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51.
  • Danermark, Berth, 1951-, et al. (författare)
  • Toward an Instrument for Measuring the Performance of Collaboration across Organisational and Professional Boundaries
  • 2013
  • Rapport (refereegranskat)abstract
    • In this paper, we present an initial effort in the creation of a generic instrument for measuring the performance of collaboration across organisational and professional boundaries. Based on the literature and previous research on collaboration, a three dimensional instrument for measuring the preconditions for and the performance of collaboration has been constructed. Validity and reliability have been tested, and the instrument has been used in more than 100 projects. It has been demonstrated that  the instrument can serve a number of purposes: to consecutively measure and assess the performance of collaboration; to identify weak parts of the collaboration; to reveal if there are different preconditions for the involved partners’ full engagement in the collaboration; and to relate the performance to other similar collaboration projects. The outcome of the use of the instrument indicates that it can serve as an interactive tool for promoting a learning organisation in the context of collaboration and for building innovative network structures.
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52.
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53.
  • Ehn, Mattias, 1972-, et al. (författare)
  • Health, work, social trust, and financial situation in persons with Usher syndrome type 1
  • 2018
  • Ingår i: Work. - : IOS Press. - 1051-9815 .- 1875-9270. ; 60:2, s. 209-220
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND: Research has demonstrated that persons with Usher syndrome type 1 (USH1) have significantly poorer physical and psychological health compared to a reference group.PURPOSE: To explore the relation between work, health, social trust, and financial situation in USH1 compared to a reference group.MATERIAL: Sixty-six persons (18-65 y) from the Swedish Usher database received a questionnaire and 47 were included, 23 working and 24 non-working. The reference group comprised 3,049 working and 198 non-working persons.METHODS: The Swedish Health on Equal Terms questionnaire was used and statistical analysis with multiple logistic regression was conducted.RESULTS: The USH1 non-work group had a higher Odds ratio (95% CI) in poor psychological and physical health, social trust, and financial situation compared to the USH1 work group and reference groups. Age, gender, hearing, and vision impairment did not explain the differences. The relation between the USH1 work and non-work groups showed the same pattern as the reference groups, but the magnitude of problems was significantly higher.CONCLUSIONS: Both disability and unemployment increased the risk of poor health, social trust and financial situation in persons with USH1, but having an employment seemed to counteract the risks related to disability.
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54.
  • Ehn, Mattias, 1972- (författare)
  • Life Strategies, Work and Health in People with Usher Syndrome
  • 2020
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • Introduction: People with Usher syndrome (USH) have an inherited disorder causing congenital deafness or hearing loss combined with progressive vision loss and, in some cases, balance problems. Previous research has shown that people with USH have poor physical and psychological health. Research has, however, demonstrated that there are in-group health differences that have not yet been explored and that there is a lack of studies on life strategies as well as health in relation to working life.Aim: The aim was to explore the relationship between work and health in people with USH1 and 2 and to explore the experiences of life strategies in people with USH 2.Methods: A quantitative and a qualitative explorative design was employed comprising two cross-sectional studies of the relationship between work and health in people with USH2 (n=67) and USH1 (n=47). The third study, of life strategies, comprised focus group interviews with people with USH2a (n=14) analyzed by content analysis. The fourth study explored the lived experiences of working life by interviewing people with USH2 (n=7) using an interpretative phenomenological approach.Results: Study 1 and 2 demonstrated significant differences in health between working and nonworking people. Nonworking people showed significantly poorer health. In study 3, a variety of strategies to prevent and resolve challenges in life, as well as to comfort oneself was identified. The lived experiences of working life in people with USH2 (study 4) disclosed feelings of satisfaction, striving towards a work life balance. Work also disclosed feelings of limitations and uncertainty about the future.Conclusion: The results, which are discussed in relation to the Meikirsh model of health, demonstrated a complexity. Individual life strategies, psychological flexibility and environmental aspects, such as social determinants have to be considered to receive a comprehensive picture of the relationship between work and health in people with USH. This thesis provides new insights into the health of people with USH.
