| 1. |
- Melin Emilsson, Ulla, 1947-
(författare)
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Health care, social care or both? : A qualitative explorative study of different focuses in long-term care of older people in France, Portugal and Sweden
- 2009
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Ingår i: European Journal of Social Work. - : Taylor & Francis Group. - 1369-1457 .- 1468-2664. ; 12:4, s. 419-434
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Tidskriftsartikel (refereegranskat)abstract
- Challenges with an ageing population are increasingly becoming a reality in the Western world. Since cognitive impairment increases with age, we can expect an increasing number of older people in need of care. The aim of this article is to describe, analyse and compare different focuses on care of older people with dementia, using examples from France, Portugal and Sweden. The questions are principally focused on the participants’ view about their tasks, the organisation of work, the professional role and cooperation with other professions. Everyday care was studied through observations and participant observations and the staff's opinion was explored by means of interviews. Twenty-two care settings for older people were included. The findings showed that France provided mainly ‘health care’, Sweden ‘social care’ and Portugal an integrated ‘health care and social care’. In a comparative perspective the Portuguese general care of older people, which focuses on integration of health care, social care and social work, also seems to provide care for older people suffering from dementia which best corresponds to the previously developed group living model.
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| 2. |
- Stjernborg, Vanessa, et al.
(författare)
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Changes in outdoor mobility when becoming alone in the household in old age
- 2013
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Ingår i: Journal of Transport & Health. - : Elsevier BV. - 2214-1405 .- 2214-1413. ; 1:1, s. 9-16
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this article is to analyze reported changes in outdoor mobility, increased/unchanged/decreased, for a sample of older people (>62 years) in two regions in Sweden, who have transitioned from a two-person to a single-person household during the two years since the study was conducted. The target group (N=162) consists of all people who had transitioned to a single-person household in a random sample of 2033 people. The predominant results reveal that the stressful life event of transitioning into a single-person household in old age means reduced outdoor mobility for certain sub-groups. All modes of transport are used similarly regardless of reported changes in mobility (except for walking). Our results suggest that society must put more effort into offering good walking conditions, since (a) walking seems to be the most important mode of transport for outdoor mobility and (b) walking is valuated almost as high as car after becoming alone in the household regardless if the population in our study reported unchanged, decreased or increased mobility. Further, illuminating another result, namely that special transport service 3 (STS) came out as especially important for people with increased activity, society also needs to invest in the provision of STS to keep the most vulnerable group of people mobile when other modes of transport are no longer a reality.
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| 3. |
- Ritenius Manjer, Åsa, et al.
(författare)
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Non-attendance in mammography screening and women’s social network : A cohort study on the influence of family composition, social support, attitudes and cancer in close relations.
- 2015
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Ingår i: World Journal of Surgical Oncology. - : Springer Science and Business Media LLC. - 1477-7819. ; 13, s. 211-217
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundMammography screening can reduce breast cancer mortality. The aim of the present study was to investigate non-attendance in mammography screening in relation to different aspects of a women’s social network, attitudes and cancer in close relations.MethodsData from the Malmö Diet and Cancer Study baseline examination in 1991–1996 was used. A re-examination began in 2007, and 1452 women participated. Family composition, social support, sense of belonging, attitudes on screening and breast cancer risk and on previous cancer in close relations were investigated in relation to self-reported participation in mammography screening using logistic regression analysis, yielding odds ratios with 95 % confidence intervals.ResultsBoth attendees (98.0 %) and non-attendees (95.2 %) considered mammography screening important. Non-attendance in mammography screening was associated with being unmarried vs. married (2.40:1.30–4.45) and with not having vs. having children (1.77:1.08–2.92). Non-attendees planned to abstain from mammography screening in the future more often than attendees (4.78:2.56–8.90), and they had often abstained from cervical cancer screening (1.69:1.04–2.75). No other statistically significant association was found.ConclusionsThis study indicates that family composition, but not necessarily the presence or absence of social support, perceived cancer risk or cancer in close relations, may affect non-attendance in mammography screening. A positive attitude towards mammography screening was found among both attendees and non-attendees, although the latter group planned to a lesser degree to attend mammography screening in the future.
