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  • 301.
    Schön, Ulla-Karin
    Dalarna University, School of Health and Social Studies, Social Work.
    Brukarmedverkan i en evidensbaserad praktik2012Conference paper (Refereed)
    Abstract [sv]

    Bakgrund

    När det gäller stöd och service till människor med psykisk ohälsa finns idag en förhållandevis god kunskap om människors möjligheter till återhämtning från allvarliga psykiska besvär (Schön, 2009; Slade 2011; Topor 2004). Faktorer som brukarmedverkan, kontinuitet, sociala relationer är några av de faktorer som identifieras som grundläggande i en återhämtningsprocess (a.a). Fortfarande är dock brukarmedverkan i socialtjänsten en begränsad praktik och relativt outforskat. Trots att det på senare år allt mer påtalats att socialtjänstens praktik behöver bli en ”evidensbaserad” praktik är användandet av brukarkunskap i socialtjänstens en saknad del i en sådan kunskapsutveckling (McLaughlin, 2011). En evidensbaserad praktik definieras ofta som att bestå av ”tre ben” bästa tillgängliga kunskap, de professionella samt brukarnas kunskaper och önskemål. Brukarmedverkan i denna process innebär att brukare och deras närstående inte bara ses som aktörer i en politisk process, utan också som en omistlig kunskapskälla med erfarenheter och perspektiv viktiga för en bred kunskapsbildning (Socialstyrelsen 2005).

    Argument och fokus för brukarmedverkan kan relateras till tre områden, nämligen frågor relaterade till demokrati (Dahlberg & Vedung, 2001), frågor relaterade till makt och egenmakt (Beresford et al, 2008; Beresford 2010) samt frågor relaterade till tjänsters utveckling (Barnes et al 2000), där utvecklingen av en evidensbaserad social service ingår. Vissa forskare menar att socialtjänstens utveckling, i likhet med andra områden såsom t ex vård och omsorg, under senare år har präglats av en stark individualisering och valfrihets ambition utifrån en top-down perspektiv, vilket anses ha överskuggat den demokratiska eller "bottom-up"-strategi som är mer kritisk och främjande av social förändring och social rättvisa (Beresford 2010; Ferguson, 2008). I Storbritannien t ex har t ex brukarmedverkan setts som framgångsrikt om deltagande har varit framgångsrik i motsats till att fokusera på resultat eller effekt av detta deltagande för t ex utvecklingen av tjänster eller forskning (Carr 2004; McLaughlin, 2009).

    Syfte

    Syftet med detta projekt är att studera och utveckla kunskapsområdet brukarmedverkan i socialtjänstens praktik. Detta ska ske genom en kunskapsöversikt av betydelsen av brukarmedverkan i socialtjänstens praktik. Ett annat syfte är att pröva om, och i så fall hur, brukarkunskap påverkar kunskapsområdet genom att göra erfarenhetsbaserad kunskap tillgänglig för lärande för studenter, yrkesverksamma och för forskare inom socialt arbete. Ett ytterligare syfte är att undersöka vad brukarmedverkan i en sådan erfarenhetspanel kan innebära för enskildas återhämtningsprocesser från psykisk ohälsa. 

  • 302.
    Schön, Ulla-Karin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Can gender sensitivity in psychiatry improve recovery?2012Conference paper (Refereed)
    Abstract [en]

    Introduction: In recent years research on recovery have resulted in new knowledge and gained relevance in the mental health field. Still recovery is discussed in terms of individual journeys to find ways to live a hopeful and satisfying life. Taking the concept of gender into consideration it is possible to begin to address additional questions about how women and men influence their recovery; how they perceive and understand the society in which they live, and how they are likely to be regarded and treated within that society.

    Methods: In a study conducted in Sweden 30 first-person accounts of recovery from mental illness were examined. The study was undertaken to determine if there was gender diversity in what people described as being decisive factors for their recovery.

    Results: The results illustrates a gender advantage for the men in their ability to make use of the psychiatric services offered in their coping strategies mainly focusing on remission, education and control over symptoms. The women, on the other hand, described hospitalization and psychiatric medication more in terms of coercion and helplessness. These results may raise the need for a gender perspective in psychiatry to reduce the female impediment to access to safe and effective psychiatric care. But the results also illustrate how gender norms, outside psychiatry, benefit women more than men in a recovery perspective. In spite of structural gender inequalities, female gender norms seemed to be an advantage in the recovery process. The female recovery process was focused on making sense and meaning, whereas the male recovery process was focused on reinforcement of traditional roles such as occupation and independence. The women also had a higher capacity to receive and maintain support from their social networks than did the men.

  • 303.
    Schön, Ulla-Karin
    Dalarna University, School of Health and Social Studies, Social Work.
    Kunskapsbaserad praktik och brukarmedverkan för att stödja människors återhämtning från psykisk ohälsa2011In: Hälsa, Livskvalitet och Välfärd. Forskningskonferens, Falun, 2011Conference paper (Other academic)
    Abstract [sv]

    Bakgrund Behovet av en evidensbaserad praktik påtalas allt mer. Det handlar bland annat om ett behov av att implementera ny kunskap, att systematiserat följa upp de insatser som ges, och i högre utsträckning inkludera brukaren i insatsernas utformning. I dag är kunskapen fortfarande begränsad kring betydelsen av brukarmedverkan både för verksamhetsutveckling och för den enskildes livskvalitet och upplevelse av tjänsterna. När det gäller stöd och service till människor med psykisk ohälsa har faktorer som brukarmedverkan, kontinuitet, sociala relationer identifierats som grundläggande i återhämtningsforskningen. Men denna kunskap har i mycket begränsad omfattning fått implikationer på politik och praktik. Det saknas metoder och system för en evidensbaserad psykiatri och socialtjänst till stöd för människors återhämtning från psykisk ohälsa. Syfte Projektet ska studera former för brukarmedverkan i en kunskapsbaserad praktik. Den centrala forskningsfrågan handlar sålunda om brukarmedverkan kan bidra till verksamhetsutveckling och förbättra den enskildes livskvalitet och upplevelse av tjänsterna. Om systematiserade mätningar av brukarupplevelse påverkar de insatser som ges till människor med psykisk ohälsa, med speciellt fokus på samspelet mellan individens erfarenhetskunskap och personalens bemötande och verksamheters utbud. Projektets syfte och forskningsfråga rymmer även ett återhämtningsperspektiv i vilket ovanstående frågor studeras utifrån grundantagandet att en ökad brukarmedverkan bidrar till ökade möjligheter till återhämtning. I projektet planeras tre delstudier, var och en med sin speciella fokusering när det gäller kunskap, implikationer för praktiken och individers möjligheter till återhämtning. Metod Delstudie 1 är en kvalitativ litteraturstudie. Delstudie 2 har en explorativ ansats där en erfarenhetspanel planeras samt brukarerfarna forskningspartners. Fokusgruppsintervjuer samt individuella intervjuer kommer att genomföras. Delstudie 3 är en kvantitativ studie där en validerad skattningsskala, Inspire 3.0, kommer att användas.

