| 1. |
- Hjalmarsson, Anna, 1976-
(author)
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Being provided with a safe haven : Care-dependent older persons' participation in prehospital emergency care
- 2023
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Doctoral thesis (other academic/artistic)abstract
- Participation in care is a key concept in many welfare societies and serves to guide clinical practice and adapt care to personal preferences and needs in order to promote well-being and quality of life. Previous research has shown that practicing participation in care is complex due to the concept not being clearly defined. A significant risk is, therefore, that participation in care is practiced based on the professional caregivers' own definitions, which might be inconsistent with the cared-for persons' perceptions of what participation is.Older persons can continue to live in their own homes with the support of municipal home care services that meet everyday care needs. Care-dependent older persons are known to have increased emergency care needs, which in Sweden require inter-organizational and inter-professional collaboration involving a care transfer between welfare levels. This thesis aimed to deepen the understanding of care-dependent older persons' participation in prehospital emergency care from lifeworld and welfare perspectives. The inductive design was based on a lifeworld approach and included triangulation of the phenomenon of participation in care using descriptive, interpretative, and comparative methods.From the perspective of care-dependent older persons, participation in prehospital emergency care means a forced transfer of life responsibility to professional caregivers when being existentially unsafe and incapacitated due to acute illness. Through authorized representation, the professional caregivers act for the older person, with the power to bring about change and create opportunities for existence. Care-dependent older persons' participation in prehospital emergency care involves a deepened dependence that necessitates coexistence and being provided with a 'safe haven' through the entire emergency care chain. A 'safe haven' can be understood as an unconditional, calm, and sheltered interpersonal space for emotional rest that is provided to the older person during an existentially challenging situation. From the perspective of care-dependent older persons, the emergency care chain transcends organizational boundaries and includes mobile safety alarm services and emergency department attendance.The involved professionals must be supported in practicing participation in care based on a comprehensive understanding of the concept, and emergency care options must be aligned with the care-dependent older persons' need for coordinated and continuous care. Collaborative challenges related to unstructured collaboration and professional hierarchy need to be addressed to support well-functioning collaboration in situations involving acutely ill older persons. The involved organizations need to recognize care-dependent older persons' deepened dependence when acutely ill, as well as their extended view of the prehospital emergency care chain.
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| 2. |
- Fredriksson, Matilda
(author)
-
Fostran till anställningsbarhet : Ungas berättelser inifrån den kommunala arbetsmarknadspolitiken
- 2022
-
Doctoral thesis (other academic/artistic)abstract
- The issue of unemployment has become individualised. In recent decades, Swedish social- and labour market policies have changed towards an emphasis on activation, which places greater demands on the job seeker to actively seek work, participate in employment initiatives and improve their employability. This thesis studies how these requirements are expressed in the municipal activation of young people (18-29 years of age). The purpose of the study is to highlight and problematise the activation’s creation of employable individuals and its consequences for young people’s identity work.The study is based on ethnographic field work in an activation programme. The data consists of field notes, interviews and audio recordings from the programme’s daily activities and the young people’s tripartite meetings with public employment officers, which are also attended by staff from the activation programme. Based on Goffman’s perspective on total institutions and an interactionist, discursive and narrative approach, the study illustrates activation from the point of view of the programme participants’ own perspectives and narratives.The analysis shows how the programme screens young people from their environment and at the same time monitors and controls them. A daily schedule has to be followed, which means that all the young people do the same activity at the same time. The analysis identifies the prominent discourses that set the framework for the design of the activation and the everyday activities, as well as how the young people’s situations and needs are understood. The participants are categorised as “problem young people” with faults and failings. Included in the activation is a desire to change them into employable and capable individuals who can fit into the adult world. However, it is the young people who are responsible for working on themselves in accordance with the prevailing ideals. Thus, it is not primarily about reinforcing their competences in aspects like education and experience of working life. Rather, the young people are encouraged to adopt new ways of thinking and characteristics, such as being active, flexible, reflexive, well-behaved and accepting responsibility. They are challenged to show motivation, self-confidence and social and communicative skills. By encouraging the young people to change themselves and adopt certain personal characteristics, the activation conveys the image of unemployment as a personal problem that requires a personal solution, rather than a social problem. In the young people’s narratives, the activation is depicted as meaningless in that the programme does not lead to employment. At the same time, the young people say that the programme has given them new values and ways of seeing themselves. The activation can therefore be understood as a practice of normalisation as well as a semi-total institution that disciplines and changes the participants.
