| 1. |
- Ariander, Annaclara, et al.
(författare)
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Ethical challenges causing moral distress: nursing home staff's experiences of working during the COVID-19 pandemic
- 2024
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Ingår i: Scandinavian Journal of Primary Health Care. - : TAYLOR & FRANCIS LTD. - 0281-3432 .- 1502-7724.
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Tidskriftsartikel (refereegranskat)abstract
- ObjectiveTo investigate the experiences of healthcare staff in nursing homes during the COVID-19 pandemic.DesignIndividual interviews. Latent qualitative content analysis.SettingTen nursing homes in Sweden.SubjectsPhysicians, nurses and nurse assistants working in Swedish nursing homes.Main outcome measuresParticipants' experiences of working in nursing homes during the COVID-19 pandemic.ResultsFour manifest categories were found, namely: Balancing restrictions and allocation of scarce resources with care needs; Prioritizing and acting against moral values in advance care planning; Distrust in cooperation and Leadership and staff turnover - a factor for moral distress. The latent theme Experiences of handling ethical challenges caused by the COVID-19 pandemic gave a deeper meaning to the categories.ConclusionDuring the pandemic, nursing home staff encountered ethical challenges that caused moral distress. Moral distress stemmed from not being given adequate conditions to perform their work properly, and thus not being able to give the residents adequate care. Another aspect of moral distress originated from feeling forced to act against their moral values when a course of action was considered to cause discomfort or harm to a resident. Alerting employers and policymakers to the harm and inequality experienced by staff and the difficulty in delivering appropriate care is essential. Making proposals for improvements and developing guidelines together with staff to recognize their role and to develop better guidance for good care is vital in order to support and sustain the nursing home workforce. The COVID-19 pandemic has affected both patients and staff in nursing homes, in Sweden and worldwide.Our study highlights that during the COVID-19 pandemic, nursing home staff encountered several ethical challenges which caused moral distress.Moral distress stemmed from not being given adequate conditions to perform their work, thus not giving the residents appropriate care.Moral distress could also originate from nursing home staff's feeling of being forced to act against their moral values.
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| 2. |
- Athan, Eugene, et al.
(författare)
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Clinical characteristics and outcome of infective endocarditis involving implantable cardiac devices
- 2012
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Ingår i: JAMA - Journal of the American Medical Association. - : American Medical Association (AMA). - 0098-7484 .- 1538-3598. ; 307, s. 1727-1735
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Tidskriftsartikel (refereegranskat)abstract
- Context: Infection of implantable cardiac devices is an emerging disease with significant morbidity, mortality, and health care costs. Objectives: To describe the clinical characteristics and outcome of cardiac device infective endocarditis (CDIE) with attention to its health care association and to evaluate the association between device removal during index hospitalization and outcome. Design, Setting, and Patients: Prospective cohort study using data from the International Collaboration on Endocarditis-Prospective Cohort Study (ICE-PCS), conducted June 2000 through August 2006 in 61 centers in 28 countries. Patients were hospitalized adults with definite endocarditis as defined by modified Duke endocarditis criteria. Main Outcome Measures: In-hospital and 1-year mortality. Results: CDIE was diagnosed in 177 (6.4% [95% CI, 5.5%-7.4%]) of a total cohort of 2760 patients with definite infective endocarditis. The clinical profile of CDIE included advanced patient age (median, 71.2 years [interquartile range, 59.8-77.6]); causation by staphylococci (62 [35.0% {95% CI, 28.0%-42.5%}] Staphylococcus aureus and 56 [31.6% {95% CI, 24.9%-39.0%}] coagulase-negative staphylococci); and a high prevalence of health care-associated infection (81 [45.8% {95% CI, 38.3%- 53.4%}]). There was coexisting valve involvement in 66 (37.3% [95% CI, 30.2%- 44.9%]) patients, predominantly tricuspid valve infection (43/177 [24.3%]), with associated higher mortality. In-hospital and 1-year mortality rates were 14.7% (26/177 [95% CI, 9.8%-20.8%]) and 23.2% (41/177 [95% CI, 17.2%-30.1%]), respectively. Proportional hazards regression analysis showed a survival benefit at 1 year for device removal during the initial hospitalization (28/141 patients [19.9%] who underwent device removal during the index hospitalization had died at 1 year, vs 13/34 [38.2%] who did not undergo device removal; hazard ratio, 0.42 [95% CI, 0.22- 0.82]). Conclusions: Among patients with CDIE, the rate of concomitant valve infection is high, as is mortality, particularly if there is valve involvement. Early device removal is associated with improved survival at 1 year. ©2012 American Medical Association. All rights reserved.
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| 3. |
- Bläckberg, Anna, et al.
