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  • 201. McCaig, Colin
    et al.
    Dahlberg, Lena
    Dalarna University, School of Health and Social Studies, Social Work.
    Dissemination2010In: Practical Research and Evaluation: A Start-to-Finish Guide for Practitioners / [ed] Dahlberg, Lena; McCaig, Colin, London: SAGE , 2010Chapter in book (Other academic)
  • 202. McCaig, Colin
    et al.
    Dahlberg, Lena
    Dalarna University, School of Health and Social Studies, Social Work.
    Writing a research proposal or brief2010In: Practical Research and Evaluation : A Start-to-Finish Guide for Practitioners / [ed] Dahlberg, Lena; McCaig, Colin, London: SAGE , 2010Chapter in book (Other academic)
  • 203.
    McKee, Kevin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Factors associated with the willingness to care of informal carers of older people2011In: Aging Clinical and Experimental Research, ISSN 1594-0667, E-ISSN 1720-8319, Vol. 23, no Suppl.1, p. 70-Article in journal (Refereed)
  • 204.
    McKee, Kevin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Frailty falls and the Body Drop2011In: Aging Clinical and Experimental Research, ISSN 1594-0667, E-ISSN 1720-8319, Vol. 23, no Suppl. 1, p. 80-Article in journal (Refereed)
  • 205.
    McKee, Kevin
    Dalarna University, School of Health and Social Studies, Social Work.
    FUTURAGE: A road map for European ageing research2011Report (Other academic)
  • 206.
    McKee, Kevin
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Austin, C
    Causal attributions following a fall and health outcomes at 6 months post-fall2009In: Psychology and Health, ISSN 0887-0446, E-ISSN 1476-8321, Vol. 24, no Suppl.1, p. 268-Article in journal (Refereed)
    Abstract [en]

    Background. Falls in older people decrease quality of life and increase mortality. There is littleresearch on perceptions of the cause of a fall and their influence on health outcomes. Method.A survey (N¼196) of older people hospitalised after a fall recorded attributions for the causeof the fall. A follow-up survey at 6 months measured functional limitation, anxiety anddepression. Findings. of the participants, 44.3% saw their fall as due to their character, 15.6%due to their behaviour, and 40.1% due to external factors. A hopelessness explanatory stylewas found in 21.1% of participants. Perceiving age as the cause of the fall predicted (p5.06)higher levels of depression at 6 months, while having hopelessness explanatory stylesignificantly predicted higher functional limitation (p¼.001). Discussion. Causal attributionsof fall events impact on physical and mental health outcomes, offering a route forpsychological intervention to reframe the meaning attached to a fall.

  • 207.
    McKee, Kevin
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Bien, B
    Wojszel, B
    Kofahl, C
    Krevers, B
    Melchiorre, M G
    Mnich, E
    Prouskas, C
    The willingness of informal carers of older people to continue caring: results of the EUROFAMCARE study2010In: Psychology and Health, ISSN 0887-0446, E-ISSN 1476-8321, Vol. 25, no Suppl. 1, p. 59-59Article in journal (Other academic)
    Abstract [en]

    Objectives: The willingness to continue in the caregiving role has been shown to be one of the most significant factors in the breakdown of family care of an older person. Willingness to care was considered in the EUROFAMCARE study, which examined the characteristics of caregiving in six European countries. Methods: Nearly 6000 informal carers of older people (n = 1000 in Germany, Italy, Sweden, Greece, Poland and the UK) were recruited using a shared sampling protocol and interviewed using a standardized questionnaire. Logistic regression procedures determined the best model of willingness to care in each country. Results: Between 29% and 14% of the variance in willingness to care was explained by the models. No single variable was significant in the models across all countries, but the negative impact of care was associated with low willingness in five countries, while being a son/daughter carer was associated with high willingness in four. The category of variables that explained the most variance in willingness to care was ‘caregiving circumstances and relationships’. Conclusions: If a carer's motivation for caregiving is to be maintained, support for carers must adequately address any negative impact of their role, and use a relationship-centred approach.

  • 208.
    McKee, Kevin
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Dahlberg, Lena
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Psychological, health and social predictors of emotional and social loneliness in older people2012In: Psychology and Health, ISSN 0887-0446, E-ISSN 1476-8321, Vol. 27, no s1, p. 89-90Article in journal (Refereed)
  • 209.
    McKee, Kevin
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Dahlberg, Lena
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Social exclusion and well-being in older adults in rural and urban communities.2017Conference paper (Refereed)
  • 210.
    McKee, Kevin
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Dahlberg, Lena
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    The association between receipt of informal care and health in older people2011In: Psychology and Health, ISSN 0887-0446, E-ISSN 1476-8321, Vol. 26, no Suppl. 2, p. 173-Article in journal (Refereed)
    Abstract [en]

    Background: Older people as care-receivers are under-researched. We examined the health and well-being of older people with differing levels of care need and receipt. Methods: Community resident older people (N = 1250) from a single UK metropolitan area were randomly recruited, and completed a questionnaire on social exclusion via interview. Participants were categorised into one of the four groups: receiving informal care; receiving informal support; no receipt of informal care/support despite need and no receipt of informal care/support, no need. Findings: Associations (p < 0.001) between group membership and health status (F = 75.7), functional status (F = 159.1), well-being (F = 29.5) and loneliness (F = 28.9) indicated the ‘receiving care’ and ‘no receipt of care/support despite need’ groups had the poorest health profiles. Logistic regression determined primary predictors of group membership. Discussion: A significant group of older people receives no informal care/support despite frailty. Research is needed to determine why some older people do not receive informal care appropriate to their needs.

