.
    Gustafsson, Lena-Karin
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare.
    Zander, Viktoria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Elfström, Magnus L.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Working with short-term goal-directed reablement with older adults: strengthened by a collaborative approach2019In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 39, no 4, p. 178-185Article in journal (Refereed)
    Abstract [en]

    The increased number of older adults who experience longevity requires increased investment in healthcare services. Short-term goal-directed reablement is expected to strengthen the functional capacity and quality of life of older adults, while homecare hours, and thus municipal expenditures, decrease. Facilitation of successful interprofessional collaboration includes not only enhancing coordination structurally, but also establishing a commitment regarding culture that overcomes professionally differentiated attitudes. Nurses have an obvious role in these multi-professional teams and the study explores some aspects' of working in this type of collaboration. The aim was to illuminate the meaning of working with short-term goal-directed reablement of older adults as experienced by an interprofessional team. Data were collected after an intervention with goal-directed time-limited reablement of older people. Written narratives from an interprofessional team were analyzed using a phenomenological-hermeneutic approach. Findings identified four major thematic structures that characterized the meaning: 1) Reliable relationship; including the aspects ‘Confidence between the older adult and staff’, ‘A sense of security’ and ‘Continuity’, 2) Empowered participation, including the following aspects: ‘Listen to the older adult’s desires’ and ‘Put the person in control’, 3) Team with a negotiated approach, including the aspects: ‘Closeness’, ‘Same direction and overarching goal’, ‘Learning from interprofessional dialogue’, 4) Time for growth with the aspects ‘Creating harmony’ and ‘Building the older adult’s self-confidence’. The process of reablement seemed strengthened by the collaborative approach of different professions and their combined efforts. The present study argues that teamwork gives confidence both in terms of general knowledge of reablement but also specific confidence in one’s profession.

  • 16.
    Gustafsson, Lena-Karin
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Söderman, Mirkka
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Bondesson, Anna
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Pettersson, Tina
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Gusdal, Annelie K
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Växelvård idag och i framtiden2023Report (Other academic)
    Download full text (pdf)
    fulltext
  • 17.
    Gustafsson, Lena-Karin
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Zander, Viktoria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Bondesson, Anna
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Pettersson, Tina
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Actions taken to safeguard the intended health care chain of older people with multiple diagnoses-a critical incident study2022In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 21, no 1, article id 260Article in journal (Refereed)
    Abstract [en]

    Background: Older people with multiple diagnoses often have problems coping with their daily lives at home because of lack of coordination between various parts of the healthcare chain during the transit from hospital care to the home. To provide good care to those persons who have the most complex needs, regions and municipalities must work together. It is of importance to develop further empirical knowledge in relation to older persons with multiple diagnoses to illuminate possible obstacles to person-centred care during the transition between healthcare institutions and the persons livelihood. The aim of the present study was to describe nurses' experienced critical incidents in different parts of the intended healthcare chain of older people with multiple diagnoses.

    Methods: The sample consisted of 18 RNs in different parts of the healthcare system involved in the care of older people with multiple diagnoses. Data were collected by semi structured interviews and analysed according to Critical Incident Technique (CIT). A total of 169 critical incidents were identified describing experiences in recently experienced situations.

    Results: The result showed that organizational restrictions in providing care and limitations in collaboration were the main areas of experienced critical incidents. Actions took place due to the lack of preventive actions for care, difficulties in upholding patients' legal rights to participation in care, deficiencies in cooperation between organizations as well as ambiguous responsibilities and roles. The RNs experienced critical incidents that required moral actions to ensure continued person-centred nursing and provide evidence-based care. Both types of critical incidents required sole responsibility from the nurse. The RNs acted due to ethics, 'walking the extra mile', searching for person-centred information, and finding out own knowledge barriers.

    Conclusions: In conclusion and based on this critical incident study, home-based healthcare of older people with multiple diagnoses requires a nurse that is prepared to take personal and moral responsibility to ensure person-centred home-based healthcare. Furthermore, the development of in-between adjustments of organizations to secure cooperation, and transference of person-centred knowledge is needed.

  • 18.
    Gustafsson, Lena-Karin
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Zander, Viktoria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Elfström, Magnus
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Anbäcken, Els-Marie
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    ‘Best fit’ caring skills of an interprofessional team inshort-term goal-directed reablement: older adults’perceptions2019In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 33, no 2, p. 498-506Article in journal (Refereed)
    Abstract [en]

    This paper reports a study conducted to illuminate older adults’ perceptions of multiproffesional team's caring skills as success factors for health support in short-term goal-directed reablement. The fact that older adults are given perquisites to live in their own homes puts great demands on the professional care given them at home. An option offered could be short-term goal-directed reablement delivered by an interprofessional team. This means after periods in hospitals to strengthen their multidimensional health, older adults’ reablement processes are supported to return to their daily life as soon as possible. Crucial in making these intentions a reality seems to be identifying the professional's approach that works as success factors for health support in the reablement process. A descriptive qualitative design with a phenomenographic approach based on interviews with 23 older persons who had received short-term goal-directed reablement at home after a period at hospital was used. The study was approved by an ethical board. The analysis revealed four major referential aspects of multiproffesional team's caring skills as success factors for health-support in short-term goal-directed reablement: a motivating caregiver, a positive atmosphere-creating caregiver, a human fellowship-oriented caregiver and a caregiver that goes beyond the expected. In this study, all caring skills in the continuum are perceived as positively loaded necessities in different situations during the reablement process. Caring skills as success factors are initially shown at a practical level, such as how the professional caregivers encourage and motivate the older persons in different training situations. At a deeper level, the caregivers open their hearts and have the capacity to go beyond the expected in the professional caregiver–patient relationship. The multiproffesional team's best fit caring skills during the home reablement process need to be addressed as evidence base in the area of elderly home care.