(författare)
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Infective endocarditis caused by HACEK group bacteria—a registry-based comparative study
- 2021
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Ingår i: European Journal of Clinical Microbiology and Infectious Diseases. - : Springer Science and Business Media LLC. - 0934-9723 .- 1435-4373. ; 40:9, s. 1919-1924
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Tidskriftsartikel (refereegranskat)abstract
- Infective endocarditis (IE) caused by bacteria within Haemophilus (excluding Haemophilus influenzae), Aggregatibacter, Cardiobacterium, Eikenella and Kingella (HACEK) is rare. This study aimed to describe clinical features of IE caused by HACEK genera in comparison with IE due to other pathogens. Cases of IE due to HACEK were identified through the Swedish Registry of Infective Endocarditis (SRIE). Clinical characteristics of IE cases caused by HACEK were compared with cases of IE due to other pathogens reported to the same registry. Ninety-six patients with IE caused by HACEK were identified, and this corresponds to 1.8% of all IE cases. Eighty-three cases were definite endocarditis, and the mortality rate was 2%. The median age was 63 years, which was lower compared to patients with IE caused by other pathogens (66, 70 and 73 years respectively, p ≤ 0.01). Patients with IE caused by Haemophilus were younger compared to patients with IE due to Aggregatibacter (47 vs 67 years, p ≤ 0.001). Patients with IE due to HACEK exhibited longer duration from onset of symptoms to hospitalization and had more prosthetic valve endocarditis compared to patients with IE due to Staphylococcus aureus (10 vs 2 days, p ≤ 0.001, and 35 vs 14%, p ≤ 0.001). This is, to date, the largest study on IE due to HACEK. Aggregatibacter was the most common cause of IE within the group. The condition has a subacute onset and often strikes in patients with prosthetic valves, and the mortality rate is relatively low.
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| 4. |
- Bläckberg, Anna, et al.
(författare)
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Infective Endocarditis Due to Corynebacterium Species : Clinical Features and Antibiotic Resistance
- 2021
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Ingår i: Open Forum Infectious Diseases. - : Oxford University Press (OUP). - 2328-8957. ; 8:3
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Tidskriftsartikel (refereegranskat)abstract
- Background: Corynebacterium species are often dismissed as contaminants in blood cultures, but they can also cause infective endocarditis (IE), which is a severe condition. Antibiotic resistance of corynebacteria is increasing making treatment challenging. Reports on IE caused by Corynebacterium species are scarce and more knowledge is needed. Methods: Cases of IE caused by Corynebacterium species were identified through the Swedish Registry of Infective Endocarditis. Isolates were collected for species redetermination by matrix-assisted laser desorption ionization-time of flight and for antibiotic susceptibility testing using Etests. Results: Thirty episodes of IE due to Corynebacterium species were identified between 2008 and 2017. The median age of patients was 71 years (interquartile range, 60-76) and 77% were male. Corynebacterium striatum (n = 11) was the most common IE causing pathogen followed by Corynebacterium jeikeium (n = 5). Surgery was performed in 50% and in-hospital mortality rate was 13%. Patients with IE caused by Corynebacterium species were significantly more likely to have prosthetic valve endocarditis (70%), compared with patients with IE due to Staphylococcus aureus or non-beta-hemolytic streptococci (14% and 26%, respectively) (P <. 0001). Vancomycin was active towards all Corynebacterium isolates, whereas resistance towards penicillin G was common. Conclusions: Corynebacterium species cause IE, where prosthetic valves are mainly affected and surgery is often performed. Corynebacterium striatum is an important causative agent of IE within the genus. Antibiotic resistance of corynebacteria is relatively common but resistance towards vancomycin could not be detected in vitro.
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| 5. |
- Bläckberg, Anna, et al.
(författare)
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Infective endocarditis due to Streptococcus dysgalactiae: clinical presentation and microbiological features
- 2018
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Ingår i: European Journal of Clinical Microbiology & Infectious Diseases. - : Springer Science and Business Media LLC. - 0934-9723 .- 1435-4373. ; 37:12, s. 2261-2272
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Tidskriftsartikel (refereegranskat)abstract
- Knowledge of infective endocarditis (IE) caused by Streptococcus dysgalactiae (SD) is limited. This study aimed to identify the clinical and microbiological features of SD-caused IE and to investigate any possible synergy between penicillin and gentamicin on SD isolates. Cases of IE 2008-2016 due to SD reported to the Swedish Registry of Infective Endocarditis (SRIE) were identified. Isolates were emm typed and synergy between antibiotics was determined in time-kill experiments. Medical records were reviewed and SD-cases were compared to cases of IE due to other pathogens reported to the SRIE. Fifty cases of SD-caused IE were confirmed. emm types stC74a, stG62647, and stG643 were most commonly encountered. The patients had a median age of 74years (range 38-93) and were significantly older compared to patients with Staphylococcus aureus-caused IE, (65years (p=0.003)). The median time to diagnosis from symptom onset was 1day for patients with SD-caused IE which was less compared to patients with IE due to the other pathogens (2-15days). Embolization was seen in 46% and the in-hospital mortality was 8%. Etest-based methods did not indicate any synergy between penicillin and gentamicin whereas synergy was noted for four out of nine isolates applying time-kill assays. This is the largest study of SD-caused IE, a condition with an acute onset predominantly affecting elderly people. Synergy between penicillin and gentamicin against some SD isolates was distinguished but the potential benefit of this must be weighed against the risk of aminoglycoside side effects.
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| 6. |
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| 7. |
- Cedersund, Elisabet, 1950-, et al.
