| 1. |
- Olsson, Helén, 1961-
(författare)
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Att minska risken för våld och att främja återhämtning i den rättspsykiatriska vården : Patienters och personalens erfarenheter av vägen mot återhämtning
- 2013
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Detta avhandlingsarbete är utfört inom en rättspsykiatrisk vårdkontext och återspeglar patienters[1] och personals[2] erfarenheter och upplevelser av vändpunkter i samband med minskad risk för våld och återhämtning. Med utgångspunkt från ett holistiskt och salutogent hälsovetenskapligt perspektiv har avhandlingen ett tvärvetenskapligt förhållningssätt. Teoretiska ämnesdiscipliner såsom psykiatrisk omvårdnad, kriminologi och sociologi har influerat arbetet.Avhandlingens övergripande syfte var att utifrån de salutogena aspekterna i det rättspsykiatriska omvårdnadsarbetet undersöka vad som är relaterat till vändpunkter i samband med minskad risk för våld och vad som bidrar till återhämtning. Avhandlingen baseras på fyra olika studier. Syftet med den inledande kvantitativa delstudien (I) var att identifiera och jämföra rättspsykiatriska patienter som sänkt sin bedömda risk för våld med 30 % eller mer enligt riskbedömningsinstrument HCR-20. Resultatet visade att den bedömda risken för våld minskade över tid. En demografisk analys genomfördes för att studera skillnader mellan de patienter som sänkt sin bedömda risk för våld och de som inte sänkt sin risk. Det framgick att rättspsykiatriska patienter som bedömts med hjälp av riskbedömningsinstrumentet HCR-20, minskade den bedömda risken för våld, både på kort och på lång sikt. Den rättspsykiatriska vården fungerade bäst när det gällde att förbättra de kliniska riskfaktorerna (C-skalan).Riskhanteringen (R-skalan) gällande eventuell utskrivning och framtida friförmåner visade inte samma goda progress. Demografiska karaktäristika såsom ålder, alkohol och drogmissbruk och psykiatriska diagnoser var inte relaterade till minskad risk för våld, dock var kvinnliga patienter och patienter utan psykopatidiagnos mer benägna att sänka sin risk för våld. Ett urval av de patienter som minskade sin risk för våld med 30 % eller mer utgjorde basen för delstudie II och III.I delstudie II intervjuades tretton rättspsykiatriska patienter om upplevelser och erfarenheter kring vad som bidrar till minskad respektive ökad risk för våld inne på en rättspsykiatrisk avdelning. Data analyserades med hjälp av en tolkande beskrivning (Interpretive Description). Studien visade att orsakerna till ökad respektive minskad risk för våld var processrelaterad, där interaktioner mellan personal och patienter bidrog till en utveckling som antingen präglades av välbefinnande eller disharmoni. Delstudie II utgjorde en viktig kunskapskälla som präglade ansatsen i delstudie III och IV. Detta med hänvisning till att flertalet patienter i delstudie II lämnade intressanta beskrivningar av vändpunkter i samband med minskad risk för våld och återhämtning.Sålunda intervjuades i delstudie III, tio rättspsykiatriska patienter om deras upplevelser av förändringsprocesser i samband med vändpunkter och återhämtning. Dataanalysen skedde med hjälp av en kvalitativ innehållsanalys. Processen beskrevs utifrån tre faser där man i högriskfasen upplevde kaotiska och överväldigande känslor. Vändpunkten upplevdes som ett känsligt skede som präglades av att tvingas hitta en ny, konstruktiv väg i livet. Återhämtningsfasen präglades av ett accepterande och en mognad. Stöd och erkännande från omgivningen ansåg främja dessa processer.Delstudie IV bestod av intervjuer med tretton personal. Syftet var att belysa upplevelser och erfarenheter kring rättspsykiatriska patienters vändpunkter och återhämtning. Kvalitativ innehållsanalys användes för att analysera data. Beskrivningar kring hur en vändpunkt kunde bevaras och främjas baserades på vikten av att vara uppmärksam, lyhörd och att inte skynda på processen. En vändpunkt upplevdes genom att patienten uppvisade synbara positiva förändringar. Sammansättningen på personalen och patienterna ansågs påverka atmosfären på avdelningen, och bidrog till huruvida processen mot vändpunkter och återhämtning underlättades eller försvårades.Avhandlingen visar hur ett ständigt växelspel mellan patienter och mellan personal bidrog till huruvida vårdatmosfären upplevdes såsom hälsofrämjande eller ej. Vidare framgår att processer kring vändpunkter i samband med minskad risk för våld och återhämtning präglades av känslor av sårbarhet och utsatthet. Processen beskrevs som ett känsligt förlopp som behövde understödjas av förtroendefulla relationer med andra, samt möjligheter att få vistas i en trygg miljö.[1] Den vetenskapliga litteraturen använder sig av begrepp såsom client, consumer, service user eller forensic patient för att beteckna människor som är inskrivna inom den rättspsykiatriska vården. Inom det psykiatriska svenska fältet kan begreppen brukare, vårdtagare eller patient förekomma. I denna avhandling kommer begreppet patient och vårdtagare omväxlande att användas för att beteckna de människor som är föremål för den rättspsykiatriska vården. De patienter som deltagit i avhandlingens två delstudier kommer omväxlande att benämnas såsom deltagare eller patienter, för att åstadkomma en varierande och läsvänlig text.[2] I denna avhandling anser begreppet personal den personalkategori som arbetar med omvårdnad inom en rättspsykiatrisk kontext. Det är främst sjuksköterskor och skötare som inkluderas i begreppet omvårdnadspersonal inom den vetenskapliga litteraturen. Sjuksköterskor benämns såsom registered mental health nurses eller registered nurses. Övrig omvårdnadspersonal tituleras till exempel som nurse manager eller assistant nurses. När begreppen personal, vårdare eller omvårdnadspersonal används i denna avhandling avses då den personalkategori som arbetar närmast patienten med omvårdnad och ingen åtskillnad kommer att göras mellan de båda yrkesgrupperna. Personalen som deltar i delstudie IV har omväxlande kallats för personal eller vårdare.