  • 304.
    Schön, Ulla-Karin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Psychosocial interventions; collaboration and shared decision-making?: A participatory research project to develop and implement shared decision-making in psychiatric services2015Conference paper (Refereed)
  • 305.
    Schön, Ulla-Karin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Recovery in involuntary psychiatric care: is there a gender difference?2013In: Journal of Mental Health, ISSN 0963-8237, E-ISSN 1360-0567, Vol. 22, no 5, p. 420-427Article in journal (Refereed)
    Abstract [en]

    Background: Research on recovery from mental illness and the influence of compulsory psychiatric institutional care has revealed the complexity of this concept. There is also limited knowledge regarding the impact of gender-role expectations in these contexts, and how such expectations may influence both the care and individuals’ recovery processes.

    Aim: To explore women’s and men’s perceptions of the impact of compulsory inpatient care on recovery from severe mental illness.

    Method: Grounded theory was used to analyse 30 first-person accounts of recovery from mental illness, elicited via interviews with individuals who had been compulsorily treated in hospital and diagnosed with a severe mental illness.

    Results: Inpatient care at an early stage was crucial for the informants’ recovery. However, there was ambivalence in their perceptions of the impact of compulsory inpatient care. The narratives confirmed gender differences as well as gender stereotypes.

    Conclusions: The results have implications for recovery research, in that they emphasise the importance of understanding recovery as a gender-influenced process.

  • 306.
    Schön, Ulla-Karin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    User and carer involvement in social work education: reasons for participation2016In: Scandinavian Journal of Disability Research, ISSN 1501-7419, E-ISSN 1745-3011, Vol. 18, no 2, p. 154-163Article in journal (Refereed)
    Abstract [en]

    In many countries, user involvement in social work (SW) education is common practice, while in other countries, initiatives for inclusion are currently expanding. No matter how far the progress of user involvement in education has come, issues on clarity, sustainability and accountability need to be addressed. In this paper, users’ reasons for wanting to participate in SW education and the way they define their potential contribution are explored. These experiences can provide important information contributing to sustainable, meaningful, and accountable collaborations between users, university staff and students. Participants (n = 33) answered a questionnaire including demographic data and four open-ended questions about their expectations of participation in a SW programme at the University of Dalarna in Sweden. The results from the open-ended questions were analysed using qualitative content analysis. Results show that users’ main reasons for wanting to get involved were to contribute through sharing their lived experience of SW education, to help improve services and also to obtain respect for their own personal knowledge and experience. The respondents described themselves both as carriers of valuable knowledge and as accountable experts on the subject.

  • 307.
    Schön, Ulla-Karin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    User involvement in social work and education: a matter of participation?2016In: Journal of Evidence-Informed Social Work, ISSN 2376-1407, E-ISSN 2376-1415, Vol. 13, no 1, p. 21-33Article in journal (Refereed)
    Abstract [en]

    The increase in user involvement in social work practice and education can be explained by incentives toward an evidence-based practice, such as those offered by legislation and from the user movement, and those related to professional development. Still, the clients' involvement in research and practice is highlighted as a gap that needs to be filled. The aim of the author in this article is to study the presence of user involvement in social work practice, research, and education, and the level of influence of users and carers within these activities. The results reflect an expanding user involvement in social work practice. Still, projects of user involvement in social work practice are often developed on an ad hoc and inconsistent basis, and knowledge about the effects of these efforts is still limited. User involvement is not to be understood as something that is self-evidently good. On the contrary, the results present a rather complex concept that is bound up with changing and contested understandings of the role of the social worker, academia, and the users themselves.

  • 308.
    Schön, Ulla-Karin
    Dalarna University, School of Health and Social Studies, Social Work.
    Vad avses med återhämtning från psykisk ohälsa?2012In: Rehabilitering och stöd till återhämtning vid psykiska funktionshinder: möjlighetens metoder för en ny praktik / [ed] Ershammar, David; Bogarve, Camilla; Rosenberg, David, Stockholm: Gothia förlag , 2012Chapter in book (Other academic)
  • 309.
    Schön, Ulla-Karin
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Grim, Katarina
    Dalarna University, School of Education, Health and Social Studies, Social Work. Karlstad universitet.
    Wallin, Lars
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Psychiatric service staff perceptions of implementing a shared decision-making tool: A process evaluation study2018In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 13, no 1Article in journal (Refereed)
    Abstract [en]

    PURPOSE:

    Shared decision making, SDM, in psychiatric services, supports users to experience a greater sense of involvement in treatment, self-efficacy, autonomy and reduced coercion. Decision tools adapted to the needs of users have the potential to support SDM and restructure how users and staff work together to arrive at shared decisions. The aim of this study was to describe and analyse the implementation process of an SDM intervention for users of psychiatric services in Sweden.

    METHOD:

    The implementation was studied through a process evaluation utilizing both quantitative and qualitative methods. In designing the process evaluation for the intervention, three evaluation components were emphasized: contextual factors, implementation issues and mechanisms of impact.

    RESULTS:

    The study addresses critical implementation issues related to decision-making authority, the perceived decision-making ability of users and the readiness of the service to increase influence and participation. It also emphasizes the importance of facilitation, as well as suggesting contextual adaptations that may be relevant for the local organizations.

    CONCLUSION:

    The results indicate that staff perceived the decision support tool as user-friendly and useful in supporting participation in decision-making, and suggest that such concrete supports to participation can be a factor in implementation if adequate attention is paid to organizational contexts and structures.

  • 310.
    Schön, Ulla-Karin
    et al.
    Dalarna University, School of Health and Social Studies, Social Work.
    Rosenberg, David
    Umeå universitet.
    Transplanting Recovery? Research and practice in the Nordic countries2013In: Tenth International Conference of the European Network For Mental Health Service Evaluation: Abstract book, 2013, p. 205-205Conference paper (Refereed)
    Abstract [en]

    Background/ObjectivesThe conceptual framework which describes recovery from mental illness is based primarily on studies conducted in English-speaking countries. Knowledge and development of a recovery orientation within other cultures and mental health systems is still limited, and few studies have discussed the impact of varied national contexts on the development and implementation of recovery-oriented services. The aim of this study was to compile, describe and discuss the research on personal recovery and recovery oriented practice within the psychiatric and social fields in the Nordic countries. MethodsA systematic literature review of Nordic research on recovery from mental illness was conducted which included studies that clearly focused on Recovery as a knowledge base in psychiatric and social services.ResultsTwenty one studies were reviewed, summarized and analyzed with regard to their findings regarding the recovery process, descriptions of interventions which promote recovery and factors which might be specific to the Nordic context and mental health system. The majority of the studies were qualitative and stressed the importance of social relations, environmental factors and peer support. The identified research literature was limited and primarily replicated designs and confirmed findings first presented in North American and British studies. Few studies referred to aspects of welfare system, mental health service structures or cultural factors that might impact the recovery process.Discussion/ConclusionThere is a need to identify and describe factors in Nordic mental health systems that may influence the recovery process. If research does not attend to cultural and organizational differences that may impact the development and implementation of recovery services there is a risk that users will not gain access to these interventions in a manner relevant to their needs. A corresponding challenge will be to translate and further develop outcome indicators that can promote a recovery oriented health system.

