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  • 251.
    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.

  • 252.
    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.

     

  • 253.
    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.

  • 254.
    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.

  • 255.
    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)
  • 256.
    Olsson, Helén
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Att använda standardiserade riskbedömningsinstrument i socialt arbete2015Conference paper (Refereed)
  • 257.
    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)
  • 258.
    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.))
  • 259.
    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)
  • 260.
    Olsson, Helén
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Implementeringsmodell / Att arbeta med implementering av nya arbetssätt2016Conference paper (Other academic)
  • 261.
    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)
  • 262.
    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)
  • 263.
    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)
  • 264.
    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)
  • 265.
    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)
  • 266.
    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)
  • 267.
    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.

  • 268.
    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)
  • 269.
    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.

  • 270.
    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.

  • 271.
    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)
  • 272.
    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.

  • 273. 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.

  • 274.
    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.

  • 275.
    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.

  • 276.
    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.

  • 277.
    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)
  • 278.
    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)
  • 279.
    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.

  • 280.
    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.

  • 281.
    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.

  • 282.
    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.

  • 283.
    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.

  • 284.
    Persson, Carolina
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Norström, Josefine
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Barn och unga med en nära anhörig som avlidit: Barn och ungas erfarenheter av att delta i stödgrupp2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In this qualitative study, questionnaires were collected from children and adolescents who had

    participated in a support group in Dalarnas län for children and adolescents with a deceased

    close relative. The purpose of this study was to enhance knowledge of children and

    adolescents’ experiences of participating in support groups through their descriptions in

    qualitative questionnaires. Qualitative content analysis was conducted and three categories

    were identified; kinship, processing and the significance of structure. The result highlights the

    importance of having the opportunity to meet other children and adolescents in similar

    situations, and indicates that the participants Sense of coherence enhanced through the

    participation in the support group.

  • 285. Petersén, Anna
    et al.
    Lars, Oscarsson
    Kullberg, Christian
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Government, implementation and evaluation: the viability and evaluability of national policy programs2010In: Annual conferens of the American Evaluation Association, San Antonio, Texas, USA, 2010Conference paper (Other academic)
    Abstract [en]

    In many countries, the government is using state subsidies to promote local authorities to improve, e.g., social welfare services. But evaluations of these initiatives often show small effects compared to the politicians´ goals. In the paper we present results from a Swedish study including eight larger national programs aimed at promoting local authorities’ social services. The aim is to analyze and discuss if success or failure to achieve the national goals of the programs can be related to unrealistic political ambitions, to the implementation process, to limitations or deficiencies in the evaluations, or to all three. The first two issues are analysed within a political science model, and in the latter case data availability and evaluation designs are focused. In the light of the results, program theoretical, ethical and qualitative issues in evaluation are discussed.

  • 286.
    Randell, Eva
    Dalarna University, School of Education, Health and Social Studies, Social Work. Umeå Universitet.
    Adolescent boys’ health: managing emotions, masculinities and subjective social status2016Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The health of adolescent boys is complex and surprisingly little is known about how adolescent boys perceive, conceptualise and experience their health. Thus, the overall aim of this thesis was to explore adolescent boys’ perceptions and experiences of health, emotions, masculinity and subjective social status (SSS).

    This thesis consists of a qualitative, a quantitative and a mixed methods study. The qualitative study aimed to explore how adolescent boys understand the concept of health and what they find important for its achievement. Furthermore, the adolescent boys’ views of masculinity, emotion management and their potential effects on wellbeing were explored. For this purpose, individual interviews were conducted with 33 adolescent boys aged 16-17 years. The quantitative study aimed to investigate the associations between pride, shame and health in adolescence. Data were collected through a cross-sectional postal survey with 705 adolescents. The purpose of the mixed methods study was to investigate associations between SSS in school, socioeconomic status (SES) and self-rated health (SRH), and to explore the concept of SSS in school. Cross-sectional data were combined with interview data in which the meaning of SSS was further explored. Individual interviews with 35 adolescents aged 17-18 years were conducted.

    In the qualitative study, data were analysed using Grounded Theory. In the quantitative study, statistical analyses (e.g., chi-square test and uni- and multivariable logistic regression analyses) were performed. In the mixed method study, a combination of statistical analyses and thematic network analysis was applied.