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| 2. |
- Nydahl, Erik, 1983-
(författare)
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I fyrkens tid : Politisk kultur i två ångermanländska landskommuner
- 2010
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Abstract Nydahl, Erik; I fyrkens tid. Politisk kultur i två ångermanländska landskommuner 1860-1930 [Voting by income: The political culture of two Swedish municipalities, 1860–1930] Department of Humanities, Mid Sweden University, SE-871 88 Härnösand, Sweden ISBN: 978-91-86694-05-0, ISSN 1652-893X, Doctoral thesis nr: 100 (2010). Swedish text with a summary in English This dissertation analyses the development of political culture in two Swedish municipalities between the 1860s and the 1930s – a period during which Swedish society underwent major changes. The purpose is to examine the direct and indirect consequences of an evolving industrial society's economic, social and political structures on political culture at local levels. The following factors are the base of the study. At the start of the 1860s, a long-standing Swedish tradition of local self-government was reinforced through a major reform, the Local Government Ordinance of 1862 (1862 års kommunalförfattningar). From this point, each parish formed its own municipality. The new municipalities were given the right to levy taxes and made responsible for welfare and schools, thereby becoming a prominent arena for the exercise of power at local levels. The municipal reform of 1862 was carried out at a time when Swedish society was transitioning as the industrialisation process accelerated during the latter part of the 1800s. Gradually, the old structure of an agricultural society was cast aside in favour of a new, modern industrial society. Naturally, also the municipalities changed – directly and indirectly. For some municipalities, adjustments were significant; for others, less so. Part of this process was the reformation of voting rights from plutocratic to public and equal. Another part was the reorganisation of municipal government from direct government via municipal meetings to representative government via municipal councils. Two main issues are formulated and answered in the dissertation. The one addresses who or which had the power over local politics and how the situation changed over time. The second addresses in what way municipal representation changed form with the modernisation of the municipalities. The empirical survey comprises a comparative case study between two municipalities in the northern part of Sweden. The one municipality, Ytterlännäs, was early the site for large-scale sawmill industry. The second municipality, Stigsjö, retained its agricultural structure throughout the entire period in question. The comparison makes it possible to analyse the impending industrial society from two different poles. In the 1800s, local politics was considered to be a completely different sort than politics at a national level. The difference was that local politics, referred to as “the municipal”, was seen as non-political and unaffiliated with those conflicts addressed at national levels, referred to as “the political”. The dissertation demonstrates two different models of how modern municipal politics evolved from the municipal meetings of the 1800s. While the starting point was the same in both municipalities, the paths diverged in the early 1870s. In the agricultural municipality of Stigsjö, it was “business as usual”. In the industrial municipality of Ytterlännäs, however, confrontation arose between enterprises and farmers and eventually, a labour movement emerged demanding the right of participation. The dissertation shows that the distinction between “municipal” and “political” was obliterated in the beginning of the 1900s, paving the way for a new concept – municipal politics. This process occurred in a very palpable way in Ytterlännäs but eventually, Stigsjö was forced to conform. The new municipal politics was, so to speak, the final station in both municipalities. In conjunction with party politicisation of local politics, the criteria and seats for the municipal representatives changed. When party affiliation became an important criterion, professional affiliation became less relevant. Party bloc seats replaced the independent seats, and representatives were eventually paid remuneration. Keywords: Political culture, politics, voting right, municipal politics, industrial society, industrialisation, elected representatives, representation, temperance movement, labour movement, popular movements, political parties, modernisation
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| 3. |
- Alirani, Gertrud, 1976-
(författare)
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Miljöintegrering i praktisk tillämpning : En policystudie av två lokala stadsutvecklingsprocesser
- 2020