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| 4. |
- Lebeda Henriksson, Charlotte
(författare)
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Barns och ungdomars bilder av poliser : En studie i två lokala sammanhang
- 2015
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Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
- SammanfattningI fokus för denna licentiatuppsats är barns och ungdomars bilder av poliser. Syftet är att beskriva dessa bilder och placera dem i en senmodern samhällelig kontext. Vägledande i beskrivningarna är tre meningsbärande begrepp – föreställningar, erfarenheter och förväntningar – vilka har utkristalliserats ur det empiriska materialet. Utgångspunkten är att bilderna är socialt konstruerade, med hänsyn till maktordning, habitus, sociala positioner och symboliskt kapital. För att förstå den betydelse unga tillskriver poliser är ansatsen därtill kulturellt sociologisk. Studien bygger på ett enkätmaterial med 1 945 barn och ungdomar utan specifik erfarenhet av kriminella handlingar, i åldern 10-22 år. 35 grundskolor och 11 gymnasieskolor har deltagit och svarsfrekvensen är 58 procent i vardera kommunen. Dessutom genomfördes samtalsintervjuer i grupp med sammanlagt 50 deltagare i direkt anslutning till enkätstudien. Analysmetoden är inspirerad av tematisk analys.Materialet visar att barns och ungdomars uppfattning om Polisen som institution är positiv, men att de är något mer kritiska till Polisen som organisation och betydligt mer kritiska till enskilda poliser. Den övervägande andelen av deltagarna har varit i kontakt med poliser, främst i skolan eller när de har ansökt om pass. Förväntningarna på poliser är att de ska rikta sin verksamhet mot vuxna. Den yngre gruppen, 10-12 år är i större utsträckning, positiva till poliser. Den något äldre gruppen, 13-16 år, är mer negativa, medan den äldsta gruppen, 17-22 år, har en betydligt mer nyanserad bild av poliser.Vidare visar det sig att föreställningar, erfarenheter och förväntningar intimt hänger samman. Föreställningar bygger på olika erfarenheter, vilket i sin tur genererar olika förväntningar mot bakgrund av olika förutsättningar i tillvaron. En del bilder är mer generellt förekommande medan andra framställs främst i mer avgränsade kategoriserade grupper med unga.Ungas bilder kan tolkas som en kamp inom fältet där habitus och symboliskt kapital utgör maktmedel. Om vi väljer att se på unga som seismografer kan deras bilder vara tecken på en allmänt hållen bild av poliser även bland vuxna. Det visar sig också finnas en mystik runt poliser. Samtidigt som de kan upplevas vara i vägen är det spännande att se dem agera i skarpt läge. Skrönor spär på mystiken samtidigt som Polisens sätt att vara förtegna om hur de verkar, bidrar till de bilder vi har av dem.
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| 5. |
- Giertz, Lottie, 1954-, et al.
(författare)
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Family caregivers and decision-making for older people with dementia
- 2019
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Ingår i: Journal of Social Welfare and Family Law. - : Taylor & Francis Group. - 0964-9069 .- 1469-9621. ; 41:3, s. 321-338
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Tidskriftsartikel (refereegranskat)abstract
- This article addresses the dilemmas concerning legislation, individual autonomy and the reality of everyday life for people coping with dementia. We describe and analyse decision-making in relation to older people with dementia in Sweden, within the area of social work regulated by the Social Services Act and the Parental Act. Swedish legislation is based on the individual's autonomy and capacity to consent to services without anyone having legal authority to decide on behalf of the individual. Based on data from interviews with family caregivers living at home, decision-making through family caregivers is discussed and formal guardianship is also considered. Swedish legislation leaves individuals with dementia and family caregivers in a vacuum between self-determination and full autonomy with the ideal of citizenship emphasised and recognised in the Social Services Act on the one hand, and on the other, a strong need for support in everyday life and with decision-making.
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| 6. |
- Ritenius Manjer, Åsa, et al.
(författare)
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On Women’s Ambivalence about Mammography Screening : Support in the Decision-Making Process a Potential Role for Health Care Social Workers?
- 2016
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Ingår i: British Journal of Social Work. - : Oxford University Press (OUP). - 0045-3102 .- 1468-263X. ; 46:2, s. 480-497
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this article is to reach a deeper understanding of women's decision-making process regarding non-attendance at mammography screenings. The article also discusses the health care social workers' role in providing support to women during this decision. Eighteen qualitative semi-structured interviews were conducted with women who had abstained from mammography screening in Malmö, Sweden. Thematic analyses were used as a method and The Rational Choice Theory, The Health Belief Model and the notion of Cross-Pressure were used as a theoretical framework. A prominent feature was that the relationship between the women's decision to abstain and the normative perception that mammography is an important examination led to ambivalent thoughts. It can be seen as an adjustment to the structure to be invited and a cross-pressure between performed and expected actions. Moreover, the decision to abstain from mammography screening was preceded by thoughts about the right choice, specifically in relation to what would happen to these women if they got breast cancer. Women who abstain need to think about their decision to a larger extent than women who attend the screening and we argue that they should be offered support by health care social workers in the invitation letter to mammography screening.
