| 11. |
- Cuesta, Marta, 1954-, et al.
(författare)
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Intersectional Perspective in Elderly Care
- 2016
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Ingår i: International Journal of Qualitative Studies on Health and Well-being. - Järfälla : Co-Action Publishing. - 1748-2623 .- 1748-2631. ; 11
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Tidskriftsartikel (refereegranskat)abstract
- Earlier research has shown that power relationships at workplaces are constructed by power structures. Processes related to power always influence the working conditions for (in this study in elderly care) the working groups involved. Power structures are central for intersectional analysis, in the sense that the intersectional perspective highlights aspects such as gender and ethnicity (subjective dimensions) and interrelates them to processes of power (objective dimension). This qualitative study aims to explore in what way an intersectional perspective could contribute to increased knowledge of power structures in a nursing home where the employees were mostly immigrants from different countries. By using reflexive dialogues related to an intersectional perspective, new knowledge which contributes to the employeés well-being could develop. Narrative analysis was the method used to conduct this study. Through a multi-stage focus group on six occasions over six months, the staff was engaged in intersectional and critical reflections about power relationship with the researchers, by identifying patterns in their professional activities that could be connected to their subjectivities (gender, ethnicity, etc.). The result of this study presents three themes that express the staffs experiences and connect these experiences to structural discrimination. 1. Intersectionality, knowledge and experiences of professionalism, 2. Intersectionality, knowledge and experiences of collaboration, 3. Intersectionality, knowledge and experiences of discrimination. The result demonstrates that an intersectional perspective reinforces the involved abilities, during the conversations, into being clear about, for example, their experiences of discrimination, and consequently developing a better understanding of their professionalism and collaboration. Such deeper reflections became possible through a process of consciousness-raising, strengthening the employee’s self-confidence, in a positive way. © 2016 M. Cuesta.
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| 12. |
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| 13. |
- Enskär, Karin, et al.
(författare)
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Safe environments : Through the eyes of nine-year-old schoolchildren from a socially vulnerable area in Sweden
- 2021
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Ingår i: Child Care Health and Development. - : John Wiley & Sons. - 0305-1862 .- 1365-2214. ; 47:1, s. 57-69
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Children are more vulnerable than adults to environmental risks. Also, children have little control over their environment. Unlike adults, they may be both unaware of risks and unable to make choices to protect their health. Children living in especially vulnerable areas might be even more at risk due to socioeconomic factors, immigration, and high crime rates. Therefore, the aim of this study was to describe the perceptions that schoolchildren from a socially vulnerable area have of safe environments.METHODS: 52 nine-year-old schoolchildren from a socially vulnerable area participated in this study. The data collection consisted of an environmental walk with photovoicing, followed by rating of the photos, and a focus-group discussion elaborating on the photos and ratings. Six focus groups, with 6-8 children in each group, were conducted and analyzed using an inductive content analysis.RESULTS: The results show that, according to the children, places that they think are bright and beautiful, where they can do fun things with others and do not risk being exposed to danger, create safety. To increase safety, the children suggested cleaning up, making the environment beautiful with grass and flowers, and painting it in nice colours. Furthermore, they suggested that building features that increase the opportunities to play and engage in activities together with others, would improve safety and enhance protection and surveillance.CONCLUSIONS: All children have the right to protection and safety. Therefore, it is important to create safe environments for all children by listening to children's own voices.
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| 14. |
- Fridfeldt, Anders, et al.
(författare)
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Medicinsk geografi på svenska universitet
- 2014
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Ingår i: Geografiska Notiser. - Lund : Geografilärarnas riksförening. - 0016-724X. ; 72:4, s. 182-187
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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| 15. |
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| 16. |
- Isma, Gabriella E, et al.
(författare)
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Perceptions of health among school-aged children living in socially vulnerable areas in Sweden
- 2023
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Ingår i: Frontiers In Public Health. - : Frontiers Media S.A.. - 2296-2565. ; 11
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: According to the Convention on the Rights of the Child, all children have the right to health. Since good health is a decisive factor for children's future, investing in children's health is important, especially children from vulnerable areas. The purpose of this study was to investigate the perceptions of health among school-aged children from socially vulnerable areas.Methods: The study has an explorative mixed-method design with a participatory and inductive approach based on focus group interviews with children and youth leaders, respectively, at Multi-activity Centers in three of the vulnerable areas in Malmö Municipality, as well as results from the Multi-activity Centers' own questionnaire. The data has been analyzed with inductive and deductive content analysis.Results: The children and the youth leaders described health in terms of well-being, participation, and activity. Well-being included feeling good and safe, having a healthy body, and having fun by doing things together with friends and leaders. Participating in activities was described as having a feeling of involvement, being able to have an influence on the organization of the activities and participating on one's own terms.Discussion: The result of this study shows that participating in activities increases the child's sense of well-being.