  • 311.
    Schön, Ulla-Karin
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Rosenberg, David
    Department of Social Work, Umeå University, Umeå, Sweden .
    Transplanting recovery?: Research and practice in the Nordic countries2013In: Journal of Mental Health, ISSN 0963-8237, E-ISSN 1360-0567, Vol. 22, no 6, p. 563-569Article in journal (Refereed)
    Abstract [en]

    Background: The conceptual framework which describes recovery from mental illness is based primarily on studies conducted in English-speaking countries. Knowledge and development of recovery orientation within other cultures and mental health systems is still limited.

    Aim: The aim of this study was to compile, describe, and discuss the research on personal recovery and recovery-oriented practice within the psychiatric and social fields in the Nordic countries.   

    Method: A systematic literature review of Nordic research on recovery from mental illness.

     

    Results: The research literature is limited, and primarily replicates designs and confirms findings first presented in studies conducted in the USA and Great Britain.

    The majority of the studies are qualitative, and point to the importance of social relations, environmental factors, and peer support.

     

    Conclusions: There is a need to identify and describe factors in Nordic mental health systems that may influence the recovery process. A corresponding challenge will be to translate and further develop outcome indicators that can promote a recovery-oriented health system.

  • 312.
    Schön, Ulla-Karin
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Svedberg, Petra
    Högskolan i Halmstad.
    Rosenberg, David
    Umeå Universitet.
    Evaluating the INSPIRE measure of staff support for personal recovery in a Swedish psychiatric context2015In: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 69, no 4, p. 275-281Article in journal (Refereed)
    Abstract [en]

    Background: Recovery is understood as an individual process that cannot be controlled, but can be supported and facilitated at the individual, organizational and system levels. Standardised measures of recovery may play a critical role in contributing to the development of a recovery-oriented system. The INSPIRE measure is a 28-item service user-rated measure of recovery support. INSPIRE assesses both the individual preferences of the user in the recovery process and their experience of support from staff.

    Aim: The aim of this study was to evaluate the psychometric properties of the Swedish version of the INSPIRE measure, for potential use in Swedish mental health services  and in  order to promote recovery in mental illness.

    Method: The sample consisted of 85 participants from 6 community mental health services targeting people with a diagnosis of psychosis in a municipality in Sweden. For the test-retest evaluation 78 participants completed the questionnaire two weeks later.   

    Results: The results in the present study indicate that the Swedish version of the INSPIRE measure had good face and content validity, satisfactory internal consistency and some level of instability in test-retest reliability.

    Conclusions: While further studies that test the instrument in a larger and more diverse clinical context are needed, INSPIRE can be considered as a relevant and feasible instrument to utilize in supporting the development of a recovery-oriented system in Sweden.

  • 313.
    Sinisalo, Johanna
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    NÄR HUSSE SLÅR: En kvalitativ undersökning om socialtjänstens förutsättningar att inkludera sällskapsdjur i arbetet med våld i nära relation2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    There is a link between violence against animals and domestic violence. Research

    emphasizes the importance of professionals possessing knowledge about the link as

    part of preventing, identifying and counteracting domestic violence. The purpose of

    this paper was to examine the social services' organizational conditions in adopting a

    pet-inclusive approach in the work with domestic violence. With references to the

    human-animal bond and the theory of social support, I emphasized the gain found in

    an approach of this kind. As method for data collection, semi-structured interviews

    were held with six social workers active in the field of domestic violence, from six

    municipalities in the middle parts of Sweden. Qualitative content analysis was then

    conducted, and the results indicate that although some social workers strive to include

    animals, animals generally have low priority on the social services agenda. A more

    consistent and effective provision of support could be achieved through national

    guidelines.

  • 314. Skillmark, Mikael
    et al.
    Kullberg, Christian
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Fäldt, Johannes
    Balancing on the continuum between perpetrator and victim: Social workers understandings of men as victims of violence2011In: Joint Nordic Conference on Welfare and professionalism in Turbulent Times, Reykjavik, 2011Conference paper (Refereed)
  • 315.
    Stenvall, Johanna
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Örnlind, Maria
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Den individuella återhämtningsprocessen från missbruk och kriminalitet: En kvalitativ studie av aktuella självbiografier2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Recovery is an individual process about creating hope, meaning and identity.

    Significant is access to supportive relationships and networks. This approach

    permeates and is the starting point for this study. The aim is to study the

    individual's recovery from abuse and crime.

    The recovery process was studied on the basis of seven current

    autobiographies, analyzed through thematic analysis, and linked to previous

    research and the theory The four columns of the individual recovery process. The

    columns includes redefinition of itself, the importance of support, dealing with

    symptoms and involvement in meaningful activity.

    The results show, in addition to the theory, that it is important for the

    autobiographer’s recovery to perform symbolic actions to show that a change has

    begun, and to end non-supporting relationships. The study shows that the

    autobiographer’s recovery from abuse and crime can be considered as a single

    process.

  • 316.
    Sundberg, Jenny
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Svensson, Emma
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Att hantera sin förälders missbruk: En kvalitativ intervjustudie om socialarbetares förståelse av copingstrategier hos barn till missbrukande föräldrar2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of the study is to investigate the coping strategies that children use when dealing with their parents' addiction. A qualitative approach and method was used to answer the purpose. The collection of data was acquired through qualitative semi-structured interviews with six social workers with professional experience of meeting children with addicted parents. The material was thematically analyzed and then the theory of coping by Lazarus and Folkman (1984) was applied on the results. The conclusion of the study is that the children have different types of coping strategies when dealing with their parents' abuse. The coping strategies differ based on age and gender of the children.

  • 317.
    Svenningsson, Irene
    et al.
    Sahlgrenska Akademin, Göteborgs universitet.
    Udo, Camilla
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Westman, Jeanette
    Nejati, Shabnam
    Hange, Dominique
    Björkelund, Cecilia
    Petersson, Eva-Lisa
    Creating a safety net for patients with depression inprimary care: a qualitative study of care managers’ experiences2018In: Scandinavian Journal of Primary Health Care, ISSN 0281-3432, E-ISSN 1502-7724, Vol. 36, no 4, p. 355-362Article in journal (Refereed)
    Abstract [en]

    Objective: The aim of this study was to explore nurses’experiences and perceptions of working as care managers at primary care centers.