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| 3. |
- Hjalmarsson, Anna, 1976-, et al.
(author)
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A matter of participation? : A critical incident study of municipal care personnel in situations involving care-dependent older persons and emergency medical services
- 2022
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In: International Journal of Qualitative Studies on Health and Well-being. - : Taylor & Francis Group. - 1748-2623 .- 1748-2631. ; 17:1
-
Journal article (peer-reviewed)abstract
- PURPOSE: This study aimed at describing municipal care personnel’s experiences of and actions in situations when older persons need emergency medical services (EMS) at home. METHODS: An inductive descriptive design adhering to critical incident technique (CIT) was used. Data were collected through interviews and free text written questionnaires, analysed in accordance with CIT procedure. RESULTS: Experiences related to the main areas of Lifesaving competence and Collaborative care. Lifesaving competence involved having sufficient knowledge to guide older persons in emergencies without organizational support. The lack of care alternatives carries dependence on inter-organizational collaboration, as well as having to accept the collaborative conditions provided by the EMS. Actions meant Adjusting to situational needs and EMS authority, which involved safeguarding the person while being directed by the EMS. CONCLUSIONS: Lack of organizational support, care alternatives, and structured collaboration jeopardize care-dependent older persons’ health, and ability to influence care when emergency situations occur at home. Municipal care personnel’s actions as the older person’s representative support human agency, allowing older persons to become active participants in care despite acute suffering. This study underlines the importance of further developing welfare policies that facilitate and regulate inter-organizational responsibilities of health and social care to favour older people.
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| 4. |
- Hjalmarsson, Anna, 1976-, et al.
(author)
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Balancing power : Ambulance personnel's lived experience of older persons' participation in care in the presence of municipal care personnel
- 2023
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In: Scandinavian Journal of Caring Sciences. - : John Wiley & Sons. - 0283-9318 .- 1471-6712. ; 37:3, s. 766-776
-
Journal article (peer-reviewed)abstract
- Background: Patient participation is considered to promote well- being and is, there-fore, central in care contexts. Care- dependent older persons living at home constitute a vulnerable population with increased ambulance care needs. Care transfers risk challenging participation in care, a challenge that can be accentuated in situations involving acute illness.Aim: To illuminate meanings of older persons' participation in ambulance care in the presence of municipal care personnel from the perspective of ambulance personnel.Method: A phenomenological hermeneutical method was used to analyse tran-scripts of narrative interviews with 11 ambulance personnel.Results: The ambulance personnel's lived experience of older persons' participa-tion includes passive and active dimensions and involves a balancing act between an exercise of power that impedes participation and equalisation of power that em-powers participation. The main theme ‘Balancing dignity in relation to manipulat-ing the body’ included the themes Providing a safe haven and Complying with bodily expressions, which means shouldering responsibility for existential well- being and being guided by reactions. The main theme ‘Balancing influence in relation to per-ceived health risks’ included the themes Agreeing on a common perspective, Directing decision- making mandate, and Sharing responsibility for well- being, which means shouldering responsibility for health focusing on risks. Influence is conditional and includes performance requirements for both the older person and municipal care personnel.Conclusion: Care- dependent older persons' participation in care from the per-spective of ambulance personnel means recognising passive and active dimensions involving human dignity, the ability to influence care, and optimising care efforts through collaboration. This study provides a deepened understanding of the balanc-ing of power involved in ambulance care determining participation, where power is equalised or exercised depending on personal engagement, health risks, and available care options. The knowledge provided holds the potential to improve am-bulance care to benefit older persons in critical life situations.
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| 5. |
- Hjalmarsson, Anna, 1976-, et al.
