| 1. |
- Efraimsson, Eva, et al.
(författare)
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Discharge planning : "fooling ourselves?"--patient participation in conferences.
- 2004
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Ingår i: Journal of Clinical Nursing. - : Wiley. - 0962-1067 .- 1365-2702. ; 13:5, s. 562-570
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: The aim of discharge planning conferences (DPCs) is to co-ordinate resources and to enhance patient involvement in care in connection with relocation from hospital. DPCs can be characterized as institutional conversations, and are often executed as standard procedures, but the scientific basis for the activity is weak. AIMS AND OBJECTIVES: The aim of this study was to illuminate and describe the communication at DPCs. DESIGN: A purposeful and consecutive sample of eight DPCs was collected in which the future care of eight women, aged 70 years or more, was discussed. METHODS: Transcribed video recordings were analysed in two steps. "The initial analysis" aimed at describing the structure and content of the communication. This description constituted the basis for an interpretation, leading to "the focused analysis" aiming at finding evidence for the assumptions made in the interpretation. RESULTS: The result revealed that the participation of patients was very less the DPCs. The decisions had often already been made, and the women were expected to be pleased with the decision; institutional representatives (IRs) frequently justified their actions by referring to bureaucratic praxis. CONCLUSIONS: The women were both encouraged and excluded from participation by the IRs. This dichotomy occurred because the IRs, as professionals, struggled to simultaneously realize their caring mission and their obligation to enforce the values and rules of the institution, i.e. efficiency and rationality. Thus, IRs and patients were equally imprisoned within the institutional system. RELEVANCE TO CLINICAL RESEARCH: This result illustrates how conflicting paradigms are imbedded and reproduced by healthcare professionals in their communicative praxis. Awareness of this is a prerequisite for improvements in working procedures congruent with a caring paradigm that support patient participation.
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| 2. |
- Gedda, C., et al.
(författare)
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Heat storage in aquifers
- 2013
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Ingår i: Subsurface Space. - : Elsevier. - 9781483284217 ; , s. 609-613
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- Effiecient utilization of solar energy and industrial waste heat requires heat storage facilities. Such facilities can be provided in groundwater aquifers. Two aquifer heat storage projects currently being carried out in Sweden are presented.
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| 3. |
- Hansson, S. O., et al.
(författare)
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Policycykeln : En modell för beslutsprocesser i miljöfrågor
- 2006
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Ingår i: Karin Edvardsson och Sven Ove Hansson (red), Vägar till ett effektivt miljöarbete. - Umeå : Boréa bokförlag. - 9189140478
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- I kapitlet diskuteras utifrån policyprocessens olika steg hur beslutsprocesser inom miljöområdet kan och bör studeras.
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| 4. |
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| 5. |
- Lindqvist, Olav, et al.
(författare)
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Time and Bodily Changes in Advanced Prostate Cancer : Talk About Time As Death Approaches
- 2008
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Ingår i: Journal of Pain and Symptom Management. - : Elsevier BV. - 0885-3924 .- 1873-6513. ; 36:6, s. 648-656
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Tidskriftsartikel (refereegranskat)abstract
- The disease trajectory of living with incurable cancer is characterized by, increasing bodily deterioration and problems. In this paper, we have focused on the change in temporal awareness as manifested in the narrations of two men with hormone refractory prostate cancer and, skeletal metastases as they approach death. The two men participated in in-depth research interviews during the last part of their lives, sharing a similar disease trajectory with increaseing bodily change and decreasing physical function. Both died a lingering cancer,related death. The first and last research interviews were analyzed using a discourse analytic method. Findings show that the temporal awareness in the interviews changes as the illness progresses and death approaches. In the last interviews, the present is flooded with bodily problems; the past and the future are hardly present except for the future beyond the mens own deaths. Pain.,fatigue, nausea, and other symptoms figure largely in this change, and there is no time for much more than attending to bodily needs in a present that is dominated by problems. Here, the importance of alleviating bodily problems once again becames paramount, and two questions are raised: Is the often reported withdrawal from life, when death is imminent, a physical necessity rather than a psychological one, and is it possible to free time from, the time-consuming problems of the present by means of a more concentrated attempt, to alleviate these problems?
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| 6. |
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| 7. |
- Möller, Claes, 1950-, et al.
(författare)
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Influence of age on the broad frequency rotatory test
- 1988
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Ingår i: Basics of neurootology and applied neurootological dignostics in presbyvertigo, presbyataxia and presbytinnitus. - Hamburg : Verner Rudat. ; , s. 65-70
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Konferensbidrag (refereegranskat)
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| 8. |
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| 9. |
- Österholm, Johannes H
(författare)
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Assessment meetings between care managers and persons living with dementia : Citizenship as practice
- 2016
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- This thesis deals with encounters between persons living with dementia and care managers. Dementia often results in progressive care needs that must be met by different social care services. The person’s care needs are assessed in an assessment meeting where the person and their relatives meet with a care manager to negotiate needs and social care services. The assessment is conducted through one or several conversations where the person with dementia meets the care manager; relatives are often present in the meetings. Dementia is a syndrome that involves a cognitive decline and a decreased ability to communicate and interact with others. It may therefore be difficult for a person with dementia to take part in discussions about their care needs and social care services. 15 audio recorded meetings have been studied to explore and understand how persons with dementia use their remaining communicative, cognitive and linguistic resources to invoke, negotiate, and use their rights as citizens in the institutional context where their care needs are assessed. The analysis concerns the organization of talk as a joint activity; the production of social actors in talk-in-interaction; the relation to institutional features of discourse. This dissertation concludes that the practice of citizenship is situation based and varies depending on the participants present. Care managers can facilitate for persons with dementia to overcome communication problems by using different discursive strategies and to make it possible for them to participate or at least be included in the negotiation. Persons with dementia are positioned as less competent than other persons participating in the assessment meeting. This might have an impact on the participation of people with dementia in negotiations regarding their future care. Furthermore, stories told in assessment meetings often position the person as dependent on others, which could undermine the identity and sense of self of the person with dementia.
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| 10. |
- Österholm, Johannes H, et al.
(författare)
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Autobiographical occasions in assessment meetings involving persons with dementia
- 2018
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Ingår i: Qualitative Social Work. - : SAGE PUBLICATIONS INC. - 1473-3250 .- 1741-3117. ; 17:1, s. 41-64
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Tidskriftsartikel (refereegranskat)abstract
- It has often been argued that identities have a strong connection to stories and storytelling and thus that life stories should be used to individualize care for people with dementia. A problem with this view is that storytellers are seen as individuals, freely reflecting on, composing, and telling life stories. This view becomes especially problematic when persons with dementia tell stories in institutional contexts where certain information is requested and necessary for decision-making. The aim of this study is to investigate how autobiographical stories are used and what functions they have in assessment meetings involving persons with dementia. Fifteen assessment meetings were audio-recorded and transcribed. Narratives were extracted and analyzed by coding who the narrator or narrators were, what the narrator(s) accomplished by telling this story, and what the consequences were for the ongoing meeting. It was found that all interlocutors told stories about the person with dementia. These stories were found to have three functions: (1) to justify why care services were needed; (2) to describe experiences about previous care; and (3) to provide a good working climate. Thus, not all autobiographical stories are the persons story. For care managers in their everyday work it is important to be aware of this and not only be satisfied with a story that suits the organizations needs. Furthermore, stories told in assessment meetings often positioned the person as dependent on others, which could undermine the identity and sense of self of the person with dementia.
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