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  • 251.
    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)
  • 252.
    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)
  • 253.
    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.

     

  • 254.
    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.

  • 255.
    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.

  • 256.
    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)
  • 257.
    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.

  • 258.
    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.

  • 259.
    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)
  • 260.
    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. 

  • 261.
    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)
  • 262.
    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)
  • 263.
    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.

  • 264.
    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.

  • 265.
    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.

  • 266.
    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.

  • 267.
    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.

  • 268.
    Olsen, Marie
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Dahlberg, Lena
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Boström, Anne-Marie
    Institutionen för Neurobiologi, Vårdvetenskap och Samhälle, Karolinska Institutet.
    McKee, Kevin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Udo, Camilla
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Older people’s views on the important values in home help provision: a Swedish study2018Conference paper (Refereed)
    Abstract [en]

    Little is known about the values that older people consider important in receipt of home help. Therefore, this study aimed to explore which values older people hold in relation to home help services and their experiences of how these values are reflected in the delivery of help. Interviews were conducted from November 2015 to March 2016 with 16 older persons (age ≥65 years) who received home help at the time of the study. Data were analysed using qualitative content analysis. Results identified values that older people find important in home help and suggest behaviours that should underpin home help, such as supporting the older person’s independence, building a reciprocal relationship and promoting a sense of safety and security (e.g., by providing information about what home help entails for the recipient). We conclude that it is important that care staff recognise and integrate these values into their actions on an interpersonal level in daily care, adopting a relation-oriented rather than a task-focused approach in the provision of home help for older people.

  • 269.
    Olsen, Marie
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Dahlberg, Lena
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    McKee, Kevin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Udo, Camilla
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Older people´s views on the core values of home care2015Conference paper (Other academic)
    Abstract [en]

    The care of older people and the underpinning values of care of older people in a recent government report on dignity in care. Care of older people should be based on six aspects of dignity which is the foundation for a dignified life. These are: integrity, such as privacy and bodily integrity; Self-determination; involvement in decisions about their care; individualized care; good health and social care; and a good interaction to the older person and their families.

    Despite a strong policy agenda on individually adapted care and values, social care research has usually not been undertaken from the perspective of the older care-receiver themselves. Even less is known about preferences of older care receivers with dementia, despite that they compose approximately 34 percent of older care receivers who have support from home help.

    Such pronouncements raise a question regarding the extent to which proposed ‘core values’ of social care are based on the actual values of the users, that is, the older care receivers.

    The study will be undertaken by means of a qualitative cross-sectional study, with semi-structured interviews.

     The population will include two groups: older care receivers (65 years or older) with or without dementia. The sample size is estimated to approximately 20-30 participants in each group.

    The interviews will be analyzed with content analysis. 

    This study will provide an increased understanding of older care receivers’ preferences and create conditions for a more individualized and person-centered care. This study will also contribute to strengthening the evidence-based practice in social care.

     

  • 270.
    Olsen, Marie
    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.
    Dahlberg, Lena
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Udo, Camilla
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Understanding older people’s experiences of home care through the capability approach2015Conference paper (Other academic)
    Abstract [en]

    The core concepts of CA

    In the theoretical framework of CA, well-being is constituted by a person’s unique way of functioning and capabilities. This means that a person's well-being is personal and involves freedom of choice which in turn means they have a number of options. Although many people may have the same resources, it is of importance to study how these resources are converted into how they function. Thus, wellbeing is about the person's freedom to achieve in general and the capabilities to function in particular (Sen, 1995).

    Strength of the capability approach

    The capability approach is a useful tool for matching objective evaluations with subjective metrics. Furthermore, although one’s individual abilities are in focus, contextual factors, and subjective perceptions and experiences, are taken into consideration.

    Critiques against the CA

    The capability approach has been criticized for being too individual-centered and not taking sufficient account to social structures in society. It is difficult to know what a person would choose to do if other options were available. Therefore, to operationalize abilities involves uncertainties.

