| 1. |
- Moberg, Christina, et al.
(författare)
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De unga gör helt rätt när de stämmer staten
- 2022
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Ingår i: Aftonbladet. - 1103-9000.
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Tidskriftsartikel (populärvet., debatt m.m.)abstract
- 1 620 forskare och lärare i forskarvärlden: Vi ställer oss bakom Auroras klimatkrav
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| 2. |
- Alenius, Sara, et al.
(författare)
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Development and quality assessment of the psychometric properties of the Self-Efficacy in Lifestyle Counselling scale (SELC 20 + 20) using Rasch analysis
- 2024
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Ingår i: Health and Quality of Life Outcomes. - : BioMed Central Ltd.. - 1477-7525. ; 22:1, s. 15
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Tidskriftsartikel (refereegranskat)abstract
- Många livsstilssjukdomar kan förebyggas och behandlas genom hälsosammalevnadsvanor. De levnadsvanor som har störst inverkan på hälsan inkluderar matvanor, tobaksbruk, alkoholkonsumtion och fysisk aktivitet. Socialstyrelsen kräver att all vårdpersonal, vid varje vårdmöte, ska erbjuda patienter samtal om deras levnadsvanor, men forskning visar att enbart 30% av alla patienter i Sverige får detta erbjudande. En orsak till detta är att vårdpersonal inte känner sig rustade för samtal om levnadsvanor. Tidigare studier antyder att utbildning om levnadsvanor skulle kunna ge bättre förutsättningar för vårdpersonal och leda till att fler patienter erbjuds samtal om levnadsvanor. Syftet med den här studien var att utveckla ett frågeformulär som mäter tilltro till egen kunskap och förmåga att samtala med patienter om levnadsvanor, samt kvalitetstesta dess mätegenskaper. Grundat på ett redan existerande frågeformulär, nationella riktlinjer och 18 intervjuer medsjuksköterskestudenter, lärare, kliniker och experter inom området levnadsvanor, utvecklades ett frågeformulär. Denna besvarades sedan av 310 sjuksköterskestudenter, och dess mätegenskaper analyserades. Resultatet visar att frågeformuläret är lätt att förstå och har goda mätegenskaper. Det har god reliabilitet för gruppanvändning, svarsalternativen fungerar som förväntat och det finns inga systematiska skillnader i hur frågeformuläret besvaras. Teoretisk kunskap och praktisk förmåga visade sig vara två olika delar, där teoretisk kunskap är en förutsättning för praktisk förmåga att samtala om levnadsvanor. Vår förhoppning är att frågeformuläret i framtiden ska kunna användas i vårdutbildningar och i klinisk verksamhet för att utvärdera utbildningsinsatser kring samtal om levnadsvanor. BACKGROUND: Globally as well as in Sweden, diseases that are caused by unhealthy lifestyle habits are the most common causes of death and disability. Even though there are guidelines that oblige all health-care professionals to counsel patients about lifestyle, studies have shown that it is not prioritized within healthcare. One reason for this among nurses has been shown to be lack of confidence in knowledge and counselling skills. This study aimed to develop, and quality assess the psychometric properties of an instrument to measure self-efficacy in lifestyle counselling. METHODS: An instrument inspired by an American instrument, following Bandura's recommendations for development of self-efficacy measures, was developed according to Swedish national guidelines for disease-prevention. The instrument was revised after cognitive interviews with nursing students, university teachers within health sciences, and clinical experts, then administrated to 310 nursing students at different levels in their education. The instrument was tested with Rasch Measurement Theory, with focus on dimensionality, local dependency, targeting, reliability, response category functioning, Rasch model fit, and differential item functioning by age, gender, educational level and previous health care education. RESULTS: The development of the instrument resulted in 20+20 items, 20 items about self-efficacy in knowledge, and 20 items about self-efficacy in ability to counsel persons about their lifestyle. The analyses showed that knowledge and ability are two different, but related, constructs, where ability is more demanding than knowledge. The findings provide support (considering dimensionality and local dependency) for that all 20 items within the knowledge construct as well as the 20 items within the ability construct can be summed, achieving two separate but related total scores, where knowledge (reliability 0.81) is a prerequisite for ability (reliability 0.84). Items represented lower self-efficacy than reported by the respondents. Response categories functioned as expected, Rasch model fit was acceptable, and there was no differential item functioning. CONCLUSIONS: The SELC 20 + 20 was found to be easy to understand with an acceptable respondent burden and the instrument showed good measurement properties.
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| 3. |
- Alenius, Sara, et al.