    Design: Qualitative, focus group study. Malterud’s method of systematic text condensation was used to analyse the data.

    Setting: Primary health care in the region of Västra Götaland and region of Dalarna in Sweden.

    Subjects: Eight nurses were trained during three days including treatment of depression and how to work as care managers. The training was followed by continuous support in the method.

    Main outcome measures: The nurses’s experiences and perceptions of working as care managers at primary care centers.

    Results: The care managers described their role as providing additional support to the already existing care at the primary care center, working in teams with a person-centered focus, where they were given the opportunity to follow, support, and constitute a safety net for patients with depression. Further, they perceived that the care manager increased continuity and accessibility to primary care for patients with depression. 

    Conclusion: The nurses perceived that working as care managers enabled them to follow and support patients with depression and to maintain close contact during the illness.  The care manager function helped to provide continuity in care which is a main task of primary health care. 

  • 318.
    Tapper, Amanda
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Olsson, Madelene
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Våld i nära relationer: En kvantitativ utvärderingsstudie av projektet "Våga Hjälpa!"2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Victims of domestic violence (DV) are growing, still the number of cases reported isn't. In Rättvik only half the amount of cases are reported compared to two years ago. Rättvik is working to reduce DV by starting the project "Våga Hjälpa!". The purpose of this study was to use a quantitative approach to examine if the project is known in Rättvik. The study's based on a survey with a 27% response rate. The analysis was made by SPSS and interpreted on the basis of conformity, the bystander effect and the Theory of Planned Behaviour. Results show that the majority haven't been in contact with DV and that the knowledge of how to act is evenly spread. The study concludes with an objective evalution of "Våga Hjälpa!" where our study results are related to the project objectives. The evaluation partly shows a fullfilled result but also some improvement opportunities.

  • 319.
    Torrång, Elin
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Welam, Kari
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    ”Det är jag som bestämmer om min barndom ska få hindra mig eller inte”.: En kvalitativ studie om anknytning och resiliens hos barn som vuxitupp i en miljö präglad av alkoholmissbruk och/eller psykisk sjukdom.2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Previous research about children who have grown up with parents with mental illness and/or abuse has largely focused on negative aspects. The aim of this study was to through four autobiographies, examine individual factors that can contribute to a positive development, in children who have grown up with any adult with mental illness and / or alcohol abuse. The questions of the study concerned which individual characteristics contributed to well-being in adulthood, if some of these are common between the authors and memories of childhood that can be related to attachment. The theoretical foundation of the study consisted of attachment theory and resilience, in order to investigate the importance of the attachment for the children and how resistance can be developed in these children according to theory and research. The results of the study showed the majority of individual and common factors among the authors and the memories that could be related to the connection. The results were analyzed by thematic analysis, which derived 4 themes: safety net, connection, individual character and strategies for survival.

  • 320.
    Turunen, Päivi
    Dalarna University, School of Health and Social Studies, Social Work.
    Nordic community work in transition: - a change toward diversity and reflexivity2009In: Community Work in the Nordic Countries - New Trends / [ed] Gunn, Strand Hutchinson, Oslo: Universitetsforlag , 2009, p. 38-63Chapter in book (Other academic)
  • 321.
    Tägtgren, Ann-Sofie
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Östberg, Kamilla
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    "Man gör det man kan, och finns där…": Hemtjänstpersonals upplevelser av den psykosociala arbetsmiljön2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of the study was to investigate how home care staff, working in a munici-pality with Sweden's highest rates of sick leave, experience their psychosocial work environment from the perspectives of role conflict, social support, stress of con-science and perceived obstacles and opportunities connected to their work. The method was qualitative semistructured individual interviews with five home care staff. The results showed that the respondents had experiences of role conflicts, lack of social support, and stress of conscience. Perceived barriers to a good psychosocial work environment where stress, lack of communication and information. Opportu-nities was perceived to be good communication, cooperation and time to nuture re-lationschip with the client. The study showed that respondents' perceptions of the psychosocial work environment was largely caused by the changes in old age care and home services. The study also showed that respondents are working under psy-chosocial conditions that can give the most adverse health effects.

  • 322.
    Törneman, Lena
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Frykberg, Mimmi
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    "Jag slåss med rosa handskar, men de är fan inte fluffiga": En kvalitativ studie om verksamheten Pink Gloves Boxing2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of this study has been to examine what importance the Pink Gloves Boxing club has had for individual participant’s life situation with regards to psychosocial health, as a contribution to social work in Borlänge county. Furthermore, the aim has been to examine which parts of Pink Gloves Boxing have contributed to a possible change in the participants’ psychosocial life situation.

    Because of the aim to catch participants’ subjective experience of Pink Gloves Boxing, the material has been collected through semi-structured interviews with six participants. Through a thematic analysis of the material we found central themes and subthemes, which have formed the basis of the outcome. To analyze the result we have applied theories of empowerment and gender.

    All of the informants speak of better physique and increased mental health through their participation in Pink Gloves Boxing. Developed capacity of how to handle stress, aggression control and group affiliation are examples of the virtues of participation, as emphasized by informants. Positive components that emerged are the role of trainers, the cohesion of the group, the form of the exercise and the club’s arrangements, such as only female participants and group discussions.

  • 323.
    Udo, Camilla
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Sveen, Josefin
    Ersta Sköndal University College.
    Bylund Grenklo, Tove
    Alvariza, Anette
    Ersta Sköndal University College.
    Kreicbergs, Ulrika
    Ersta Sköndal University College.
    A nationwide study of young adults’ perspectives on their bereavement research participation: Brief report2019In: Journal of Palliative Medicine, ISSN 1096-6218, E-ISSN 1557-7740Article in journal (Refereed)
  • 324.
    Udo, Camilla
    Dalarna University, School of Health and Social Studies, Social Work.
    Existential issues in surgical care: Nurses’ experiences and attitudes in caring for patients with cancer2012Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The overall aim of this thesis was to explore surgical nurses’ experiences of being confronted with patients’ existential issues when caring for patients with cancer, and to examine whether an educational intervention may support nurses in addressing existential needs when caring for patients with cancer. Previously recorded discussions from supervision sessions with eight healthcare professionals were analysed (I), written descriptions of critical incidents were collected from 10 nurses, and interviews with open questions were conducted (II). An educational intervention on existential issues was pilot tested and is presented in Studies III and IV. The intervention was the basis of a pilot study with the purpose of testing whether the whole design of the educational intervention, including measurements instruments, is appropriate. In Study III and IV interviews with 11 nurses were conducted and 42 nurses were included in the quantitative measurements of four questionnaires, which were distributed and collected. Data was analysed using qualitative secondary analysis (I), hermeneutical analysis (II), and mixed methods using qualitative content analysis and statistical analyses (III-IV). Results in all studies show that existential issues are part of caring at surgical wards. However, although the nurses were aware of them, they found it difficult to acknowledge these issues owing to for example insecurity (I-III), a strict medical focus (II) and/or lacking strategies (I-III) for communicating on these issues. Modest results from the pilot study are reported and suggest beneficial influences of a support in communication on existential issues (III). The results indicate that the educational intervention may enhance nurses’ understanding for the patient’s situation (IV), help them deal with own insecurity and powerlessness in communication (III), and increase the value of caring for severely ill and dying patients (III) in addition to reducing work-related stress (IV). An outcome of all the studies in this thesis was that surgical nurses consider it crucial to have time and opportunity to reflect on caring situations together with colleagues. In addition, descriptions in Studies III and IV show the value of relating reflection to a theory or philosophy in order for attitudes to be brought to awareness and for new strategies to be developed.