  • 271.
    Olsson, Agnes
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    El Amrani, Maria
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    KONTAKTMANNASKAP INOM HEMTJÄNSTEN: EN KVALITATIV STUDIE AV KONTAKTMANNASKAP OCH DESS MÖJLIGHET TILL BRUKARINFLYTANDE2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The present study's purpose was to investigate the home care staff's experiences of working as key workers, which factors they consider is relevant to key working and what obstacles and opportunities they experience in their work as a key worker. The study also focused on how the home care staff perceive that key working can enable user influence. A qualitative approach was used and the material for the study was collected through semi-structured interviews. The result shows that there are areas for improvement that may develop key working. The study shows that the staff generally feel that working as a key worker works well and that it can enable user influence in many areas. The study finally illustrates factors such as continuity, working relationship oriented, and taking responsibility, as significant for key working to work as successfully as possible.

  • 272.
    Olsson, Helén
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Stier, Jonas (Contributor)
    Dalarna University, School of Humanities and Media Studies.
    Arbetsformer kring sociala risker - med fokus på rasism och extremism2017Report (Other academic)
  • 273.
    Olsson, Helén
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Att använda standardiserade riskbedömningsinstrument i socialt arbete2015Conference paper (Refereed)
  • 274.
    Olsson, Helén
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Att minska risken för våld och att främja återhämtning i den rättspsykiatriska vården: Patienters och personalens erfarenheter av vägen mot återhämtning2014Conference paper (Other academic)
  • 275.
    Olsson, Helén
    Dalarna University, School of Education, Health and Social Studies, Social Work. Socialtjänsten utvecklingscentrum i Dalarna (SUD).
    En satsning på ökat brukarinflytande i Dalarna: en slutrapport med förslag från Brukarrevisionsprojektet2014Report (Other (popular science, discussion, etc.))
  • 276.
    Olsson, Helén
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Implementering av insatser: vad bör vi tänka på inför utvecklingsarbetet?2016Conference paper (Other academic)
  • 277.
    Olsson, Helén
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Implementeringsmodell / Att arbeta med implementering av nya arbetssätt2016Conference paper (Other academic)
  • 278.
    Olsson, Helén
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Sekretesslagstiftning i svensk socialförvaltning – vad kan man och får man göra?2017Conference paper (Other academic)
  • 279.
    Olsson, Helén
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Social risk - en inledande nationell överblick: Hur får vi ett arbete att bli varaktigt och hållbart2016Conference paper (Other academic)
  • 280.
    Olsson, Helén
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Socialt arbete: våld och genus2017In: Nio-fem : tidskrift om arbetsliv & profession, ISSN 2001-9688, no 1, p. 35-37Article in journal (Other academic)
  • 281.
    Olsson, Helén
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Socialtjänstens arbete med hedersrelaterat våld och förtryck: att verka i ett spänningsfält2017Conference paper (Other academic)
  • 282.
    Olsson, Helén
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Socialtjänstens arbete med hedersvåld: resultat från en intervjuundersökning som finansierats av Länsstyrelsen Dalarna2017Conference paper (Other academic)
  • 283.
    Olsson, Helén
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Socialtjänstens arbete med hedersvåld: resultat från en intervjuundersökning som finansierats av Länsstyrelsen Dalarna2017Conference paper (Other academic)
  • 284.
    Olsson, Helén
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Audulv, Åsa
    Strand, Susanne
    Kristiansen, Lisbeth
    Reducing or increasing violence in forensic care: a qualitative study of inpatient experiences2015In: Archives of Psychiatric Nursing, ISSN 0883-9417, E-ISSN 1532-8228, Vol. 29, no 6, p. 393-400Article in journal (Refereed)
    Abstract [en]

    Semi-structured interviews with 13 forensic psychiatric inpatients that had decreased their assessed risk of violence were analyzed using interpretive description. The main contribution from this study is a detailed description of patients' own strategies to avoid violence. Participants described having an ongoing inner dialog in which they encouraged themselves, thereby increasing their self-esteem and trying to accept their current situation. An unsafe and overcrowded ward with uninterested and nonchalant staff increased the risk of aggressive behavior. In the process of decreasing violence, the patients and the forensic psychiatric nursing staff interacted to create and maintain a safe environment.