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| 7. |
- Melin Emilsson, Ulla, 1947-
(författare)
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The Staff’s View on Dementia and the Care in three Cultures : A Qualitative Study in France, Portugal and Sweden.
- 2012
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Ingår i: Dementia. - SAGE Publications : SAGE Publications. - 1471-3012 .- 1741-2684. ; 11:1, s. 31-47
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Tidskriftsartikel (refereegranskat)abstract
- This article discusses the staff's view on dementia and its impact on the care delivered arising outof a qualitative comparative study focusing on long-term care of older people in France, Portugaland Sweden. The aim was to explore the staff's view on the illness dementia; on older peoplesuffering from dementia; the care provided and the impact of various views on the care. The carewas studied through observations at 22 care settings in the three countries and the staff'sattitudes were explored by means of interviews with 79 people. A relation-orientedphenomenological approach was used. Great differences appeared regarding the various staffgroups' views. The findings also indicated that the staff's view; the cultural context and theorganizational environment might have an impact on the care provided. However the impact ofprofessional affiliation and the way of collaborating seemed to be of greater significance than othersimilarities or differences. An interdisciplinary based starting point, with close collaborationbetween medical based health care and social care of older people suffering from dementia inintegrative care models, is therefore of vital importance.
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| 8. |
- Järkestig Berggren, Ulrika, 1969-, et al.
(författare)
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Strategies of austerity used in needs assessments for personal assistance - changing Swedish social policy for persons with disabilities
- 2021
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Ingår i: European Journal of Social Work. - : Taylor & Francis Group. - 1369-1457 .- 1468-2664. ; 24:3, s. 380-392
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Tidskriftsartikel (refereegranskat)abstract
- The austerity measures in social welfare implemented by street-level bureaucrats in their practice are changing the direction of social policy. This article examines the strategies used by public officials in implementing austerity measures in needs assessment for personal assistance in Sweden. The article is based on a document study with N = 100 records of needs assessment for personal assistance for persons with serious functional disabilities. Findings show that the public officials at the Swedish Social Insurance Agency either limit or extend their discretion as a strategy, as well as use weak warrants as strong warrants in recommending decisions. Other strategies involve the organisational logic, fragmentation of the content in the needs assessment and division of work among the public officials. Implementing the cost-cutting goals causes severe consequences for persons with disabilities who bear the brunt by being excluded from participation in society. The social policy values of fifty years, emphasising the right to equal participation in society, are traded for economic austerity goals.
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| 9. |
- Melin Emilsson, Ulla, 1947-, et al.
(författare)
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Good personal finances or a strong social capital : on different life conditions of importance for an active life when becoming alone in old age : Gott om pengar eller ett starkt socialt kapital? Om skillnader i livsvillkor för män och kvinnor som blir ensamma på äldre dar
- 2016
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Ingår i: European Journal of Social Work. - : Routledge. - 1369-1457 .- 1468-2664. ; 19:5, s. 749-763
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Tidskriftsartikel (refereegranskat)abstract
- Becoming alone in old age can be a decisive life event that brings major changes depending on various causes as health status, financial resources, family situation, and available welfare services. This article discusses the situation of older people in Sweden who have transitioned from a two-person to single-person household in recent years and what impact this might have on their everyday lives. Through in-depth interviews with 18 older people, age 67–90, their experiences about life conditions and opportunities were examined. Findings showed large differences between the men and women. They all tried to live as they always had done and they used the same personal life strategies that they always had. But the men could live as before on their own financial merits, while the women needed assistance from children, grandchildren and the welfare system. Transportation options were central and clearly related to both private economy and social services available. Shortcomings in the welfare state's way of caring for the elderly were clearly uncovered. The gap between social policy promises of opportunities for autonomy and independence to live an active life in old age and the everyday reality for older people still seems to be wide.
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| 10. |
- Melin Emilsson, Ulla
(författare)
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Leadership in Social Care - A Book Review
- 2011
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Ingår i: Journal of Social Work Practice. - : Informa UK Limited. - 0265-0533 .- 1465-3885. ; 25:1, s. 127-130
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Recension (övrigt vetenskapligt/konstnärligt)
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