| 1. |
- Andersson, Åsa, et al.
(författare)
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Factors contributing to serious adverse events in nursing homes
- 2018
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Ingår i: Journal of Clinical Nursing. - : John Wiley & Sons. - 0962-1067 .- 1365-2702. ; 27:1-2, s. e354-e362
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Tidskriftsartikel (refereegranskat)abstract
- AIMS AND OBJECTIVES: The aim of this study was to identify the most common serious adverse events that occurred in nursing homes and their most frequent contributing factors to contribute to improvement of safe nursing care. BACKGROUND: There is a need to improve safe nursing care in nursing homes. Residents are often frail and vulnerable with extensive needs for nursing care. A relatively minor adverse event in nursing care can cause serious injury that could have been preventable. DESIGN: This was a retrospective study, with a total sample of data regarding adverse events (n=173) in nursing homes, concerning nursing care reported by health care providers in Sweden to the Health and Social Care Inspectorate. The reports were analysed with content analysis and the frequencies of the adverse events, and their contributing factors, were described with descriptive statistics. RESULTS: Medication errors, falls, delayed or inappropriate intervention and missed nursing care caused the vast majority (89%) of the serious adverse events. A total of 693 possible contributing factors were identified. The most common contributing factors were 1) lack of competence 2) incomplete, or lack of documentation 3) teamwork failure 4) and inadequate communication. CONCLUSIONS: The contributing factors frequently interacted yet they varied between different groups of serious adverse events. The resident's safety depends on the availability of staff's competence as well as adequate documentation about the resident's condition. Lack of competence was underestimated by health care providers. RELEVANCE TO CLINICAL PRACTICE: Registered Nurses and assistant nurses need to have awareness of contributing factors to adverse events in nursing care. A holistic approach to improve patient safety in nursing homes requires competence of the staff, safe environments as well as resident's and relative's participation. This article is protected by copyright. All rights reserved.
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| 3. |
- Ekström, Veronica, 1975-, et al.
(författare)
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In the service of justice : Will social support to victims of domestic violence increase prosecution?
- 2016
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Ingår i: International Review of Victimology. - : SAGE Publications. - 0269-7580 .- 2047-9433. ; 22:3, s. 257-267
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Tidskriftsartikel (refereegranskat)abstract
- To hold perpetrators of domestic violence accountable and punish them for their offences has been an important goal in the political rhetoric concerning domestic violence in Sweden. Through new legislation, media campaigns and collaboration projects between the police and the social services, women who have been victims of domestic violence have been urged to report to the police and remain in the criminal investigation process. The purpose of this study is to examine whether social support given at police stations will result in more prosecutions. The study is based on data collected from police investigations and analysed by a multivariate regression method. The results show that strong evidence for prosecution, such as the presence of witnesses and documented injuries, and also the offender’s position on the allegations and whether or not the woman hesitates to participate in the criminal investigation, are the most important factors for a decision to prosecute. Support to the victim from the social services also increases the probability of prosecution, but the impact is smaller and uncertain. It is concluded that this form of support should not be based on the requirement that the woman has made a police report, but rather be given to all victims of domestic violence.
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| 4. |
- Gaber, Sophie, et al.
(författare)
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Enacting citizenship through participation in a technological society : A longitudinal three-year study among people with dementia in Sweden
- 2023
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Ingår i: Ageing & Society. - : Cambridge University Press. - 0144-686X .- 1469-1779. ; 43:2, s. 276-297
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Tidskriftsartikel (refereegranskat)abstract
- The role of Everyday Technology (ET) use is presented as subsidiary or neutral in policy for age- and dementia-friendly communities; and yet, research suggests that older people, especially those with dementia, experience increased challenges using ET in their everyday lives. Through the lens of micro-citizenship, the study aims to deepen the knowledge about how use of ET outside the home, including portable ETs, relates to participation in places visited within public space among people with dementia over time. Using a longitudinal study design, 35 people with dementia were recruited at baseline and followed over three years. Data were collected through semi-structured interviews using standardised questionnaires: the Participation in ACTivities and Places OUTside Home Questionnaire (ACT-OUT) and the Everyday Technology Use Questionnaire (ETUQ). Random intercept modelling and descriptive statistics were used to analyse the data. Throughout the three-year study, decreasing use of ET outside the home, including portable ETs, was associated with decreasing participation in places visited within public space, in a statistically significant way when controlling for age (F = 7.59, p = 0.01). The findings indicate that facilitating access and use of ET outside the home, among people with dementia, should be integral to promoting and maintaining participation in age- and dementia-friendly communities.
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| 5. |
- Gaber, Sophie N., et al.