  • 285.
    Olsson, Helén
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Bergman, Ann
    Karlstads universitet.
    Socialtjänstens arbete med hedersvåld: Resultat från en intervjuundersökning2018Report (Other academic)
  • 286.
    Olsson, Helén
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Porskrog Kristiansen, Lisbeth
    Mittuniversitet; Högskolan i Gävle.
    Violence Risk Assessment in Forensic Nurses’ Clinical Practice: Qualitative Interview Study2017In: Global Journal of Health Science, ISSN 1916-9736, E-ISSN 1916-9744, Vol. 9, no 12, p. 56-63Article in journal (Refereed)
    Abstract [en]

    Background: The legislation of Swedish forensic psychiatric care states that the risk of further violence must beassessed before a patient is granted release from a forensic psychiatric hospital. The aim of the study was todescribe the experiences of forensic nurses with in-patient risk assessment processes, and their implication fordaily clinical forensic praxis.

    Method: Semi-structured interviews with staff who were involved in the patients risk assessment process. Theinterview texts were analyzed using qualitative latent content analysis.

    Discussion: The forensic nursing staff has to deal with many contradictory realities. The description was aboutbeing able to balance between supporting their work with an EBP approach of risk assessment while trying toestablish interpersonal relationships and to allow for positive meetings with the patient. The study indicated thatstaff used a multiple sources of knowledge in order to make credible and accurate risk assessments.

    Conclusions: If the risk assessment process are to be used in a legally secure manner, the staff must receive regularsupport from team leadership that can provide both guidance and training. Based on a holistic approach, the linkbetween the instinct of staff and their work with structured risk assessment must be founded on routines and solidplatforms.

  • 287.
    Olsson, Helén
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Schön, Ulla-Karin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Reducing violence in forensic care: how does it resemble the domains of a recovery-oriented care?2016In: Journal of Mental Health, ISSN 0963-8237, E-ISSN 1360-0567, Vol. 25, no 6, p. 506-511Article in journal (Refereed)
    Abstract [en]

    Background: Forensic psychiatry is characterized by involuntary treatment and risk of violence. The concept of recovery is rarely in focus as the primary focus is on risk assessment, violence prevention and reducing coercion in care.

    Aim: To determine what resources forensic staff use to avoid or prevent violent situations, and to explore how these practices resemble the domains of recovery-oriented care.

    Method: Semi-structured interviews with staff who were identified by forensic patients as key workers in their recovery process. Interview texts were analyzed using interpretive content analysis.

    Results: Staff prevent violent situations using tacit knowledge and experience, and through a shared collegial responsibility. Staff safeguard patients, encourage patient participation, and provide staff consistency.

    Conclusions: The results have implications for forensic care as well as psychiatry regarding the process of making recovery a reality for patients in the forensic care setting.

  • 288.
    Olsson, Helén
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Strand, Susanne
    Asplund, Kenneth
    Kristiansen, Lisbeth
    Turning towards recovery in forensic psychiatric inpatients – a study based on staff experience2014In: Nordisk sygeplejeforskning, ISSN 1892-2678, E-ISSN 1892-2686, no 03Article in journal (Refereed)
  • 289.
    Olsson, Sara
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Renhuvud, Carina
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Flyktingguide: En väg till integration?: Brukarutvärdering av projektet Flyktingguide i Falun2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In this qualitative user evaluation participants in the project refugee guide, Falun, was interviewed about their experience of the project and how the project contributed to their integration into society and establishment on the labor market. The collection of empirical data has been made by six interviews. The results of the evaluation indicate that participants feel that they through the project had the opportunity to meet new people, practice the language and learn about each other's culture. The results also show that participants are satisfied with the project. Some participants expressed a desire to meet with several people at once while others don´t have that need. Furthermore, the interviews shows that establishment on labor market occurred through job placement and not through participation in the project. Integration proved to be a difficult concept to define, but the interviews show that the participants have a perception that it is about learning the Swedish language and culture.