  • 211.
    McKee, Kevin
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Dahlberg, Lena
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    The association between social exclusion and well-being in older adults from rural and urban areas2018Conference paper (Refereed)
  • 212.
    McKee, Kevin
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Kostela, Johan
    Dalarna University, School of Education, Health and Social Studies.
    Dahlberg, Lena
    Dalarna University, School of Education, Health and Social Studies, Social Work. Stockholm University; Karolinska Institutet, Sweden.
    Five years from now: Correlates of older people’s expectation of future quality of life2014In: Age Well - Challenges for Individuals and Society: Program 22nd Nordic Congress of Gerontology Gothenburg 25-28 May, 2014Conference paper (Refereed)
    Abstract [en]

    Few studies have explored older people’s expected future quality of life (QoL), despite evidence that perceptions of one’s future influence healthy ageing. Research on this topic should embrace a range of potential influences, including perceptions of one’s neighbourhood and region. This study examined expected QoL in a random sample of the population of Dalarna, a Swedish region. A self-completion questionnaire assessed demographic characteristics, current neighbourhood and regional evaluations, self-evaluations, expectations for the future, and current and expected QoL.  In total, 786 people aged ≥ 65 years participated. Current QoL was favourably evaluated, and while expected QoL also received a positive assessment, the mean value for expected QoL was notably lower than that for current QoL (t(755)=24.06, p<.05). Indeed, only 3.6% (n=27) of participants rated their expected QoL higher than their current QoL. A sequential multiple regression model explained 44% of the variance in older people’s expected QoL. Nine IVs were significant (p<.05) in the final model of expected QoL: current QoL (1% unique variance explained), age (1%), education level (1%), Regional Development Beliefs (1%), Perceived Regional Status (2%), self-reported health (3%), social influence (1%), Expected Regional Opportunity (3%) and expected change in housing need (1%). Our findings establish the significance of an older person’s perception of their locality for their expected future QoL. Policies that focus only on individual and relational factors for the promotion of healthy ageing are overlooking the potential contribution of an older person’s connection to their neighbourhood and region.

  • 213.
    McKee, Kevin
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Kostela, Johan
    Dalarna University, School of Education, Health and Social Studies.
    Dahlberg, Lena
    Dalarna University, School of Education, Health and Social Studies, Social Work. Karolinska Institutet/Stockholm University.
    Five years from now: Correlates of older people’s expectation of future quality of life2015In: Research on Aging, ISSN 0164-0275, E-ISSN 1552-7573, Vol. 37, no 1, p. 18-40Article in journal (Refereed)
    Abstract [en]

    Few studies have explored older people’s expected future quality of life (QoL), despite evidence that perceptions of one’s future influence healthy ageing. Research on this topic should embrace a range of potential influences, including perceptions of one’s neighbourhood and region. This study examined expected QoL in a random sample of the population of Dalarna, a Swedish region. A self-completion questionnaire assessed demographic characteristics, current neighbourhood and regional evaluations, self-evaluations, expectations for the future, and current and expected QoL. In total, 786 people aged ≥ 65 years participated. A sequential multiple regression model explained 44% of the variance in older people’s expected QoL, with self-reported health (sr2=.03), Expected Regional Opportunity (sr2=.03), and Perceived Regional Status (sr2=.02) having the strongest associations with expected QoL. Research on the importance of one’s neighbourhood to QoL in older people should encompass people’s perceptions of their region, to better inform social policy for healthy ageing.

  • 214.
    McKee, Kevin
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Schüz, Benjamin
    University of Tasmania.
    Psychosocial factors in healthy ageing2015In: Psychology and Health, ISSN 0887-0446, E-ISSN 1476-8321, Vol. 30, no 6, p. 607-626Article in journal (Refereed)
  • 215.
    McKee, Kevin
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Spazzafumo, L
    Nolan, MR
    Wojszel, ZB
    Lamura, G
    Bien, B
    Components of the difficulties, satisfactions and management strategies of carers of older people: A principle component analysis of CADI-CASI-CAMI.2009In: Aging & Mental Health, ISSN 1360-7863, E-ISSN 1364-6915, Vol. 13, no 2, p. 255-264Article in journal (Refereed)
  • 216. Mocumbi, Sibone
    et al.
    McKee, Kevin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Munguambe, Khátia
    Chiau, Rogério
    Högberg, Ulf
    Hanson, Claudia
    Wallin, Lars
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Karolinska institutet; Göteborgs universitet.
    Sevene, Esperança
    Bergström, Anna
    Ready to deliver maternal and newborn care? Health providers' perceptions of their work context in rural Mozambique2018In: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 11, no 1, article id 1532631Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Deficiencies in the provision of evidence-based obstetric care are common in low-income countries, including Mozambique. Constraints relate to lack of human and financial resources and weak health systems, however limited resources alone do not explain the variance. Understanding the healthcare context ahead of implementing new interventions can inform the choice of strategies to achieve a successful implementation. The Context Assessment for Community Health (COACH) tool was developed to assess modifiable aspects of the healthcare context that theoretically influence the implementation of evidence.

    OBJECTIVES: To investigate the comprehensibility and the internal reliability of COACH and its use to describe the healthcare context as perceived by health providers involved in maternal care in Mozambique.

    METHODS: A response process evaluation was completed with six purposively selected health providers to uncover difficulties in understanding the tool. Internal reliability was tested using Cronbach's α. Subsequently, a cross-sectional survey using COACH, which contains 49 items assessing eight dimensions, was administered to 175 health providers in 38 health facilities within six districts in Mozambique.

    RESULTS: The content of COACH was clear and most items were understood. All dimensions were near to or exceeded the commonly accepted standard for satisfactory internal reliability (0.70). Analysis of the survey data indicated that items on all dimensions were rated highly, revealing positive perception of context. Significant differences between districts were found for the Work culture, Leadership, and Informal payment dimensions. Responses to many items had low variance and were left-skewed.

    CONCLUSIONS: COACH was comprehensible and demonstrated good reliability, although biases may have influenced participants' responses. The study suggests that COACH has the potential to evaluate the healthcare context to identify shortcomings and enable the tailoring of strategies ahead of implementation. Supplementing the tool with qualitative approaches will provide an in-depth understanding of the healthcare context.