  • 19.
    Hanpatchaiyakul, Kulnaree
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Eriksson, H
    Swedish Red Cross Univ Coll, Stockholm, Sweden.
    Kijsomporn, J
    Minist Publ Hlth, PIHWD, Nonthaburi, Thailand.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Barriers to successful treatment of alcohol addiction perceived by healthcare professionals in Thailand: a Delphi study about obstacles and improvement suggestions2016In: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 9Article in journal (Refereed)
  • 20.
    Hanpatchaiyakul, Kulnaree
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Eriksson, H
    Swedish Red Cross Univ Coll, Stockholm, Sweden.
    Kijsomporn, J
    Minist Publ Hlth, PIHWD, Nonthaburi, Thailand.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Healthcare providers' experiences of working with alcohol addiction treatment in Thailand2016In: Contemporary Nurse: health care across the lifespan, ISSN 1037-6178, E-ISSN 1839-3535, p. 59-73Article in journal (Refereed)
    Abstract [en]

    Background: The high prevalence of alcohol consumption, together with its associated health risk factors, has long-term negative impacts on both society and the economy in Thailand. Aim: The aim of this study was to explore the experiences of healthcare providers working with people experiencing alcohol addiction and the treatment programs in a Thai hospital. Methods: Qualitative study was applied in this study by conducting focus group interviews with 32 interdisciplinary healthcare providers, most of which were nurses. Content analysis was applied to analyze the verbatim-transcribed data. Findings: Two main topics emerged: (1) the collaborative practices related to alcohol treatment, and (2) the fit of the program, including how the treatment program functions. Obstacles were identified and formulated from several sub-categories. Conclusions: The findings included obstacles linked to the imported (Western) program and the patriarchal structure in Thai culture, which seem to intersect and reinforce each other.

  • 21.
    Hanpatchaiyakul, Kulnaree
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Eriksson, H
    Swedish Red Cross Univ Coll, Stockholm, Sweden.
    Kijsomporn, J
    Minist Publ Hlth, PIHWD, Nonthaburi, Thailand.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Lived experience of Thai women with alcohol addiction2016Manuscript (preprint) (Other academic)
    Abstract [en]

    Background: The high prevalence of alcohol consumption, together with its associated health risk factors, has long-term negative impacts on both society and the economy in Thailand. Aim: The aim of this study was to explore the experiences of healthcare providers working with people experiencing alcohol addiction and the treatment programs in a Thai hospital. Methods: Qualitative study was applied in this study by conducting focus group interviews with 32 interdisciplinary healthcare providers, most of which were nurses. Content analysis was applied to analyze the verbatim-transcribed data. Findings: Two main topics emerged: (1) the collaborative practices related to alcohol treatment, and (2) the fit of the program, including how the treatment program functions. Obstacles were identified and formulated from several sub-categories. Conclusions: The findings included obstacles linked to the imported (Western) program and the patriarchal structure in Thai culture, which seem to intersect and reinforce each other.

  • 22.
    Hanpatchaiyakul, Kulnaree
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Eriksson, Henrik
    The Swedish Redcross university College, Stockholm.
    Kijsompon, Jureerat
    Boromarajonani College of Nursing, Changwat Nonthaburi, Nonthaburi Thailand.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Lived experiences of Thai women with alcohol addiction2017In: Asian Nursing Research, ISSN 1976-1317, Vol. 11, no 4, p. 304-310Article in journal (Refereed)
    Abstract [en]

    Purpose: This study explored the lived experiences of Thai women in relation to alcohol addiction in treatment. Methods: Twelve women aged 20 to 65 years, were participated. The participants were recruited from two special hospitals and one outpatient clinic in a general hospital. Descriptive phenomenology was applied to analyze the transcripts of the individual interviews. Result: The explored phenomenon of Thai women experiencing alcohol addiction included four essential aspects, (1) feeling inferior and worthless (2) feeling physically and emotionally hurt, (3) fearing physical deterioration and premature death, and (4) feeling superior and powerful. Through these different aspects of Thai women's lived experiences, the following essence was synthesized. The essence of the lived experience of alcohol addiction among the studied Thai women was ambivalence between feeling inferior and worthless and feeling superior and powerful when acting as a man. Drinking alcohol lessened life's difficulties and fears; for example, of violence, bodily demolition, premature death and marginalization from family and society. Conclusion: Thai women who experience alcohol addiction are treated with gender-related double standards when trying to undo gender traditional roles. Their marginalization from family and society deepens making them even more vulnerable to the positive side effects of alcohol drinking. 