  • 290. Orrell, A.
    et al.
    McKee, Kevin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Torrington, J.
    Barnes, S.
    Darton, R.
    Netten, A.
    Lewis, A.
    The relationship between building design and residents’ quality of life in extra care housing schemes2013In: Health and Place, ISSN 1353-8292, E-ISSN 1873-2054, Vol. 21, p. 52-64Article in journal (Refereed)
    Abstract [en]

    Well-designed housing is recognised as being an important factor in promoting a good quality of life. Specialised housing models incorporating care services, such as extra care housing (ECH) schemes are seen as enabling older people to maintain a good quality of life despite increasing health problems that can accompany ageing. Despite the variation in ECH building design little is known about the impact of ECH building design on the quality of life of building users. The evaluation of older people’s living environments (EVOLVE) study collected cross-sectional data on building design and quality of life in 23 ECH schemes in England, UK. Residents’ quality of life was assessed using the schedule for the evaluation of individual quality of life-direct weighting (SEIQoL-DW) and on the four domains of control, autonomy, self-realisation and pleasure on the CASP-19. Building design was measured on 12 user-related domains by means of a new tool; the EVOLVE tool. Using multilevel linear regression, significant associations were found between several aspects of building design and quality of life. Furthermore, there was evidence that the relationship between building design and quality of life was partly mediated by the dependency of participants and scheme size (number of living units). Our findings suggest that good quality building design in ECH can support the quality of life of residents, but that designing features that support the needs of both relatively independent and frail users is problematic, with the needs of highly dependent users not currently supported as well as could be hoped by ECH schemes. © 2013 Elsevier Ltd.

  • 291.
    Orrell, Alison
    et al.
    University of Sheffield.
    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.
    Gilhooly, Mary
    Brunel University.
    Parker, Stuart
    University of Sheffield.
    Improving continence services for older people from the service-providers’ perspective: a qualitative interview study2013In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 3, no 7Article in journal (Refereed)
    Abstract [en]

    Objective: To examine in depth the views and experiences of continence service leads in England on key service and continence management characteristics in order to identify and to improve our understanding of barriers to a good-quality service and potential facilitators to develop and to improve services for older people with urinary incontinence (UI).

    Design: Qualitative semistructured interviews using a purposive sample recruited across 16 continence services.

    Setting: 3 acute and 13 primary care National Health Service Trusts in England.

    Participants: 16 continence service leads in England actively treating and managing older people with UI.

    Results: In terms of barriers to a good-quality service, participants highlighted a failure on the part of commissioners, managers and other health professionals in recognising the problem of UI and in acknowledging the importance of continence for older people and prevalent negative attitudes towards continence and older people. Patient assessment and continence promotion regardless of age, rather than pad provision, were identified as important steps for a good-quality service for older people with UI. More rapid and appropriate patient referral pathways, investment in service capacity, for example, more trained staff and strengthened interservice collaborations and a higher profile within medical and nurse training were specified as being important facilitators for delivering an equitable and highquality continence service. There is a need, however, to consider the accounts given by our participants as perhaps serving the interests of their professional group within the context of interprofessional work.

    Conclusions: Our data point to important barriers and facilitators of a good-quality service for older people with UI, from the perspective of continence service leads. Further research should address the views of other stakeholders, and explore options for the empirical evaluation of the effectiveness of identified service facilitators.