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| 17. |
- Kroik, Lena, 1962-
(författare)
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Samer och livets slut : kunskap om traditioner för att utveckla framtidens vård
- 2021
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Introduktion och syfte: Det finns kunskapsluckor när det gäller vård i livets slut bland samer i Sverige idag. I takt med en åldrande befolkning ökar antalet kroniska sjukdomar som leder till ett stigande behov av stödjande insatser vid vård i livets slut. Många samer bor i glesbygd med stora geografiska avstånd och det kan vara en utmaning att få vård i livets slut av god kvalitet. För att kunna utforma vård i livets slut som är både kulturellt säker och personcentrerad, behövs kunskap om kulturella uttryck och traditioner som bland annat bygger på människors erfarenheter. Kastenbaums modell av ett så kallat dödssystem, och ett salutogent perspektiv enligt Antonovsky, har bidragit till tolkningen av resultaten. Det övergripande syftet med denna avhandling är att studera önskemål, prioriteringar, värderingar och behov såväl som uttryck bland samer relaterade till livets slut och omhändertagandet därefter.Metoder: De fyra delstudier som denna avhandling omfattar har kvalitativ design av olika slag. Individuella intervjuer, fokusgruppsdiskussioner både vid rundabordssamtal och go-along diskussioner utomhus i fjällmiljö samt intervjuer i samband med användning av samtalsverktyget DöBra-kortleken, har genomförts. Totalt 82 personer, i åldrarna 25–84 år har deltagit, huvudsakligen samer. Deltagarna har kommit från olika geografiska orter och språkområden, från både glesbygd och tätort, och har varierande yrkeserfarenheter och utbildning. Både män och kvinnor var representerade. Data har analyserats i delstudie 1, 3 och 4 med Interpretive Description, Directed Content Analysis och Framework Analysis. Narrativ analys har använts med data från go-along diskussionerna.Resultat: Markörer som stödjer en bibehållen samisk identitet som storfamiljen, språk och traditionell mat, framstod som särskilt viktiga i livet slut (I, II). Säsongsförändringar och förhållandet till naturen präglade det samiska dödssystemet och länkade samman människor, platser och tider så att de blev nästan oskiljaktiga (I, II). Genom traditionell kunskap blev materiella och immateriella värden förmedlade via berättande, där landskapet bidrog till utformningen av berättelsen (II). Samiskt specifika former för att uttrycka sina önskningar för sista tiden i livet, som exempelvis att låta ett renmärke gå i arv, underströk betydelsen av reflektion och diskussion om samiska värderingar och preferenser för det framtida slutet av livet (II). Ett samtalsverktyg, DöBra-kortleken, som stimulerade många av deltagarna att gärna berätta hur de tänkte och önskade sig sin eventuella vård i livets slut och sitt framtida döende, gav insikt om att samma kortpåstående kan tolkas olika av olika individer och därmed stödja personcentrerad vård. De valfria korten användes oftast i samband med att tydliggöra önskningar vilka hörde samman med att bibehålla en samisk identitet och kultur (III). Erfarenheter av vård i livets slut visade att stöd från bådeVIinformella och formella system skulle kunna bidra till en känsla av sammanhang på kollektiv nivå (IV). Den samiska storfamiljen visade sig i sammanhang kring livets slut inkludera ett brett nätverk med långa förgreningar. Detta nätverk fungerar som ett socialt organisatoriskt system och en form av stöd där de involverade har tydliga roller och ansvar. Genom detta nätverk kan ett stort antal resurser aktiveras. Detta utökade system med människor, som överbryggar det samiska och majoritetssamhället, spelar en central roll när det gäller att koppla ihop det som ofta kallas ett ”informellt” vårdsystem med de formella vård- och omsorgssystemen. Relativt få men ändå märkbara brister, som avsaknad av stöd från en storfamilj, bristande stöd från de formella vård- och omsorgssystemen, samt få sammanhang där samiska språk kan användas, nämndes som tärande vid livets slut.Diskussion: Som grund för att vidare utveckla vård i livets slut för samer kan förståelsen av ett samiskt dödssystem vara en av de bärande delarna. Där ingår kännedom om traditioner och traditionell kunskap. Att utveckla interaktion med och stöd från formella system för att komplettera det samiska samhället i svåra situationer, som livets slut, kan ses som utmaningar men också innebära möjligheter. Att ta vara på personer som kan fungera som länkar mellan majoritetssamhället och det samiska samhället utgör ett exempel. Sammantaget kan medvetandegörande och kulturell ödmjukhet bidra till kulturellt tryggare vård för samer i livets slut.