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Dealing with environmental problems has become one of the most challenging political issues of our time. Since the Brundtland report in 1987, environmental policy integration (EPI) that is, the mainstreaming of environmental issues in all policy sectors has emerged as a viable policy solution. This has meant that responsibility for implementing environmental policy rests to a large extent on local authorities where environmental problems with both local and global consequences are expected to be handled. However, there is still a disagreement on what EPI means in day-to-day decision making. With a theoretical framework drawing from theory on policy change, policy entrepreneurship and the neoinstitutional “logic of appropriateness” the aim of this dissertation is to analyze how the integration of environmental considerations manifests itself in local policy processes, highlighting what factors foster or hinder EPI. To reach this aim, I have followed two urban development processes in Kristianstad. This research offers insights on how EPI varies through the policy process and how focus is placed mainly on certain environmental issues and chiefly defined as of local importance. My study suggest that arenas for coordination are critical to overcoming the perceived “gap” between EPI on a strategic level and its implementation. This can help to clarify responsibility allocation among bureaucrats and their leeway for interpretation when new issues comes up continuously during the processes and affect the conditions for EPI. Furthermore, the dissertation gives insights on how acting “entrepreneurially” can enable an environmental issue to be included and given priority. This can also be a barrier if the ones acting entrepreneurially are not part of the entire process because the issue might receive less attention. In addition, if too much attention is given to one issue it might overshadow other environmental issues. Conversely, acting according to “the logic of appropriateness” can enable EPI by enhancing a more all-encompassing perspective on environmental considerations and also function as a cautious approach to radical change by preventing measures taken in absence of democratic legitimacy. By using the two theoretical perspectives, “entrepreneurial” and “appropriate” agency, this dissertation offers important insights into how different ways of acting interact and affect EPI and its outcome.
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| 4. |
- Andersson, Ewa, 1980-
(författare)
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Oberoendets praktik
- 2013
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The Independent PracticeDuring the last hundred years, the music industry has evolved with the record labels playing a central role. However, many argue that this situation is about to change as record sales have decreased during the last ten years. This imminent change in the music industry will not only affect the multinational record labels, but also the independent record labels. As record sales have decreased during the last ten years, the number of members in the Swedish Independent Music Producers Association (SOM) has increased and the association now includes 300 independent record labels which are responsible for around 30 percent of the music being produced in Sweden. However, they can be considered a dominated group within the music industry, since they only have around 10 percent of the total market shares when it comes to selling figures. Considering the changes in record sales, the domination of the major record labels and the somewhat fascinating growth of independent actors during turbulent times, this thesis will study how the Swedish independent actors relate to the practices and ideals relevant in the daily work of running an independent record label. The practices studied in this thesis are the practice of work, the practice of recognition and the practice of content production.The purpose of this thesis is to analyse how independence is constructed among the members of SOM. The thesis is based on material collected in a web survey as well as seven interviews with representatives of indie labels. The web survey was distributed to all members of SOM, and the interviewed informants were selected by snowball sampling, using a locator to find informants. The survey material was analysed with cluster and variance analysis, while the interview material was analysed using content analysis – searching for themes connected to the practices. All material is understood through the theoretical frame of the field theory.The main results of the study are that there are different ways of relating to practices among the Swedish independent actors, and that these ways of relating are closely connected to their position within the field. There are common ways of relating to practices such as always promoting DIY, the importance of music and the need to resist the dominance of the major labels. However, the independent actors are not consistent in how these commonalities work in practice. For example, DIY is not applied if it is not economically necessary, and the need to resist the major labels is only apparent when the independent actor has a weaker position within the field. The more established an independent actor is within the field, the lesser resistant he is against the dominating structures of the music industry. As a result of a weakening resistance against the major labels, the independent actors turn to struggle each other.