    The results showed that there was a complexity in how the adolescent boys viewed, experienced, dealt with and valued health. On a conceptual level, they perceived health as holistic but when dealing with difficult emotions, they were prone to separate the body from the mind. Thus, the adolescent boys experienced a difference between health as a concept and health as an experience (paper I). Concerning emotional orientation in masculinity, two main categories of masculine conceptions were identified: a gender-normative masculinity and a non-gender-normative masculinity (paper II). Gender-normative masculinity comprised two seemingly opposite emotional masculinity orientations, one towards toughness and the other towards sensitivity, both of which were highly influenced by contextual and situational group norms and demands, despite that their expressions are in contrast to each other. Non-gender-normative masculinity included an orientation towards sincerity, emphasising the personal values of the boys. Emotions were expressed more independently of peer group norms. The findings suggest that different masculinities and the expression of emotions are intricately intertwined and that managing emotions is vital for wellbeing. The present findings also showed that both shame and pride were significantly associated with SRH, and furthermore, that there seems to be a protective effect of experiencing pride for health (paper III). The results also demonstrated that SSS is strongly related to SRH, and high SRH is related to high SSS, and further that the positioning was done in a gendered space (paper IV).

    Results from all studies suggest that the emotional and relational aspects, as well as perceived SSS, were strongly related to SRH. Positive emotions, trustful relationships and having a sense of belonging were important factors for health and pride was an important emotion protecting health. Physical health, on the other hand, had a more subordinated value, but the body was experienced as an important tool to achieve health. Even though health was mainly perceived in a holistic manner by the boys, there were boys who were prone to dichotomise the health experience into a mind-body dualism when having to deal with difficult emotions.

    In conclusion, this thesis demonstrates that young, masculine health is largely experienced through emotions and relationships between individuals and their contexts affected by gendered practices. Health is to feel and function well in mind and body and to have trusting relationships. The results support theories on health as a social construction of interconnected processes. Having confidence in self-esteem, access to trustful relationships and the courage to resist traditional masculine norms while still reinforcing and maintaining social status are all conducive to good health. Researchers as well as professionals need to consider the complexity of adolescent boys’ health in which norms, values, relationships and gender form its social determinants. Those working with young boys should encourage them to integrate physical, social and emotional aspects of health into an interconnected and holistic experience.

  • 287.
    Randell, Eva
    Dalarna University, School of Education, Health and Social Studies, Social Work. Umeå Universitet.
    Living in the shadow of political decisions: Former refugees’ experiences of supporting newly arrived minors2019Conference paper (Other academic)
    Abstract [en]

    Living in the shadow of political decisions: Former refugees’ experiences of supporting newly arrived minors

    Background and aim: Steady streams of refugees and unaccompanied minors, of which the great majority are boys, come to Sweden, mostly from Afghanistan, Syria and Somalia. Among the arrivals, there are boys with traumatic experiences. It is a challenging task for the society to promote health, empowerment and integration of these minors. With the intention to support their integration in the society, the organisation Save the Children formed special meeting places for unaccompanied minors in 2018 in three municipalities in Sweden. There, the minors had the opportunity to engage in different activities. In addition, psychosocial support was offered. The leaders for the activities at these meeting places were recruited among former refugees who themselves had arrived in Sweden as unaccompanied minors. Research is sparse concerning how foreign-born leaders’ experience how it is to support the integration of the newly arrived minors. Thus, the aim of the study was to explore the perceptions of the meeting place leaders, also former refugees, when supporting newly arrived minors’ integration in society.

    Methods: This is a qualitative study in which interviews were conducted with leaders, also former refugees, at the meeting places for unaccompanied minors in municipalities. Data were analysed using network analysis.

    Results: Based on the preliminary analyses of the interviews, a thematic network was developed. Basic themes were identified, which in turn generated four organising themes and one global theme. The organising themes were ‘integrating together’, ‘keep going’, ‘living in no man’s land’ and ‘being proud helping others’. The four organising themes were then clustered into the global theme of ‘living in the shadow of political decisions’. Although they all expressed a frustration concerning the migration politics, they all perceived the helping role as very important and connected to positive emotions.

    Conclusion and implications: The findings show the massive impact from the national political decisions concerning the right to stay permanently or temporary, which affected the daily lives of the newly arrived at the meeting places and demanded an attitude of never-ending hope in leaders. Despite being forced to deal with difficult emotions - such as despair - the results underscored the important role of feeling proud to help others. Furthermore, the own experiences of being a refugee were valued and shared in meeting the unaccompanied minors. The integration process is generally complex, and further studies of what is helpful in the integration process are needed.