  • 292.
    Osman, Fatumo
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Flacking, Renée
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Klingberg-Allvin, Marie
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Schön, Ulla-Karin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Ladnaan - att må bra: En utvärdering av ett riktat stöd till somaliska föräldrar i Borlänge Kommun2015Report (Other academic)
    Abstract [sv]

    Folkhälsomyndigheten har finansierat ett samarbetsprojekt mellan Borlänge kommun och Högskolan Dalarna för att anpassa och implementera ett föräldrastödsprogram till somaliska föräldrar, samt att mäta effekten av denna intervention avseende föräldrars och barns psykiska hälsa. Studien började med en explorativ delstudie med syfte att samla kunskap om vad somaliska föräldrar upplever som utmanande i sitt föräldraskap i Sverige, vilket behov av föräldrastöd de behöver samt hur ett sådant stöd ska vara utformat. Studien genomfördes med hjälp av fokusgruppsintervjuer med 23 föräldrar (15 mammor och 8 pappor) boende i Borlänge. Resultatet visade att föräldrarna upplevde en rad utmaningar i sin nya livssituation och i sitt föräldraskap i nya landet. De beskrev skillnader i synsätt på barnuppfostran och föräldraskap mellan hemlandet och Sverige och eftersträvade därför att kulturanpassa sitt föräldraskap.

    Resultaten från denna studie samt en genomgång av forskning kring föräldrastöd låg till grund för valet av föräldrastödsprogram samt ett samhällsorienterande tillägg till programmet.

     

    Målgrupp för studien var föräldrar med barn i åldrarna 11-16 år och som upplevde stress i sitt föräldraskap. Föräldrarna erbjöds sammanlagt 16 timmars utbildning fördelat på 12 träffar (10 timmar Connect föräldrastöd + 6 timmar samhällsorienterande tillägg). Effekten av föräldrastödet undersöktes genom en randomiserad kontrollerad studie där totalt 120 föräldrar ingick. De preliminära resultaten visar att deltagande föräldrars barn har förbättrats signifikant i subskalorna ”socialt” och ”skola”. Dessutom minskade barnens oro, somatiska problem, sociala problem och brytande av regler.

     

    Föräldrarna var nöjda med interventionen. De upplevde att de fått en ökad kunskap om hur socialtjänstens arbete fungerar och fått förtroende för deras arbete kring barn och unga. Över hälften av föräldrarna upplevde sig mer säkra i sin föräldraroll och att deras relation med barnen hade förbättrats.

     

    Genom en processutvärdering av implementeringen av föräldrastödet har framgångsfaktorer för genomförandet avföräldrastödsprogrammet studerats. Resultatet visade att de olika strategier som vidtagits vid rekrytering av föräldrar och implementering av interventionen har varit lyckade. Exempel på sådana strategier har varit att projektmedarbetarna som rekryterat till föräldrastödet har varit av Somaliskt ursprung, kursen har getts på somaliska men framförallt att föräldrastödet utgick ifrån föräldrarnas upplevda behov.

  • 293.
    Osman, Fatumo
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Dalarna University, School of Education, Health and Social Studies, Medical Science.
    Flacking, Renée
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Schön, Ulla-Karin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Klingberg-Allvin, Marie
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    A support program for Somali-born parents on children's behavioral problems2017In: Pediatrics, ISSN 0031-4005, E-ISSN 1098-4275, Vol. 139, no 3Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES: The objectives of this study were to evaluate a culturally tailored parenting support program (Ladnaan) for Somali-born parents and to determine its effectiveness on children’s emotional and behavioral problems.

    METHODS: This randomized controlled trial included 120 Somali-born parents with children aged 11 to 16 years. The parents reported self-perceived stress in relation to parenting practices. The intervention consisted of culturally tailored societal information combined with the parenting program Connect. Parents received 12 weeks of intervention, 1 to 2 hours each week, in groups of 12 to 17 parents. Nine group leaders with a Somali background who received a standardized training program delivered the intervention. The primary outcome was a decrease in emotional and behavioral problems based on a Child Behavior Checklist. Parents were randomly allocated either to an intervention group or a wait-list control group. Covariance analyses were conducted according to intention-to-treat principles.