  • 325.
    Udo, Camilla
    Dalarna University, School of Education, Health and Social Studies, Social Work. CKF, Centrum för Klinisk Forskning.
    The concept and relevance of existential issues in healthcare encounters2014Conference paper (Refereed)
    Abstract [en]

    Rationale: Existential issues are relevant, not only in healthcare research, but also in healthcare practice as patients express needs relating to emotional and/or existential aspects of the new and often unexpected life situation they find themselves in. In critical situations, such as being diagnosed with a life-threatening illness, where a previously envisioned future and one’s basic security come under threat, existential issues often arise. Therefore, as a threat to existence, medical problems also become existential problems involving suffering and issues of life and death. Healthcare professionals need to be prepared for this. Thus, there is a need for clarification of what existential issues might.

    Aim: To illuminate and clarify the concept of existential issues in relation to nursing research and nursing practice.

    Method: Literature was searched in philosophical literature, PubMed, Cinahl and Psycinfo.

    Results: The concept of existential has its origin in philosophy and is common for all humans regardless of culture or religion. Existential issues often concern meaning, death, existential isolation and freedom. Although healthcare professionals are often aware of what existential issues may be, they feel unsure to communicate with patients and their loved ones about existential issues.

    Conclusion: Although acting in the professional capacity, the healthcare encounter is still primarily a human encounter where existential issues must be acknowledged and handled in order to support the patient to find meaning and thus relieve suffering. Further education with reflective discussions for healthcare professionals on challenging and difficult caring situations is important to support a deeper understanding of existential issues and to facilitate integration between phronesis-based and episteme-based knowledge. This in turn seems to enable communication about existential issues in caring situations.

  • 326.
    Udo, Camilla
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    The concept and relevance of existential issues in nursing2014In: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 18, no 4, p. 347-354Article in journal (Refereed)
    Abstract [en]

    Aim: The aim of this study was to illuminate and clarify the concept existential issues in relation to nursing research and nursing practice.

    Methods: This article is a theoretical analysis of existential issues in relation to nursing.

    Results: Existential issues are becoming more commonly discussed and investigated in nursing research. Thus, it is important to clarify the concept.

    Conclusions: A clarification of existential issues may contribute to health care quality by increasing awareness of what existential issues are and drawing attention to the importance of discussing and reflecting on these issues, since practitioners in a caring profession will most likely encounter them.

  • 327.
    Udo, Camilla
    et al.
    Dalarna University, School of Health and Social Studies, Social Work.
    Danielson, Ella
    Sahlgrenska Akademien, Göteborgs Universitet; Mittuniversitetet.
    Henoch, Ingela
    Sahlgrenska Akademien, Göteborgs Universitet.
    Melin-Johansson, Christina
    Mittuniversitetet.
    Surgical nurses’ work-related stress when caring for severely ill and dying patients after participating in an educational intervention on existential issues2013In: The 7th International Conference on Social Work in Health and Mental Health: Pathways to Client-Centered Care: Oral Presentation Abstracts, 2013Conference paper (Refereed)
    Abstract [en]

    The aim was to describe surgical nurses’ perceived work-related stress in care of severely ill and dying patients after participating in an educational intervention on existential issues supervised by a clinical social worker.

    The concurrent data collections in this mixed methods study consisted of repeated interviews and questionnaires distributed on four occasions.

    Directly after the educational intervention, the nurses described working under high time pressure. They described being hindered in caring because of discrepancies between their caring intentions and what was possible in the surgical care context. Six months later, the nurses described a change in decision making, and a shift in the caring to make it more in line with their own intentions and patients’ needs rather than the organizational structure. At the same time they reported decreased feelings of work-related stress, decreased stress associated with work-load and feeling less disappointed at work.

    Results indicate that it may be possible to influence nurses’ work-related stress through an educational intervention. Reflection on ways of caring for severely ill and dying patients, from an existential perspective, had contributed to nurses’ enhanced independent decision-making in caring. This in turn appears to have decreased their feelings of work-related stress and disappointment at work.

  • 328.
    Udo, Camilla
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work. Mittuniversitetet, Institutionen för hälsovetenskap; Karolinska institutet.
    Danielson, Ella
    Mittuniversitetet, Institutionen för hälsovetenskap.
    Melin Johansson, Christina
    Mittuniversitetet, Institutionen för hälsovetenskap.
    Existential Reflections among Nurses in Surgical Care2010In: Journal of Palliative Care, ISSN 0825-8597, Vol. 26, no 3, p. 228-229Article in journal (Refereed)
    Abstract [en]

    Objectives: To gain a deeper understanding of surgical nurses’ experiences of existential issues in cancer care.

    Methods: Written critical incidents were used to collect nurses’ descriptions and reflections of critical care situations involving existential issues. Individual face-to-face interviews were conducted as follow-up using semi-structured questions which were analysed with hermeneutical analysis.

    Preliminary results: The analysis showed that nurses in surgical care experience caring from different positions. Nurses either focus on the patient as a whole in the caring process or nurses focus more on medical information in the caring process. When focusing on the patient as a whole existential issues are considered to be a natural part of the caring process and nurses’ personal experiences help to enable encounters with the patients. When focusing more on the medical information in the caring process there was a transfer of responsibility to others, mainly the physicians.

    Preliminary conclusions: This study highlights that existential issues are indeed part of surgical cancer care derived from existential care situations. Nurses’ focus in the caring process differs. Nurses express different positions in caring and not all acknowledge patients’ existential issues as part of nurses’ responsibility. When lacking common strategies in the organization nurses derive existential caring strategies from personal experiences.

