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- Kjerstin, Larsson, 1955-, et al.
(författare)
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Efforts of a Mobile Geriatric Team from a Next-of-Kin Perspective : A Phenomenographic Study
- 2023
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Ingår i: Healthcare. - : MDPI. - 2227-9032. ; 11:7
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Tidskriftsartikel (refereegranskat)abstract
- Many older adults with complex illnesses are today cared for by their next of kin in their own homes and are often sent between different caregivers in public healthcare. Mobile Geriatric Teams (MGTs) are a healthcare initiative for older adults with extensive care needs living at home, coordinated between hospital, primary, and municipal care. The study aims to describe how next of kin experience care efforts from an MGT for their older adult family members. The study has a descriptive qualitative design and uses a phenomenographic approach. Fourteen next of kin to older adult family members who receive efforts from an MGT were interviewed. Two descriptive categories reflecting their experiences emerged: Professional care and No longer having the main responsibility. The study shows that the participants valued that the staff was very competent, that the physician made home visits and could make quick decisions, and that treatments were given at home. They feel that they receive support and experience security and that a burden is lifted from them. Our study shows that through the MGT, next of kin become involved in the care and are relieved of the burden of responsibility of caring for their older family member.
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| 4. |
- Kjerstin, Larsson, 1955-, et al.
(författare)
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Older Adults' Experiences of How Participating in a Senior Summer Camp Has Affected Their Lives : A Phenomenographic Study
- 2023
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Ingår i: Journal of gerontological social work. - Philadelphia, PA, United States : Routledge. - 0163-4372 .- 1540-4048. ; 66:3, s. 321-338
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Tidskriftsartikel (refereegranskat)abstract
- Several municipalities in Sweden organize senior summer camps where older adults can meet and where loneliness and social isolation can be mitigated. Few studies, however, examine how the older adults themselves describe the experience in retrospect and how it might have influenced their daily lives after the stay. This study aims to fill this gap by examining how older adults who participated in a senior summer camp experience the impact the stay has had on their lives. The study has a descriptive qualitative design that uses a phenomenographic approach to explore the variations in the older adults' conceptions of how their participation at the senior summer camp may have affected them. Nineteen older adults aged between 66 and 94 years were interviewed. Three descriptive categories emerge: "Mitigating loneliness," 'Developing as a person' and 'Gaining inspiration.' The study shows that the older adults experience that the stay at the summer camp has had lasting effects on their quality of life. The sense of community at the camp helped them break the experience of loneliness, they improved their self-confidence and gained a positive attitude to life, that it is worth living and that there is much left to experience, regardless of their age.
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| 5. |
- Lagging, Eva, et al.
(författare)
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Potential living kidney donors' positive experiences of an information letter from healthcare : a descriptive qualitative study
- 2022
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Ingår i: BMC Nephrology. - : BioMed Central (BMC). - 1471-2369. ; 23:1
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundPatients who need a live donor kidney transplant (LDKT) must often ask potential donors (PLDs) themselves. This is a difficult task and healthcare could unburden them by making this first contact, ensuring also that PLDs receive correct information. We investigated how PLDs experience receiving a letter from healthcare about LDKT, live kidney donation, and inviting them to meet with professionals to get more information.MethodsThe letter (LD-letter) was sent to a cohort of 46 individuals, from which a purposeful sample of 15 were interviewed using a semi-structured guide covering their experience of the letter, views on being approached by healthcare, and opinions on style and content. Interviews were analyzed using conventional inductive analysis.ResultsWe identified three categories of experiences: Category (1) Reflections on receiving the letter, contains three subcategories relating to how the letter did not induce pressure to donate, did not affect the PLD's relationship with the patient with kidney disease, and made the letter-receiver feel important in the transplant process; Category (2) The letter creates clarification and trust, also contains three subcategories, relating to how it clarified the voluntariness of donation and neutrality of healthcare providers with respect to the PLD's decision, elucidated the patient with kidney disease's current stage of disease (where transplantation was approaching), and unburdened patients from the responsibility of contacting PLDs on their own; Category (3) Opinions and suggestions about the letter and further communication, with four subcategories, relating to preference of a letter as the first step for communication about LDKT, suggestions on style and content, views on following up the letter, and how open meetings about LDKT were an important information source. Furthermore, 80% of the interviewees found the letter's information comprehensive, 67% found it easy to read and respectful, and 86% rated it as good or very good.ConclusionPotential donors prefer and recommend a letter as the first step for communication regarding LD. The LD-letter unburdens patients from the task of asking PLDs and stresses the voluntariness of donation, does not leave PLDs feeling coerced or lead to negative effects in their relationship with the patient.