    RESULTS: The results showed significant improvement in the children in the intervention group for behavioral problems after a 2-month follow-up. The largest effect sizes according to Cohen’s d were in aggressive behavior (95% confidence interval [CI], 1.06 to 3.07), social problems (95% CI, 0.64 to 1.70), and externalizing problems (95% CI, 0.96 to 3.53).

    CONCLUSIONS: The large effect sizes in this study show that this 12-week culturally tailored parenting support program was associated with short-term improvements in children’s behavior. The study adds to the field of parenting interventions by demonstrating how to culturally tailor, engage, and retain parenting programs for immigrant parents.

  • 294.
    Osman, Fatumo
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Karolinska institutet.
    Flacking, Renée
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Schön, Ulla-Karin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Klingberg-Allvin, Marie
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Karolinska institutet.
    Effectiveness of parenting support to Somali parents on children’s mental health: A randomized controlled trial2016Conference paper (Refereed)
  • 295.
    Osman, Fatumo
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Dalarna University, School of Education, Health and Social Studies, Medical Science.
    Flacking, Renée
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Schön, Ulla-Karin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Klingberg-Allvin, Marie
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    The impact of a culturally tailored parenting support for Somali-born parents’ and children’s mental health: A randomized controlled trial2017Conference paper (Refereed)
  • 296.
    Osman, Fatumo
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Klingberg-Allvin, Marie
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Flacking, Renée
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Schön, Ulla-Karin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Parenthood in transition: Somali-born parents' experiences of and needs for parenting support programmes2016In: BMC International Health and Human Rights, ISSN 1472-698X, E-ISSN 1472-698X, Vol. 16, no 1, article id 82Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Pre- and post-migration trauma due to forced migration may impact negatively on parents' ability to care for their children. Little qualitative work has examined Somali-born refugees' experiences. The aim of this study is to explore Somali-born refugees' experiences and challenges of being parents in Sweden, and the support they need in their parenting.

    METHODS: A qualitative descriptive study was undertaken. Data were collected from four focus group discussions (FGDs) among 23 Somali-born mothers and fathers living in a county in central Sweden. Qualitative content analysis has been applied.

    RESULTS: A main category, Parenthood in Transition, emerged as a description of a process of parenthood in transition. Two generic categories were identified: Challenges, and Improved parenting. Challenges emerged from leaving the home country and being new and feeling alienated in the new country. In Improved parenting, an awareness of opportunities in the new country and ways to improve their parenting was described, which includes how to improve their communication and relationship with their children. The parents described a need for information on how to culturally adapt their parenting and obtain support from the authorities.

    CONCLUSIONS: Parents experienced a process of parenthood in transition. They were looking to the future and for ways to improve their parenting. Schools and social services can overcome barriers that prevent lack of knowledge about the new country's systems related to parenthood. Leaving the home country often means separation from the family and losing the social network. We suggest that staff in schools and social services offer parent training classes for these parents throughout their children's childhood, with benefits for the child and family.

  • 297.
    Osman, Fatumo
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Karolinska institutet.
    Salari, Raziye
    Klingberg-Allvin, Marie
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Karolinska institutet.
    Schön, Ulla-Karin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Flacking, Renée
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Effects of a culturally tailored parenting support programme in Somali-born parents' mental health and sense of competence in parenting: a randomised controlled trial2017In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 7, no 12, article id e017600Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES: To evaluate the effectiveness of a culturally tailored parenting support programme on Somali-born parents' mental health and sense of competence in parenting.

    DESIGN: Randomised controlled trial.

    SETTING: A city in the middle of Sweden.

    PARTICIPANTS: Somali-born parents (n=120) with children aged 11-16 years and self-perceived stress in their parenting were randomised to an intervention group (n=60) or a waiting-list control group (n=60).

    INTERVENTION: Parents in the intervention group received culturally tailored societal information combined with the Connect parenting programme during 12 weeks for 1-2 hours per week. The intervention consisted of a standardised training programme delivered by nine group leaders of Somali background.