(författare)
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Health care professionals’ experiences and perceptions of health promotion through the health dialogue intervention in the scania region, Sweden : a qualitative interview study
- 2023
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Ingår i: BMC Primary Care. - 2731-4553. ; 24
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Tidskriftsartikel (refereegranskat)abstract
- Background: Cardiovascular disease and type 2 diabetes are among the largest public health challenges in Sweden. Research indicates that a healthy lifestyle can prevent most cases. The health dialogue is an evidence-based public health programme for primary care with positive results in several regions of Sweden. This study aimed to describe health care professionals’ experiences and perceptions of health promotion through the health dialogue intervention during the pilot phase in the Scania region of Sweden. Methods: The study consists of 12 individual interviews with health care professionals educated in the health dialogue method, implementing the intervention in Scania. Qualitative content analysis with an inductive approach was used. Results: The analysis resulted in 10 sub-categories and the four main categories: A more health-promoting mindset would benefit primary care; Empower individuals; Facilitate sustainable lifestyle changes; Challenges, tools and support for the implementation of the health dialogue. One overarching theme emerged: “Health dialogue, a potential start of a paradigm shift in Swedish primary care”. Conclusions: Conclusions imply that the health dialogue is a well-structured method with tools to make health promotion and primary prevention an integrated part of primary care. A respectful and motivating approach during the health dialogue is recommended. It is important to have an ongoing discussion about the approach among the health care professionals. Incorporating the Health Belief Model in the health care professionals’ education in the method could increase the focus on self-efficacy during counselling, which could favour the participants’ change process.
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| 4. |
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| 5. |
- Alenius Wallin, Linn, et al.
(författare)
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Intensive grandparenting : Narratives of changing generational practices and relations.
- 2023
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Konferensbidrag (refereegranskat)abstract
- Grandparents’ involvement in their adult children’s everyday family life seems to have increased, especially in relation to care arrangements around grandchildren (Arber & Timonen 2012; May et al., 2012; Cantillon et al., 2021). This is the case also in Sweden, despite extensive public welfare provision of childcare (Hank & Buber, 2009; Björnberg & Ekbrand, 2008). This “new army of proxy parents” (Buchanan & Rotkirch 2019: 11) calls for the need to critically analyse grandparental care practices and ideals, in relation to demands on family life and parenting, and also, in relation to ideal of what is ‘good care’ for children. Taking our point of departure in a study on intergenerational care in Sweden – involving grandparents, adult children and grandchildren (65 interviewees, using creative methods; drawings, diaries) – our analysis suggests the concept intensive grandparenting as an analytical lens for understanding contemporary grandparental involvement in care for grandchildren. Like intensive parenting/mothering (Hays 1996; Lareau 2003; Faircloth 2014), grandparenting today can be characterized as child-centred, emotionally absorbing, financially expensive and labour intensive (Hays 1996), and also as an ambivalent (Luescher & Pillemer 1998) and continuously gendered activity. In addition, it is largely done in the shadows of – and in complex relation to – parenting. Our analysis shows the need to view parenting and grandparenting practices as embedded in wider social contexts, both in relation to the changing welfare state and demands of work-family life, and in relation to changing ideals of care for children and relations between generations.
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| 6. |
- Anving, Terese, et al.
(författare)
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Intergenerational Care in Corona times. : A Study of Relationships, Commitments, and Practices of Care in Swedish Families during a Pandemic
- 2021
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Konferensbidrag (refereegranskat)abstract
- The corona pandemic has put intergenerational relationships in focus in ways previously never experiences. In many national contexts, lockdowns and restrictions have caused forced generational separation in families. In Sweden, the official government standpoint of generational separation – all citizens over 70 were to avoid contact with others, and especially to stay away from interactions with grandchildren – has severely affected practices of care and emotional support between generations. This has brought attention to the persistent significance of care between generations in Sweden, contrasting sociological theories depicting the country as the ’most individualized’ society in the world where the expansive welfare state is seen to have led to ‘defamiliarisation’ and weakening intergenerational ties (Bauman 2003; Berggren Trägårdh 2006). Previous research, including our on-going study Intergenerational care in Sweden (SRC Eldén 2018-01053), show that involvement by grandparents in everyday care of adult children’s families has increased in recent decades, as has engagement of adult children in everyday care of grandparents. During corona, these engagements are challenged, and the consequences thereof are multifaceted (Kivi et al 2020; Iversen et al 2020). This paper analyses the effects of the corona situation on intergenerational care relations, focusing how care is done, understood and negotiated (Morgan, 2011; Mason, 1996) between elderly parents and their adult children and grandchildren. Of special interest is the effects of forced separation on relationships regarding practical care arrangements, emotional support and commitments. Our point of departure is a study where data (biographical interviews, diary interviews, lifelines, drawing exercises with grandchildren) from grandparents, adult children and grandchildren has been gathered. So far, 45 individuals have been interviewed, several in repeated encounters, before and during the pandemic.