  • 23.
    Hanpatchaiyakul, Kulnaree
    et al.
    Mälardalen University, School of Health, Care and Social Welfare. Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Eriksson, Henrik
    Mälardalen University, School of Health, Care and Social Welfare. Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Kijsompon, Jureerat
    Ministry of Public Health, Nonthaburi, Thailand.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare. Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Thai Men’s experiences of Alcohol Addiction and Treatment2014In: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 7, no 1, p. Article number 23712-Article in journal (Refereed)
    Abstract [en]

    Background: Men are overrepresented with regard to alcohol addiction and in terms of alcohol treatment worldwide. In Thailand, alcohol consumption continues to rise, but few of those afflicted with alcohol addiction attend alcohol treatment programs, even though there is universal care for all. No comprehensive studies have been done on men's experiences with addiction and alcohol treatment programs in Thailand.Objective: The aim of this study was to explore men's experiences in terms of the 'pros and cons of alcohol consumption' in order to identify the barriers that exist for Thai men with regard to alcohol addiction and the decision to stop drinking. Design: Purposive sampling was applied in the process of recruiting participants at an alcohol clinic in a hospital in Thailand. Thirteen men with alcohol addiction (aged 32-49 years) were willing to participate and were interviewed in thematic interviews. The analysis of the data was done with descriptive phenomenology. Results: Through men's descriptions, three clusters of experiences were found that were 'mending the body', 'drinking as payoff and doping related to work', and 'alcohol becoming a best friend' as ways of describing the development of addiction. Conclusions: The results highlight the importance of addressing concepts of masculinity and related hegemonic ideas in order to decrease the influence of the barriers that exist for Thai men with alcohol addiction with regard to entering treatment and to stop drinking. © 2014 Kulnaree Hanpatchaiyakul et al.

  • 24.
    Hanpatchaiyakul, Kulnaree
    et al.
    Mälardalen University, School of Health, Care and Social Welfare. Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare. Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Kijsomporn, Jureerat
    Praboromarajchanok Institute for Health Workforce Development .
    Eriksson, Henrik
    Mälardalen University, School of Health, Care and Social Welfare. Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    The barriers in accessing alcohol treatment through clients' perspective2013Conference paper (Refereed)
  • 25.
    Hensing, Gunnel
    et al.
    Göteborgs universitet.
    Petersson, Eva-Lisa
    Göteborgs universitet.
    Spak, Fredrik
    Göteborgs universitet.
    Östlund, Gunnel
    Linköpings universitet.
    Alkoholkonsumtion, alkoholproblem och sjukfrånvaro - vilka är sambanden?: En systematisk litteraturöversikt2010Report (Other academic)
  • 26.
    Hjalmarsson, Anna
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Asp, Margareta
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Holmberg, Mats
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    When older persons need Emergency Medical Services at home: a critical incident study on Swedish municipal care personnel2021Conference paper (Other academic)
    Abstract [en]

    Older persons in Sweden can continue to live at home, assisted by the municipal home care services. Older age raises the risk of emergency situations that require involvement of the emergency medical services (EMS). Such situations intersect two different organizations, the municipal social care services and the regional EMS. The transfer of care between the organizations might impact the older persons´ health, and quality of life or death. Research question: How do municipal care personnel describe their experiences of and actions in situations when older persons are in need of EMS? Design: The study has a qualitative inductive design. Sample: Municipal care personnel (n=19) consisting of home care personnel and security alarm responders. Data collection and analysis: Data was collected through group interviews and free text written critical incidents analyzed according to critical incident technique. Results: Experiences related to the two main areas Lifesaving competence, and Collaborative care, which encompass the four categories Emergency knowledge, Companionship in a vulnerability, Limited caring options and Conditions for EMS collaboration. Actions related to the one main area Adjusting actions to actual conditions, which encompasses the three categories Adapting care to emergency needs, Safeguarding the person, and Adapting actions to EMS leadership.

  • 27.
    Hjalmarsson, Anna
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Holmberg, Mats
    Linneuniversitetet, Sweden.
    Asp, Margareta
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Nilsson, Kent W.
    Region Västmanland, Sweden.
    Östlund, Gunnel
    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.
    Characteristic Patterns of Emergency Ambulance Assignments for Older Adults Compared with Adults Requiring Emergency Care at Home in Sweden: A Total Population Study2020In: BMC Emergency Medicine, ISSN 1471-227X, E-ISSN 1471-227X, Vol. 20, article id 94Article in journal (Refereed)
    Abstract [en]

    Background: Since the vast majority of older adults in Sweden live in their private homes throughout life, the emergency medical services need to adapt accordingly. Hence, we aimed to describe characteristic patterns of dyadic staffed emergency ambulance assignments for older adults aged > 70 years compared with adults aged 18–69 years requiring emergency care at home in Sweden. Methods: A descriptive retrospective study was performed using anonymized registry data from the emergency medical services in a region of Sweden during 2017–2018. One-sample χ2 test, one-way analysis of variance, and binary logistic regression models were used for investigating group differences. Variables for analysis were age, gender, clinical assessments, on-scene time, priority levels, result of response, and temporal patterns. Results: Of all included emergency ambulance assignments (n = 28,533), 59.9% involved older adults, of which 53.8% were women. The probability for older adults to receive the highest priority was decreased for both dispatch (p < 0.001, odds ratio [OR] 0.63, 95% confidence interval [CI] 0.59–0.66), and transport priorities (p < 0.001, OR 0.74, 95% CI 0.68–0.80). Older adults were more likely to receive dispatch priority levels 2 (p < 0.001, OR 1.48, 95% CI 1.40–1.56), and 3 (p < 0.001, OR 1.73, 95% CI 1.46–2.06). The older adults were similarly more likely to receive transport priority level 3 (p < 0.001, OR 1.40, 95% CI 1.28–1.52) compared with adults. Age had a small but additive effect in relation to on-scene time (p < 0.001, R2 = 0.01, F = 53.82). Distinguishing initial clinical assessments for older adults were circulatory, respiratory, trauma, infection, and nonspecific assessments. Emergency ambulance assignments for older adults were more frequently occurring on Mondays (p < 0.001, χ2 = 232.56), and in the 08:00–11:59 interval (p < 0.001, χ2 = 1224.08). Conclusion: The issues of the lower priority level preponderance, and the decreased probability for receiving the highest priority warrant further attention in future research and clinical practice. 