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- Larsson, Kjerstin, 1952-
(författare)
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Ung Intro : Förrehabiliterande insatser för unga med aktivitetsersättning
- 2020
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- BakgrundMed ekonomiskt stöd av Samordningsförbundet Uppsala län inleddes hösten 2018 arbetet med utveckling av förrehabiliterande insatser riktade till unga med aktivitetsersättning. Uppsala kommun var insatsägare och Arbetsförmedlingen, Försäkringskassan och Region Uppsala var samverkanspartners. En styrgrupp med representanter från de medverkande organisationerna formerades, och projektledare och projektmedarbetare anställdes.Insatsens mål var tvåfaldigt; att utveckla en verksamhet riktad till unga vuxna i behov av stöd att komma i arbete samt att skapa en gemensam plattform för organisationernas arbete med målgruppen. Insatsen beviljades medel t o m juni 2020, och förlängdes efter förnyad ansökan t o m juni 2021.Verksamheten fick namnet Ung Intro och som arbetssätt valdes Case Manager-metodiken i kombination med motiverande samtal. Case Manager-metodiken är en stödmodell där en Case Manager har koordinerande funktion för utredning, planering, insatser och uppföljning. MetodInstitutionen för Folkhälso- och vårdvetenskap vid Uppsala universitet fick uppdraget att genomföra en process- och effektutvärdering i syfte att studera insatsens arbetssätt i relation till dess mål, hinder och möjligheter för samverkan mellan partner och i relation till målgruppen samt att följa deltagarna från start till avslut i insatsen.Data insamlades genom intervjuer vid tre tillfällen med Ung Intros medarbetare och styrgrupp. Vid två tillfällen intervjuades även berörda medarbetare vid Arbetsförmedling och Försäkringskassa. Dessutom tillkom projektdokumentation i form av styrgruppens minnesanteckningar, Ung Intros kvartalsrapporter till Samordningsförbundet Uppsala län och enkäter till insatsens deltagare vid inklusion och avslut. Data analyserades med kvalitativa och kvantitativa metoder, sammanställdes och återfördes till projektets styrgrupp.Uppsala universitet hade även uppdrag att bidra till diskussion och planering av eventuell implementering av insatsen.ResultatUng Intros medarbetare hade utbildningar av relevans för både arbetet med målgruppen och utvecklingen av en ny verksamhet. Fokus på individens behov, önskemål och resurser samt arbetssättet med Case Management i kombination med motiverande samtal ansågs skapa nytta för både Ung Intros deltagare och dess samverkanspartners.Ett antal oklarheter och brister identifierades under intervjuerna, av vilka några var kvarstående även vid den tredje intervjuomgången. Oklarheterna rörde tidpunkt för när gemensam kartläggning ska genomföras, tidpunkt för när deltagare ska skrivas in i det förstärkta samarbetet mellan Arbetsförmedling och Försäkringskassa samt Arbetsförmedlingens roll för Ung Intros deltagare. Bland de identifierade bristerna var långa väntetider för utredning och behandling och bristande kontinuitet på grund av byten av personal inom organisationerna. Genom regelbundna möten har Ung Intros medarbetare och handläggare från Arbetsförmedling och Försäkringskassa fått förståelse och respekt för varandras uppdrag och arbetssätt, vilket underlättar deras samverkan i arbetet med deltagarna. Samverkan mellan organisationerna försvåras däremot av deras olika prioriteringar och regelverk.För de av Ung Intros deltagare som besvarade både inklusions- och avslutsenkät framkom förbättringar avseende self-efficacy och självskattad hälsa vid avslutat deltagande i insatsen. Det är faktorer som är betydelsefulla för återgång i arbete och inträde på arbetsmarknaden.Insatsen har en fungerande styrgrupp med relevanta och engagerade representanter från de medverkande organisationerna. Det framkom dock svårigheter att förankra och implementera beslut som fattats av styrgruppen i organisationernas ordinarie arbete, vilket medfört oklarheter kring vilka rutiner som gäller.De diskussioner kring implementering av verksamhet eller rutiner som påbörjades hösten 2019 pågår fortfarande vid denna rapports skrivande. Inget resultat av implementeringsprocessen kan därför redovisas här men projektets förlängning ger möjlighet till fortsatt arbete kring implementeringen. MetoddiskussionAnvändning av enkäter för uppföljning av Ung Intros deltagare var tidsmässigt krävande för medarbetarna och endast sex personer valde att besvara både inklusions- och avslutsenkät. Övriga metoder för datainsamling (intervjuer och dokumentation) genomfördes utan större problem. Det blev dock allt svårare att samla styrgruppens medlemmar, bl a orsakat av Corona-pandemin, vilket försenade den tredje intervju-omgången samt förhindrade återföring av resultatet av dessa intervjuer. SlutsatserDet finns stöd i forskningen inom området för Ung Intros arbetssätt med utgångspunkt i individens behov, Case Managers med koordinerande uppgifter och ansvar samt insatser i form av arbets- och/eller studierelaterade aktiviteter i kombination med psykosociala stödsamtal och social träning.Regelbundna möten mellan Ung Intros medarbetare och medarbetare vid de medverkande organisationerna bör stödjas och prioriteras för att stärka en långsiktigt hållbar samverkan dem emellan.Self-efficacy och hälsa är faktorer som har betydelse för återgång i arbete/inträde på arbetsmarknaden. För de personer som besvarade enkät vid avslut av Ung Intro, framkom högre nivåer av self-efficacy och förbättrad självskattad hälsa jämfört med i den enkät som besvarades vid inklusion.Om styrgruppen har mandat för att fatta beslut som rör arbetet i de egna organisationerna, bör strategier tas fram för hur rutiner som beslutats i styrgruppen ska förankras och implementeras som rutin i organisationernas ordinarie arbete. Fortsatt arbete behövs för att besluta vad som ska implementeras i ordinarie verksamhet och hur detta ska ske för att bli långsiktigt hållbart. Eftersom insatsen har en fungerande styrgrupp, som har skapat kontakter mellan organisationerna, bör den kunna användas som pådrivande kraft för det arbetet.Det behövs även fortsatt arbete för att uppnå insatsmålen, d v s att etablera rutiner och skapa överenskommelser på strukturell nivå mellan parterna för arbetet med målgruppen. Det kan göras under den förlängning som insatsen beviljats.