  • 217.
    Modig, Charlotta
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    ”De vill ha LARO”: Missbrukshandläggares upplevelser av att arbeta medopiatberoende klienter2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Opiate addiction is a serious and difficult condition and drug mortality in Sweden is very

    high. The purpose of this study is to acquire knowledge and illustrate how staff working with

    drug addiction in social services in Dalarna look at their work with people with opiate

    addiction in relation to the fact that MAT lies with another operator. A qualitative study has

    been carried out where social workers who works with drug addiction from five different

    municipalities in Dalarna have been interviewed. The empirical data were analyzed in relation

    to previous research on the area and the theories of domains and professions. The conclusion

    of the study shows that the social workers in Dalarna experiencing some obstacles in their

    work with clients with opioid dependence since it is two operators involved. For example, the

    long queues to MAT and difficulties to get through forced addiction care were issues that may

    be a risk for clients lives.

  • 218.
    Naseer, Mahwish
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work. Aging Research Center, Karolinska Institutet & Stockholm Universit.
    Dahlberg, Lena
    Dalarna University, School of Education, Health and Social Studies, Social Work. Aging Research Center, Karolinska Institutet & Stockholm University.
    Fagerström, Cecilia
    Health related quality of life and emergency department visits in adults of age ≥ 66 years: a prospective cohort study.2018In: Health and Quality of Life Outcomes, ISSN 1477-7525, E-ISSN 1477-7525, Vol. 16, no 1, article id 144Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Age increases the risk of emergency department [ED] visits. Health related quality of life (HRQoL) is often estimated as an outcome of ED visits, but it can be a risk factor of ED visits. This study aims to assess the association of HRQoL with time to first ED visit and/or frequent ED use in older adults during four-year period and if this association differs in 66-80 and 80+ age groups.

    METHODS: Data from the Swedish National Study on Aging and Care-Blekinge of wave 2007-2009 was used in combination with electronic health records on ED visits. The analytical sample included 673 participants of age 66 years and older with information on HRQoL. Cox proportional hazard model was used to assess the association between HRQoL and time to first ED visit. Logistic regression analysis was performed to estimate the association of HRQoL with frequent ED use.

    RESULTS: During the study period, 55.3% of older adults visited the ED and 28.8% had a frequent ED use. Poor physical HRQoL was independently associated with first ED visit both in total sample (p < 0.001) and in 66-80 (p < 0.001) and 80+ (p = 0.038) age groups. Poor mental HRQoL had no significant association with first ED visit and frequent ED use.

    CONCLUSION: Findings suggest that poor physical HRQoL is associated with time to first ED visit in older adults. Therefore, physical HRQoL should be considered while planning interventions on the reduction of ED utilisation in older adults. Explanatory factors of frequent ED use may differ in age groups. Further studies are needed to identify associated factors of frequent ED visits in 80+ group.

  • 219.
    Naseer, Mahwish
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Dahlberg, Lena
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Fagerström, Cecilia
    Poor health related quality of life: A risk factor of emergency visits among older adults2018Conference paper (Refereed)
  • 220.
    Naéem, Sara
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Hedman, Jimmy
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    ‘’Hon blir ju en till i vår familj’’: Flyktingguiders upplevelser av projektet Flyktingguide2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In this qualitative study, six refugee guides are interviewed as participants of the Refugee Guide project in the municipality of Falun. The study aims at seeing the importance of the project for the refugee guides and, from their perspective, suggesting ways to improve the project for increased integration. The results found in this study show that the refugee guides feel a sense of satisfaction, that they find that the Refugee Guide project contributes to long-term integration and that the project has development potential. Through the interviews, there was a picture of many successful meetings across the cultural borders where respondents expressed everything from gaining new social networks in the form of friends as well as the feeling of getting a whole new family member.

  • 221. Nehlin, Christina
    et al.
    Arinell, Hans
    Dyster-Aas, Johan
    Jess, Kari
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Alcohol habits and health care use in patients with psychiatric disorders2017In: Journal of dual diagnosis, ISSN 1530-3209, E-ISSN 1550-4271, Vol. 13, no 4, p. 247-253Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: It is more common for persons with psychiatric disorders to also have alcohol problems. Studies in the general population as well as in clinical samples have found hazardous or harmful alcohol habits to be particularly prevalent in the presence of psychiatric disorders. This study sought to explore the relationships between drinking habits and health care utilization (psychiatric as well as general medical) in persons seeking psychiatric treatment and to investigate the associations between age, sex and type or number of diagnoses and health care use and costs. For the planning of targeted interventions, we also sought to identify subgroups with high prevalence of hazardous drinking habits.

    METHODS: From a psychiatric clinic for affective disorders at a university hospital in Sweden patients who had been screened for hazardous drinking (N = 609) were selected. Patients with primary psychosis or substance use disorder are treated at other clinics and did not participate. Medical records data were grouped and compared. The ICD-10 was used for diagnoses and the Alcohol Use Disorders Identification Test for screening. Patients were grouped by drinking habits, sex-, age- and diagnosis group and their psychiatric as well as general medical health care use was compared.

    RESULTS: Abstainers used psychiatric care more than all other drinking groups (p < 0.001). Psychiatric health care costs were higher in abstainers and low-risk drinkers (1.64 to 1). No differences in general medical care could be identified between drinking groups. Specific subgroups with higher rates of hazardous drinking could not be identified (44% of all males and 34% of all females reported such habits). Inconclusive results from previous research are most likely due to different methods used to classify drinking problems.

    CONCLUSIONS: Abstainers and low-risk drinkers used psychiatric health care to a higher cost than the other drinking groups. Possible explanations are discussed from a clinical and scientific perspective. This study clarifies the need for uniform measures when classifying alcohol use in studies of relationships between alcohol use and health care use. There is also a need to separate former drinkers from abstainers in future studies.