    OUTCOME: The General Health Questionnaire 12 was used to measure parents' mental health and the Parenting Sense of Competence scale to measure parent satisfaction and efficacy in the parent role. Analysis was conducted using intention-to-treat principles.

    RESULTS: The results indicated that parents in the intervention group showed significant improvement in mental health compared with the parents in the control group at a 2-month follow-up: B=3.62, 95% CI 2.01 to 5.18, p<0.001. Further, significant improvement was found for efficacy (B=-6.72, 95% CI -8.15 to -5.28, p<0.001) and satisfaction (B=-4.48, 95% CI -6.27 to -2.69, p<0.001) for parents in the intervention group. Parents' satisfaction mediated the intervention effect on parental mental health (β=-0.88, 95% CI -1.84 to -0.16, p=0.047).

    CONCLUSION: The culturally tailored parenting support programme led to improved mental health of Somali-born parents and their sense of competence in parenting 2 months after the intervention. The study underlines the importance of acknowledging immigrant parents' need for societal information in parent support programmes and the importance of delivering these programmes in a culturally sensitive manner.

    CLINICAL TRIAL REGISTRATION: NCT02114593.

  • 298.
    Pellas, Åsa
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Tro, hopp och kärlek: Berättelser om återhämtning från psykisk ohälsa2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of the present study was to investigate the importance of hope, empowerment and stigma in a recovery process of mental illness. A qualitative method was used and individual interviews with participants from Dalarna University experience panel was conducted. To analyze the empirical data a qualitative content analysis was applied which resulted in the following themes; To be accepted, hope conditions and normalizing. The results showed that hope rather was a product of the recovery than it was a contributing factor. To be accepted promoted empowerment and protected from stigma. Normalizing factors like compassion and to emphasize the healthy sides promoted the empowerment and broke impotence. Thesis results can be considered as experience-based knowledge, which is a prerequisite for evidence-based social service where the user perspective is emphasized.

  • 299.
    Perers, Linda
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Sputnes Mossberg, Hanna
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    "Ofta blir Barnahus ett mellanstopp på väg till polisen": En kvalitativ studie om socialsekreterares upplevelser av stödet från Barnahus2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study was to examine social worker’s experience of the staff support received from Barnahus. Recent research stated that social workers are suffering due to pressurised working environments, which can lead to difficulties with sick leave and a high staff turnover. Barnahus can be summarized as a place where concerned authorities are interoperating for the benefit of children who have been subject to violence or sexual abuse. They also offer support for social workers concerning the legal handling of said children. The study consists of semi-structured interviews with six social workers from different councils in mid Sweden. KASAM was used as the theoretical frame. Results showed that a majority of the participants were satisfied with the support. However, concerns about other authorities within Barnahus were raised. According to the participants these concerns need to be addressed in order to meet the needs of the children more effectively.

  • 300.
    Pers, Anna
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Nord, Carina
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Svaga flickor och starka pojkar? : En studie om det stöd som ges till unga kvinnor och män som utsätts för våldsbrott2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Socialarbetare kommer dagligen i kontakt med personer som befinner sig i en svår situation livet. En del av dessa människor är unga män och kvinnor som utsatts för brott och som kommer i kontakt med Stödcentrum för unga brottsoffer. Stödcentrum är en verksamhet som finns i ett trettiotal svenska städer och som möter dessa ungdomar. Syftet med denna studie är att undersöka om socialarbetare gör någon skillnad på de insatser som ges beroende på om den hjälpsökande är en ung man eller kvinna. Studien är en totalundersökning som bygger på en sekundäranalys av verksamhetsstatistik. Resultatet visar att oavsett vilket brott den hjälpsökande blivit utsatt för så erhåller unga kvinnor, i jämförelse med män, mer tid och får oftare insatser som innebär känslomässigt stöd. För att förstå dessa skillnader har resultatet analyserats med hjälp av viktimologisk teori, genusteorin samt tidigare forskning på området.

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