(författare)
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Everyday technologies and public space participation among people with and without dementia
- 2019
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Ingår i: Canadian Journal of Occupational Therapy / Revue Canadienne d`Ergotèrapie. - Stockholm : Sage Publications. - 0008-4174 .- 1911-9828. ; 86:5, s. 400-411
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Tidskriftsartikel (refereegranskat)abstract
- Background.: Occupational therapists support everyday technology use; however, it is necessary to consider the challenges that people with dementia encounter with everyday technologies when participating in various places within public space.Purpose.: The purpose of the study was to explore stability and change in participation in places visited within public space in relation to the relevance of everyday technologies used within public space.Method.: People with dementia (n = 35) and people with no known cognitive impairment (n = 34) were interviewed using the Participation in Activities and Places Outside Home Questionnaire and the Everyday Technology Use Questionnaire. Data analysis used modern and classical test theory.Findings.: Both samples participated in places within public space; however, participation and relevance of everyday technologies were significantly lower for the dementia group.Implications.: To enable participation, occupational therapists need to be aware of challenges that technologies and places within public space present to people with dementia.
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| 6. |
- Gaber, Sophie N., et al.
(författare)
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Perceived risks, concession travel pass access and everyday technology use for out-of-home participation : Cross-sectional interviews among older people in the UK
- 2020
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Ingår i: BMC Geriatrics. - : BioMed Central (BMC). - 1471-2318. ; 20:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: The health-promoting qualities of participation as an opportunity for social and cognitive engagement are well known. Use of Everyday Technology such as Smartphones or ATMs, as enabling or disabling factors for out-of-home participation is however under-researched, particularly among older people with and without dementia. Out-of-home participation involves participation in places and activities outside of a person’s home, in public space. Situated within the context of an increasingly technological society, the study investigated factors such as perceived risks, access to a concession travel pass and use of Everyday Technologies, and their relationship with out-of-home participation, among older people in the UK.Methods: One hundred twenty-eight older people with and without dementia in urban and rural environments in the UK, were interviewed using the Participation in ACTivities and Places OUTside Home (ACT-OUT) Questionnaire and the Everyday Technology Use Questionnaire (ETUQ). Associations between Everyday Technology use, perceived risk of falling, functional impairment, access to a concession travel pass and out-of-home participation were investigated using ordinal regression.Results: A higher probability of Everyday Technology use (Odds Ratio [OR] = 1.492; 95% Confidence Interval [CI] = 1.041–1.127), perceived risk of falling outside home (OR = 2.499; 95% CI = 1.235–5.053) and, access to a concession travel pass (OR = 3.943; 95% CI = 1.970–7.893) were associated with a higher level of out-of-home participation. However, other types of risk (getting lost; feeling stressed or embarrassed) were not associated with out-of-home participation. Having a functional impairment was associated with a low probability of a higher level of out-of-home participation (OR = .470; 95% CI = .181–1.223). Across the sample, ‘outside home’ Everyday Technologies were used to a higher degree than ‘portable’ Everyday Technologies which can be used both in and outside home.Conclusions: The study provides insights into perceived risks, access to a concession travel pass and use of Everyday Technologies, and their relationship with out-of-home participation, among older people in the UK. Increased knowledge about factors associated with out-of-home participation may help to guide targeted health and social care planning.
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| 7. |
- Gaber, Sophie N., et al.
(författare)
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Social participation in relation to technology use and social deprivation : A mixed methods study among older people with and without dementia
- 2020
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Ingår i: International Journal of Environmental Research and Public Health. - : MDPI. - 1661-7827 .- 1660-4601. ; 17:11, s. 1-19
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Tidskriftsartikel (refereegranskat)abstract
- Social participation is a modifiable determinant for health and wellbeing among older people; however, social participation is increasingly dependent on technology use. This study investigated social participation in relation to Everyday Technology use and social deprivation of the living environment, among older people with and without dementia in the United Kingdom. Sixty-four people with dementia and sixty-four people without dementia were interviewed using standardized questionnaires: The Participation in ACTivities and Places OUTside Home Questionnaire and Everyday Technology Use Questionnaire. A mixed methods approach integrated statistical analyses and content analysis of free-text responses, through data visualizations. Small, statistically significant associations were found between social participation and Everyday Technology use outside home, for participants with dementia (Rs = 0.247; p = 0.049) and without dementia (Rs = 0.343; p = 0.006). A small, statistically significant association was identified between social participation and social deprivation in the living environment, among only participants with dementia (Rs = 0.267, p = 0.033). The content analysis and graphical joint display revealed motivators, considerations that require extra attention, and strategies for managing social participation. The results underline how Everyday Technology use can be assistive to social participation but also the need to consider social deprivation of the living environment, especially among people with dementia. © 2020 by the authors. Licensee MDPI, Basel, Switzerland.
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| 8. |
- Gaber, Sophie, et al.