(författare)
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Care management in practice: on the use of talk and text in gerontological social work
- 2010
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Ingår i: International Journal of Social Welfare. - Oxford, UK : Blackwell Publishing Ltd. - 1369-6866 .- 1468-2397. ; 19:3, s. 339-347
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Tidskriftsartikel (refereegranskat)abstract
- Int J Soc Welfare 2010: 19: 339-347 (C) 2010 The Author(s), Journal compilation (C) 2010 Blackwell Publishing Ltd and International Journal of Social Welfare. This is a study of encounters between social workers and citizens in one type of welfare organisation, the municipal elder care system. The article sheds light on how older peoples claims are dealt with in the processing of home care applications. Twenty encounters between social workers and older people were studied using discourse analysis. The findings reveal that discursive practices are part of the routine when the applications are processed. The application handling follows an agenda-bound pattern that is visible in the encounters. In these standardised procedures, oral discourse is embedded in routines that also include the use of texts. However, within this institutional order, there is also an important element of negotiation between the parties. It is therefore claimed that the encounters include a negotiated order that does not exist on its own, but is achieved in the ongoing interaction.
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| 8. |
- 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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| 9. |
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| 10. |
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| 11. |
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| 12. |
- 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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| 13. |
- 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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| 14. |
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| 15. |
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| 16. |
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| 17. |
- 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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| 18. |
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| 19. |
- 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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| 20. |
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| 21. |
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| 22. |
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| 23. |
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| 24. |
- Gillingsjö, Jenny, 1978-, et al.
(författare)
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To be or not to be open in everyday life : the use of impression management strategies among older LGBTQ adults
- 2023
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Ingår i: Relational Social Work. - 2532-3814. ; 7:1, s. 52-70
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Tidskriftsartikel (refereegranskat)abstract
- The key issue in this article is to identify and interpret how older LGBTQ adults use impression management strategies in social interaction with non-LGBTQ persons in everyday life situations. The collection of data consists of 15 semi-structured interviews with older LGBTQ adults (65+) in Sweden. A reconstructive methodology for analyzing the material were used and we focused mainly on the latent meaning in the interviewee’s communication. Our findings indicate that the interviewees employed specific impression management strategies. Some of the informants disclosed their LGBTQ identity while others instead tried to conceal this part of their identity, and this depended on individuals’ openness and/or visibility. We also noted differences in using a defensive or assertive impression management strategy and differences between the older LGBTQ adults. A thorough understanding of how older LGBTQ persons deal with being LGBTQ in social interaction with non-LGBTQ persons could be useful knowledge in a practice context. By illuminating the different initial positions of older LGBTQ adults as well as their different impression management strategies in every day social interaction we hope this will be practical knowledge also in different social service settings. This could facilitate the acceptance and the inclusion of older LGBTQ persons. The findings can hopefully be useful for social service personnel to help older LGBTQ adults feel secure about disclosing their LGBTQ identities.
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| 25. |
- Hjalmarsson Österholm, Johannes, 1987-, et al.
(författare)
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How shall we handle this situation? Social workers discussions about risks during the COVID-19 pandemic in Swedish elder care
- 2023
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Ingår i: Health, Risk and Society. - : ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD. - 1369-8575 .- 1469-8331. ; 25:1-2, s. 28-44
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Tidskriftsartikel (refereegranskat)abstract
- Within a context where New Public Management [NPM] has become increasingly influential in shaping everyday working practices, social workers often handle risks in their everyday work using formalised bureaucratic procedures, among other strategies. As the COVID-19 pandemic progressed, rapid changes occurred in Swedish elder care that social workers were required to address in their everyday work. Intra-professional case conferences amongst social workers provide one opportunity to discuss individual viewpoints and obtain suggestions from colleagues on how to proceed with a case. These discussions have so far received little scholarly attention. In this study we used a data set consisting of 39 audio-recorded case conferences to analyse social workers intra-professional discussions about risks during the COVID-19 pandemic. In the case conferences, social workers discussed the risks that were accentuated by the pandemic, such as the risk of spreading COVID-19 to clients, the risk of unmet care needs amongst clients, risks related to accountability, and the risks pertaining to blurred boundaries between different organisations. The collegial discussions in case conferences included opportunities for social workers to use their collective professional experience and competency to establish creative solutions on the go and to discuss various ways of handling and balancing different risks while continuing to carry out their work in the changing and unknown situation. Our findings highlight the importance of collegial support in social work in dealing with accentuated risks during the pandemic.
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| 26. |
- Jonnergård, Karin, et al.
