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- Cedersund, Elisabet, 1950-, et al.
(författare)
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Finding the right care path: Experiences of participation in care by older persons with complex health problems : A Focused Primary Care Intervention
- 2021
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Konferensbidrag (refereegranskat)abstract
- Introduction: Despite evidence that older persons want to be involved in care, little is known about how older people with complex health problems living at home experience participation in care provided by different stakeholders. This study investigates the experiences of participation in care by older people, following their involvement in a proactive intervention based on a new health care model called Focused Primary Care. Material and methods: Individual semi-structured interviews were conducted with 20 older persons in five municipalities in Sweden. All the interviewees had participated in the intervention. Results: The older persons highlighted opportunities and limitations for participation on a personal level i.e. conditions for being involved in direct care and in relation to independence. Experiences of participation on an organisational level were reported to a lesser degree. In order to keep care contacts together and improve participation, a coordinating person (called “the spider in the net”) was requested who could safeguard the staff’s relationship with the older person. Conclusions: Primary care should to a greater extent involve older persons more directly in the planning and execution of care. There is considerable potential for developing the health and primary care sector to better target the needs of older persons with complex health problems, and to enhance their participation and independence. Interventions, like the one followed in this project, can play a critical role in realising the needs of older persons, where providing participation in care is recognised as a significant goal to assist them in navigating the care system.
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- Cedersund, Elisabet, et al.
(författare)
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Positioning and identity construction in home care assessment talk
- 2007
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Konferensbidrag (populärvet., debatt m.m.)abstract
- This paper reports results from a study of meetings between old persons, their relatives and the care managers who work with assessments of home care. According to the Swedish Social Welfare Act old persons who are in need of care are entitled to apply for home care. The formal decision concerning home care is made by the assessment managers who handle these type of applications within the municipality. Old persons and their family members - such as spouses or children - are moreover supposed to have influences on how home care is organized. The issues related to home care may often comprise conflicting interests - both within the family, and between the old persons, their family members and the case managers. The data consist of 20 Swedish home care assessment meetings. The assessments were studied, as institutional practices in which the participants used discursive positioning in order to argue for their version in the decision-making. The results show that the home care assessment meetings functioned as a situated practice in which old persons were positioned both by care managers and their relatives as potential home care receivers. Although the old persons had the final saying in the decision process family members were prominent in constructing the old person as in need of care. This highlights further questions about old persons individual rights within the decision-making in this type of situation. It also poses questions about relatives and their needs in the caring practice for the future development of the old age care system.
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- Cedersund, Elisabet, 1950-, et al.
(författare)
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Tensions between institutional and professional frames in team talk in gerontological social work
- 2024
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Ingår i: Communication & Medicine. - 1612-1783 .- 1613-3625.
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Tidskriftsartikel (refereegranskat)abstract
- Team meetings are central to social workers’ decision-making practices. These meetings often function as a forum for collegial consultations, when applications are processed and recommendations on decisions are discussed. In this paper, we present findings from a case study on team talk and decision-making practices in gerontological social work. The data come from a body of material gathered within the framework of a larger project covering the process of assessing elder care for older persons in three Swedish municipalities. The case concerns an application, due to homelessness, from a couple for an apartment in special housing. The team meeting was analysed using a data-driven perspective within a micro-analytical approach to talk, focusing in detail on how conflicting perspectives in the assessment of the couple’s needs are dealt with, and how tensions between divergent views and opinions are handled in relation to institutional and professional conversational frames. The findings show how the care managers (in Sweden the professional title for social workers working in elder care) negotiated the boundaries of responsibility and power within both the institutional and professional frames, revealing that the institutional frame dominated when it came to making decisions. The findings have implications for practice, as they give insight into the interactional dynamics involved in social workers’ assessments when navigating different conversational frames within their decision-making practices.
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| 8. |
- Forssell, Emilia, et al.
(författare)
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Anhörigomsorg mot betalning : Biståndshandläggare om sent-i-livet-invandares önskemål
- 2014
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Ingår i: Socialvetenskaplig tidskrift. - : Förbundet för forskning i socialt arbete (FORSA). - 1104-1420 .- 2003-5624. ; 21:2, s. 114-137
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Tidskriftsartikel (refereegranskat)abstract
- Artikeln diskuterar den ökande internationella migrationens utmaningar för äldreinriktat socialt arbete. Konkret undersöks erfarenheter hos äldreomsorgens biståndshandläggare gällande att möta sent-i-livet-invandrare som önskar anhörigomsorg med betalning genom anhöriganställning eller kontantbidrag. Biståndshandläggarna erfar situationer där de i rollen som myndighetsutövare upplever sig sakna såväl kunskap som resurser att hantera sådana önskemål.
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| 9. |
- Forssell, Emilia, 1963-, et al.
(författare)
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Care managers' experiences of cross-cultural needs assessment meetings : the case of late-in-life immigrants
- 2015
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Ingår i: Ageing & Society. - : Cambridge University Press. - 0144-686X .- 1469-1779. ; 35:3, s. 576-601
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Tidskriftsartikel (refereegranskat)abstract
- Research on care managers' experiences of the needs assessment process is scarce even though the literature on needs assessment practice is relatively extensive. One of the research areas that has not received attention yet is the way in which care managers experience the challenges that are presumably posed by increased ethnic, cultural, linguistic and religious diversity among prospective elder care recipients. This article addresses this research gap. It is based on a project that aims to shed light on care managers' experiences of the needs assessment process in general and cross-cultural needs assessment meetings in particular. The data are constituted of focus group interviews with care managers in Sweden (N=60). In this article we focus on care managers' experiences of needs assessment with older people who have immigrated late-in-life, who come from cultures considered different from the Swedish one and who have not mastered the Swedish language. This was the group of older people that the care managers mostly thought of when asked to describe their experiences of cross-cultural needs assessment meetings. The interviewed care managers discussed the challenges that these meetings present, which were related to communication due to language barriers, different demands and expectations, insecurity regarding what is customary in such meetings, as well as perceived passivity among late-in-life immigrants. The article discusses the contributions of the findings to research on care management practices in general, as well as to needs assessment practice in particular.
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