  • 329.
    Udo, Camilla
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Danielson, Ella
    Melin-Johansson, Titti
    Existential Reflections among Nurses in Surgical Care2010In: 18th International Congress on Palliative Care, October 5-8, 2010, Montréal, Canada, Montréal, Canada, 2010Conference paper (Refereed)
    Abstract [en]

    Objectives: To gain a deeper understanding of surgical nurses’ experiences of existential issues in cancer care. Methods: Written critical incidents were used to collect nurses’ descriptions and reflections of critical care situations involving existential issues. Individual face-to-face interviews were conducted as follow-up using semi-structured questions which were analysed with hermeneutical analysis. Preliminary results: The analysis showed that nurses in surgical care experience caring from different positions. Nurses either focus on the patient as a whole in the caring process or nurses focus more on medical information in the caring process. When focusing on the patient as a whole existential issues are considered to be a natural part of the caring process and nurses’ personal experiences help to enable encounters with the patients. When focusing more on the medical information in the caring process there was a transfer of responsibility to others, mainly the physicians. Preliminary conclusions: This study highlights that existential issues are indeed part of surgical cancer care derived from existential care situations. Nurses’ focus in the caring process differs. Nurses express different positions in caring and not all acknowledge patients’ existential issues as part of nurses’ responsibility. When lacking common strategies in the organization nurses derive existential caring strategies from personal experiences.

  • 330.
    Udo, Camilla
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Forsman, Henrietta
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Jensfelt, Marcus
    Flink, Maria
    Perceptions of knowledge, research use and evidence-based practice among Swedish medical social workers – a qualitative study2019Conference paper (Refereed)
    Abstract [en]

    Background and aim: With the intention to do more good than harm, it is important to rely on practice that is rooted in evidence-based guidelines so that clients are given the exact care they need. Thus, from a client safety perspective, the social worker needs to apply evidence-based practice (EBP). Learning more about the medical social workers’ perceptions of EBP has the potential to contribute to an increased understanding of how best available knowledge can be implemented in medical social work settings to provide high quality and safe practice to clients. Therefore the aim of this study was to explore medical social workers’ perceptions of evidence-based practice (EBP), including factors relevant for the successful implementation of evidence into medical social work practice.

    Methods: This is a qualitative study. Eight focus group interviews were conducted that included 27 medical social workers. Data were analyzed using qualitative content analysis.

    Results: Analysis resulted in two categories: “knowledge in practice” and “challenges in relation to the implementation of EBP” and four subcategories: “practice based on research evidence or experience”, “obtaining new evidence of practice”, “research and the social work context”, and “barriers and facilitating factors”. Participants tended to perceive EBP as theoretical and positivistic while perceiving their own knowledge as eclectic and experience-based. Although they perceived the relevance of research findings to their practice, they expressed a need for support to translate research into policy and practice. They also reported that studies about their specific work were scarce.

    Conclusion and implications: The facilitating factors suggested by the medical social workers which concerned, e.g., a specially designated person responsible for supporting the increased use of research findings, support for prioritization of time, increased opportunities for the sharing of knowledge, and time for consultations, need to be considered when promoting the implementation of EBP within medical social work settings. The medical social workers’ suggestion for the facilitation of knowledge exchange needs further investigation.

  • 331.
    Udo, Camilla
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Forsman, Henrietta
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Jensfelt, Marcus
    Karolinska University Hospital.
    Flink, Maria
    Karolinska University Hospital; Karolinska Institutet.
    Research use and evidence-based practice among Swedish medical social workers: a qualitative study2018In: Clinical social work journal, ISSN 0091-1674, E-ISSN 1573-3343Article in journal (Refereed)
  • 332.
    Udo, Camilla
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work. CKF, Centre for Clinical Research Dalarna, County Council of Dalarna, Falun.
    Lövgren, M
    Lundquist, G
    Axelsson, B
    Palliative care physicians' experiences of end-of-life communication: A focus group study2018In: European Journal of Cancer Care, ISSN 0961-5423, E-ISSN 1365-2354, Vol. 27, no 1, article id e12728Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to explore palliative home care physicians' experiences regarding end-of-life breakpoint communication (BPC). This is a qualitative study where focus group interviews were conducted and analysed using qualitative content analysis. The results show that the participants saw themselves as being responsible for accomplishing BPC, and they were convinced that it should be regarded as a process of communication initiated at an early stage, i.e. proactively. However, BPC was often conducted as a reaction to the patient's sudden deterioration or sometimes not at all. The barriers to achieving proactive BPC included physicians' uncertainty regarding the timing of BPC, primarily due to difficulties in prognostication in terms of time of death, and uncertainty as to what BPC should include and how it should best be approached. Furthermore, there was insufficient documentation regarding previous BPC, which impeded proactive BPC. Although our study shows that physicians are ambitious when it comes to the communication of information to patients and families, there is a need for further training in how to conduct BPC and when to initiate the BPC process. Furthermore, there should be documentation that different professionals can access as this would appear to facilitate a proactive BPC process.

  • 333.
    Udo, Camilla
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Lövgren, Malin
    P033 Physicians’ Perceptions of End-of-Life Breakpoint Communication: A Focus Group Study2016In: Journal of Pain and Symptom Management, ISSN 0885-3924, E-ISSN 1873-6513, Vol. 52, no 6, p. e73-e74Article in journal (Refereed)
  • 334.
    Udo, Camilla
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work. CKF (Centre of Clinical Research) County Council of Dalarna, Falun, Sweden.
    Lövgren, Malin
    The Department of Health Care Sciences, Ersta Sköndal University College, Stockholm, Sweden. .
    Lundquist, Gunilla
    CKF (Centre of Clinical Research) County Council of Dalarna, Falun, Sweden.
    Axelsson, Bertil
    Research unit Östersund hospital, Department of Radiation Sciences, Umeå University, Umeå, Sweden.
    Physicians’ perceptions of end-of-life breakpoint communication: A focus group study2016Conference paper (Refereed)
  • 335.
    Udo, Camilla
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Melin Johansson, Christina
    Danielson, Ella
    Health care staff’s discussions of existential issues in cancer care2010In: Changing Health. 6th International Conference on Social Work in Health and Mental Health. 28th June - 2nd July 2010, Dublin, Ireland, Dublin, Ireland, 2010Conference paper (Refereed)
    Abstract [en]

    Objectives: A qualitative study was made to explore healthcare staff’s discussions about existential issues when caring for patients with cancer on a surgical ward, as described in supervision sessions. Methods: Secondary content analysis of twelve tape-recorded supervision sessions was used. The sessions lasted for two hours every third week during one year. The supervision sessions were conducted at a surgical clinic in a county hospital in the middle of Sweden. Twenty-one participants, 25 to 55 years of age (MD=38) who had worked on a surgical clinic for 1 to 30 years (MD=10) participated. Findings: The analysis showed that reflections about existential issues do exist among healthcare staff in surgical wards. There are barriers, in staff themselves as well as in the organisation hindering them to encounter patients’ existential needs which is illustrated by the domain: “Health care staff’s discussions of their existential dilemmas” and the themes “feelings of powerlessness”, “identifying with patients”, and “getting close or keeping a distance”. Staff observed that patients have existential needs which are illustrated by the domain: “Health care staff’s discussions of patients’ existential distress” and the themes “being in despair” and “feelings of isolation”. Conclusions: This study shows that healthcare staff in surgical wards is conscious of patients’ existential distress. Yet staff lack strategies to encounter patients’ existential issues. There is a need for knowledge about the meaning of existential issues and education for staff working in a surgical ward and how to encounter patients’ existential needs.