(författare)
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Corporate control and regulation : The explain mechanism as a sign of "capture"
- 2019
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Konferensbidrag (refereegranskat)abstract
- Corporate governance regulation is a contested area. The dispersion of corporate governance codes could on the one hand be seen as a regulator capture performed by international institutional investors, but on the other hand as support for status quo favoring strong local interests, due to local adaptation of code content. In this paper, these competing explanations are empirically tested through the analysis of noncompliance in number of explanations by Swedish listed corporations with different corporate control arrangements. The main findings are that corporations with a concentrated “Swedish” control situation (i.e. controlling shareholder holding more than 50% of the votes) comply more with the code and provide significantly less explanations than other corporations, whereas corporations controlled by owners in the range of 20 to 50% (which would then represent the typical Swedish business group arrangement) comply less with the code and provide significantly more explanations, as do to some extent (but not as robustly) corporations with dispersed ownership (or an “Anglo-American” control situation). This indicates that the Swedish code through a series of adaptations of the international blueprint favors very strong local controlling shareholders. This is to some extent surprising, as the process of code development was set up to favor controlling shareholders with more moderate stakes. Nevertheless, it is of course to some extent logical that the code would also favor the strongest actors in the Swedish corporate governance system. Still, the strongest effect on code compliance (or not) seem to derive not from ownership concentration and type, but from board and CEO characteristics, traditionally associated with their relative power structure. These findings have implications for how corporate governance codes should be understood in a global setting and what roles such codes could perform in a reform process aiming to change corporate governance arrangements.
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| 27. |
- Jonnergård, Karin, et al.
(författare)
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Corporate control and regulation : The explain mechanism as a sign of "capture"
- 2019
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Konferensbidrag (refereegranskat)abstract
- Corporate governance regulation is a contested area. The introduction of a corporate governance code could, on the one hand, be understood as a regulatory capture performed by international institutional investors, but on the other hand, as the introduction of a code tend to involve local adaptations it could be understood as support for status quo, and hence favoring strong local interest groups. In this paper, these competing explanations are empirically tested through the analysis of non-compliance by Swedish listed corporations with different corporate control arrangements. The main findings are that corporations with a concentrated “Swedish” control situation (i.e. controlling shareholder holding more than 50% of the votes) explain significantly more than corporations with other ownership arrangements, whereas corporations with dispersed ownership (“Anglo-American” control situation) explain significantly less. This could be interpreted as that the Swedish code - regardless of controlling shareholder involvement in the regulatory process - favor corporate governance arrangements based on dispersed ownership, and hence a control situation that international institutional investors are familiar with. These findings have implications for how corporate governance codes should be understood in a global setting and what roles such codes could perform in a reform process aiming to change corporate governance arrangements.
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| 28. |
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| 29. |
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| 30. |
- Jonnergård, Karin, et al.
(författare)
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The dark-side of resource dependency theory : from economic democracy to financialization
- 2016
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Konferensbidrag (refereegranskat)abstract
- The issue of the pros and cons with representatives from different interest group on corporate board is lively discussed. Will representatives from stakeholders work in the interest of the stake they represent or in the interest of the corporations where they are a director? The issue has a renewed topicality as claim for e.g. consumer groups or experts on environmental issues have been raised. In this paper we investigate the group that once started the discussion, i.e. the employee representatives on the board of directors. From a resource dependency perspective we are interested in two issues (i) are there significant differences between the perception of responsibility for the firm between owner representatives and employee representatives on the board? (ii) if so, are these differences sustained over time? We report a longitudinal investigation of board of directors in Swedish board indicated a convergence over the last twenty years between employees and owners representatives on corporate board. This convergence is mutual, indicating that it might be something else than the difference in whom you represent that drive the development.
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| 31. |
- Jonnergård, karin, et al.
(författare)
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Worker representation on corporate boards from a longitudinal perspective : Between corporate governance and industrial relations
- 2019
-
Konferensbidrag (refereegranskat)abstract
- At the intersection between industrial relations and corporate governance - i.e. corporate board worker representation - this paper applies three perspectives from the industrial relations literature (unitary, pluralist, and egoist) on changes in directors’ perceptions over time. Empirically, a longitudinal survey (1999-2014), filled out by both shareholder- and worker-elected directors in the largest listed Swedish corporations, is utilized to map differences and similarities between the two director populations regarding the degree to which the directors display pluralistic, unitarian or egoistic assumptions. The findings indicate differences between the two categories of directors than employee elected regarding the egoistic assumptions. Shareholder elected directors expose such assumptions to a significantly higher degree than worker-elected directors However, the assumptions that gain the highest means for both categories of directors are the ones connected to the unitary perspective. This leads to the conclusion that differences between worker-elected directors and shareholder elected directors regards the allocation of value added of the firm rather than how this value added has been created. The paper contributes to the industrial relations literature by linking perspectives on industrial relations, often understood as incommensurable, by considering a longitudinal development in perceptions among relevant actors participating in corporate boards. The paper also contributes to corporate governance understanding of how the institution worker-elected directors interact with the board mechanism.
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| 32. |
- Jonnergård, Karin, et al.
(författare)
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Worker representation on corporate boards from a longitudinal perspective : Between corporate governance and industrial relations
- 2017
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Konferensbidrag (refereegranskat)abstract
- At the intersection between industrial relations and corporate governance - i.e. board level worker representation - this paper attempts to bridge four perspectives from the industrial relations literature (unitary, pluralist, radical and egoist) by observing changes in board director perceptions over time. Empirically, a longitudinal survey (1994-2014), filled out by both shareholder- and worker-elected directors in the largest listed Swedish corporations, is utilized to map differences and similarities between the two director populations regarding ‘perception of responsibility’, ‘governance efficiency’ and ‘board norms’. The findings indicate that some of the different industrial relations perspectives are relevant for understanding worker representation on corporate boards at different times and in different populations. Specifically, we observe that shareholder-elected directors become more financialized in their perceptions over time, whereas worker-elected directors remain more stakeholder-oriented, while to a growing extent acknowledging the interest of the controlling shareholders. Thus, the paper contributes to the industrial relations literature by linking perspectives on industrial relations, often understood as incommensurable, by considering a longitudinal development in perceptions among relevant actors.