  • 222. Nehlin, Christina
    et al.
    Nyberg, Fred
    Jess, Kari
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Brief intervention within primary care for at-risk gambling: a pilot study2016In: Journal of Gambling Studies, ISSN 1050-5350, E-ISSN 1573-3602, Vol. 32, no 4, p. 1327-1335Article in journal (Refereed)
    Abstract [en]

    Studies on interventions for at-risk gambling are scarce. This pilot study is the first step in a larger project aimed to develop methods to prevent more serious gambling problems. Drawing on experiences from the alcohol field, the brief intervention (BI) model was tested in a primary care setting. Primary care personnel was trained for 2 days. Patients were screened, and those with signs of problematic gambling were offered a return visit to discuss their gambling habits. Of the 537 screened, 34 (6.3 %) screened positive for problem gambling. Of those, 24 were at-risk gamblers whereof 19 agreed to participate. Six of those 19 took part in a 1-month follow-up. Important information for the planning of upcoming studies was collected from the pilot work. Given that the rate of at-risk gamblers was elevated in this setting we consider primary care a suitable arena for intervention. Staff training and support appeared essential, and questionnaires should be selected that are clear and well-presented so staff feel secure and comfortable with them. The BI model was found to be most suitable for patients already known to the caregiver. The number of participants who were willing to take part in the follow-up was low. To ensure power in future studies, a much larger number of screened patients is evidently necessary.

  • 223.
    Nilsen, Louise
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Sandström, Linnéa
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    "Lite får man räkna med": Socialsekreterares upplevelser av hot och trakasserier inom socialtjänsten med särskilt fokus på betydelsen av sociala medier.2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study is to investigate social workers experiences of threats and harassment in social services, focusing on the eventual importance of social media, as well as examine how threats and harassment are handled in the workplace. Six qualitative interviews were conducted with social workers in children- and family services. The empirical material, based on the social workers experiences, was evaluated through a thematic analysis and linked to previous research as well as chosen theoretical perspectives. Our conclusion is that threats and harassment occurs relatively often at the workplace, although the degree of severity in the threats varies. We found that social media has an impact but that it did not have a decisive role. The result also showed that most workplaces have written policys but that it varied in knowledge about these routines for staff and that routines are not always followed in practice.

  • 224.
    Nilsson, Peter
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Are empathy and compassion bad for the professional social worker?2014In: Advances in Social Work, ISSN 1527-8565, Vol. 15, no 2, p. 294-305Article in journal (Refereed)
    Abstract [en]

    Recent studies have shown that social workers and other professional helpers who work with traumatized individuals run a risk of developing compassion fatigue or secondary traumatic stress. Some researchers have hypothesized that helpers do this as a result of feeling too much empathy or too much compassion for their clients, thereby implying that empathy and compassion may be bad for the professional social worker. This paper investigates these hypotheses. Based on a review of current research about empathy and compassion it is argued that these states are not the causes of compassion fatigue. Hence, it is argued that empathy and compassion are not bad for the professional social worker in the sense that too much of one or the other will lead to compassion fatigue.

  • 225.
    Nilsson, Peter
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Butler's stone and ultimate psychological hedonism2013In: Philosophia (Ramat Gan), ISSN 0048-3893, E-ISSN 1574-9274, Vol. 41, no 2, p. 545-553Article in journal (Refereed)
    Abstract [en]

    This paper discusses psychological hedonism with special reference to the writings of Bishop Butler, and Elliott Sober and David Sloan Wilson. Contrary to philosophical orthodoxy, Sober and Wilson have argued that Butler failed to refute psychological hedonism. In this paper it is argued: (1) that there is a difference between reductive and ultimate psychological hedonism; (2) that Butler failed to refute ultimate psychological hedonism, but that he succeeded in refuting reductive psychological hedonism; and, finally and more importantly, (3) that Butler's criticism of reductive hedonism can be used as a stepping-stone in another argument showing the implausibility of ultimate psychological hedonism as well.

  • 226.
    Nilsson, Peter
    Dalarna University, School of Health and Social Studies, Social Work.
    Compassion - a resource or threat for the professional social worker?2011In: The 2011 Joint Nordic Conference on Welfare and professionalism in Turbulent Times, Reykjavik, 2011Conference paper (Other academic)
    Abstract [en]

    What is the proper place of compassion within social work? Should social workers feel compassion for their clients, or is this something that should be avoided? Opinions differ. While some have claimed that compassion should be avoided in favor of a more detached and professional approach, others argue that compassion is an important, and unavoidable part, of a proper working-alliance. While some claim that compassion can be beneficial for the client, recent studies have suggested that too much compassion can lead to so-called compassion fatigue and be detrimental for the professional. If we want to assess these claims, we must first consider what compassion is. That is the purpose of this study. The aim is to gain a better understanding of what compassion is, with a special eye to the question as to whether compassion is a resource or threat within professional social work. Methods include conceptual analysis and phenomenological descriptions of compassion and related phenomena. The results can be summarized in two main claims. The first is that compassion is a particular kind of suffering directed towards the suffering of someone. What is special about compassion is that it is a suffering for another person’s sake: When you feel compassion (and only compassion) for another person, then you suffer over her suffering for her sake and not your own sake. The second claim is that compassion in and of itself is not harmful to the person feeling it. Although compassion consists in suffering, since it is a suffering for another person’s sake, a person feeling compassion is not, and does not take herself to be, the victim of something bad. It is an essential feature of compassion that if you feel compassion (and only compassion) for another person, then you take this person to be the victim of a harm but you do not take yourself to be so. In conclusion it is argued that these results point towards a more positive view of compassion and its place within social work.

  • 227.
    Nilsson, Peter
    Dalarna University, School of Health and Social Studies, Social Work.
    Empati, sympati, medlidande2013In: Empati: Teoretiska och praktiska perspektiv / [ed] Henrik Bohlin och Jakob Eklund Håkansson, Lund: Studentlitteratur, 2013, p. 51-67Chapter in book (Other academic)
  • 228.
    Nilsson, Peter
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    On the suffering of compassion2011In: Philosophia (Ramat Gan), ISSN 0048-3893, E-ISSN 1574-9274, Vol. 39, no 1, p. 125-144Article in journal (Refereed)
    Abstract [en]

    Compassion is often described in terms of suffering. This paper investigates the nature of this suffering. It is argued that compassion involves suffering of a particular kind. To begin with a case is made for the negative claim that compassion does not involve an ordinary, or afflictive, suffering over something. Secondly, it is argued that the suffering of compassion is a suffering for someone else’s sake: If you feel compassion for another person, P, then you suffer over P:s suffering for P:s sake, and if that is all you do, then you are not affected with an afflictive suffering over something. The final section identifies and addresses a problem concerning self-pity, and a suggestion is made on how to specify the proposed account so as to cover both self-directed and other-directed compassion.