  • 28.
    Hjalmarsson, Anna
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Asp, Margareta
    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.
    Holmberg, Mats
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Linneaus Univ, Fac Hlth & Life Sci, Växjö, Sweden.;Uppsala Univ, Ctr Clin Res Sormland, Eskilstuna, Sweden.;Region Sormland, Dept Ambulance Serv, Eskilstuna, Sweden..
    A matter of participation?: A critical incident study of municipal care personnel in situations involving care-dependent older persons and emergency medical services2022In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 17, no 1, article id 2082062Article in journal (Refereed)
    Abstract [en]

    Purpose This study aimed at describing municipal care personnel's experiences of and actions in situations when older persons need emergency medical services (EMS) at home. Methods An inductive descriptive design adhering to critical incident technique (CIT) was used. Data were collected through interviews and free text written questionnaires, analysed in accordance with CIT procedure. Results Experiences related to the main areas of Lifesaving competence and Collaborative care. Lifesaving competence involved having sufficient knowledge to guide older persons in emergencies without organizational support. The lack of care alternatives carries dependence on inter-organizational collaboration, as well as having to accept the collaborative conditions provided by the EMS. Actions meant Adjusting to situational needs and EMS authority, which involved safeguarding the person while being directed by the EMS. Conclusions Lack of organizational support, care alternatives, and structured collaboration jeopardize care-dependent older persons' health, and ability to influence care when emergency situations occur at home. Municipal care personnel's actions as the older person's representative support human agency, allowing older persons to become active participants in care despite acute suffering. This study underlines the importance of further developing welfare policies that facilitate and regulate inter-organizational responsibilities of health and social care to favour older people.

  • 29.
    Hjalmarsson, Anna
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Asp, Margareta
    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.
    Holmberg, Mats
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Faculty of Health and Life Sciences, Linnaeus University, Växjö, Sweden; Centre for Clinical Research Sörmland, Uppsala University, Eskilstuna, Sweden; Department of Ambulance Services, Region Sörmland, Katrineholm, Sweden.
    Balancing power: Ambulance personnel's lived experience of older persons' participation in care in the presence of municipal care personnel2023In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Article in journal (Refereed)
    Abstract [en]

    Background: Patient participation is considered to promote well-being and is, therefore, central in care contexts. Care-dependent older persons living at home constitute a vulnerable population with increased ambulance care needs. Care transfers risk challenging participation in care, a challenge that can be accentuated in situations involving acute illness.Aim: To illuminate meanings of older persons' participation in ambulance care in the presence of municipal care personnel from the perspective of ambulance personnel.Method: A phenomenological hermeneutical method was used to analyse transcripts of narrative interviews with 11 ambulance personnel.Results: The ambulance personnel's lived experience of older persons' participation includes passive and active dimensions and involves a balancing act between an exercise of power that impedes participation and equalisation of power that empowers participation. The main theme 'Balancing dignity in relation to manipulating the body' included the themes Providing a safe haven and Complying with bodily expressions, which means shouldering responsibility for existential well-being and being guided by reactions. The main theme 'Balancing influence in relation to perceived health risks' included the themes Agreeing on a common perspective, Directing decision-making mandate, and Sharing responsibility for well-being, which means shouldering responsibility for health focusing on risks. Influence is conditional and includes performance requirements for both the older person and municipal care personnel.Conclusion: Care-dependent older persons' participation in care from the perspective of ambulance personnel means recognising passive and active dimensions involving human dignity, the ability to influence care, and optimising care efforts through collaboration. This study provides a deepened understanding of the balancing of power involved in ambulance care determining participation, where power is equalised or exercised depending on personal engagement, health risks, and available care options. The knowledge provided holds the potential to improve ambulance care to benefit older persons in critical life situations.

  • 30.
    Hjalmarsson, Anna
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Asp, Margareta
    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.
    Holmberg, Mats
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Faculty of Health and Life Sciences Linnaeus University, Växjö, Sweden; Centre for Clinical Research Sörmland, Uppsala University, Eskilstuna, Sweden; Department of Ambulance Services, Region Sörmland, Katrineholm, Sweden.
    Entrusting life to professionals: A phenomenological hermeneutical study of older persons' participation in prehospital emergency care involving municipal home care and ambulance services2023In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Article in journal (Refereed)
    Abstract [en]

    Background: Participation in care is considered to promote safe and qualitative care. Care-dependent older persons ageing in place have increased emergency care needs, which initiate inter-organisational collaboration involving municipal home care and ambulance services. Previous research concludes that uncertainties exist regarding what participation in care means in clinical practice, which necessitates the need to illuminate the phenomenon for older persons in critical life situations.

    Aim: This study aimed to illuminate meanings of participation in prehospital emergency care from the perspective of care-dependent older persons experiencing acute illness at home.

    Design: This study has a qualitative design with a lifeworld approach.

    Method: A phenomenological hermeneutical method was used to analyse transcribed telephone interviews with eleven care-dependent persons aged 70–93 years.