  • 288.
    Randell, Eva
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Jerdén, L.
    Öhman, A.
    Flacking, Renée
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    What is health and what is important for its achievement?: A qualitative study on adolescent boys’ perceptions and experiences of health2016In: Open Nursing Journal, ISSN 1874-4346, E-ISSN 1874-4346, Vol. 10, p. 26-35Article in journal (Refereed)
    Abstract [en]

    Few qualitative studies have explored adolescent boys’ perceptions of health.

    Aim: The aim of this study was therefore to explore how adolescent boys understand the concept of health and what they find important for its achievement

    Methods: Grounded theory was used as a method to analyse interviews with 33 adolescent boys aged 16 to 17 years attending three upper secondary schools in a relatively small town in Sweden.

    Results: There was a complexity in how health was perceived, experienced, dealt with, and valued. Although health on a conceptual level was described as ‘holistic’, health was experienced and dealt with in a more dualistic manner, one in which the boys were prone to differentiate between mind and body. Health was experienced as mainly emotional and relational, whereas the body had a subordinate value. The presence of positive emotions, experiencing self-esteem, balance in life, trustful relationships, and having a sense of belonging were important factors for health while the body was experienced as a tool to achieve health, as energy, and as a condition.

    Conclusion: Our findings indicate that young, masculine health is largely experienced through emotions and relationships and thus support theories on health as a social construction of interconnected processes. 

  • 289.
    Randell, Eva
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Jerdén, Lars
    Öhman, Ann
    Starrin, Bengt
    Flacking, Renée
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Tough, sensitive and sincere: how adolescent boys manage masculinities and emotions2015In: International Journal of Adolescence and Youth, ISSN 0267-3843, E-ISSN 2164-4527, Vol. 21, no 4, p. 486-498Article in journal (Refereed)
    Abstract [en]

    This study aimed to explore adolescent boys’ views of masculinity and emotion management and their potential effects on well-being. Interviews with 33 adolescent boys aged 16–17 years in Sweden were analysed using grounded theory. We found two main categories of masculine conceptions in adolescent boys: gender-normative masculinity with emphasis on group-based values, and non-gender-normative masculinity based on personal values. Gender-normative masculinity comprised two seemingly opposite emotional masculinity orientations, one towards toughness and the other towards sensitivity, both of which were highly influenced by contextual and situational group norms and demands, despite their expressions contrasting each other. Non-gender-normative masculinity included an orientation towards sincerity emphasising the personal values of the boys; emotions were expressed more independently of peer group norms. Our findings suggest that different masculinities and the expression of emotions are strongly intertwined and that managing emotions is vital for well-being.

  • 290.
    Randell, Eva
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work. Umeå Universitet.
    joffer, Junia
    Flacking, Renée
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Starrin, Bengt
    Jerdén, Lars
    Associations between pride, shame and self-rated health in adolescence2016Conference paper (Other academic)
  • 291.
    Randell, Eva
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work. Umeå Universitet.
    Joffer, Junia
    Flacking, Renée
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Starrin, Bengt
    Jerdén, Lars
    Umeå universitet; Uppsala universitet.
    Pride, shame and health among adolescents – a cross-sectional survey2018In: International Journal of Adolescent Medicine and Health, ISSN 0334-0139, E-ISSN 2191-0278, Vol. 30, no 6, article id 20160107Article in journal (Refereed)
    Abstract [en]

    Background

    Pride and shame are important emotions known to influence identity development and psychological well-being in adolescence. Research evidence indicates that self-rated health (SRH) is a strong predictor of future health. This cross-sectional study, conducted during 2008–2009, aimed to investigate the associations between pride, shame and SRH among adolescent boys and girls.

    Methods

    The study sample comprised 705 adolescents in Sweden aged 17–18 years (318 boys and 387 girls) who completed a questionnaire that included items on SRH, shame and pride (participation rate 67%). Logistic regression analyses (univariable and multivariable) were used to investigate the associations between pride and shame as separate and combined constructs on SRH, adjusting for potential confounders (country of birth, parental educational level, school experience, having enough friends, mood in family and being active in associations).

    Results

    Pride and shame separately were significantly associated with SRH in both genders. Logistic regression analysis of the pride-shame model showed that the odds of having lower SRH were highest in boys and girls with lower pride-higher shame. In a multivariable logistic regression analysis of the pride-shame model the odds of having lower SRH remained significant in boys and girls with lower pride-higher shame [boys: odds ratio (OR) 3.51, confidence interval (CI) 1.40–8.81; girls: OR 2.70, CI 1.22–5.96] and in girls with lower pride-lower shame (OR 2.16, CI 1.02–4.56).