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| 33. |
- Karlsson, Kristina, 1963-, et al.
(författare)
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Mapping and Characterizing : Nordic Everyday Life Research
- 2010
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- The aim of this report is to present references that originate from the Nordic countries,including Sweden, Finland, Denmark, and Norway, and that have been assigned the keyword“everyday life” or one of its Nordic counterparts and published in the period 1990 through2008. The presentation includes information on the total number of references from eachcountry, the most frequent authors and the institutions to which they belong, and the referencetypes and the number of each type. Based on an analysis of some limited information aboutthe dissertations and the journals, it is discussed how Nordic everyday life research may becharacterized.In total 560 references were found in the search procedure that is described in the report. Thenumber of references from the different countries is: Finland 176, Sweden 171, Denmark 110,and Norway 103. The analysis imply that the field of Nordic everyday life research is big,multifaceted, and multi- and interdisciplinary. It is performed mainly within the frame ofvarious social science subjects, but also to quite a great extent within subjects of healthscience, and to a minor extent within technology subjects. Some of the references seem torepresent studies with a more comprehensive view on the everyday lives of a certain group ofpeople located in the same place or sharing some characteristic and they try to capture bothwhat people do and what they think and experience. Other studies are narrower and focus on,for example, attitudes towards food or how computers are used or should be designed. Inother words Nordic everyday life research is hard to define clearly. The limited analysis andthe fact that the international field of everyday life research is not well known, do not allowconclusions to be drawn about either a typically Nordic character of everyday life research, ordifferences between the Nordic countries. However, the work of mapping Nordic everydaylife research will continue and the plans of constructing an open-access Everyday LifeResearch Database that will be easily accessible on the Internet are presented.
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| 34. |
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| 35. |
- Lalani, Tahaniyat, et al.
(författare)
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Propionibacterium endocarditis: a case series from the International Collaboration on Endocarditis Merged Database and Prospective Cohort Study.
- 2007
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Ingår i: Scandinavian journal of infectious diseases. - : Informa UK Limited. - 0036-5548 .- 1651-1980. ; 39:10, s. 840-8
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Tidskriftsartikel (refereegranskat)abstract
- Propionibacterium species are occasionally associated with serious systemic infections such as infective endocarditis. In this study, we examined the clinical features, complications and outcome of 15 patients with Propionibacterium endocarditis using the International Collaboration on Endocarditis Merged Database (ICE-MD) and Prospective Cohort Study (ICE-PCS), and compared the results to 28 cases previously reported in the literature. In the ICE database, 11 of 15 patients were male with a mean age of 52 y. Prosthetic valve endocarditis occurred in 13 of 15 cases and 3 patients had a history of congenital heart disease. Clinical findings included valvular vegetations (9 patients), cardiac abscesses (3 patients), congestive heart failure (2 patients), and central nervous system emboli (2 patients). Most patients were treated with beta-lactam antibiotics alone or in combination for 4 to 6 weeks. 10 of the 15 patients underwent valve replacement surgery and 2 patients died. Similar findings were noted on review of the literature. The results of this paper suggest that risk factors for Propionibacterium endocarditis include male gender, presence of prosthetic valves and congenital heart disease. The clinical course is characterized by complications such as valvular dehiscence, cardiac abscesses and congestive heart failure. Treatment may require a combination of medical and surgical therapy.
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| 36. |
- Löf (Gillingsjö), Jenny, 1978-, et al.
(författare)
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Care decision-making and older LGBTQ adults in Sweden: : Getting past generalities
- 2018
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Ingår i: Innovation in Aging. - : Oxford University Press (OUP). - 2399-5300. ; 2:Suppl 1, s. 844-845
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Tidskriftsartikel (refereegranskat)abstract
- There is mounting evidence that Swedish elder care is unable to adequately address the unique needs of older lesbian, gay, bisexual, transgender and queer (LGBTQ) persons, and that social work research and services do not focus on individual variations within the LGTBQ-group. There are negative consequences for older LGBTQ individuals, including poor service utilization. Significantly, service utilization is associated with improved outcomes across the life course. Based on interviews with 15 participants living at home in Sweden, this qualitative study explores how older Swedish LGBTQ adults assess elder care alternatives for their future. Findings indicate that feeling accepted as individuals is essential, but that this did not necessarily mean being recognized as an LGBTQ individual. Feeling welcome individually transcended the need to be recognized as LGBTQ. Implications for social work include increasing cultural competence for work with diverse older adults, including LGBTQ persons, and advocating for person-centered care.
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| 37. |
- Löf (Gillingsjö), Jenny, 1978-, et al.