  • 229.
    Nilsson, Peter
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Pain, pity, and motivation: Spinoza, Hume, and Schopenhauer2014In: Schopenhauer-Jahrbuch, ISSN 0080-6935, Vol. 95, p. 29-50Article in journal (Refereed)
    Abstract [en]

    This paper compares the views on compassion in Spinoza, Hume and Schopenhauer. It is shown that even though all three approach compassion with the same aim and from very similar starting-points, all give significantly different accounts of compassion. The differences among the accounts are compared and explained, and it is shown how progress is made in that later accounts avoid certain problems faced by the earlier ones.

  • 230.
    Nordin, Susanna
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Elf, Marie
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    McKee, Kevin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    von Koch, Lena
    Karolinska Institutet, Institutionen för neurobiologi, vårdvetenskap och samhälle.
    Wijk, Helle
    Sahlgrenska Akademin, Göteborgs Universitet .
    Validating a tool for evaluating nursing home environments: Integrating research and expert evidence2012In: IFA 11TH GLOBAL CONFERENCE ON AGEING, 28 May – 1 June 2012 Prague, Czech Republic, Book of Abstracts, 2012Conference paper (Refereed)
  • 231.
    Nordin, Susanna
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Elf, Marie
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    McKee, Kevin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Wijk, Helle
    Sahlgrenska akademin, Göteborgs universitet.
    A person-centered design can support accessibility and equality in residential care facilities2013Conference paper (Refereed)
    Abstract [en]

    It is well known that the world foresees an ageing population for whom the physical environment plays a central role in everyday life and wellbeing. Creating a health care environment that ensures accessibility and equality, shows respect and dignity will therefore be a great challenge. With increasing levels of frailty many older persons will be more or less depending on the care environment. A modern person-centered building design considers both individual and specific needs related to old age, in order to support quality of life and care. However, many of the existing buildings do not meet modern standards and there is a need for methods to evaluate the quality of the building design. According to a recently performed review there are few validated tools measuring the physical environment, especially in terms of a person-centered approach. This study presents a translated and validated tool for evaluating design quality in nursing home facilities. The tool is based on the idea that there is a relationship between high quality caring environments and quality of life of older persons. It makes a person-centered evaluation of the building, covering aspects such as privacy, personalization, safety, choice and control. These are essential factors to assure older persons a dignified ageing as equal members of the society.

  • 232.
    Nordin, Susanna
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Elf, Marie
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    McKee, Kevin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Wijk, Helle
    Assessing the physical environment of older people’s residential care facilities: development of the Swedish version of the Sheffield Care Environment Assessment Matrix (S-SCEAM)2015In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 15, no 3, p. 1-11Article in journal (Refereed)
    Abstract [en]

    Background

    There is emerging evidence that the physical environment is important for health, quality of life and care, but there is a lack of valid instruments to assess health care environments. The Sheffield Care Environment Assessment Matrix (SCEAM), developed in the United Kingdom, provides a comprehensive assessment of the physical environment of residential care facilities for older people. This paper reports on the translation and adaptation of SCEAM for use in Swedish residential care facilities for older people, including information on its validity and reliability.

    Methods

    SCEAM was translated into Swedish and back-translated into English, and assessed for its relevance by experts using content validity index (CVI) together with qualitative data. After modification, the validity assessments were repeated and followed by test-retest and inter-rater reliability tests in six units within a Swedish residential care facility that varied in terms of their environmental characteristics.

    Results

    Translation and back translation identified linguistic and semantic related issues. The results of the first content validity analysis showed that more than one third of the items had item-CVI (I-CVI) values less than the critical value of 0.78.  After modifying the instrument, the second content validation analysis resulted in I-CVI scores above 0.78, the suggested criteria for excellent content validity. Test-retest reliability showed high stability (96% and 95% for two independent raters respectively), and inter-rater reliability demonstrated high levels of agreement (95% and 94% on two separate rating occasions). Kappa values were very good for test-retest (κ= 0.903 and 0.869) and inter-rater reliability (κ= 0.851 and 0.832).

    Conclusions

    Adapting an instrument to a domestic context is a complex and time-consuming process, requiring an understanding of the culture where the instrument was developed and where it is to be used. A team, including the instrument’s developers, translators, and researchers is necessary to ensure a valid translation and adaption. This study showed preliminary validity and reliability evidence for the Swedish version (S-SCEAM) when used in a Swedish context. Further, we believe that the S-SCEAM has improved compared to the original instrument and suggest that it can be used as a foundation for future developments of the SCEAM model.

  • 233.
    Nordin, Susanna
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Elf, Marie
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Mckee, Kevin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Wijk, Helle
    Sahlgrenska Akademin, Göteborgs Universitet .
    Att anpassa ett engelskt instrument som mäter designkvalitet på äldreboende till svenska förhållanden: utmaningar och erfarenheter2012Conference paper (Refereed)
    Abstract [sv]

    Äldre tillbringar mycket tid i sin bostad varför kvalitet på den fysiska miljön har stor påverkan på deras livskvalitet. Det finns dock fortfarande en brist på giltiga instrument som kan utvärdera kvaliteten på byggnadsdesign. I denna artikel presenterar vi resultaten från den första fasen av ett projekt, i syfte att utveckla ett instrument för att utvärdera kvaliteten designen av den fysiska miljön. I denna fas har vi översatt och anpassat ett engelskt instrument till svenska förhållanden. Först utfördes en systematisk litteraturstudie över instrument för att utvärdera den fysiska vårdmiljön. Resultatet visade att Sheffield Care Environment Assessment Matrix (SCEAM) var ett instrument med potential för användning för särskilt boende för äldre och i svenska förhållanden. Först översattes instrumentet till svenska och därefter testades validiteten och reliabiliteten. I artikeln rapporteras utmaningar och erfarenheter av översättningsproceduren.