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55.
  • Ehn, Mattias, 1972-, et al. (författare)
  • The relationship between work and health in persons with Usher syndrome type 2
  • 2016
  • Ingår i: Journal of Visual Impairment & Blindness. - New York, USA : American Foundation for the Blind. - 0145-482X .- 1559-1476. ; 110:4, s. 233-244
  • Tidskriftsartikel (refereegranskat)abstract
    • Introduction: Persons with deafblindness may have additional physical and psychological health problems. In this study we have focused on health from a work-life perspective in persons with Usher syndrome type 2 (USH2), a disorder with sensorineural hearing loss and retinitis pigmentosa. The aim of this study was to investigate the relationship between work and disability pension and physical and psychological health in persons with USH2.Methods: Participants were recruited from the Swedish Usher database. Eighty-four persons (aged 18 to 65 years) received a health-related questionnaire and 67 (36 women and 31 men) agreed to participate. The participants formed two groups (working group, n = 34; disability pension group, n = 33). A Swedish Health on Equal Terms questionnaire comprising questions on psychological and physical health, living conditions, work activity, and social relationships was used. A chi-square test of significance was used with a significance level of p < 0.05.Results: The two groups did not differ in terms of age, gender, degree of hearing loss, visual acuity, or visual field loss. The working group had statistically significant better health compared to the disability pension group in areas such as being overweight, handling problems, concentration, feeling unhappy, depressive symptoms, and feelings of worthlessness. Suicidal thoughts and attempts were significantly more common in the disability pension group.Discussion: Persons with USH2 generally reported very poor physical and psychological health, with significant differences between persons who were working and those who were not. This study highlights the need for early rehabilitation, vocational training, and opportunities to access the labor market. Implications for practitioners: It is important that persons with USH2 receive vocational support from an early age and that professionals in the field of rehabilitation always include work activity as a key element of interventions.
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56.
  • Elander, Ingemar, 1942-, et al. (författare)
  • Introduction
  • 1994. - 1
  • Ingår i: Social Rented Housing in Europe. - Delft, Netherlands : Delft University Press. - 9062759424 ; , s. 1-20
  • Bokkapitel (refereegranskat)
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57.
  • Englund, Ulrika, 1976- (författare)
  • Samverkansprojekt, och sen då? : en uppföljande studie av samverkansprocessen kring barn och unga som far illa eller riskerar att fara illa
  • 2017
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • Satisfactory collaboration regarding children and youth in need of a comprehensive support is particularly important. Despite extensive research on collaborative work, knowledge of long term development of the collaboration process is lacking. The present thesis concerns inter-organizational collaboration within the framework of a former Swedish policy effort – focusing collaboration between schools, social services, police and the child and youth psychiatry – for the benefit of children and young people in distress or at risk. Applying a critical realist perspective, the overall aim of the thesis is to describe how former collaboration projects develop over time, and to identify significant mechanisms within this development. Through three questionnaire studies, the collaborative process development within the same collaborative settings is described (n=66) over a period of close to seven years. Estimations of 58 collaboration quality indicators within three categories *rules and regulations, *structural aspects and *shared perspectives/ consensus were collected at baseline in 2008, after one year at the final project stage in 2009, as well as five years after the project period (and the policy effort) ended, in 2014 (n=38). Two developmental trends occur: I) an overall positive trend and II) a negative trend on a comprehensive level. I) Collaboration on the target group has increased over time, are mainly incorporated into permanent organizational structures and is judged to have worked well/very well over time. II) Overall deteriorations of high estimates of the 58 quality indicators for collaborations is seen over the five year period, following the project period. However, less dramatic changes is noted on quality indicators concerning shared perspectives/consensus than on matters regarding rules and regulations and structural aspects. Five mechanisms of particular importance for the collaboration development are identified: anchoring, holistic perspectives, engagement, knowledge and clarity.
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58.