    Results: Care-dependent older persons' participation in prehospital emergency care means ‘Entrusting life to professional caregivers’ when being in helpless solitude and existentially unsafe, which emphasises a deepened interpersonal dependence. Meanings of participation in care from the perspective of older persons involve Being reassured in togetherness, Being pliant in trust of emergency expertise, Being enabled through the agency of professional caregivers, and Encountering readiness in the emergency care chain.

    Conclusion: Care-dependent older persons' participation in prehospital emergency care is existential and involves interpersonal dependence. Togetherness brings reassurance, safety and opportunity for emotional rest while accessing the professional caregivers' power, competence and abilities which provide opportunities for existence and movement towards well-being and continued living.

    Implications for practice: Prehospital emergency care from the perspective of care-dependent older persons transcends organisational boundaries and includes the municipal mobile safety alarm service. The involved municipal and regional organisations need to provide support by implementing lifeworld-led care models and care alternatives that enable professionals to recognise the existential dimension of participation in care.

  • 31.
    Hjalmarsson, Anna
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Asp, Margareta
    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.
    Holmberg, Mats
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Entrusting life to professionals: Older persons’ lived experience of participation in prehospital emergency care involving municipal home care and ambulance services.Manuscript (preprint) (Other academic)
  • 32.
    Hochwälder, Jacek
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Gustafsson, Lena-Karin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Zander, Viktoria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Elfström, Magnus L.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Psychometric evaluation of the subjective well-being measure GP-CORE in a group of older adults in Sweden.2022In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 22, no 1, article id 913Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The world's growing population of older adults is one population that needs to be focused more regarding subjective well-being. It is therefore important to evaluate self-report instruments that measures general well-being for this specific group - older adults. The aim of the present study was to investigate psychometric properties of the Swedish translation of the GP-CORE (general population - Clinical Outcomes in Routine Evaluation) in a group of older adults (> 65 years).

    METHODS: In this study, a psychometric evaluation of the GP-CORE is presented for 247 Swedish older adults (> 65 years), 184 women and 63 men who applied for home care assistance for the first time.

    RESULTS: The psychometric evaluation showed high acceptability; provided norm values in terms of means, standard deviations and quartiles; showed satisfactory reliability in terms of both internal consistency and stability; showed satisfactory validity in terms of convergent and discriminant validity; provided a very preliminary cut-off value and quite low sensibility and sensitivity and showed results which indicated that this scale is sensitive to changes. One gender difference was identified in that women without a cohabitant had a higher well-being than men without a cohabitant (as measured by GP-CORE).

    CONCLUSIONS: The GP-CORE showed satisfactory psychometric properties to be used to measure and monitor subjective well-being in older adults (> 65 years) in the general population of community dwelling. Future studies should establish a cut-off value in relation to another well-being measure relevant for mental health in older adults.

  • 33.
    Holmström, Inger K
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Stier, JonasMälardalen University, School of Health, Care and Social Welfare, Health and Welfare.Tillgren, PerMälardalen University, School of Health, Care and Social Welfare, Health and Welfare.Östlund, GunnelMälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Samproduktionens retorik och praktik: inom hälsa och välfärd2016Collection (editor) (Other (popular science, discussion, etc.))
  • 34.
    Lassinantti, Kitty
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Blomberg, Helena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Discursive Strategies in Adolescent Girl’s and Women’s Constructions of Mental Health and Ill-Health2021In: IV ISA Forum of Sociology: Book of Abstracts, 2021, p. 323-324Conference paper (Refereed)
  • 35.
    Mattebo, Magdalena
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Elfström, Magnus L.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Availability of attachment relations and safe school environment are associated with subjective well-being in 15-year-olds – with girls reporting less well-being and less equality2022In: International Journal of Educational Research Open, ISSN 2666-3740, Vol. 3, article id 100145Article in journal (Refereed)
    Abstract [en]

    Background: Understanding young people's subjective well-being, such as how they experience equality, safety, and supportive environments, is particularly important for identifying possible preventive interventions in the school context. Aim: The aim of this study was to investigate similarities and differences between 15-year-old girls’ and boys’ subjective well-being, and its associations with psychosocial factors. Methods: The study was explorative and cross-sectional. A total of 195 adolescent girls and 116 boys in Grade 9 from four Swedish junior high schools completed a questionnaire on subjective well-being; emotional support opportunities; gender equality; experience of emotional, physical, and sexual violence in close relationships; insecurity due to harassment in the school environment or on social media; and pornography consumption. Results: Compared to boys, girls indicated worse subjective well-being and more harassment in school and on social media, and reported that boys received benefits based on gender. Boys reported higher pornography consumption compared with girls. Girls reporting decreased subjective well-being experienced more harassment on social media and in school, and more recent sexual violence. Among boys, with decreased subjective well-being, more psychological risks such as self-harm and suicidal thoughts was reported. Both girls and boys with decreased subjective well-being reported less availability of attachment and insecure close relations. Conclusion: The absence of a safe and supportive environment, such as feeling secure at school, and lack of close and trusting relationships are associated with 15-year-olds’ subjective well-being for the worse, regardless of gender. It is suggested that school personnel extend the relational possibilities in the school context. 