  • 234.
    Nordin, Susanna
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Elf, Marie
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    McKee, Kevin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Wijk, Helle
    Att översätta och anpassa ett engelskt instrument för bedömning av fysisk miljö på särskilt boende till svenska förhållanden: utmaningar och erfarenheter2012Conference paper (Refereed)
  • 235.
    Nordin, Susanna
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Elf, Marie
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    McKee, Kevin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Wijk, Helle
    Sahlgrenska akademin, Göteborg.
    Challenges in the cultural adaptation and validation of an instrument for evaluating residential care environments for older people2015Conference paper (Refereed)
  • 236.
    Nordin, Susanna
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Elf, Marie
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    McKee, Kevin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Wijk, Helle
    Sahlgrenska Akademin, Göteborg.
    Evaluating design quality in older people's residential care facilities: Adaptation of the Sheffield Care Environment Assessment Matrix (SCEAM) for use in Sweden with focus on linguistic challenges.2014Conference paper (Refereed)
    Abstract [en]

    Background

    There is increasing interest in how the physical enviroment can support health and well-being in residential care facilities (RCF) for older people. A recent review showed a lack of instruments for evaluating design quality in RCF. The SCEAM was identified as an instrument appropriate for Swedish RCF. SCEAM is a British instrument, developed to evaluate building design of RCF. The instrument is person-centered and uses the needs of frail older people as the basis for understanding how well the residential care facility is designed.

     

    Aim

    The aim of the present study was to translate, adapt, and further develop the SCEAM instrument for use in Sweden.

     

    Method

    The study had a mixed-method design using both quantitative and qualitative methods

     

    Procedure

    The forward-backward translation method was used in five stages, broadly within two phases: translation and adaptation. The translation phase involved: 1) forward translation and 2) backward-translation. The adaptation phase involved: 3) first test of content validity of the target language instrument; 4) consultation and further adaptation; 5) final test of content validity of the revised target language instrument

     

    Results

    In this paper we focus on the linguistic challenges in translation of an instrument developed to evaluate the quality of the physical environment of RCF. A lengthy process of translation of the Sheffield Care Environments Assessment Matrix (SCEAM) has produced an instrument that fill a need of an instrument with a strong focus on the importance of the physical environment of RCF in the society. The instrument has a potential for use when planning new environments, during interventions and follow up as for quality assessment.

     

  • 237.
    Nordin, Susanna
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Elf, Marie
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Wijk, Helle
    Sahlgrenska akademin, Göteborgs universitet.
    McKee, Kevin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    von Koch, Lena
    Institutionen för neurobiologi, vårdvetenskap och samhälle, Karolinska institutet.
    Translation and cultural adaptation of an instrument evaluating design quality in residential care facilities2013In: Nordic Advances in Health Care Sciences Research, November 13-14, 2013 in Lund: Abstract book, 2013, p. 96-96Conference paper (Refereed)
    Abstract [en]

    INTRODUCTION: The population is rapidly ageing and in the near future the number of elderly will exceed the number of children. Society faces a huge challenge providing older persons high quality care and a dignified old age. With increasing levels of frailty many older people are depending on the physical environment in order to manage their everyday life, and the building design is essential in supporting quality of life and person-centered care. However, methods for evaluating design quality in residential care facilities are lacking, especially in terms of person-centeredness. A British instrument was chosen on the basis that it captures several aspects in the care environment of importance for the quality of life and care for older people.AIM: This study aims at describing the process of translating and culturally adapting a British instrument for evaluating design quality in Swedish care facilities for older people. METHOD and RESULT: The process involves seven phases; forward translation, reconciliation, back translation, harmonization, cognitive debriefing, proof-reading and pre-testing. In the first phase the items were translated from the source to the target language followed by discussions between the researchers and the translator for reconciliation. Then the items were translated from the target language back into the source language. After language harmonization the instrument was reviewed and discussed by an expert group in order to identify imprecise concepts and receive valuable comments. Finally, the items were proof-read to correct typographical errors before pre-testing the instrument. Experiences and challenges of the procedure are discussed.CONCLUSION: Cultural appropriate instruments are essential in order to validly measure the design quality in residential care facilities. This study shows the complexity of translating and adapting a British instrument for use in a Swedish care context.

  • 238.
    Nordin, Susanna
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    McKee, Kevin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Elf, Marie
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Staff perceptions of the design of care environments for older people – a qualitative study2018Conference paper (Refereed)
    Abstract [en]

    Staff perceptions of the design of care environments for older people – a qualitative study

    Background: Although research has shown the important role played by the physical care environment for residents and staff of residential care facilities (RCFs) for older people, few studies have taken the care staff perspective regarding how the environment influences their ability to provide high quality care. This paper considers care staff perceptions of older people’s RCFs.

    Methods: Twenty RCFs in Sweden were purposively sampled to obtain facilities with varying building design, type of ownership, year of construction, building size and geographic location. From each RCF, ten staff were randomly selected and recruited by the care home managers. Staff completed the Staff Perception of Older People’s Residential Care Environments (SPORE) questionnaire. Written responses to open-ended questions on the care environment were analysed using qualitative content analysis.

    Results: Several needs and deficiencies in the care environment were identified. The participants described problems with limited spaces and non-functional building design, and restricted access to outside areas. They also expressed the need for physical and cognitive support in the care environment such as handrails, hoists, adequate lighting and colour coding.

    Conclusions: There is potential for improving the design of RCFs for older people to provide safe and supportive care environments for residents and to facilitate care delivery, by taking  the needs of the building users into account in future planning and design processes.

