| 1. |
- Ahacic, Kozma, et al.
(författare)
-
Income and education as predictors of stroke mortality after the survival of a first stroke
- 2012
-
Ingår i: Stroke Research and Treatment. - : Hindawi Publishing Corporation. - 2090-8105 .- 2042-0056.
-
Tidskriftsartikel (refereegranskat)abstract
- Background. It is well known that socioeconomic indicators, such as income and education, predict both stroke incidence and stroke mortality. This means that persons in lower socioeconomic positions are less likely to survive their stroke, and there will be a selective survival in the group discharged from hospital after their first stroke. Question. Does socioeconomic position continue to predict mortality, stroke specific, or from other causes, among patients surviving their first stroke in spite of this selective survival? Methods. All persons in Sweden aged 40–59 years who were discharged after a first hospitalization for stroke in 1996–2000 were included (n = 10,487), then followed up until the end of the fourth calendar year after discharge. Data were analysed with Cox regressions controlling for age, sex, and stroke type. Results. Persons with high socioeconomic position, measured by education and income, have lower mortality than those of low position. Education was not significant when adjusted for income, however. The risk of dying was similar for stroke-specific mortality and all-cause mortality, for those with cerebral infarction as well as for all patients. Conclusions. Socioeconomic position predicted stroke-specific mortality also in the selective group of persons who survived their first stroke.
|
|
| 2. |
- Andersson, Josefin, et al.
(författare)
-
När hjälpen finns på Facebook : Om försummade behov och nya hjälpformer
- 2022
-
Ingår i: Socialmedicinsk Tidskrift. - 0037-833X. ; 99:4, s. 509-521
-
Tidskriftsartikel (refereegranskat)abstract
- Personer med låga inkomster söker ekonomisk hjälp via Facebook och andra sociala medier. Vad avser biståndet som efterfrågas och vilka individer söker hjälp? 30 ansökningar hos organisationen Giving People som granskades visade att det är barnfamiljer som söker hjälp till basala behov som mat och kläder. Denna hjälp sätts i relation till hjälp som ges från Sveriges Stadsmissioner och till socialtjänstens försörjningsstöd. Hjälpen från Giving People är snabb samtidigt som organisationen medvetet kringgår socialtjänstens krav på redovisning av inkomster. Den hjälpsökande individen får ett litet extra tillskott samtidigt som det finns en risk att fattigdomen i samhället inte uppmärksammas tillräckligt. Sveriges Stadsmissioner och socialtjänsten erbjuder professionella personliga möten till skillnad från Giving People. Detta kan vara viktigt eftersom ekonomiska svårigheter ofta är en markör för andra sociala problem
|
|
| 3. |
|
|
| 4. |
|
|
| 5. |
- Gümüscü, Ahmet, 1981-
(författare)
-
Socialtjänsten och familjen : socialarbetares konstruktion av familj och insatser i familjerelaterad komplexitet
- 2019
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The aim of this dissertation is to describe and analyse how social workers in Swedish social services define “family” and handle complexity when they work with families, and especially “families with complex needs” as the target of their interventions. Whereas families with complex needs can be understood to involve one or more family members having two or more simultaneously occurring needs or problems (e.g. mental health issues, addiction, financial problems, dysfunctionality, child abuse, ageing, disabilities, and family violence), complexity in social work extends beyond that which exists in families. Therefore, to broaden our understanding of these complexities in social work, this research sought answers to the following questions:• How do social workers define and set boundaries around the concept of “family” when they target their interventions? How do these definitions differ between different sectors of the social services – elderly care, disability care, addiction, child welfare, and financial assistance? (study I)• How do social workers involve families and family members in the casework from intake and through the investigation process within different social service sectors? What happens to the conceptualisation of family through an investigation process? (study II)• How do social workers in child welfare services describe and manage complexity in their work generally and when they work with families with complex needs? (study III)• How then do social workers in different service sectors conceive of and manage complexities in their everyday work, especially when it comes to families with complex needs? (study IV)The empirical material in studies I and IV consists of telephone interviews with 60 social workers working in five different sectors in four municipalities. Study II is based on five focus group interviews with social workers working in five different sectors in one larger municipality. Study III is based on focus groups with vignettes with social workers working in child welfare in three municipalities.In the first study findings revealed that different mediating mechanisms were adopted by social workers in what can be understood to be a deconstruction of the family. These mechanisms included legislation (as a control mechanism), household composition (boundary mechanism) and service needs (professional mechanism), which were used in various ways and to differing degrees within each sector. The five unique and sector-specific conceptualisations of families are implicated in how interventions are constructed and work processes targeted at individuals and families.In the second study findings showed that clienthood and family are interpreted in different ways. The family was brought into or kept out of service provisions in ways that were connected to social workers’ construction of the family either as expert, client or non-client. How social workers understood the role of the family changed during the casework process. In the third study, findings showed that social workers were challenged in their everyday work where they focused on immediate conditions for children while avoiding problems that were less amenable to being solved. Social workers tried to manage complexities related to families by either sorting prioritizing or oscillating between different child welfare orientations. In the fourth study, findings showed that there were different types of reported complex needs: deeprooted needs and broad-based needs. Complex family needs were transformed into complex cases by social workers, based on considerations of family composition, relationships between clients and social workers, and organizational contexts of practice. The boundaries between these three domains were not distinct, and the interconnectivity and complexities occurring in and between them contributed to the production of much of the “wickedness” that exists in social work practice.A main conclusion is that the concept of family is understood and targeted differently in different sectors of social work. In some cases, the use of the family concept can be related to the clients' specific needs. Families who social workers meet often have combinations of needs and problems that result in numerous interventions from the social services. When social workers meet these families, they can feel ambiguity and uncertainty because of the complexity of the needs or other complexities. And, in individualised social services, a narrow focus on the needs of individuals can make it difficult to see the situation of the family as a whole. This research highlights the importance of bringing this web of complexities to the forefront of practice.