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| 5. |
- Arvidson, Catarina, 1959-
(författare)
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Genuspedagogers berättelser om makt och kontroll
- 2014
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- In this thesis 14 gender pedagogues’ stories about power and control are described and analysed. Here the term gender pedagogue refers to educators who have participated in further training in gender and gender equality studies. The training programme was the result of an initiative taken by the former Social Democratic government. The intention of the government was that those who participated in the training programme would then work as resource persons in the work for gender equality in preschools and schools (Frånberg, 2010; Regeringen, 2001a, 2001b; Wahlgren, 2009). The purpose of this study is to describe and analyse the gender pedagogues’ access to power and control in work for change. The theoretical framework chosen for the study consists of Basil Bernsteins concepts classification and framing (Bernstein, 1977, 2000) and Hildur Ve’s (1999a, 1999b) use of the concepts technical limited rationality and care work rationality. The empirical evidence is based on observations in a seminar series on gender issues and semi-structured interviews. The results of the interviews are presented as stories which have been created in the interplay between the gender pedagogues and the interviewer. One conclusion that can be drawn from the stories is that power relations and gender patterns on many different levels influenced the possibilities of the gender pedagogues for power and control. Power and control in the relation between technical limited rationality and care work rationality is expressed in different ways. It is seen in the possibilities and descriptions of resistance and difficulties. Resistance and difficulties depended, according to the gender pedagogues, on the differences between their own view of knowledge and that of others. If gender and gender equality was not considered to be an important area of knowledge, possibilities for power and control decreased.
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| 6. |
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| 7. |
- Bergstrand, Ulrika
(författare)
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Styrning och re-kontextualisering av värden i utbildningspolicy på nationell och lokal nivå
- 2022
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- In this study, governing as re-contextualization of values in Swedish educational policy has been described and analyzed. Two levels have been central to the study: the national level, in the form of the Swedish Schools Inspectorate's (SSI) survey to school personnel, and the municipal level, examined by interviews with superintendents in sparsely populated and rural areas. Three qualitative content analyses were performed, in two of which Rokeach’s theory of values as desirable actions and goals was used. The results presented that the dominant policy goal and the value expressed was that schools should promote students' knowledge, which is in line with the values underlying the PISA survey. The SSI survey expressed that schools should be quality assured to enhance students' knowledge development. Desirable actions to achieve this were: the principals evaluating, the teachers adapting to individual students, strengthening an environment conducive to learning with codes of conduct, and the guardians being informed about their children’s development. However, the superintendents expressed a lack of competence and qualified teachers for equivalent assessments, a need to upskill teachers, and that the information to the guardians did not always reach them. The study also showed an expressed value to include all students in teaching, which is in line with the values underlying the Salamanca statement. The SSI survey expressed this value as the students' participation in individualized teaching, an increased efficiency in special support, a socialization through codes of conduct, and that the students should know their rights. The superintendents expressed this value as motivating students, particularly boys, to study, adapting education for students in need of special support, preventing violations of newcomers, addressing girls' mental health, and the strengthening of democratic attitudes. In summary, the study shows that the values at the national level promoted increased individual rights, while at the local level, the values were expressed as a need to increase democratic values. Nonetheless, the values underlying the education of democratic citizens in sparsely populated and rural areas cannot be considered a closed chapter, even though policies at the national level continue to emphasize the values of promoting students' development of knowledge and their individual rights.