  • 336.
    Udo, Camilla
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Melin-Johansson, Christina
    Danielson, Ella
    Existential issues among health care staff in surgical cancer care: Discussions in supervision sessions2011In: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 15, no 5, p. 447-453Article in journal (Refereed)
    Abstract [en]

    Purpose The aim was, through analysis of dialogues in supervision sessions, to explore if health care staff in surgical care discussed existential issues when caring for cancer patients. Method A secondary analysis of the content of twelve tape-recorded supervision sessions (18 h) was conducted. The study analysed the dialogue content in supervision sessions involving a group of eight participants who worked at a surgical clinic at a county hospital in central Sweden. The sessions were held every third week during the course of one year. Results The analysis showed that surgical health care staff contemplates existential issues. The staff discussed their existential dilemmas, which hindered them from meeting and dealing with patients’ existential questions. This is illustrated in the themes: “feelings of powerlessness”, “identifying with patients”, and “getting close or keeping one’s distance”. The staff also discussed the fact that patients expressed existential distress, which is illustrated in the themes: “feelings of despair” and “feelings of isolation”. Conclusions This study shows that there are existential issues at a surgical clinic which health care staff need to acknowledge. The staff find themselves exposed to existential dilemmas when caring for cancer patients. They are conscious of patients’ existential issues, but lack strategies for dealing with this. This study highlights a need to provide support to staff for developing an existential approach, which will boost their confidence in their encounters with patients.

  • 337.
    Udo, Camilla
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work. Center for Clinical Research Dalarna, Falun.
    Neljesjö, Maria
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Strömkvist, Ingegerd
    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. Karolinska Institutet; Chalmers University of Technology.
    A qualitative study of assistant nurses’ experiences of palliative care in residential care2018In: Nursing Open, E-ISSN 2054-1058, Vol. 5, no 4, p. 527-535Article in journal (Refereed)
    Abstract [sv]

    Aim

    To explore assistant nurses' experiences and perceptions of both positive and negative aspects of providing palliative care for older people in residential care facilities.

    Design

    A qualitative explorative study.

    Methods

    Critical incidents were collected through semi‐structured face‐to‐face interviews and analysed by performing a qualitative content analysis.

    Results

    A total of 40 critical incidents from daily work was described by assistant nurses. The results showed that close cooperation between unlicensed and licensed professionals was crucial to provide good care but was sometimes negatively affected by the organizational structure. The availability of professionals was identified as a critical factor in providing good care at the end of life in a consultative organization. The most prominent findings were those that indicated that, especially in a consultative organization, there seems to be a need for clear roles, comprehensive and clear care plans and a solid support structure to ensure continuity of care.

  • 338.
    Udo, Camilla
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Neljesjö, Maria
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Strömkvist, Ingegerd
    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.
    Assistant nurses’ experiences and perceptions of palliative care situations in residential care2016Conference paper (Refereed)
  • 339.
    Udo, Camilla
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Neljesjö, Maria
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Strömkvist, Ingegerd
    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.
    P177 Assistant Nurses’ Experiences and Perceptions of Palliative Care Situations in Residential Care2016In: Journal of Pain and Symptom Management, ISSN 0885-3924, E-ISSN 1873-6513, Vol. 52, no 6Article in journal (Refereed)
  • 340.
    Udo, Camilla
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Svenningsson, Irene
    Sahlgrenska Akademin, Göteborgs universitet.
    Björkeland, Cecilia
    Sahlgrenska Akademin, Göteborgs universitet.
    Hange, Dominique
    Sahlgrenska Akademin, Göteborgs universitet.
    Jerlock, Margareta
    Sahlgenska Akademin, Göteborgs universitet.
    Petersson, Eva-Lisa
    Sahlgrenska Akademin, Göteborgs universitet.
    An interview study of the care manager function – opening the door to continuity of care for patients with depression in primary care2019In: Nursing Open, E-ISSN 2054-1058Article in journal (Refereed)
    Abstract [en]

    Aim: To explore experiences among patients with depression of contact with a care manager at a primary care center.

    Design: A qualitative explorative study.

    Methods: During spring and summer 2016, twenty individual face-to-face interviews were conducted with patients with experience of care manager contact. The material was analyzed using systematic text condensation.

    Results: The participants described that having contact with a care manager was a support in their recovery process. Care became more available, and the structured continuous contact and the care manager’s availability contributed to a trusting relationship. Having someone to share their burden with was a relief. However, it was described as negative when the care manager was perceived as inflexible and not open to issues that the participants felt a need to discuss. For the care manager contact to be successful, there is a need for flexibility and individually tailored contact.

  • 341. van den Heuvel, Eleanor
    et al.
    Gilhooly, Mary
    Sutherland, Ian
    Jowitt, Felicity
    McKee, Kevin
    Dalarna University, School of Health and Social Studies, Social Work.
    Dahlberg, Lena
    Dalarna University, School of Health and Social Studies, Social Work.
    Parker, Stuart
    Gaydecki, Patrick
    Ratcliffe, Norman
    Bichard, Jo-Anne
    Long, Adele
    Cotterill, Nikki
    Orme, Susie
    Tackling ageing continence through theory, tools and technology (TACT3)2013Report (Other academic)
  • 342.
    Vethanayagam, Natalie
    et al.
    Barnsley Hospital, Barnsley, United Kingdom.
    Orrell, Alison
    Bangor University, School of Social Sciences, Bangor, United Kingdom.
    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.
    Orme, Susan
    Barnsley Hospital, Barnsley, United Kingdom.
    Parker, Stuart G
    Newcastle University, Institute of Health and Society, Newcastle, United Kingdom.
    Gilhooly, Mary
    Brunel University London, Department of Clinical Sciences, London, United Kingdom.
    Understanding help-seeking in older people with urinary incontinence: An interview study2017In: Health & Social Care in the Community, ISSN 0966-0410, E-ISSN 1365-2524, Vol. 25, no 3, p. 1061-1069Article in journal (Refereed)
    Abstract [en]

    The prevalence of urinary incontinence (UI) increases with age and can negatively affect quality of life.  However, relatively few older people with UI seek treatment.  The aim of this study was to explore the views of older people with UI on the process of seeking help.

    Older people with UI were recruited to the study from three continence services in the north of England: a geriatrician-led hospital outpatient clinic (n=18), a community based nurse-led service (n=22) and a consultant gynaecologist-led service specialising in surgical treatment (n=10). Participants took part in semi-structured interviews, which were transcribed and underwent thematic content analysis.