(författare)
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HBTQ-äldre i den politiska debatten
- 2018. - 1
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Ingår i: Gränsöverskridande Socialt arbete. - Malmö : Gleerups Utbildning AB. - 9789151100586 ; , s. 41-61
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 38. |
- Löf (Gillingsjö), Jenny, 1978-, et al.
(författare)
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‘I don’t want to go back into the closet just because I need care’ [‘Jag vill inte gå tillbaka i garderoben bara för att jag behöver vård’] : recognition of older LGBTQ adults in relation to future care needs [Erkännande av äldre HBTQ personer i relation till framtida omsorgsbehov]
- 2020
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Ingår i: European Journal of Social Work. - : Taylor & Francis Group. - 1369-1457 .- 1468-2664. ; 23:2, s. 253-264
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Tidskriftsartikel (refereegranskat)abstract
- There is increasing awareness in research about the social service needs of older LGBTQ adults. However, there are few studies that deal with differences in this community regarding elder care services. As a rule, transgender individuals are not included in these studies. This study focuses on how older Swedish LGBTQ adults reason about openness in an elder care context concerning their future needs for services and adopts Nancy Fraser’s theoretical framework of recognition. The material consists of fifteen semi-structured interviews with older LGBTQ adults. The results indicate that the main concern for older LGBTQ individuals is being accepted for their preferred sexual orientation and/or gender identity in elder care. However, there were differences regarding that concern in this LGBTQ group. There were also a variety of approaches in the group as to preferences for equal versus special treatment with respect to their LGBTQ identity. In addition, there were differences as to whether they prefer to live in LGBTQ housing or not. The findings contribute to existing knowledge by highlighting the diverse views on elder care services in both this group of interviewees and its subgroups. These findings emphasise the importance of the social work practice recognising different preferences and having an accepting approach. The results can further provide guidance on how to design elder care services for older LGBTQ adults.
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| 39. |
- Löf (Gillingsjö), Jenny, 1978-, et al.
(författare)
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I want to be open when entering elder care : An interview study with older LGBTQ adults reasoning about future care needs.
- 2018
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Ingår i: Proceedings of the 8th ECSWR European Conference for Social Work Research. - 9781999920579
-
Konferensbidrag (refereegranskat)abstract
- Research has shown that there is an increasing awareness that elder care is not addressing the unique needs of older LGBTQ, lesbian, gay, bisexual, and transgender persons. Many LGTBQ people entering old age today have worse health and, to a lesser extent than other older groups, tends to seek help from health and social services. Few studies within gerontological social work have however focused on how older LGBTQ persons express their needs, and wishes of future social services. This presentation addresses this knowledge gap by focusing on how older LGBTQ reason about possible good alternatives to meet their needs when they are entering a phase where they need care. The study is based on a qualitative interview study with (n= 15), older LGBTQ persons in Sweden who live at home and where only two of them have had prior experiences of services. The analysis shows that, the overall most important issue for the older LGTBQ persons, was to be able to be open with their sexual orientation and/or gender identity within a future elder care setting. It was essential for the LGBTQ persons that the engagement of staff must be based on respect and that they should be able to meet every person as an individual. Regarding the issue of need for education and knowledge among staff about LGBTQ issues the interviewed expressed a wish that staff should have knowledge about these issues. For some it was important to be seen as an LGBTQ-person and to others it was mostly important being met in a welcoming and affirmative way, but not focusing too much on their LGBTQ-identity. The results provide support for the debate on the importance of addressing the unique needs of older LGTBQ persons and highlight the importance for social work to address the diversity of needs and wishes that is present within the group in regards to entering elder care.
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| 40. |
- Löf, Jenny, et al.
(författare)
-
'I don’t want to go back into the closet just because I need care' : recognition of older LGBTQ adults in relation to future care needs
- 2020
-
Ingår i: European Journal of Social Work. - : Informa UK Limited. - 1369-1457 .- 1468-2664. ; 23:2, s. 253-264
-
Tidskriftsartikel (refereegranskat)abstract
- There is increasing awareness in research about the social service needs of older LGBTQ adults. However, there are few studies that deal with differences in this community regarding elder care services. As a rule, transgender individuals are not included in these studies. This study focuses on how older Swedish LGBTQ adults reason about openness in an elder care context concerning their future needs for services and adopts Nancy Fraser’s theoretical framework of recognition. The material consists of fifteen semi-structured interviews with older LGBTQ adults. The results indicate that the main concern for older LGBTQ individuals is being accepted for their preferred sexual orientation and/or gender identity in elder care. However, there were differences regarding that concern in this LGBTQ group. There were also a variety of approaches in the group as to preferences for equal versus special treatment with respect to their LGBTQ identity. In addition, there were differences as to whether they prefer to live in LGBTQ housing or not. The findings contribute to existing knowledge by highlighting the diverse views on elder care services in both this group of interviewees and its subgroups. These findings emphasise the importance of the social work practice recognising different preferences and having an accepting approach. The results can further provide guidance on how to design elder care services for older LGBTQ adults.
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| 41. |
- Marcusson, Jan, et al.