  • 36.
    Olsson, Louise
    et al.
    Linköpings universitet.
    Östlund, Gunnel
    Linköpings universitet.
    Strang, Peter
    Karolinska institutet.
    Jeppsson Grassman, Eva
    Linköpings universitet.
    Fredrichsen, Maria
    Linköpings universitet.
    Maintaining hope when close to death: insight from cancer patients in palliative care2010In: International Journal of Palliative Nursing, ISSN 1357-6321, E-ISSN 2052-286X, Vol. 16, no 12, p. 607-612Article in journal (Refereed)
    Abstract [en]

    Purpose: This article reports the social and psychological processes that 11 cancer patients receiving palliative home care used to keep their hopealive. Method: The patients described their ways of dealing with hope in interviews and diaries, and it was from these accounts that the processes were extracted, using a grounded theory methodology. Results: Two main processes emerged: maintaining life and preparing for death. When the patients focused on maintaining life, they tried to preserve its meaning and to communicate with others about life and death. They found it helpful to shift their focus and to involve fellow 'travellers' in their journey. To prepare for death was to take responsibility for the future and to see possibilities of living on even after death. Conclusion: This paper revealed two parallel and interdependent processes used by patients in the palliative care phase to maintainhope and respond to living close to death.

  • 37.
    Olsson, Louise
    et al.
    Linköpings universitet.
    Östlund, Gunnel
    Linköpings universitet.
    Strang, Peter
    KI.
    Jeppsson Grassman, Eva
    Linköpings universitet.
    Fredrichsen, Maria
    Linköpings universitet.
    The glimmering embers: Experiences of hope among cancer patients in palliative home care2011In: Palliative & Supportive Care, ISSN 1478-9515, E-ISSN 1478-9523, Vol. 9, no 1, p. 43-54Article in journal (Refereed)
    Abstract [en]

    Objective: The experience of hope among cancer patients in palliative care is important information for healthcare providers, but research on the subject is sparse. The aim of this article was to explore how cancer patients admitted to palliative home care experienced the significance of hope and usedhope during 6 weeks throughout the last phase of their life, and to assess their symptoms and hope status during 6 weeks throughout the last phase of their lives.Method: Eleven adult patients with cancer participated in 20 interviews and completed seven diaries. The participants were recruited from two palliative care units in the southeast of Sweden. The method used was Grounded Theory (GT), and analysis was based on the constant comparative method.Results: The core category, glimmering embers, was generated from four processes: (1) The creation of "convinced" hope, with a focus on positive events, formed in order to have something to look forward to; (2) The creation of "simulated hope," including awareness of the lack of realism, but including attempts to believe in unrealistic reasons for hope; (3) The collection of and maintaining of moments of hope, expressing a wish to "seize the day" and hold on to moments of joy and pleasure; and (4) "Gradually extinct" hope, characterized by a lack of energy and a sense of time running out.Significance of results: The different processes of hope helped the patients to continue to live when they were close to death. Hopeshould be respected and understood by the professionals giving them support.

  • 38.
    Pongthippat, Weerati
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. b Mental Health and Psychiatric Nursing Department, Boromarajonani College of Nursing Udon Thani, Udon Thani, Thailand.
    Darvishpour, Mehrdad
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Kijsompon, Jureerat
    c Praboromrajchanok Institute for Health Workforce Development, Ministry of Public Health, Nonthaburi, Thailand.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Broken dreams of a better life in Sweden: Thai women’s lived experiences of intimate partner violence by Swedish men in international marriages2018In: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 11, no 1, p. 1-10Article in journal (Refereed)
    Abstract [en]

    Background: Intimate partner violence by men against women has detrimental effects on equality, health and integration. Migrated and ‘imported’ wives experience an increased risk of intimate partner violence. Objectives: The purpose of this study was to explore Thai immigrant women’s lived experiences of intimate partner violence in Sweden. Method: Semi-structured interviews based on the critical incident technique with specific questions about experiences of male-to-female intimate partner violence were used to collect data. The participants were Thai immigrant women who had lived in Sweden for more than five years. Qualitative content analysis was used to identify patterns and variations in the transcribed data material. Results: Eighteen interviewees reported psychological, physical, economic and/or sexual violence in their international marriages. These Thai women described being faithful and silent and reliable housewives. However, this did not keep them from being replaced and losing dignity as a result of intimate partner violence, including experiencing broken dreams and deception. Although their dreams were broken, they did not give up their efforts to achieve better lives in Sweden. Conclusions: The vulnerability of imported wives in international marriages needs to be further recognised by health and welfare agencies in Sweden, as elsewhere, to ensure that these women have equal access to human rights, welfare and health as other citizens. From a health promotion perspective, home-based health check-ups are needed to stop the exploitation of imported wives. In Thailand, information and education about the unrecognised negative conditions of the Mia farang role (Imported wife role) need to be disseminated.