(author)
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Characteristic patterns of emergency ambulance assignments for older adults compared with adults requiring emergency care at home in Sweden : a total population study
- 2020
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In: BMC Emergency Medicine. - : BioMed Central. - 1471-227X. ; 20, s. 1-12
-
Journal article (peer-reviewed)abstract
- Background: Since the vast majority of older adults in Sweden live in their private homes throughout life, the emergency medical services need to adapt accordingly. Hence, we aimed to describe characteristic patterns of dyadic staffed emergency ambulance assignments for older adults aged > 70 years compared with adults aged 18– 69 years requiring emergency care at home in Sweden.Methods: A descriptive retrospective study was performed using anonymized registry data from the emergency medical services in a region of Sweden during 2017–2018. One-sample χ2 test, one-way analysis of variance, and binary logistic regression models were used for investigating group differences. Variables for analysis were age, gender, clinical assessments, on-scene time, priority levels, result of response, and temporal patterns.Results: Of all included emergency ambulance assignments (n = 28,533), 59.9% involved older adults, of which 53.8% were women. The probability for older adults to receive the highest priority was decreased for both dispatch (p < 0.001, odds ratio [OR] 0.63, 95% confidence interval [CI] 0.59–0.66), and transport priorities (p < 0.001, OR 0.74, 95% CI 0.68–0.80). Older adults were more likely to receive dispatch priority levels 2 (p < 0.001, OR 1.48, 95% CI 1.40–1.56), and 3 (p < 0.001, OR 1.73, 95% CI 1.46–2.06). The older adults were similarly more likely to receive transport priority level 3 (p < 0.001, OR 1.40, 95% CI 1.28–1.52) compared with adults. Age had a small but additive effect in relation to on-scene time (p < 0.001, R2 = 0.01, F = 53.82). Distinguishing initial clinical assessments for older adults were circulatory, respiratory, trauma, infection, and nonspecific assessments. Emergency ambulance assignments for older adults were more frequently occurring on Mondays (p < 0.001, χ2 = 232.56), and in the 08:00– 11:59 interval (p < 0.001, χ2 = 1224.08).Conclusion: The issues of the lower priority level preponderance, and the decreased probability for receiving the highest priority warrant further attention in future research and clinical practice.
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| 6. |
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| 7. |
- Hjalmarsson, Anna, 1976-, et al.
(author)
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Entrusting life to professionals : A phenomenological hermeneutical study of older persons' participation in prehospital emergency care involving municipal home care and ambulance services.
- 2023
-
In: Scandinavian Journal of Caring Sciences. - : John Wiley & Sons. - 0283-9318 .- 1471-6712.
-
Journal article (peer-reviewed)abstract
- Background: Participation in care is considered to promote safe and qualitative care. Care-dependent older persons ageing in place have increased emergency care needs, which initiate inter-organisational collaboration involving municipal home care and ambulance services. Previous research concludes that uncertainties exist regarding what participation in care means in clinical practice, which necessitates the need to illuminate the phenomenon for older persons in critical life situations.Aim: This study aimed to illuminate meanings of participation in prehospital emergency care from the perspective of care-dependent older persons experiencing acute illness at home.Design: This study has a qualitative design with a lifeworld approach.Method: A phenomenological hermeneutical method was used to analyse transcribed telephone interviews with eleven care-dependent persons aged 70–93 years.Results: Care-dependent older persons' participation in prehospital emergency care means ‘Entrusting life to professional caregivers’ when being in helpless solitude and existentially unsafe, which emphasises a deepened interpersonal dependence. Meanings of participation in care from the perspective of older persons involve Being reassured in togetherness, Being pliant in trust of emergency expertise, Being enabled through the agency of professional caregivers, and Encountering readiness in the emergency care chain.Conclusion: Care-dependent older persons' participation in prehospital emergency care is existential and involves interpersonal dependence. Togetherness brings reassurance, safety and opportunity for emotional rest while accessing the professional caregivers' power, competence and abilities which provide opportunities for existence and movement towards well-being and continued living.Implications for practice: Prehospital emergency care from the perspective of care-dependent older persons transcends organisational boundaries and includes the municipal mobile safety alarm service. The involved municipal and regional organisations need to provide support by implementing lifeworld-led care models and care alternatives that enable professionals to recognise the existential dimension of participation in care.