  • 239.
    Nordin, Susanna
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    McKee, Kevin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Elf, Marie
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Wijk, Helle
    Gothenburg University.
    Evaluating design quality of older people’s residential care facilities.2015In: ARCH 14 - International Conference on Research on Health Care Architecture - November 19-21, 2014, Espoo, Finland - Conference Proceedings / [ed] Verma & L. Nenonen, Helsinki, Finland: Aalto University , 2015, p. 315-323Conference paper (Refereed)
  • 240.
    Nordin, Susanna
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    McKee, Kevin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Wallinder, Maria
    von Koch, Lena
    Wijk, Helle
    Elf, Marie
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    The physical environment, activity and interaction in residential care facilities for older people: a comparative case study2017In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 31, no 4, p. 727-738Article in journal (Refereed)
    Abstract [en]

    The physical environment is of particular importance for supporting activities and interactions among older people living in residential care facilities (RCFs) who spend most of their time inside the facility. More knowledge is needed regarding the complex relationships between older people and environmental aspects in long-term care. The present study aimed to explore how the physical environment influences resident activities and interactions at two RCFs by using a mixed-method approach. Environmental assessments were conducted via the Swedish version of the Sheffield Care Environment Assessment Matrix (S-SCEAM), and resident activities, interactions and locations were assessed through an adapted version of the Dementia Care Mapping (DCM). The Observed Emotion Rating Scale (OERS) was used to assess residents’ affective states. Field notes and walk-along interviews were also used. Findings indicate that the design of the physical environment influenced the residents’ activities and interactions. Private apartments and dining areas showed high environmental quality at both RCFs, whereas the overall layout had lower quality. Safety was highly supported. Despite high environmental quality in general, several factors restricted resident activities. To optimise care for older people, the design process must clearly focus on accessible environments that provide options for residents to use the facility independently.

  • 241.
    Nordin, Susanna
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. karolinska institutet.
    McKee, Kevin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Wijk, Helle
    Elf, Marie
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Exploring environmental variation in residential care facilities for older people2017In: Health Environments Research & Design Journal, ISSN 1937-5867, E-ISSN 2167-5112, Vol. 10, no 2, p. 49-65Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: The aim of this study was to explore variation in environmental quality in Swedish residential care facilities (RCFs) using the Swedish version of the Sheffield Care Environment Assessment Matrix (S-SCEAM).

    BACKGROUND: Well-designed physical environments can positively impact on health and well-being among older persons with frail health living in RCFs and are essential for supporting person-centered care. However, the evidence base for informing the design of RCFs is weak, partly due to a lack of valid and reliable instruments that could provide important information on the environmental quality.

    METHODS: Twenty RCFs were purposively sampled from several regions, varying in their building design, year of construction, size, and geographic location. The RCFs were assessed using S-SCEAM and the data were analyzed to examine variation in environmental quality between and within facilities.

    RESULTS: There was substantial variation in the quality of the physical environment between and within RCFs, reflected in S-SCEAM scores related to specific facility locations and with regard to domains reflecting residents' needs. In general, private apartments and dining areas had high S-SCEAM scores, while gardens had lower scores. Scores on the safety domain were high in the majority of RCFs, whereas scores for cognitive support and privacy were relatively low.

    CONCLUSIONS: Despite high building standard requirements, the substantial variations regarding environmental quality between and within RCFs indicate the potential for improvements to support the needs of older persons. We conclude that S-SCEAM is a sensitive and unique instrument representing a valuable contribution to evidence-based design that can support person-centered care.

  • 242.
    Nordin, Susanna
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    McKee, Kevin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Wijk, Helle
    Elf, Marie
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Residential care facilities for older people: Describing the quality of the physical environment2015Conference paper (Refereed)
  • 243.
    Nordin, Susanna
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Karolinska institutet.
    McKee, Kevin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Wijk, Helle
    Elf, Marie
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Karolinska institutet.
    The association between the physical environment and the well-being of older people in residential care facilities: a multilevel analysis2017In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 73, no 12, p. 2942-2952Article in journal (Refereed)
    Abstract [en]

    AIMS: To investigate the associations between the quality of the physical environment and the psychological and social well-being of older people living in residential care facilities.

    BACKGROUND: Many older people in care facilities have cognitive and physical frailties and are at risk of experiencing low levels of well-being. High quality physical environments can support older people as frailty increases and promote their well-being. Although the importance of the physical environment for residents' well-being is recognised, more research is needed.

    DESIGN: A cross-sectional survey of 20 care facilities from each of which 10 residents were sampled. As the individual resident data was nested in the facilities, a multilevel analysis was conducted.

    METHODS: Data were collected during 2013 and 2014. The care facilities were purposely sampled to ensure a high level of variation in their physical characteristics. Residents' demographic and health data were collected via medical records and interviews. Residents' well-being and perceived quality of care were assessed via questionnaires and interviews. Environmental quality was assessed with a structured observational instrument.

    RESULTS: Multilevel analysis indicated that cognitive support in the physical environment was associated with residents' social well-being, after controlling for independence and perceived care quality. However, no significant association was found between the physical environment and residents' psychological well-being.

    CONCLUSION: Our study demonstrates the role of the physical environment for enhancing the social well-being of frail older people. Professionals and practitioners involved in the design of care facilities have a responsibility to ensure that such facilities meet high quality specifications. 

  • 244.
    Nordin, Susanna
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Wijk, Helle
    McKee, Kevin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Elf, Marie
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    A review of existing tools for assessing the design quality of healthcare environments2011Conference paper (Other academic)
  • 245.
    Nordin, Susanna
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Wijk, Helle
    McKee, Kevin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Elf, Marie
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Assessment of the physical environment - a way to high quality care2012Conference paper (Refereed)
  • 246.
    Nordin, Susanna
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Wijk, Helle
    Sahlgrenska Akademin, Göteborg.
    McKee, Kevin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Elf, Marie
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Care staff's perceptions of older people's care environments2014Conference paper (Refereed)
    Abstract [en]

    Care staff’s perception of older people’s care environments

    Older persons living in residential care facilities are a highly frail group, often suffering from functional and cognitive impairment. The interaction among the well-being of the residents, the care provided and the design of the building has to be understood and considered when designing care environments. A supportive environment for both residents and care staff is a recognized dimension of quality of care and consequently the staff’s satisfaction with the care environment is important for the care given and in turn the older person’s wellbeing.

     

    AIM

    The aim with this study was to describe the care staff’s perception of older people’s residential care environments in terms of improvements to meet the users needs.