|
|
| 6. |
- Hedlund, E., et al.
(författare)
-
Sociala konsekvenser av sjukdom
- 2010
-
Ingår i: Social rapport 2010. - Stockholm : Socialstyrelsen. - 9789186585006 ; , s. 150-174
-
Bokkapitel (övrigt vetenskapligt/konstnärligt)
|
|
| 7. |
|
|
| 8. |
-
Inequalities and migration : Challenges to the Swedish welfare state
- 2018
-
Samlingsverk (redaktörskap) (övrigt vetenskapligt/konstnärligt)abstract
- Sweden is often pictured as a country with a strong welfare system and low levels of inequality. But it is also described as a country that has undergone fundamental restructurings of its welfare system since the 1990s, and with inequality gaps that are among the fastest growing in Europe. This development is strikingly visible among people with a migration background. The question is how this might be understood. Inequalities and migration set focus on ongoing developments and debates about the Swedish welfare system in relation to migration. It introduces the international reader to ongoing developments of inequalities and migration in Sweden in broad historical and international perspectives. The book also offers in-depth insights to how the dynamics of growing inequality unfolds in regard to a range of phenomena and areas of intervention, including the role of civil society. The selected case studies focus on inequalities and hierarchies with regard to both various forms of cross-border mobility and the increased diversification of Swedish society. The book fills a gap when it comes to English language course literature about contemporary debates regarding social policy and social work in relation to migration in Sweden. At the same time it is well suited for a broader range of readers, including policy makers and practitioners outside of Sweden.
|
|
| 9. |
- Ingard, Cecilia, et al.
(författare)
-
Moral distress and moral agency : staff experience of supporting self-determination for people with dementia
- 2024
-
Ingår i: Social Sciences. - : MDPI. - 2076-0760. ; 13:5
-
Tidskriftsartikel (refereegranskat)abstract
- People living in nursing homes have the right to self-determination, and difficulty in accommodating this right can create moral distress in staff. This study aimed to explore experiences of situations of moral distress and to identify nursing home staffs’ needs to act with moral agency. Six group interviews were conducted with nursing home staff. Content analysis of the interview responses showed that moral distress can be rooted in both concrete situations with residents and factors related to the work environment and policy requirements. Personnel can address moral distress through both active and passive means. Staff acted to address moral distress mainly in situations with residents and sometimes in relation to co-workers, but they did not try to influence the policy level.
|
|
| 10. |
- Ingard, Cecilia, et al.
(författare)
-
People with dementia as active agents in nursing homes : a scoping review
- 2023
-
Ingår i: SAGE Open. - : Sage Publications. - 2158-2440. ; 13:2
-
Forskningsöversikt (refereegranskat)abstract
- People with dementia (PWD) are fragile and need aid and care in their daily lives. This scoping review explores the extent to which PWD can be involved in society and their daily lives. Publications were selected according to PRISMA guidelines. We graded the level of participation/involvement in daily life and research using a five-level participation model developed by Shier. A higher grade means a greater ambition to involve PWD in decisions. Of the 11 included studies, three reached level three according to Shier’s model. The studies describe ways of and potentials for participation, capabilities of PWD, caregivers’ opportunities to foster involvement, and cooperation between PWD caregivers and relatives. Caregivers and managers must have the attitude that PWD can be involved in decisions and caregivers need opportunities to actively promote such involvement. Shier’s model can be a tool with which organizations strive to involve PWD.
|
|