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| 8. |
- Hjalmarsson, Anna, 1976-, et al.
(author)
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When older persons need Emergency Medical Services at home : a critical incident study on Swedish municipal care personnel
- 2021
-
Conference paper (other academic/artistic)abstract
- Older persons in Sweden can continue to live at home, assisted by the municipal home care services. Older age raises the risk of emergency situations that require involvement of the emergency medical services (EMS). Such situations intersect two different organizations, the municipal social care services and the regional EMS. The transfer of care between the organizations might impact the older persons´ health, and quality of life or death. Research question: How do municipal care personnel describe their experiences of and actions in situations when older persons are in need of EMS? Design: The study has a qualitative inductive design. Sample: Municipal care personnel (n=19) consisting of home care personnel and security alarm responders. Data collection and analysis: Data was collected through group interviews and free text written critical incidents analyzed according to critical incident technique. Results: Experiences related to the two main areas Lifesaving competence, and Collaborative care, which encompass the four categories Emergency knowledge, Companionship in a vulnerability, Limited caring options and Conditions for EMS collaboration. Actions related to the one main area Adjusting actions to actual conditions, which encompasses the three categories Adapting care to emergency needs, Safeguarding the person, and Adapting actions to EMS leadership.
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| 9. |
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| 10. |
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| 11. |
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| 12. |
- Blomberg, Helena, 1970-, et al.
(author)
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Children helping to co-construct a digital tool that is designed to increase children’s participation in child welfare investigations in Sweden.
- 2022
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In: Qualitative Social Work. - : SAGE Publications. - 1473-3250 .- 1741-3117. ; 21:2, s. 367-392
-
Journal article (peer-reviewed)abstract
- How do children (aged 6-12 years) understand and make use of a digital tool that is under development? This article builds on an ongoing interdisciplinary research project in which children, social workers (the inventers of this social innovation) and researchers together develop an interactive digital tool (application) to strengthen children's participation during the planning and process of welfare assessments. Departing from social constructionism, and using a discursive narrative approach with visual ethnography, the aim of the article is to display how the children co-construct the application and contribute with "stories of life situations" by drawing themselves as characters and the places they frequent. The findings show that the children improved the application by suggesting more affordances so that they could better create themselves/others, by discovering bugs, and by showing how it could appeal to children of various ages. The application helped the children to start communicating and bonding when creating themselves in detail, drawing places/characters and describing events associated with them, and sharing small life stories. The application can help children and social workers to connect and facilitate children's participation by allowing them to focus on their own perspectives when drawing and sharing stories.
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| 13. |
- Gustafsson, Lena-Karin, 1966-, et al.
(author)
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Actions taken to safeguard the intended health care chain of older people with multiple diagnoses-a critical incident study
- 2022
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In: BMC Nursing. - : BMC. - 1472-6955. ; 21:1
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Journal article (peer-reviewed)abstract
- Background: Older people with multiple diagnoses often have problems coping with their daily lives at home because of lack of coordination between various parts of the healthcare chain during the transit from hospital care to the home. To provide good care to those persons who have the most complex needs, regions and municipalities must work together. It is of importance to develop further empirical knowledge in relation to older persons with multiple diagnoses to illuminate possible obstacles to person-centred care during the transition between healthcare institutions and the persons livelihood. The aim of the present study was to describe nurses' experienced critical incidents in different parts of the intended healthcare chain of older people with multiple diagnoses.Methods: The sample consisted of 18 RNs in different parts of the healthcare system involved in the care of older people with multiple diagnoses. Data were collected by semi structured interviews and analysed according to Critical Incident Technique (CIT). A total of 169 critical incidents were identified describing experiences in recently experienced situations.Results: The result showed that organizational restrictions in providing care and limitations in collaboration were the main areas of experienced critical incidents. Actions took place due to the lack of preventive actions for care, difficulties in upholding patients' legal rights to participation in care, deficiencies in cooperation between organizations as well as ambiguous responsibilities and roles. The RNs experienced critical incidents that required moral actions to ensure continued person-centred nursing and provide evidence-based care. Both types of critical incidents required sole responsibility from the nurse. The RNs acted due to ethics, 'walking the extra mile', searching for person-centred information, and finding out own knowledge barriers.Conclusions: In conclusion and based on this critical incident study, home-based healthcare of older people with multiple diagnoses requires a nurse that is prepared to take personal and moral responsibility to ensure person-centred home-based healthcare. Furthermore, the development of in-between adjustments of organizations to secure cooperation, and transference of person-centred knowledge is needed.