(författare)
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Social Citizenship Through Out-of-Home Participation Among Older Adults With and Without Dementia
- 2022
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Ingår i: Journal of Applied Gerontology. - : Sage Publications. - 0733-4648 .- 1552-4523. ; 41:11, s. 2362-2373
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Tidskriftsartikel (refereegranskat)abstract
- There is limited empirical knowledge about how older adults living with dementia enact their social citizenship through out-of-home participation. This study aimed: (a) to investigate out-of-home participation among older adults with and without dementia in four countries and (b) to compare aspects of stability or change in out-of-home participation. Using a cross-sectional design, older adults with mild-to-moderate dementia and without dementia, aged 55 years and over, were interviewed using the Participation in ACTivities and Places OUTside the Home questionnaire in Canada (n = 58), Sweden (n = 69), Switzerland (n = 70), and the United Kingdom (n = 128). Data were analyzed using descriptive statistics and a two-way analysis of variance. After adjustment for age, diagnosis of dementia and country of residence had significant effects on total out-of-home participation (p <.01). The results contribute to policies and development of programs to facilitate social citizenship by targeting specific activities and places.
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| 9. |
- Johansson, Håkan, et al.
(författare)
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Staten och det civila samhällets organisationer i ett föränderligt välfärdssamhälle : perspektiv på en överenskommelse: andra tematiska studien, juni 2011
- 2011
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Bok (övrigt vetenskapligt/konstnärligt)abstract
- Denna rapport är framtagen inom ramen för arbetet med Överenskommelsen mellan regeringen, idéburna organisationer inom det sociala området och Sveriges Kommuner och Landsting. I rapporten redogörs för hur man inom forskningen belyser nyttan med dialog och överenskommelse mellan dessa parter. Denna, och övriga studier som publiceras inom ramen för arbetet med Överenskommelsen är viktiga bidrag till att inkludera vetenskapliga underlag och analyser i utvecklingen av såväl policy som praktik på ett sätt som utmanar, inspirerar och fördjupar en konstruktiv diskussion. Det huvudsakliga målet med Överenskommelsen är att stärka de idéburna organisationernas självständighet och oberoende roll som röstbärare och opinionsbildare, samt att stödja framväxten av en betydligt större mångfald av utförare och leverantörer inom hälso- och sjukvården samt omsorgen. Överenskommelsen innehåller både en gemensam vision och gemensamma principer, samt en presentation av de olika åtaganden som parterna gjort för att på ett konkret sätt visa hur var och en bidrar till den gemensamma målsättningen. I de studerade överenskommelserna, i den här rapporten och överhuvudtaget inom detta område förekommer flera olika begrepp. Ideella organisationer, social ekonomi och civilsamhälle är exempel på detta. Begreppsbruket är inte enhetligt och olika organisationer förhåller sig till dem på olika sätt. I arbetet med att ta fram den nationella överenskommelsen valde parterna att använda sig av begreppet idéburna organisationer främst utifrån de olika organisationernas definition av sig själva. Det markerar en tillhörighet för både ideella organisationer och organisationer i den kooperativa sfären med någon form av allmänmänskligt uppdrag. Dessa kan vara vinstdrivande. Begreppet idéburna organisationer är inte vedertaget inom forskningen. För att få så korrekta referenser som möjligt används i den här rapporten de begrepp som man i de refererade studierna utgår ifrån. Men alla de begrepp som hänvisas till i rapporten innefattas i eller har nära kopplingar till samlingsbegreppet idéburna organisationer. Rapporten är skriven av docent Håkan Johansson, Socialhögskolan, Lunds universitet, fil. dr. Anders Kassman, Enheten för forskning om det civila samhället vid Ersta Sköndal högskola samt doktorand Roberto Scaramuzzino, Hälsa och Samhälle, Malmö högskola. Författarna står för innehållet i denna rapport. Vi ser denna rapport som ett bidrag till att utveckla dialogen mellan idéburna organisationer inom det sociala området och Sveriges Kommuner och Landsting. Vi hoppas att den ger kunskap och idéer till fortsatta samtal och reflektioner.
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| 10. |
- Johansson, Thomas, et al.
(författare)
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De nya fäderna : Om pappaledighet, jämställdhet och nya maskulina positioner
- 2007
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Ingår i: Kvinnovetenskaplig tidskrift. - : Malmö högskola, Studentcentrum. - 0348-8365. ; :1-2, s. 143-166:1-2, s. 143-166
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Hur uppfattar och förhåller sig män till de kampanjer som vill påverka dem att vara hemma mera med sina barn? Artikelförfattarna har träffat fyra grupper av män med skilda erfarenheter och bakgrunder för att utforska hur de konstruerar sitt faderskap i spänningsfältet mellan visioner och levd erfarenhet.
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