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| 8. |
- Billmayer, Jakob, 1983-
(författare)
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Ska dörren vara öppen? : Disciplin i klassrummet i Sverige och Tyskland
- 2015
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The aim of this study is to investigate discipline in German and Swedish classrooms and describe its cultural contexts. In countries with compulsory education, it must be assumed that not all students voluntarily attend classes. The mandatory presence of students combined with the ban on corporal punishment in schools means that classroom interaction has to be organized according to certain manners and rules (Luhmann, 2002a:108a). These rules are understood here as discipline meaning the organization and control of individuals and their actions over space and time (Foucault, 1987/1975). This study assumes similarities in the fundamental disciplinary mechanisms, although different contexts (here Germany and Sweden) will create different concrete manifestations of the phenomenon. Since the observation of cultural contexts is not as self-evident and direct as the observation of classroom interactions of teachers and students, the theoretical considerations here include a detailed discussion of methodology for observing culture. Starting with Alfred Schütz’ concept of ideal types and Niklas Luhmann’s theory on massmedia, it is argued that culture can be observed through the products of mass media. The empirical data for this study consists of field studies in the form of observations in German and Swedish classrooms as well as the examination of Germanand Swedish films and television series about teachers and students. The classroom observations were used to create ideal typical descriptions of different implementations of disciplinary procedure. Based on the analysis of teacher figures in various German and Swedish films and television series, several “good” and “bad” teacher types were initially identified. Combining the two results allowed conclusions tobe made about correlations between disciplinary order and whether a teacher is considered “good” or “bad”. This review of the various types of order is the basis for the description of cultural contexts. The results of classroom observations and film studies and their discussion in relation to prior Swedish research, gives the picture of a cultural context in which various forms of classroom order are avail-able, in which they are critically discussed and also can exist in parallel to each other. On the other hand, the German context seems to allow only one form of classroom order, both in actual school operations as well as in the mass media representation and scientific reflection.
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| 9. |
- Björk, Annette
(författare)
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Stödjande gemenskap : Utveckling och utvärdering av en intervention för livsstilsförändring bland vuxna med adhd
- 2020
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The entire project revolves around a lifestyle intervention that has been developed, implemented and evaluated. The intervention included adults with ADHD and comorbid mental illness. ADHD (Attention Deficiency Hyperactive Disorder) is a neuropsychiatric diagnosis/disability characterized by attention problems, impulsivity and hyperactivity and can affect education, working life, social relationships and form the basis for impaired lifestyle habits. Previous research shows shortened life expectancy in adults with ADHD, which related to deteriorating lifestyle habits. In the long run, the disability may be the basis for impaired living conditions and lifestyle habits and contribute to the individual's well-being and quality of life. In the field of health sciences, it is important to alleviate suffering, promote health and prevent ill health. Thus, the overall aim of this dissertation is to analyze living conditions among people with ADHD and mental illness, as well as to develop and evaluate a lifestyle intervention for this group.The PhD project includes four sub-studies: Study I, a qualitative interview study (n = 20) of adults with ADHD and mental illness, aimed at describing experiences of everyday suffering in this group. The analysis showed experiences of both suffering and well-being in living with ADHD. The focus of the suffering was the experience of loneliness, both regarding relationships in life, relationships in health care, but also to ADHD diagnosis and mental illness. Well-being was experienced when diagnosed with ADHD but also in relation to supportive social relationships. Study II, a quantitative descriptive and comparative study, aimed to gain more knowledge about people withADHD and their health situation. One group of people with ADHD (n = 48)was compared to the normal population without ADHD (n = 42). The results showed poorer health outcomes regarding self-perceived general health and the group with ADHD was less weekly physical active but nevertheless had no decreased aerobic fitness compared to the normal population. Study III, aquantitative descriptive study (n = 25), aimed to examine the degree of acceptance of the intervention and its impact on lifestyle habits, health and well-being, MBI and physical fitness. The tests before and after completing intervention showed small positive effects regarding weekly physical activity, quality of life and general- and mental health. Study IV, a qualitative study(n = 15), with adults with ADHD and comorbid mental illness aimed to investigate the experience of participating in a nurse-led lifestyle intervention. The analysis, based on material from interviews, showed that the participants perceived the intervention as supportive, which is related to the interpersonal relationships that arose in the intervention. Through supportive kindship with the other participants in the intervention, lifestyle habits and health experience were improved.The conclusion of the thesis is that the lifestyle intervention, based on interpersonal relationships and supported kindship, can be useful for making lifestyle changes in adults with ADHD and mental illness. Such support is important because adults with ADHD and mental illness experience a lack of and a desire for social support and has an increased risk of deteriorating health and unhealthy lifestyles. However, future adjustments to the content of the intervention must be made to improve the lifestyle intervention towards more sustainable lifestyle changes. Above all, the lifestyle intervention ought to be continuous. It is also of great importance for further research that insider perspective is used, that is, investigate the professionals' experiences regarding the intervention.