    Conclusion

    The emotions of shame and pride are associated with SRH in adolescence. Experiencing pride seems to serve as a protective mechanism in SRH in adolescents exposed to shame. We believe that this knowledge should be useful in adolescent health promotion.

  • 292.
    Ronnheim, Fredrik
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Persson, Christoffer
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Sjukhuskuratorers erfarenheter av sympatistress: Inom den somatiska sektionen av hälso- och sjukvård2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study was to investigate hospital social workers experiences of compassion fatigue as well as examine how they feel and think about their work situation based on KASAM. The purpose was also to understand the hospital social workers experiences of compassion fatigue in relation to the hospital social workers feelings and thoughts about their work situation based on KASAM. The method that was used is a qualitative interview in which six hospital social workers were separately interviewed.

    The study showed that several hospital social workers have experiences of compassion fatigue. The study also showed several indications that there were work situations where hospital social workers had some difficulties in feeling manageability, comprehensibility and meaningfulness. It also showed several indications that there were work situations where hospital social workers felt manageability, comprehensibility and meaningfulness.

    The study concluded that the hospital social workers are exposed to situations in their work that can lead to the development of symptoms for compassion fatigue.

  • 293.
    Roos, Stina
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Barnhemsplacerade barn i Ghana: Betydelsen av personalens bemötande2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study was to create knowledge and obtain an understanding of the importance of the staff’s attitude and their way of meeting the emotional needs of the children who were living at the orphanage. The study also aimed to investigate how and to what extent the children receive help from the staff to achieve self-fulfillment and reach their dreams.

    Qualitative method was used and four individual (semi-structured) interviews were conducted. The analysis was done based on previous research in the area and Maslows hierarchy of needs. The result shows that the staff believes it is of great importance that there should be someone who listens to the children. If there is someone who listens to the children, they get a chance to process any traumatic events they might have experienced and develop hope of reaching their dreams.

    The conclusion of the study is that the attitude of the staff is very important for the children's well-being and development.

  • 294.
    Rosenberg, David
    et al.
    Umeå universitet, Institutionen för socialt arbete.
    Schön, Ulla-Karin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Återhämtning: Från idé till praktik2014In: Att leva med psykisk funktionsnedsättning: Livssituation och effektiva vård- och stödinsats / [ed] David Brunt och Lars Hansson, Lund: Studentlitteratur , 2014, 2Chapter in book (Other academic)
  • 295. Rosenberg, David
    et al.
    Schön, Ulla-Karin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Nyholm, Maria
    Grim, Katarina
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Svedberg, Petra
    Shared decision making in Swedish community mental health services - an evaluation of three self-reporting instruments.2017In: Journal of Mental Health, ISSN 0963-8237, E-ISSN 1360-0567, Vol. 26, no 2, p. 142-149Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Despite the potential impact of shared decision making on users satisfaction with care and quality in health care decisions, there is a lack of knowledge and skills regarding how to work with shared decision making among health care providers.

    AIM: The aim of this study was to evaluate the psychometric properties of three instruments that measure varied dimensions of shared decision making, based on self-reports by clients, in a Swedish community mental health context.

    METHOD: The study sample consisted of 121 clients with experience of community mental health care, and involved in a wide range of decisions regarding both social support and treatment. The questionnaires were examined for face and content validity, internal consistency, test-retest reliability and construct validity.

    RESULTS: The instruments displayed good face and content validity, satisfactory internal consistency and a moderate to good level of stability in test-retest reliability with fair to moderate construct correlations, in a sample of clients with serious mental illness and experience of community mental health services in Sweden.

    CONCLUSIONS: The questionnaires are considered to be relevant to the decision making process, user-friendly and appropriate in a Swedish community mental health care context. They functioned well in settings where non-medical decisions, regarding social and support services, are the primary focus. The use of instruments that measure various dimensions of the self-reported experience of clients, can be a key factor in developing knowledge of how best to implement shared decision making in mental health services.