(författare)
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Proactive healthcare for frail elderly persons : study protocol for a prospective controlled primary care intervention in Sweden
- 2019
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Ingår i: BMJ Open. - : BMJ Publishing Group Ltd. - 2044-6055. ; 9:5
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Tidskriftsartikel (refereegranskat)abstract
- Introduction The provision of healthcare services is not dedicated to promoting maintenance of function and does not target frail older persons at high risk of the main causes of morbidity and mortality. The aim of this study is to evaluate the effects of a proactive medical and social intervention in comparison with conventional care on a group of persons aged 75 and older selected by statistical prediction.Methods and analysis In a pragmatic multicentre primary care setting (n=1600), a prediction model to find elderly (75+) persons at high risk of complex medical care or hospitalisation is used, followed by proactive medical and social care, in comparison with usual care. The study started in April 2017 with a run-in period until December 2017, followed by a 2-year continued intervention phase that will continue until the end of December 2019. The intervention includes several tools (multiprofessional team for rehabilitation, social support, medical care home visits and telephone support). Primary outcome measures are healthcare cost, number of hospital care episodes, hospital care days and mortality. Secondary outcome measures are number of outpatient visits, cost of social care and informal care, number of prescribed drugs, health-related quality of life, cost-effectiveness, sense of security, functional status and ability. We also study the care of elderly persons in a broader sense, by covering the perspectives of the patients, the professional staff and the management, and on a political level, by using semistructured interviews, qualitative methods and a questionnaire.Ethics and dissemination Approved by the regional ethical review board in Linköping (Dnr 2016/347-31). The results will be presented in scientific journals and scientific meetings during 2019–2022 and are planned to be used for the development of future care models.
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| 42. |
- Michailakis, Dimitris, et al.
(författare)
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Tolkande innehållsanalys
- 2020
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Ingår i: Metoder för forskning i socialt arbete. - Malmö : Gleerups Utbildning AB. - 9789151101620 ; , s. 129-142
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Bokkapitel (refereegranskat)
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| 43. |
- Michailakis, Dimitris, 1954-, et al.
(författare)
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Tolkande innehållsanalys
- 2020
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Ingår i: Metoder för forskning i socialt arbete. - Malmö : Gleerups Utbildning AB. - 9789151101620 ; , s. 129-141
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- Tolkande innehållsanalys är inte en ny metod. Den utvecklades som en specifik forskningsteknik under 1900-talet av sociologer och socialpsykologer som intresserade sig för att undersöka fenomenet kommunikation. Metoden användes också av pedagoger i studier av läroplaner och läroböcker för att identifiera fördomar och stereotyper om människor med till exempel olika födelseland eller funktionsvariation. Innehållsanalys associeras vanligtvis med den breda kategorin kvalitativa metoder och används på en rad olika texter, till exempel nedskrivna intervjuer, statliga utredningar, myndighetsrapporter, debatter i riksdagen och tidningsartiklar.
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| 44. |
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| 45. |
- Nilsson, Elin, 1981-, et al.
(författare)
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Att balansera äldres och anhörigas behov : utredande samtal med par som lever med demenssjukdom
- 2022
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Ingår i: Samtal i socialt arbete. - Malmö : Gleerups Utbildning AB. - 9789151107288 ; , s. 117-132
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- Vid bedömningar av äldres behov kan biståndshandläggare behöva möta och balansera flera parters perspektiv och behov. I kapitlet presenteras utmaningar kopplade till denna problematik i ett utredande samtal som en biståndshandläggare inom äldreomsorgen har med ett par som lever med demenssjukdom. Vi visar hur biståndshandläggaren arbetar för att följa socialtjänstlagen och de kommunala riktlinjer som finns för att bevilja insatser samtidigt som de också ska beakta klientens självbestämmande och anhörigas behov av indirekt stöd. Denna balansakt kan anses utgöra en central del av det sociala arbetet inom myndighetsutövande samtal.
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| 46. |
- Nilsson, Elin, 1981-
(författare)
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Facing dementia as a we : Investigating couples’ challenges and communicative strategies for managing dementia
- 2018
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- We live longer than ever before, which means that we also live longer with disorders such as those connected with dementia. Most people diagnosed with dementia live in ordinary housing for a long time, relying on their social network for support, mainly involving spouses or adult children. There is limited research on how families and couples manage daily life with dementia, and social workers may only have knowledge and skills at a general level about older people with the condition.The aim of this thesis is to investigate how couples manage dementia-related challenges, as well as whether and how these challenges and ways of managing relate to aspects of couples’ we-ness. This aim has been specified in terms of research questions which involve the couples’ communicative management of dementia-related challenges, and how they approach and talk about sensitive topics connected with dementia. An additional question involves how the couples relate to and use their we-ness in managing dementia. Multimodal conversation analytic theory and methodology has been adopted to study sequences from 15 video-recorded joint interviews involving couples where one of the partners had a diagnosis of dementia.The articles demonstrate how the spouses managed dementia jointly, and how they used their common ground as a couple as an important resource for telling stories and remembering. When the spouses without dementia approached sensitive topics related to dementia, they made use of strategies such as mitigating talk, or touching the partner with dementia as they spoke. The spouses without dementia approached the issue of the future carefully, whereas the spouses with dementia were more direct in the way they talked about the future. A final finding involves the spouses without dementia using strategies such as giving clues or prompting to help their partner with dementia remember. However, this was seldom successful, and may even have had face-threatening effects. Taken together, the different aspects of this thesis emphasise the challenges faced by the couples and the communicative strategies they used, as well as the abilities and agency which surfaced during a micro-level analysis of their interaction. The results are further discussed in the light of implications for social work education, practice and theory, largely highlighting the importance of adopting a couplesensitive approach in which relational and interactional aspects are emphasised.