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| 18. |
- Larsson, Helena, et al.
(författare)
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Contrasts in older persons' experiences and significant others' perceptions of existential loneliness
- 2019
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Ingår i: Nursing Ethics. - : Sage Publications. - 0969-7330 .- 1477-0989. ; 26:6, s. 1623-1637
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: As frail older people might have difficulties in expressing themselves, their needs are often interpreted by others, for example, by significant others, whose information health care staff often have to rely on. This, in turn, can put health care staff in ethically difficult situations, where they have to choose between alternative courses of action. One aspect that might be especially difficult to express is that of existential loneliness. We have only sparse knowledge about whether, and in what way, the views of frail older persons and their significant others concerning existential loneliness are in concordance.OBJECTIVE: To contrast frail older (>75) persons' experiences with their significant others' perceptions of existential loneliness.METHODS: A case study design was chosen for this study. Individual interviews with frail older persons (n = 15) and interviews with their significant others (n = 19), as well as field notes, served as a basis for the study. A thematic analysis was used to interpret data. Ethical considerations: This study was conducted in accordance with the principles of research ethics.FINDINGS: The findings showed three themes: (1) Meaningless waiting in contrast to lack of activities, (2) Longing for a deeper connectedness in contrast to not participating in a social environment and (3) Restricted freedom in contrast to given up on life.DISCUSSION: Knowledge about the tensions between older persons' and their significant others' views of existential loneliness could be of use as a basis for ethical reflections on the care of older people and in the encounter with their significant others.CONCLUSION: It is of importance that health care professionals listen to both the frail older person and their significant other(s) and be aware of whose voice that the care given is based on, in order to provide care that is beneficial and not to the detriment of the older person.
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| 19. |
- Larsson, Helena, et al.
(författare)
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Contrasts in older persons’ experiences and significant others’ perceptions of existential loneliness
- 2019
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Ingår i: Nursing Ethics. - : Sage Publications. - 0969-7330 .- 1477-0989. ; 26:6, s. 1623-1637
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Tidskriftsartikel (refereegranskat)abstract
- Background: As frail older people might have difficulties in expressing themselves, their needs are often interpreted by others, for example, by significant others, whose information health care staff often have to rely on. This, in turn, can put health care staff in ethically difficult situations, where they have to choose between alternative courses of action. One aspect that might be especially difficult to express is that of existential loneliness. We have only sparse knowledge about whether, and in what way, the views of frail older persons and their significant others concerning existential loneliness are in concordance. Objective: To contrast frail older (>75) persons’ experiences with their significant others’ perceptions of existential loneliness. Methods: A case study design was chosen for this study. Individual interviews with frail older persons (n ¼ 15) and interviews with their significant others (n ¼ 19), as well as field notes, served as a basis for the study. A thematic analysis was used to interpret data. Ethical considerations: This study was conducted in accordance with the principles of research ethics. Findings: The findings showed three themes: (1) Meaningless waiting in contrast to lack of activities, (2) Longing for a deeper connectedness in contrast to not participating in a social environment and (3) Restricted freedom in contrast to given up on life. Discussion: Knowledge about the tensions between older persons’ and their significant others’ views of existential loneliness could be of use as a basis for ethical reflections on the care of older people and in the encounter with their significant others. Conclusion: It is of importance that health care professionals listen to both the frail older person and their significant other(s) and be aware of whose voice that the care given is based on, in order to provide care that is beneficial and not to the detriment of the older person. Keywords case study, existential loneliness, frail older person, significant other, thematic analysis
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| 20. |
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