  • 39.
    Pongthippat, Weerati
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Darvishpour, Mehrdad
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Kijsomporn, J.
    Gustafsson, Lena-Karin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Multidimensional health goal a driving force in relationship management among Thai women in marriages migrationManuscript (preprint) (Other academic)
  • 40.
    Pongthippat, Weerati
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Boromarajonani Coll Nursing, Dept Mental Hlth & Psychiat Nursing, Udon Thani, Thailand..
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Darvishpour, Mehrdad
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Kijsomporn, Jureerat
    Minist Publ Hlth, Praboromarajchanok Inst Hlth Workforce Dev, Nonthaburi, Thailand..
    Gustafsson, Lena-Karin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Perceptions of transnational family responsibilities' effects on subjective health and wellness - voices of Thai immigrant women2020In: International Journal of Migration, Health and Social Care, ISSN 1747-9894, E-ISSN 2042-8650, Vol. 16, no 3, p. 225-240Article in journal (Refereed)
    Abstract [en]

    Purpose Globalisation provides new opportunities for immigrant women to supply financial benefits transnationally to uphold their families in their home countries. The purpose of this study is to explore the experiences of Thai immigrant women regarding transnational family responsibilities effects on their health and wellness. Design/methodology/approach Qualitative data were collected using semi-structured interviews with 40 Thai immigrant women, of which 34 described having transnational family responsibilities. The transcribed data were analysed using a phenomenographic approach. Findings The findings revealed five structural aspects of transnational family responsibilities of Thai immigrant women: being a dutiful daughter, being a caring mother, being a kind relative, being a "giving" person and striving for a wealthy life. The interviewees seldom encountered enough support from the spouse in handling their transnational family responsibilities. In general, a transnational marriage includes family responsibilities that are continuous and that often is the cause of migration. Practical implications This paper illuminates the transnational responsibilities of marriage migration and argues for women's rights of culturally congruent health care. Originality/value Traditionally Thai women's values are based on how they handle family responsibilities and acknowledging own health needs are not. These interviewees perceived doubled burden in terms of family responsibilities and workload in employed work, which contributed to poor health and wellness.

  • 41.
    Pongthippat, Weerati
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Kijsomporn, Jureerat
    Ministry for Public Health, Thailand.
    Gustafsson, Lena-Karin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Illuminating health aspects for immigrant Thai women living in Swedish transnational marriagesManuscript (preprint) (Other academic)
  • 42.
    Stier, Jonas
    et al.
    Högskolan Dalarna, Sweden.
    Holmström, Inger
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Samarbete, samverkan, samproduktion2016In: Samproduktionens retorik och praktik: inom området hälsa och välfärd, Lund: Studentlitteratur AB , 2016, 1Chapter in book (Other academic)
  • 43.
    Stier, Jonas
    et al.
    Högskolan Dalarna, Sweden.
    Holmström, Inger
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Samproduktionens praktik och teori2016In: Samproduktionens retorik och praktik: inom området hälsa och välfärd, Lund: Studentlitteratur AB , 2016, 1Chapter in book (Other academic)
  • 44.
    Sverker, A.
    et al.
    Linkoping Univ, Dept Act & Hlth, Dept Med & Hlth Sci, Linkoping, Sweden.;Linkoping Univ, Dept Social & Welf Studies, Linkoping, Sweden..
    Bjork, M.
    Linkoping Univ, Dept Social & Welf Studies, Linkoping, Sweden.;Linkoping Univ, Dept Rheumatol, Linkoping, Sweden..
    Thyberg, I.
    Linkoping Univ, Dept Rheumatol, Linkoping, Sweden.;Linkoping Univ, Dept Clin & Expt Med, Linkoping, Sweden..
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    WOMEN WITH EARLY RA PREFER TO USE INTERACTION AND ADJUSTMENT STRATEGIES TO DEAL WITH THEIR EVERYDAY LIFE DILEMMAS: THE TIRA PROJECT)2016In: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 75, p. 1298-1298Article in journal (Other academic)
  • 45.
    Sverker, A.
    et al.
    Cty Council Östergötland, Sweden.
    Björk, M.
    Linköping Univ, Sweden.
    Thyberg, I.
    Linköping Univ, Sweden.
    Thyberg, M.
    Linköping Univ, Sweden.
    Valtersson, E.
    Cty Council Östergötland, Sweden.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    MEN'S STRATEGIES OF HANDLING PARTICIPATION RESTRICTIONS RELATED TO RHEUMATOID ARTHRITIS (THE SWEDISH TIRA STUDY)2014In: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 73, p. 1219-1219Article in journal (Refereed)
  • 46.
    Sverker, A.
    et al.
    Linkoping Univ, Dept Med & Hlth Sci, Dept Act & Hlth, Linkoping, Sweden.;Linkoping Univ, Dept Rehabil Med, Linkoping, Sweden.;Linkoping Univ, Dept Social & Welf Studies, Norrkoping, Sweden..
    Thyberg, I.
    Linkoping Univ, Dept Rheumatol, Linkoping, Sweden..
    Valtersson, E.
    Linkoping Univ, Dept Med & Hlth Sci, Dept Act & Hlth, Linkoping, Sweden..
    Bjork, M.
    Linkoping Univ, Dept Social & Welf Studies, Norrkoping, Sweden.;Linkoping Univ, Dept Rheumatol, Linkoping, Sweden..
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Hjalmarsson, S.
    Swedish Rheumatism Assoc, Patient Res Partner, Norrkoping, Sweden..
    QUALITIES OF PARTICIPATION AS DESCRIBED BY PEOPLE WITH EARLY RA IN WORKING AGE2018In: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 77, p. 1784-1784Article in journal (Other academic)
  • 47.
    Sverker, Annette
    et al.
    Division of Occupational Therapy, Department of Social and Welfare Studies, Department of Activity and Health, Department of Rehabilitation Medicine, Department of Medical and Health Sciences, Linköping University, Sweden.
    Thyberg, Ingrid
    Department of Rheumatology, Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden.
    Valtersson, Eva
    Department of Activity and Health, Department of Rehabilitation Medicine, Department of Medical and Health Sciences, Department of Rheumatology, Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden.
    Björk, Mathilda
    Department of Rheumatology, Department of Social and Welfare Studies, Linköping University, Sweden.
    Hjalmarsson, Sara
    Patient Research Partner, Swedish Rheumatism Association, Norrköping, Sweden.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Time to update the ICF by including socioemotional qualities of participation?: The development of a ‘patient ladder of participation’ based on interview data of people with early rheumatoid arthritis (The Swedish TIRA study)2020In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 42, no 9, p. 1212-1219Article in journal (Refereed)
    Abstract [en]

    Purpose: The aim of was to identify and illustrate in what situations and with what qualities people with early RA experience participation in every day’s life.