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| 47. |
- Nilsson, Elin, 1981-, et al.
(författare)
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“I See What You Mean”—A Case Study of the Interactional Foundation of Building a Working Alliance in Care Decisions Involving an Older Couple Living with Cognitive Decline
- 2023
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Ingår i: Healthcare. - : MDPI. - 2227-9032. ; 11:15
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Tidskriftsartikel (refereegranskat)abstract
- Background: Social workers have a key role in needs assessment meetings with families dealing with dementia, providing information, support, and advocacy, while also assessing needs and making decisions about care services for several parties. These contacts are especially important during the introduction of home care services, where often the person has previously relied on informal support from relatives. The needs assessment process entails the involvement of all present parties, with the aim to reach a mutual agreement, a working alliance, regarding which services to apply for. Purpose: The aim of this case study is to explore how the participants, by means of different conversational practices, jointly create a working alliance between the different parties in one family. The study provides insights into the process of co-constructing a working alliance in the needs assessment process for elder care services. Methods: This article addresses the process by which social workers build a working alliance in a multi-party conversation with a family living with cognitive decline; a meeting that lasted 50 min. In this case study, we benefit from an inductive and detailed conversation analytic methodology. The theoretical framework of working alliances in institutional interaction has informed the analysis. Results: The findings illustrate how the social worker in this case study involves all parties in the decision regarding care services and explores the use of the conversational practices of mitigations, positive framing, adding information, and positioning, as a “we” achieve mutual agreement toward the end of several sequences. Conclusions: Drawing on the results of this case study, we argue that multi-party interaction involving relatives enables diversity in role-taking, where the professional, for instance, can pursue a more empathic role. Also, our results indicate that minimal agreement to a proposal is sufficient in a multi-party interaction involving clients with cognitive decline.
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| 48. |
- Nilsson, Elin, 1981-, et al.
(författare)
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Needs assessment in social work with older people in times of Covid-19 : Initial ideas from an empirical study
- 2020
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Ingår i: Relational Social Work. - 2532-3814. ; 4:2, s. 52-60
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Tidskriftsartikel (refereegranskat)abstract
- In Sweden, Covid-19 has affected elder care and the services provided for older people to a great extent. In the needs assessment process care managers, in their role as street level bureaucrats are facing an indefinite closure or limitation of services to offer older people. Also, as older people are encouraged to isolate themselves, care managers are now performing assessment meetings by phone rather than face-to-face. Drawing on an initial analysis of audio-recorded telephone meetings between care managers and older couples, we present two different approaches of assessing services for older couples in this current time. The approaches are referred to as «business on hold» and «exploring new options». In the first approach, the meetings unfold as if all regular services were still possible to offer the older people, only to be utilized once Covid-19 has passed. In the second approach, care managers use professionalism in relation to the discretion embedded in their role as social workers to find solutions outside the regular system. The findings suggest supporting innovative approaches in remote assessments allowing care managers to use their relational competence more in conversations, as well as initiating technical education for managing the challenges embedded in this new digital landscape.
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| 49. |
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| 50. |
- Nilsson, Elin, 1981-, et al.
(författare)
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Persuasion in practice : Managing diverging stances in needs assessment meetings with older couples living with dementia
- 2022
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Ingår i: Qualitative Social Work. - : Sage Publications. - 1473-3250 .- 1741-3117. ; 21:6, s. 1123-1146
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Tidskriftsartikel (refereegranskat)abstract
- The Swedish Social Services Act stipulates an individual perspective that promotes self-determination. In practice, this means that relatives lack formal rights to intrude on a person with dementia's right to self-determination in decisions about elder care services. However, the Social Services Act also states that family members who are caring for a close relative should be offered support. This legislation may lead to contradictions within social work practice with couples. The aim of the present article is to explore how social workers manage needs assessment meetings in which couples living with dementia express diverging stances and the partner with dementia resists an offer for elder care services. We benefit from conversation analytic theory and methodology. The findings suggest that social workers accomplish persuasion through these four conversational practices: 'providing information about the offer', 'mitigating the offer', 'positive framing of the offer' and 'laying down conditions for the offer'. Also, local alliances with the partner of the person with dementia were demonstrated throughout. The analysis shows that PwDs provide resistance to the offered services, but there are no examples of a PwD influencing the outcome in terms of offered services. The results raise questions about the effectiveness of persuasion in needs assessment meetings. The findings also add to the critical debate on how social workers may be constrained by institutional logics and where relational competence is needed to balance and coordinate decision-making when assessing the needs of older couples living with dementia.
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