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| 14. |
- Gustafsson, Lena-Karin, Docent, 1966-, et al.
(author)
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Implementation of a New Integrated Healthcare Model; Quality Aspects to Support the Complex Home Care of Older Adults with Multiple Needs
- 2024
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In: Journal of Multidisciplinary Healthcare. - : DOVE MEDICAL PRESS LTD. - 1178-2390. ; 17, s. 2879-2890
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Journal article (peer-reviewed)abstract
- Aim: This study aims to describe experiences of the implementation of a new integrated healthcare model for older adults with complex care needs due to multimorbidity, living at home, from a health and welfare personnel perspective. The goal was to diminish hospitalization and still carry out high quality care at home for older adults living with multimorbidity. The model was implemented by two organizations working in cooperation, the municipality, and the region that handles interprofessional social care and healthcare in people's homes. Materials and Method: Open-ended group interviews with personnel were carried out, three of the group interviews preimplementations of the model, and three of the group interviews post -implementation. The interviews were audiotaped and analysed according to the procedure of thematic analysis. Results: The quality of the integrated care model was based on care -chain cooperation, shared professionalism, and creating relations with the patient including closeness to next of kin, which was underlined by the participants. Unencumbered time gave the professionals the possibility to develop quality in integrated healthcare as part of integrated and person -centred care. The coproduction of education, research interviews and the follow-up meeting identified successes in diminishing hospitalization rates according to the participants' experiences of the post -implementation interviews. An identified failure was, however, that shared professionalism was not developed over time, rather the different responsibilities were accentuated according to the information retrieved at the follow-up meeting. Conclusion: Quality aspects of the model were identified in the present study. However, when implementation of a new model is completed, the organizations always have their own interpretation of how to further understand the model in question. Plain language summary: The intention of the present study was to follow the process of working with a new model of providing care at home, thus preventing increased numbers of hospital readmissions, based on the professionals point of view of what quality care is for older adults with complex care needs due to multimorbidity, living in their own home. The professionals were interviewed in group settings on several occasions during the implementation. The result showed hopeful expectations expressed by the professionals before the new model was implemented, such as a hope for getting more time for high -quality care for the older adults with multimorbidity. During the teamwork, the conversation within the team members was praised as a key factor that included shared professionalism from professionals with different levels of education and focus on their work. According to the staff, unnecessary hospital stays were reduced, while the interprofessional care -chain cooperation was improved through the work of the integrated care team. For many team members, the positive difference in both work and care satisfaction was highlighted in comparison to regular home care as they were able to use their multi -disciplinary skills and support.
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| 15. |
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| 16. |
- Gustafsson, Lena-Karin, 1966-, et al.