  • Germundsson, Per, 1956-, et al. (författare)
  • Disability and supported employment : impact on employment, income, and allowances
  • 2012
  • Ingår i: International Journal of Rehabilitation Research. - Philadelphia, USA : Lippincott Williams & Wilkins. - 0342-5282 .- 1473-5660. ; 35:3, s. 263-269
  • Tidskriftsartikel (refereegranskat)abstract
    • In this article, we examine supported employment and its impact on the level of employment, disposable income, and sum of allowances, targeting a group of individuals with disabilities. We have particularly focused on individuals with psychiatric disabilities. Supported employment is a vocational rehabilitation service with an empowerment approach that has competitive employment as an expressed goal. Data collected from two Swedish organizations, providing services based on supported employment, have been used. Two groups have been considered: one group focusing on individuals who have received vocational rehabilitation, according to the supported employment approach, and the other group focusing on individuals who declined supported employment (control group). The groups have been examined according to a 'before-and-after the intervention' design. Outcome measures have been retrospectively analyzed. The results indicate that the individuals who received supported employment were hired faster, earned a higher disposable income, and at the same time, had lower individual allowances. The same pattern as that for the overall population emerged for individuals with psychiatric disorders. Vocational rehabilitation based on the principles of supported employment may be very effective for individuals to gain employment, a better disposable income, and a substantial cutback in allowances. The intervention should be tailored according to individual needs rather than organizational rules.
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59.
  • Germundsson, Per, et al. (författare)
  • Patterns in the social representation of "hearing loss" across countries : how do demographic factors influence this representation?
  • 2018
  • Ingår i: International Journal of Audiology. - : Taylor & Francis Group. - 1499-2027 .- 1708-8186. ; 57:12, s. 925-932
  • Tidskriftsartikel (refereegranskat)abstract
    • This study aims to understand patterns in the social representation of hearing loss reported by adults across different countries and explore the impact of different demographic factors on response patterns. The study used a cross-sectional survey design. Data were collected using a free association task and analysed using qualitative content analysis, cluster analysis and chi-square analysis. The study sample included 404 adults (18 years and over) in the general population from four countries (India, Iran, Portugal and UK). The cluster analysis included 380 responses out of 404 (94.06%) and resulted in five clusters. The clusters were named: (1) individual aspects; (2) aetiology; (3) the surrounding society; (4) limitations and (5) exposed. Various demographic factors (age, occupation type, education and country) showed an association with different clusters, although country of origin seemed to be associated with most clusters. The study results suggest that how hearing loss is represented in adults in general population varies and is mainly related to country of origin. These findings strengthen the argument about cross-cultural differences in perception of hearing loss, which calls for a need to make necessary accommodations while developing public health strategies about hearing loss.
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60.
  • Germundsson, Per, 1956-, et al. (författare)
  • Vocational rehabilitation, interagency collaboration and social representations
  • 2012
  • Ingår i: Work. - Amsterdam, Netherlands : IOS Press. - 1051-9815 .- 1875-9270. ; 42:4, s. 507-517
  • Tidskriftsartikel (refereegranskat)abstract
    • Objective: The aim of this study is to describe and analyse two important dimensions of vocational rehabilitation for disadvantaged groups and persons with disabilities: interagency collaboration and social representations.Participants: Four focus group discussions were conducted. The participants were 20 officials of various agencies who had taken part in collaboration projects in vocational rehabilitation.Methods: Qualitative content analysis was used for the analysis. The material was categorised and central themes identified.Results: Three themes emerged: 'Collaboration Process', 'Other Agencies' and 'Object for Collaboration'. The results indicate that interagency collaboration is very important in vocational rehabilitation, but that there are a number of obstacles to smooth collaboration. The professionals of the different agencies shared social representations to a great extent. Working with people with psychiatric disorders is especially challenging, and conflicts tended to arise between the projects and the home organisations.Conclusions: Recognition of others' knowledge and respectfulness toward other professions facilitated vocational rehabilitation and the interagency collaboration process. The agencies' lack of flexibility increased the risk of conflicts as attempts were made to integrate the new working methods developed within the projects into the ordinary activities of the agencies.
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