     

    METHOD

    This study has a qualitative design focusing on an open-ended question of a self-completion questionnaire. There was 50 nursing staff from 14 different residential care facilities included in the study. The questionnaire, Staff Perception of Older People’s Residential Care Environments (SPORE) contains items on staff satisfaction with the care environment together with an open-ended question on staff’s perception of the needs for environmental improvements. The responses were analyzed with content analysis.

     

    RESULTS

    According to the results, the care staff perceived deficiendes in the residential care environments and several aspects were highlighted as being in need of improvement. During the process of analysis, five categories emerged:  Environments for physical support, Environments for cognitive support, Room for recreation, Access to outside areas, and Room space and building layout. These categories were found to be related to the possibilities to access the care environment and are represented by the theme Accessibility.

     

     

    CONCLUSION

    This study shows that the care staff perceives a need for improvements in order to offer accessible residential care environments. It is crucial that older people with disabilities can move around safely and independently, and find the way within and outside the building. Therefore, it should be a core issue to design care environments with high accessibility to support this frail group of people.

  • 247.
    Nordin, Susanna
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Wijk, Helle
    Sahlgrenska akademin, Göteborgs universitet.
    McKee, Kevin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Elf, Marie
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Designing for person-centered care in residential care facilities2014Conference paper (Refereed)
    Abstract [en]

    Designing for person-centered care in residential care facilities

    Authors:

    Nordin S, Dalarna University, Falun, Sweden; Wijk H, Sahlgrenska University Hospital, Göteborg, Sweden; McKee K, Dalarna University, Falun, Sweden; Elf M, Dalarna University, Falun, Sweden

    The physical environment is a resource for promoting health and wellbeing, and affects people’s behavior and functioning. In residential care facilities for older persons, the physical environment has a particular significance, as with increasing levels of frailty many older people depend on aspects of the environment to compensate for reduced levels of functioning in order to manage their everyday life. A high-quality building design can ensure that a care facility promotes residents’ quality of life and person-centered care. However, methods for evaluating design quality in residential care facilities are lacking, especially methods that adopt a person-centered approach. This paper presents a Swedish version of an instrument developed for the evaluation of residential care facilities in the United Kingdom, The Sheffield Care Environment Assessment Matrix (SCEAM).

    The Swedish version of the instrument, S-SCEAM consists of 215 items that indicate the presence or absence of building features.  Each item belongs to one of several domains that address important aspects of residents’ quality of life such as community, privacy, physical support, choice and control. The instrument can be applied to different types of care facilities and can be used as a guide when planning and designing new care buildings, to assess existing ones or to evaluate care buildings quantitatively for research purposes. For example, the relationship between design quality and quality of life of residents can be examined statistically.

    In Sweden, there have been no instruments evaluating residential care facilities, and the knowledge is limited regarding the relationship among the quality of the design, the quality of care and the quality of life of older persons. Evaluating care environments is an important step to achieve evidence based knowledge in this field. In the longer term such knowledge can be brought into policy on housing for frail older people and contribute to enhancing the quality of living environments and life experiences of this vulnerable section of our population.

  • 248.
    Nosowska, Geraldine
    et al.
    Effective Practice Ltd..
    McKee, Kevin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Dahlberg, Lena
    Dalarna University, School of Education, Health and Social Studies, Social Work. Karolinska Institutet.
    Using structured observation and content analysis to explore the presence of older people in public fora in developing countries2014In: Journal of Aging Research, ISSN 2090-2204, E-ISSN 2090-2212, p. 860612-Article in journal (Refereed)
    Abstract [en]

    There is a lack of research on the everyday lives of older people in developing countries. This exploratory study used structured observation and content analysis to examine the presence of older people in public fora, and considered the methods’ potential for understanding older people’s social integration and inclusion. Structured observation occurred of public social spaces in six cities each located in a different developing country, and in one city in the United Kingdom, together with content analysis of the presence of people in newspaper pictures and on television in the selected countries. Results indicated that across all fieldwork sites and data sources, there was a low presence of older people, with women considerably less present than men in developing countries. There was variation across fieldwork sites in older people’s presence by place and time of day, and in their accompanied status. The presence of older people in images drawn from newspapers was associated with the news/non-news nature of the source. The utility of the study’s methodological approach is considered, as is the degree to which the presence of older people in public fora might relate to social integration and inclusion in different cultural contexts.

  • 249.
    Nugoz, Mia
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Jansson, Stina
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Våld i ungas parrelationer: Hur socialarbetare arbetar med ett våld som sällan uppmärksammas.2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study is to receive knowledge of how social workers work, and want to

    work, with dating violence among youth in couple relationships. Furthermore, the purpose is

    to highlight this problem area and lay a foundation for further research in the field of dating

    violence. The study is qualitative in nature and the method used is individual interviews with

    six social workers who work with young people in different fields of work in social services.

    All data has been analyzed based on a new institutional organizational theoretical perspective

    and discretion. The result of the study indicates that social workers do not work implicit with

    dating violence. Social workers who get in contact with youths who are exposed to, or

    exposes their partner to, dating violence does not separate dating violence from violence in

    adult relationships or violence against children. The social workers interviewed requests more

    organizational support when it comes to paying attention to dating violence as well as

    obtaining a greater knowledge on the subject.

  • 250.
    Nyström, Malin
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Pettersson, Carina
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    "Man sitter ensam i toppen och där blåser det!": En kvalitativ studie om enhetschefers psykosociala arbetsmiljö i relation till valet av uppsägning2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The society is facing major challenges regarding sickness absence due to psychosocial work-related causes and increased workload as a result of austerity measures in different professions.

    This study intends to investigate the psychosocial work environment of the former unit managers and possible links with their own termination. The survey is based on a qualitative approach with a targeted selection. In addition, a snowball surgeon has been used to make contact with significant persons for the purpose of the study. Six individual interviews with former unit managers in a municipality have been carried out and a processing of the empirical material has been done through a thematic analysis using selected theories like the IMGD model as well "high demand - low control model".

    The results show that unit manager's duties has changed and that the ability to influence the assignment was inadequate. The study indicates that there is a connection between the psychosocial work environment and the unit manager's own termination.

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