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| 7. |
- Anving, Terese, et al.
(författare)
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Intergenerational care in Sweden : A biographical approach
- 2022
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Konferensbidrag (refereegranskat)abstract
- Practices of care between grandparents, adult children and grandchildren are the hub of intergenerational relationships. To care for an elderly parent, or for a grandchild, is an engagement that can be a necessity coming out of lack of other care providers, or it can be an engagement you voluntarily take upon yourself. It can feel like an obligation, and/or as something you do out of love for your kin, as demanding and time-consuming, or as rewarding and emotionally fulfilling. The doings and significance of intergenerational care in everyday life and throughout the life course is the focus for the study that this paper is based on. Sweden is a particularly interesting case in this respect, given its history of extensive welfare state care solutions and the explicit aim of creating a society marked by social and gender equality through publicly funded social security networks such as elderly care, paid parental leave, and child care. This has meant that individuals historically have been relieved from having to rely and depend upon parents, children or relatives for support (Lundqvist 2011). However, quantitative studies indicate that intergenerational involvement has increased in recent decades and that it is related to gender, class, and ethnicity/migration (Björnberg & Ekbrand 2008; Szebehely & Ulmanen 2012). In this project we investigate this qualitatively, focusing on how intergenerational care is organized, negotiated, and experienced between generations, as well as how gender, class, age, and ethnicity/migration intersect and inform everyday doings of intergenerational care. In the project a three-generation approach is applied, involving grandparents, their adult children, and grandchildren. Through the use of innovative methods (such as diaries and visual methods) we capture doings and understandings of care between generations and in the same family. In this paper we will give you a first glimpse of the analysis, and discuss the potential of using a biographical approach in studying the experience of everyday care doings and relationships during life course.
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| 8. |
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| 9. |
- Eldén, Sara, et al.
(författare)
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Grandchildhood : Care and relationality in narratives of three generations in Sweden
- 2024
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Ingår i: Childhood. - 1461-7013. ; 31:1, s. 120-137
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Tidskriftsartikel (refereegranskat)abstract
- While the role of grandparents has increasingly been explored, the position of being a grandchild is under-researched. Recognising the active role of children in intergenerational care relationships, we analyse narratives of being a grandchild in Sweden in the 1940s–1950s, the 1970s–1980s, and today. Interviews with 63 participants of both genders show how conditions for care-doings change in response to welfare state developments and in relation to new ideals of childhood. Intensified engagements by grandparents in the life of grandchildren are identified, but also continuity in the significance of close and reciprocal relationships between grandchildren and grandparents.
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| 10. |
- Eldén, Sara, et al.
(författare)
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Intergenerational care in corona times: Practices of care in Swedish families during the pandemic
- 2022
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Ingår i: Journal of Family Research. - : Universitatsbibliothek Bamberg. - 2699-2337. ; 34:1, s. 538-562
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Tidskriftsartikel (refereegranskat)abstract
- Objective: This paper analyses intergenerational relationships in Sweden during the corona pandemic, with a special focus on practices of care. The research question is: How is care between generations – between grandparents, adult children and grandchildren – done during pandemic conditions? Background: In Sweden, where an extensive welfare state provides affordable child- and eldercare, the corona strategy of generational separation has still affected family practices of care between generations. In this article we analyse narratives of intergenerational care, taking our point of departure in theories of personal life (Smart 2007), relationality (Mason 2004), and care as sentient activity (Mason 1996). Method: The paper draws on a qualitative interview study with grandparents (n=30), adult children (n=12) and grandchildren (n=12), with data collection taking place shortly before and during the coronavirus pandemic. Results: The study detects the reciprocal and complex ways in which care between generations takes place. When people relate their experiences, strategies for new ways of doing care are at the centre, involving creative ways of negotiating distance and risk, all marked by both worry and relief. Conclusion: The pandemic condition becomes a "filter" affecting and leading to a reformulation of practices of care, from taken-for-granted co-presence narratives, into narratives of relational participation resulting in an overall heightened awareness of the importance and difficulties of intergenerational care practices. The study concludes that a strong welfare state does not translate into complete autonomy or independence; rather, people continue to live "linked lives".
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