(author)
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Working with short-term goal-directed reablement with older adults : strengthened by a collaborative approach
- 2019
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In: Nordic journal of nursing research. - : Sage Publications. - 2057-1585 .- 2057-1593. ; 39:4, s. 178-185
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Journal article (peer-reviewed)abstract
- The increased number of older adults who experience longevity requires increased investment in healthcare services. Short-term goal-directed reablement is expected to strengthen the functional capacity and quality of life of older adults, while homecare hours, and thus municipal expenditures, decrease. Facilitation of successful interprofessional collaboration includes not only enhancing coordination structurally, but also establishing a commitment regarding culture that overcomes professionally differentiated attitudes. Nurses have an obvious role in these multi-professional teams and the study explores some aspects' of working in this type of collaboration. The aim was to illuminate the meaning of working with short-term goal-directed reablement of older adults as experienced by an interprofessional team. Data were collected after an intervention with goal-directed time-limited reablement of older people. Written narratives from an interprofessional team were analyzed using a phenomenological-hermeneutic approach. Findings identified four major thematic structures that characterized the meaning: 1) Reliable relationship; including the aspects ‘Confidence between the older adult and staff’, ‘A sense of security’ and ‘Continuity’, 2) Empowered participation, including the following aspects: ‘Listen to the older adult’s desires’ and ‘Put the person in control’, 3) Team with a negotiated approach, including the aspects: ‘Closeness’, ‘Same direction and overarching goal’, ‘Learning from interprofessional dialogue’, 4) Time for growth with the aspects ‘Creating harmony’ and ‘Building the older adult’s self-confidence’. The process of reablement seemed strengthened by the collaborative approach of different professions and their combined efforts. The present study argues that teamwork gives confidence both in terms of general knowledge of reablement but also specific confidence in one’s profession.
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| 17. |
- Hochwälder, Jacek, et al.
(author)
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Psychometric evaluation of the subjective well-being measure GP-CORE in a group of older adults in Sweden.
- 2022
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In: BMC Geriatrics. - : Springer Science and Business Media LLC. - 1471-2318. ; 22:1
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Journal article (peer-reviewed)abstract
- BACKGROUND: The world's growing population of older adults is one population that needs to be focused more regarding subjective well-being. It is therefore important to evaluate self-report instruments that measures general well-being for this specific group - older adults. The aim of the present study was to investigate psychometric properties of the Swedish translation of the GP-CORE (general population - Clinical Outcomes in Routine Evaluation) in a group of older adults (> 65 years).METHODS: In this study, a psychometric evaluation of the GP-CORE is presented for 247 Swedish older adults (> 65 years), 184 women and 63 men who applied for home care assistance for the first time.RESULTS: The psychometric evaluation showed high acceptability; provided norm values in terms of means, standard deviations and quartiles; showed satisfactory reliability in terms of both internal consistency and stability; showed satisfactory validity in terms of convergent and discriminant validity; provided a very preliminary cut-off value and quite low sensibility and sensitivity and showed results which indicated that this scale is sensitive to changes. One gender difference was identified in that women without a cohabitant had a higher well-being than men without a cohabitant (as measured by GP-CORE).CONCLUSIONS: The GP-CORE showed satisfactory psychometric properties to be used to measure and monitor subjective well-being in older adults (> 65 years) in the general population of community dwelling. Future studies should establish a cut-off value in relation to another well-being measure relevant for mental health in older adults.
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| 18. |
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| 19. |
- Mattebo, Magdalena, 1976-, et al.
(author)
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Availability of attachment relations and safe school environment are associated with subjective well-being in 15-year-olds – with girls reporting less well-being and less equality
- 2022
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In: International Journal of Educational Research Open. - : Elsevier Ltd. - 2666-3740. ; 3
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Journal article (peer-reviewed)abstract
- Background: Understanding young people's subjective well-being, such as how they experience equality, safety, and supportive environments, is particularly important for identifying possible preventive interventions in the school context. Aim: The aim of this study was to investigate similarities and differences between 15-year-old girls’ and boys’ subjective well-being, and its associations with psychosocial factors. Methods: The study was explorative and cross-sectional. A total of 195 adolescent girls and 116 boys in Grade 9 from four Swedish junior high schools completed a questionnaire on subjective well-being; emotional support opportunities; gender equality; experience of emotional, physical, and sexual violence in close relationships; insecurity due to harassment in the school environment or on social media; and pornography consumption. Results: Compared to boys, girls indicated worse subjective well-being and more harassment in school and on social media, and reported that boys received benefits based on gender. Boys reported higher pornography consumption compared with girls. Girls reporting decreased subjective well-being experienced more harassment on social media and in school, and more recent sexual violence. Among boys, with decreased subjective well-being, more psychological risks such as self-harm and suicidal thoughts was reported. Both girls and boys with decreased subjective well-being reported less availability of attachment and insecure close relations. Conclusion: The absence of a safe and supportive environment, such as feeling secure at school, and lack of close and trusting relationships are associated with 15-year-olds’ subjective well-being for the worse, regardless of gender. It is suggested that school personnel extend the relational possibilities in the school context.