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| 10. |
- Björkman Randström, Kerstin
(författare)
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Hemmet som arena för äldres rehabilitering
- 2013
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Avhandlingens övergripande syfte var att studera multidisciplinära teams, äldre personers och familjemedlemmars erfarenheter av hemrehabilitering. Avhandlingen baseras på fyra studier (I-IV). Alla studierna har en kvalitativa beskrivande design. Datamaterialet utgjordes av fokusgruppsintervjuer med personal arbetande i team i kommunal hälso- och sjukvård (I), intervjuer med äldre personer, över 65 år, som vårdats på sjukhuset och därefter fortsatt rehabilitering i hemmet (II,III,IV), samt familjemedlemmar involverade i de äldres rehabilitering (II).Studie I visade på betydelsen av att möta äldres individuella behov och att arbeta utifrån ett rehabiliterande förhållningssätt i avsikt att ge en hjälp som inte innebär att ta över handlingar från den äldre. Väsentligt var att i teamet reflektera över hur man agerar utifrån den egna professionen för att kunna utveckla ett rehabiliterande förhållningssätt i det dagliga arbetet. I resultatet framkom att teamen uppfattade hemrehabilitering som positiv för de äldre, men mindre lämpligt om de äldre var svårt sjuka och de kände sig otrygga i sitt hem. Respekt för de äldres integritet i deras hem och att göra de närstående delaktiga i rehabiliteringen betonades. Resultatet visade på att för att kunna utveckla samarbetet i teamet finns behov av att diskutera varje professions ansvarsområde och klargöra gränser mellan varandras ansvarområden. Behovet av att tillföra psykosocial kompetens i teamet framhölls för att möta de äldres behov. I studie II framkom att de äldre upplevde rehabiliteringen vara en balansgång i att känna av vad kroppen orkar med för dagen och vad som är realistiskt att uppnå för att känna välbefinnande. Tryggheten i att ha någon i familjen nära sig i hemmet var oumbärligt för att våga utföra träning och vardagliga aktiviteter. Resultatet visar på de äldres upplevelse av otillfredsställelse med att vara beroende av andra. Familjemedlemmar var engagerade i de äldres rehabilitering genom att finnas till hands, hjälpa till och vara stödjande, vilket var en självklar handling men också utmanande i att kunna hjälpa på rätt sätt. Bristande information om hjälpmedels funktion och användning skapade frustration. Resultatet visar att både de äldre och deras familjemedlemmar ser hemmiljön bidra till att underlätta rehabilitering. Det som försvårar är när gränsen för det egna hemmet inskränkts i och med att och personal ofta gick "in och ut" i det egna hemmet.Studie III visar på ett flertal faktorer i de äldres vardag och i det omgivande samhället som inverkat underlättande eller hindrande på aktiviteter och delaktighet vid hemrehabilitering. Resultatet beskrivs utifrån Klassifikation av funktionstillstånd, funktionshinder och hälsa (ICF) i 19 kategorier i domänen omgivningsfaktorer. Som underlättande faktorer framträder bl.a. tillgång till hjälpmedel, en fysisk miljö tillgänglig för aktiviteter samt att få stöd från närstående, vänner och personal i hälso- och sjukvård och omsorg. I resultatet framkom betydelsen av ett empatiskt förhållningssätt när personal möter den äldre personen i dennes hem. Resultatet indikerar att hemrehabilitering inte till fullo tillgodoser äldres behov av rehabilitering. I studie IV framkommer personliga faktorer som inre styrka, motivation, engagemang och tålamod för att nå positiva resultat i en rehabilitering som sträcker sig över flera år. Rehabilitering beskrivs i fysiska och psykiska faser som övergick i att hantera en fysisk funktionsnedsättning med svårigheter att gå i dagligt liv. Resultatet visar på betydelsen av adekvat information, vikten av socialt stöd och tillgänglighet till hälso- och sjukvårdspersonal under rehabiliteringsprocessen.Avhandlingen bidrar till en ökad kunskap om hur multidisciplinära team, äldre personer och familjemedlemmar upplever rehabilitering i hemmiljö. Nyttan med avhandlingen kan medföra att hemrehabilitering som vårdform kan bli föremål för diskussioner om hur det utformas och organiseras för att på bästa sätt stödja de äldre och närstående med utgångspunkt från de äldres och närståendes erfarenheter och upplevelser. Detta kan ses gagna deltagarna på individnivå men även för utveckling inom yrkesprofessionen. Avhandlingen har även visat på möjligheten att implementera ICF i rehabiliterande omvårdnad.
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