  • 296. Rosenberg, David
    et al.
    Svedberg, Petra
    Schön, Ulla-Karin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Establishing a recovery orientation in mental health services: Evaluating the Recovery Self-Assessment (RSA) in a Swedish context2015In: Psychiatric rehabilitation journal, ISSN 1095-158X, E-ISSN 1559-3126, Vol. 38, no 4, p. 328-335Article in journal (Refereed)
    Abstract [en]

    Objective: Although there has been an emphasis on developing knowledge regarding recovery in Sweden, it is unclear to what extent this has been translated into a recovery orientation in the provision of mental health services. Instruments, which present the components of recovery as measurable dimensions of change, may provide a framework for program development. Involving users is an essential factor in the utilization of such tools. The purpose of this study was to evaluate the psychometric properties of the Recovery Self-Assessment (RSA) measure and its potential for being utilized in a Swedish context. Methods: The sample consisted of 78 participants from 6 community mental health services targeting people with serious mental illnesses in a municipality in Sweden. They completed the RSA at the study baseline and two weeks later. User panels participated in the translation and administration of the RSA and the reporting of results. Results: The Swedish version of the RSA had good face and content validity, satisfactory internal consistency, and a moderate to good level of stability in test-retest reliability. The user panels contributed to establishing validity and as collaborators in the study. Conclusions and Implications for Practice: Establishing the RSA as a valid and reliable instrument with which to focus on the recovery orientation of services is a first step in beginning to study the types of interventions that may effect and contribute to recovery oriented practice in Sweden. © 2015 American Psychological Association.

  • 297.
    Rubin, Liselotte
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Skolkuratorns roll i arbetet mot mobbning: En kvalitativ studie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of this study was to examine how school counselors experienced their work against bullying and how they actually work against bullying. The study was qualitative based on interviews with seven school counselors at different schools in two smaller municipalities.

    The results of the study showed that school counselors want to work more with the prevention of bullying than time allows. Their work is more about to go in and help where need and bullying problems already exist. There are no recommended programs and methods concerning how to combat bullying, so it is up to the school counselors to improvise and use a method to suit the individual student. There is a need to develop a program and method concept that corresponds to today’s problems.

  • 298.
    Rydström, Julia
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Mångs Tengström, Magdalena
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Kunskap om kultur – ett bidrag till en ökad medvetenhet om sig själv och andra: Socialsekreterares syn på betydelsen av kunskap om kultur i socialt arbete2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study is to examine how social workers look at the importance of

    knowledge of culture in social work. A qualitative interview study was used in which five social workers were interviewed. The results were then analyzed based on previous research and culture as a theoretical framework. The study shows that social workers believe that knowledge of culture is of great importance in their practical social work. Knowledge of culture was seen as a contribute to a further understanding of different circumstances of the clients. Social workers were found to have different views on the extent of their knowledge

    of culture as some felt that their knowledge is sufficient to be able to perform good social

    work, while others thought that they are in need of more knowledge. The social workers own

    culture were seen by some as an important part in meeting with clients, while others were

    not at all aware of their own culture and its influence on their work.

  • 299.
    Samuelsson, Therese
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Sjödin, Viktoria
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Från ord till handling: En kvalitativ studie om värdegrund och socialt innehåll för äldre på särskilt boende2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Research shows that many nursing home residents are disappointed with their level of social interaction and activity. Care of older people is argued to be underpinned by national core values such as supporting dignity and well-being, but it is not clear how such values influence nursing home staff practices or the social activities provided. Our study addressed this question.

    Five nursing homes, representing both private and public care providers, were sampled from two different municipalities. Semi-structured interviews were carried out with the homes’ respective heads of unit, transcribed, and thematically analysed.

    Our results indicate that the national values for care of older people were interpreted uniquely within each home. All heads of units emphasised the importance of person-centred care, yet similar social activities were offered by all homes, with a focus on group activities. We discuss our results with reference to activity theory and gerotranscendence.

  • 300.
    Sandbäck, Evelina
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Selin, Jonna
    Dalarna University, School of Education, Health and Social Studies, Sexual Reproductive Perinatal Health.
    "Det väcker fler etiska funderingar när det gäller äldre personer": En kvalitativ studie om socialsekreterares upplevelser kring den etiska synen på äldre med alkoholmissbruk2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of the study was to investigate how social workers looked at the possibility that their ethical view of elderly with alcohol abuse affects their assessments. We used semi structured interview, where we interviewed six social workers that works with addiction. The result showed that the social workers felt that the biggest difference between people over and under the age of 65 was the needs, which meant that the assessments of contribution differed. The result showed that the social workers resonated very much about LVM, since coercion in relation to older people created many ethical dilemmas. The personal values of the social workers did not affect the assessment themselves, but they were always there, both in private and working life. In order to avoid their own values affecting their assessments, this was frequently discussed between colleagues. The result showed that ageism is both in structure and jargon, but that there was no opportunity for ageism to influence the social security assessments.

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