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| 20. |
- Pongthippat, Weerati
(author)
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Health and welfare among Thai migrant women in Sweden : Lived experiences of transnational marriage migration. A dissertation in caring science
- 2021
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Doctoral thesis (other academic/artistic)abstract
- Background:This dissertation uses Betty Neuman’s nursing theory within the caring sciences to enable in-depth knowledge regarding Thai women’s health in the context of marriage migration. Globalisation has provided new opportunities for marriage migration, for example for Thai women to move to Western countries to improve their lives and wellbeing. Western men seem to offer financial security and better living conditions, but are increased wealth and health really what marriage migration entails?Aim:The overall aim of this thesis was to explore what contributes to the health and wellness of Thai immigrant women living in Sweden.Methods:Semi-structured interviews were conducted with 40 women, using the sample criteria: (a) born in Thailand and self-identifying as Thai; (b) having lived in Sweden for at least five years; and (c) currently married or previously married/in a relationship with a Swedish man. Content analysis was used in Studies I and IV, phenomenography in Study II, and critical incidents methodology in Study III, to analyse the data.Results:Most interviewees came to Sweden dreaming of a better life. Study I: This dream was seldom realised, however, with 18 of 40 interviewees experiencing intimate partner violence in their marriages. Study II: The interviewed women experienced transnational family responsibilities based on traditional cultural beliefs and the Buddhist religion. These consisted of being a dutiful daughter, a caring mother, a kind relative, and a ‘giving’ person, as well as striving for a wealthy life. Study III: The women reported 438 critical health incidents in five main areas: psychological, sociocultural, physiological, developmental, and spiritual. Study IV: Remaining in a marriage was the woman’s vital objective in finding wealth and wellbeing. The interviewed women suggested using strategies such as not giving up hope; being honest and diplomatic; mutual care and respect; and continuous caretaking. According to most of them, cultural differences could be negotiated and transformed by caring, sharing, and remaining calm in everyday family situations.Conclusion:Scientific knowledge based on interdisciplinary research can contribute to increased awareness of vulnerable groups’ limited access to health and welfare. Marriage migration often leads to a particularly vulnerable position, which has a major impact on women’s health. The transnational family responsibility that often accompanies immigration contributes to negative effects on women’s quality of life, as supporting family and relatives in the home country entails a lifelong commitment that can erode both their relationship with their husband as well as their own health.Keywords: marriage migration; domestic violence; women’s health and wellbeing
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| 21. |
- Pongthippat, Weerati, et al.
(author)
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Illuminating health aspects for immigrant Thai women in Swedish transnational marriages
- 2024
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In: BMC Women's Health. - : BioMed Central Ltd. - 1472-6874. ; 24:1
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Journal article (peer-reviewed)abstract
- Background: Women who are migrants experience discrimination and face major risks, including sexual exploitation, trafficking, and violence, which affect their health and well-being. This study explored critical health incidents experienced by immigrant Thai women in marriage migration. Methods: A qualitative explorative approach with in-depth interviews was used. Forty immigrant Thai women who currently or previously had a Swedish spouse were recruited for the study. An inductive critical incident technique was used to collect and analyze the data as the first step. In a second deductive step, the Newman system model was used to categorize health dilemmas. Results: The women reported 438 critical health incidents in five main areas. Psychological health dilemmas included emotional abuse, feeling overwhelmed due to family responsibilities and the stress of leaving family behind. Sociocultural health dilemmas included transnational family duties or not performing family duties. Physiological health dilemmas included experiencing physical violence and environmental, domestic or work accidents. Developmental health dilemmas included failing health, difficulties upholding the duties expected of a spouse in the target culture and caring for an elderly husband. Spiritual health dilemmas included critical incidents in which the women perceived themselves to have failed in their hopes and duties as a wife, which intensified their dependence on faith, particularly the Buddhist concept of karma. Conclusion: Professionals in health and welfare practices in Thailand together with professionals in Western countries who work with women in marriage migration situations need to recognize the psychological, sociocultural, physiological, developmental, and spiritual health dilemmas experienced by these women. Furthermore, civil organizations that meet Thai women in foreign countries, such as Buddhist cultural associations, would benefit from the multicultural knowledge revealed by the present study. This knowledge can facilitate healthcare and welfare support for women in marriage migration situations.