    Three main themes emerged: Being brushed aside, in which participants expressed the feeling that general practitioners did not prioritise or recognise their concerns; Putting up with it, in which participants delayed seeking help for their UI due to various reasons including embarrassment, the development of coping mechanisms, perceiving UI as a normal part of the ageing process, or being unaware that help was available; and Something has to be done, in which help-seeking was prompted by the recognition that their UI was a serious problem, whether as a result of experiencing UI in public, the remark of a relative, the belief that they had a serious illness, or the detection of UI during comprehensive geriatric assessment.

    Greater awareness that UI is a treatable condition and not a normal part of ageing is needed in the population and amongst health professionals. Comprehensive geriatric assessment appeared an important trigger for referral and treatment in our participants.  Screening questions by health care professionals could be a means to identify, assess and treat older people with UI.

  • 343.
    Vikström, Emelie
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Magnusson, Ann
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    BEMÖTA BARNENS BEHOV: En kvalitativ studie av personalens upplevelser av yrkesroll och arbetsuppgifter på hem för vård eller boende för ensamkommande barn2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The present study explores how members of staff at HVB for unaccompanied minors experience their work tasks, their roles as care givers, and what they mean it takes to meet the needs of the children. The data consists of six semi-structured interviews conducted at three different HVB. The interviews were analysed using reports made by the National Board of Health and Welfare (Socialstyrelsen) and the health and Social Care Inspectorate (IVO), and theories about resilience from mental illness. Furthermore, the current paper draws on previous research on the needs of unaccompanied minors and on international professionals’ roles and work tasks. The results show that the staff’s main task is to meet some of the needs of the children as their need of security, support, stability and sense of belonging. Time, knowledge, personal suitability and formal training were emphasized as important characteristics in order for them to adequately respond to the children’s needs.

  • 344.
    Walizadah, Hermia
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Jansson, Kalle
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Skolans arbete med hedersrelaterat våld och förtryck: En kvalitativ studie om hur skolpersonalen arbetar med elever som är utsatta för hedersrelaterat våld och förtryck2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The school must work to detect, prevent and provide protection in case of emergency situations to students who are exposed to honor-related violence and oppression. The research about how schools should work with honor-related violence and oppression is lacking. The aim of the study was to investigate how school staff work with students who are subjected to honor-related violence and oppression. The study is based on six qualitive interviews with school staff: principals, school counselors and teachers. The result showed that the schools are working to create relations with students and their parents, the schools have an action plan, offering counselling from the school counselor and the school staff is organizing boy groups where they discuss masculine standards, girl groups where the school staff strengthens the girls by talking about women’s rights and parent groups where the school staff supports the parents in their parenting roles. We can see differences in the work based on the school staff's own interest and knowledge.

  • 345.
    Wallström, Caroline
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Ensamkommande ungdomars behov: En kvalitativ intervjustudie som kartlägger ensamkommande ungdomarnas fysiska och psykiska mående utifrån boendepersonalens uppfattningar2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study has been to identify how the work is conducted in five municipal homes for care and accommodation for unaccompanied refugee youths. Five qualitative semi-structured interviews were conducted with six respondents who work as staff in the youth accommodation for unaccompanied refugee youths. The results were analyzed based on Maslow’s hierarchy of needs. The results showed a spread among the youths where some had difficulties with the most basic needs such as eating and sleeping, while other young people had worked their way up in the hierarchy and were on the top of the stairs working for self-actualization.

  • 346.
    Wärman Rainer, Frida
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    För barn eller akademiker?: En studie om socialtjänstens webbaserade information för barn och unga.2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study is to reach an understanding about how the social services in Dalarna are informing children and youths about their functions and services through the Internet. A combination of qualitative and quantitative methods has been used and data has been collected through content analysis of all web sites of Dalarnas counties. The data that has been collected has been analyzed from a child perspective and through theories of strategic communication. The results have disclosed that there from a child perspective are many faults in the web based information provided by the counties and it seems like they do not have any strategies for how communication with children and youths should be handled. The result also reveals that current law and the UN conventions on the rights of the child are not taken into consideration.

  • 347.
    Zimmermann, Angélique
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Vad innebär hunden för våra brukare?: Personalens erfarenheter av djurassisterade insatser medhundar inom kommunal LSS-dagverksamhet i Dalarnas län.2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of the present study was to investigate how users are influenced by

    animal-assisted interventions with dogs in municipal day-care centres (developing

    centres or working places for persons with autism and/or intellectual disabilities)

    in Dalarna County. This is a qualitative study, initiated through a quantitative

    mapping concerning the presence of dogs or other animals in all municipal LSS

    day-care centres in Dalarna. Its limited to the staff perspective on the impact of

    dog-assisted interventions on the target group, and results are based on semistructured

    interviews with staff from all municipal day-care centres in Dalarna,

    where users are offered dog-assisted interventions. The results where analysed

    through previous research, KASAM and social responsiveness. They show that the

    dog-assisted interventions promote mental/physical wellbeing and motivate the

    users of the day-care centres to develop physical, mental and social skills. I found

    evidence that users benefit from animal-assisted interventions with dogs – in many

    ways.

  • 348.
    Åberg, Anna Cristina
    et al.
    Dalarna University, School of Education, Health and Social Studies, Medical Science. Uppsala universitet.
    Cedervall, Y
    Giedraitis, V
    Berglund, L
    Lennhed, B
    Rosendahl, E
    McKee, Kevin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Kilander, L
    Can Timed Up-and-GO (TUG) Dual Task Performance Aid Diagnosis of Dementia?2017Conference paper (Refereed)
  • 349.
    Åberg, Anna Cristina
    et al.
    Dalarna University, School of Education, Health and Social Studies, Medical Science.
    Cedervall, Y
    Lundberg, C
    Giedraitis, V
    Berglund, L
    Kilander, L
    Ingelsson, M
    Rosendahl, E
    McKee, Kevin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Timed Up-and-Go dual-task performance in people with cognitive impairment2018Conference paper (Refereed)
  • 350.
    Åkerström, Karolina
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    "Stress finns alltid med i bilden": Skolrelaterad stress hos barn – en fråga för skolkuratorn?2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of the study was to investigate how school counsellors describe school-related stress in children and how they work in their profession with questions related to school-related stress in children. The method in the study was qualitative and semi-structured interviews were conducted with school counsellors working in elementary school. The theoretical frame of the study was a sense of context (KASAM) and social support in order to gain a broader understanding of children's school-related stress and the role of the school-counsellor in the psychosocial work on children's school-related stress. The results of the study showed that school counsellors saw a high incidence of school-related stress in children, mainly related to social interaction, achievements and expectations in school work and the organizational structure of the school. The study found that school counsellors felt that school-related stress issues are important to work with at individual group and organizational levels.

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