    Methods: 59 patients (age 18-63 years) were interviewed; 25 men and 34 women. Content analysis was used to identify meaning units which were sorted based on type of situations described and later on, categories based on quality aspects of participation were developed.

    Results: Participation was described as: 1. being part of a group, where a sense of belonging arose. 2. In doing activities with others for example at work or in leisure. 3. When sharing everyday chores and responsibilities for example in domestic duties. 4. When experiencing influence on actions such as when being asked for opinions on how to conduct a specific task. 5. When having the possibility to give direction of goals in rehabilitation, or elsewhere. 6. When sharing decision making and experiencing a high degree of influence in the situation.

    Conclusions: Participation from an individual’s perspective is about belonging and having influence that mediates a positive feeling of being included and that you matter as a person. The results are important when using participation as a goal in clinical care. It’s important to expand participation beyond the definitions in ICF and guidelines to include the patients’ socio-emotional participation in order to promote health.

     

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    time to update ICF
  • 48.
    Sverker, Annette
    et al.
    Östergötlands läns landsting, Sweden.
    Thyberg, Ingrid
    Linköpings universitet, Sweden.
    Östlund, Gunnel
    Linköpings universitet, Sweden.
    Valtersson, Eva
    Östergötlands läns landsting, Sweden.
    Thyberg, Mikael
    Linköpings universitet, Sweden.
    Dilemmas of participation in work and employment in early RA: A qualitative interview study (the Swedish TIRA study)2011Conference paper (Refereed)
  • 49.
    Sverker, Annette
    et al.
    Östergötlands läns landsting, Sweden.
    Thyberg, Ingrid
    Linköpings universitet, Sweden.
    Östlund, Gunnel
    Linköpings universitet, Sweden.
    Valtersson, Eva
    Östergötlands läns landsting, Sweden.
    Thyberg, Mikael
    Linköpings universitet, Sweden.
    Participation in work in early rheumatoid arthritis: A qualitative interview study interpreted in terms of the ICF2014In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 36, no 1, p. 242-249Article in journal (Refereed)
    Abstract [en]

    Purpose: To explore what work-related dilemmas are experienced by patients with early rheumatoid arthritis (RA), according to their own descriptions, and to interpret this in terms of participation categories of the International Classification of Functioning, Disability and Health (ICF). Method: In 48 patients with early RA, qualitative interviews were analyzed, followed by linking of concepts to the activity/participation component of the ICF and interpretation of general themes. Results: Work-related dilemmas represented different societal perspectives on work related to acquiring, keeping and terminating a job, self-employment, part-time, full-time and non-remunerative employment. Dilemmas also represented participation priorities in economic self-sufficiency, self-care such as health care, and avoiding social relationships and recreation in favor of work. Leisure time was influenced because efforts of working took energy and time of day-to-day procedures. Embedded actions in work-related dilemmas were carrying out daily routine, mobility including using transportation, self-care, domestic life and social interaction. Conclusion: The general themes societal perspectives, participation priorities and embedded actions, with the included ICF categories that are described in detail according to the experiences of the patients, can support clinical reasoning and research on quantitative relations to disease activity, body functions, ability and contextual factors.Implications for RehabilitationIn early rheumatoid arthritis, keeping a job is complex; patients and practitioners need to know and handle the perspectives of, e.g. employers and social insurance agents.Participation in work is an issue of prioritizing against, e.g. maintaining one's health and social relationships.Rehabilitation practitioners need to analyze what actions are embedded in a work situation.

  • 50.
    Sverker, Annette
    et al.
    Linköpings universitet, Sweden.
    Östlund, Gunnel
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Börjesson, M
    Sköndals institutet, Sweden.
    Hägerström, M
    Karolinska institutet, Sweden.
    Gåfvels, C
    Karolinska institutet, Sweden.
    The importance of socialwork in health care for individuals with rheumatoid arthritis2017In: Quality in Primary Care, ISSN 1479-1072, E-ISSN 1479-1064, Vol. 25, no 3, p. 138-147Article in journal (Refereed)
    Abstract [en]

    People with rheumatoid arthritis (RA), often associated with psychosocial problems and reduced quality of life, benefit from the guidance of trained medical social workers. This study explores the effectiveness of psychosocial treatment in patients with RA using a structured interview to detect psychosocial problems for 100 patients. These individuals were offered regular sessions with a medical social worker. Three types of mixed-problems were found: mixed problems related to RA, mixed problems related to the life situation, and mixed problems related to a combination of RA and the life situation. The RA patients who reported mixed-problems at time of their diagnosis received psychosocial treatment from a medical social worker regardless of the mixed problems they experienced. In addition, we found that disease-related mixed problems seemed more treatable than other problems. Social work in somatic healthcare seems most successful in patients with sickness-related social and psychosocial problems.

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