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| 22. |
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| 23. |
- Pongthippat, Weerati, et al.
(author)
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Perceptions of transnational family responsibilities' effects on subjective health and wellness - voices of Thai immigrant women
- 2020
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In: International Journal of Migration, Health and Social Care. - : EMERALD GROUP PUBLISHING LTD. - 1747-9894 .- 2042-8650. ; 16:3, s. 225-240
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Journal article (peer-reviewed)abstract
- Purpose Globalisation provides new opportunities for immigrant women to supply financial benefits transnationally to uphold their families in their home countries. The purpose of this study is to explore the experiences of Thai immigrant women regarding transnational family responsibilities effects on their health and wellness. Design/methodology/approach Qualitative data were collected using semi-structured interviews with 40 Thai immigrant women, of which 34 described having transnational family responsibilities. The transcribed data were analysed using a phenomenographic approach. Findings The findings revealed five structural aspects of transnational family responsibilities of Thai immigrant women: being a dutiful daughter, being a caring mother, being a kind relative, being a "giving" person and striving for a wealthy life. The interviewees seldom encountered enough support from the spouse in handling their transnational family responsibilities. In general, a transnational marriage includes family responsibilities that are continuous and that often is the cause of migration. Practical implications This paper illuminates the transnational responsibilities of marriage migration and argues for women's rights of culturally congruent health care. Originality/value Traditionally Thai women's values are based on how they handle family responsibilities and acknowledging own health needs are not. These interviewees perceived doubled burden in terms of family responsibilities and workload in employed work, which contributed to poor health and wellness.
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| 24. |
- Stier, Jonas, 1967-, et al.
(author)
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Samarbete, samverkan, samproduktion
- 2016. - 1
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In: Samproduktionens retorik och praktik. - Lund : Studentlitteratur AB. - 9789144114828
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Book chapter (other academic/artistic)
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| 25. |
- Stier, Jonas, 1967-, et al.
(author)
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Samproduktionens praktik och teori
- 2016. - 1
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In: Samproduktionens retorik och praktik. - Lund : Studentlitteratur AB. - 9789144114828
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Book chapter (other academic/artistic)
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| 26. |
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- Östlund, Gunnel, associate professor, 1956-, et al.
(author)
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Developing welfare technology to increase children’s participation in child welfare assessments : an empirical case in Sweden
- 2023
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In: European Journal of Social Work. - : Routledge. - 1369-1457 .- 1468-2664.
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Journal article (peer-reviewed)abstract
- The purpose of the article is to describe and problematise the practice-initiated idea of developing a digital tool for children in child welfare investigations and whether and how this welfare technology is useful for social workers. The results include interview data and descriptions of the research process. The social workers are of the opinion that the digital application increases the possibilities for children’s participation in child investigations, even though their main focus is to create an alliance with the parents. During the research process the digital tool has developed from an empirical idea to a conversation tool and been tested with different user groups. However, the law on procurement limits the possibilities for data storage if the digital tool is to be used in the future. In sum, in order to develop child protection work further, more practice-based research needs to be conducted so that researchers can develop the practice’s ideas and identify the obstacles, opportunities, organisational conditions and development needs. The social workers in this study believe that the digital tool is useful for accessing children's perspectives and experiences, even though relational work with children is not their main task in child welfare investigations.
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