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Sökning: WFRF:(Forssell Emilia 1963 )

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  • Forssell, Emilia, 1963-, et al. (författare)
  • Care managers' experiences of cross-cultural needs assessment meetings : the case of late-in-life immigrants
  • 2015
  • Ingår i: Ageing & Society. - : Cambridge University Press. - 0144-686X .- 1469-1779. ; 35:3, s. 576-601
  • 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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  • Forssell, Emilia, 1963- (författare)
  • Transnational Ageing, Care Needs and the Welfare State
  • 2013
  • Ingår i: Transnational Social Review. - : Informa UK Limited. - 2193-1674 .- 2196-145X. ; 13:1, s. 83-99
  • Tidskriftsartikel (refereegranskat)abstract
    • The main purpose of this article is to discuss the role of the Swedish welfare state in transnational migration contexts involving older people in need of care. A pilot study about experiences and perspectives among care managers in the state elderly care sector forms the empirical point of departure. Late-in-life-immigrants come into focus here, which is an empirical result of the care managers´ perspectives. The article shows concrete examples of how care needs may be met through a combination of public elderly care, efforts by members of informal networks, and by the older people themselves travelling back and forth across national borders. An important finding is that care managers may have a comprehensive but tacit knowledge of the transnational mobility of this category of older care users. Their awareness of their own role in the transnational contexts seems to remain quite limited. Late-in-life immigrants to Sweden who are involved in transmigration processes are obviously dependent on the care managers’ professional autonomy and ability to take advantage of the legislation´s scope for individual assessments and special solutions.
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  • Med kärlek till det oordnade
  • 2015
  • Ingår i: Med kärlek till det oordnade. - Stockholm : Ersta Sköndal högskola. - 9789163786297 ; , s. 17-24
  • Samlingsverk (redaktörskap) (övrigt vetenskapligt/konstnärligt)
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  • Olaison, Anna, et al. (författare)
  • Dokumentationens roll för klientskapande processer i äldreinriktat socialt arbete : Spelar utlandsfödd bakgrund, kön och ålder någon roll? : [The role of documentation for client construction processes in gerontological socialwork : Does foreign-born background, gender, and age matter?]
  • 2021
  • Ingår i: Sociologisk forskning. - : Sociologisk Forskning, Swedish Sociological Association. - 0038-0342 .- 2002-066X. ; 58:3, s. 287-310
  • Tidskriftsartikel (refereegranskat)abstract
    • Baserat på en explorativ studie behandlar denna artikel frågan om utrikesfödd bakgrund, kön och ålder har någon betydelse för behovsbedömningsdokumentation inom svensk äldreomsorg. Med hjälp av kvantitativ innehållsanalys och multipel logistisk regressionsanalys av akter (n=202) innehållande utredningar (n=489) av ansökningar om välfärdstjänster, undersöker denna studie om identifikationsgrunder för äldre har någon betydelse för dokumentationspraktiker. Innehållsanalysen visade att beskrivningar i akterna av utlandsfödda äldre är mer omfattande än beskrivningarna av svenskfödda. Den multipla logistiska regressionsanalysen tyder på att kön och bakgrund verkar vara relevant för hur beslut motiverades i akterna. Ålder är inte lika relevant som de andra kategorierna. Det väsentligaste fyndet är att utlandsfödda äldre i detta material beviljas hemvårdsbidrag i större utsträckning än svenskfödda. Resultaten stöder delvis den kritiska debatten om hur klienter konstrueras i dokumentation av socialt arbete eftersom de indikerar att bakgrund, kön och ålder kan spela roll för hur äldre människors ansökningar om omsorgsinsatser behandlas i akter.
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  • Olaison, Anna, et al. (författare)
  • Needs asessment practice within elder care : Does length of work experience make a difference in how care managers percieve professional discretion?
  • 2018
  • Ingår i: 8th European Conference for Social Work Research. - Edinburgh : University of Edinburgh. - 9781999920579 ; , s. 151-151
  • Konferensbidrag (refereegranskat)abstract
    • This presentation departs from the ongoing debate about how care managers - who often function as ‘street level bureaucrats’ – perceive different aspects of professional discretion in needs assessment practice. Few studies within gerontological social work today have explored if length of work experience affect how care managers experience discretion in the decision-making process which is why this paper focuses on this. The presentation is based on a study that uses focus group interviews (n=12) with 60 care managers in Sweden. The findings show that care managers struggle with ambiguous expectations in balancing clients’ needs and requests against organizational systems, local guidelines and resources. Length of work experience seems to play a role in how they use their discretion and cope with the lack of clarity embedded in the needs assessment process. Experienced care managers describe how they deviate from the guidelines and in this way create an increased scope of action for themselves in decision making. Those with less time in the profession describe, greater difficulties in this respect. The results partially support the critical debate that professional discretion can be experienced in different ways by ‘street level bureaucrats’. The study also adds knew knowledge to this discussion by showing that length of work experience and other work experience-related aspects can play a role in the actual way in which care managers reason about and assess clients’ needs in the decision making process.
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  • Olaison, Anna, 1974-, et al. (författare)
  • Professional discretion and length of workexperience : what findings from focus groups withcare managers in elder care suggest
  • 2018
  • Ingår i: Journal of Social Work Practice. - : Routledge. - 0265-0533 .- 1465-3885. ; 32:2, s. 153-167
  • Tidskriftsartikel (refereegranskat)abstract
    • Research has explored how care managers in elder care – who often function as ‘street-level bureaucrats’ – regard professional discretion. The way in which length of work experience affects care managers’use of professional discretion remains, however, unexplored. This article present findings from 12 focus groups with 60 care managers. By bringing attention to how care managers experience the needs assessment process, this article sheds light on how these ‘street-level bureaucrats’ struggle when they try to balance their clients’ needs against institutional frameworks and local guidelines. Length of work experience seems to play a role in how care managers claim to use professional discretion. Experienced care managers describe how they deviate from the guidelines at times in order to create an increased scope of action in their decision-making process. Those with less time in the profession describe greater difficulties in this respect. Findings suggest that research should explore if length of work experience plays a role in the actual way in which care managers assess needs and make decisions. As such, they contribute to our understanding of how needs assessment processes are navigated by professionals while also pointing towards the nature of professional discretion in gerontological social work.
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