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- Larsson, Kjerstin, 1952-, et al.
(författare)
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Vocational Rehabilitation Professionals’ Perceptions of Facilitators and Barriers to Return to Work : A Qualitative Descriptive Study
- 2022
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Ingår i: Rehabilitation counseling bulletin. - : Sage Publications. - 0034-3552 .- 1538-4853. ; 66:1, s. 66-78
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Tidskriftsartikel (refereegranskat)abstract
- This is a qualitative descriptive study of professionals' perceptions of facilitators and barriers for returning to work for women on long-term sick leave due to musculoskeletal pain and/or common mental disorder who participated in a vocational rehabilitation project. Data were collected through semi-structured interviews with 13 purposefully selected professionals from the Swedish Social Insurance Agency, the Swedish Public Employment Service, the health care services, and the municipal services. The interviews were analyzed with a manifest content analysis. The main facilitators were the close cooperation between the professionals and the individual support that was offered to the project participants. The main barriers were differences among the stakeholders' missions and goals, limitation in project duration and within the labor market, and the project participants' personal factors. These results emphasize the importance of cooperation between the professionals from the various stakeholders and focus on the individual's resources and needs. The study highlights the value of including health care professionals in vocational rehabilitation to benefit from their specific knowledge of the target group and their strengths and needs. Moreover, the study highlights the need to incorporate collaboration with employers and align with the local labor market in the development of vocational rehabilitation interventions.
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| 8. |
- Lindgren, Ingrid, et al.
(författare)
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Perceptions of everyday life during lenient COVID-19 restrictions in Sweden- an interview study
- 2023
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Ingår i: BMC Public Health. - 1471-2458. ; 23, s. 1-13
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Both COVID-19 and its associated societal restrictions have affected individuals' health and everyday life. In Sweden, more lenient public health restrictions were implemented, with individuals asked to act responsibly in terms of reducing spread of disease. The majority of studies reporting on experiences of Covid-19 restrictions have been in the context of more substantial mandatory rules aimed at reducing social contact, therefore it is important to describe how more lenient restrictions have impacted individuals' well-being. This study aims to describe perceptions of everyday life during the first wave of the COVID-19 pandemic, perceived by individuals with no underlying medical condition, and living with more lenient public health restrictions in Sweden.METHOD: The participants were recruited from individuals who originally had participated in an online survey about life satisfaction, health, and physical activity. Fifteen individuals (median age 49, range 26-76 years, seven women) in various social situations, such as living alone/cohabiting, having children at home, geographical area and size of city were interviewed. Qualitative content analysis was applied to the data.RESULTS: An overall theme "Both hindrances and opportunities in important life domains were experienced within the same person during lenient Covid-19 restrictions" was derived and covered three categories: "New possibilities of flexibility in work and better health", "Life went on as usual with minor adjustments" and "Everyday life changed and became more difficult" together with eight subcategories. For most participants, both facilitating and hindering important domains in life were described. Unexpected findings were positive experiences regarding working from home, physical activities, leisure time activities and the balance between work and leisure time. In areas where only minor adjustments were made, life was perceived as going on as before. On the other hand, restrictions increased worries and were perceived to have negative effects on social participation.CONCLUSION: The impact of the pandemic and lenient restrictions in Sweden on the participants´ everyday life was multifaceted. Both hindrances and opportunities in important life domains were experienced within the same person. An increased flexibility in work- and leisure activities were perceived having positive effects for health and wellbeing and led to a better balance in life.
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- Lukkerz, Jack, FIl licentiat, 1972-
(författare)
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Sex på rätt sätt : Unga, sexualitet och svensk samtida sexualsyn
- 2023
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Swedish sexuality education, mandatory since 1955, is part of general social politics, aiming among others to prevent socio-sexual problems through educating and disciplining young, future citizens. The overall aim is to examine contemporary societal view on sexuality through studies of representatives of schools, authorities and NGO’s negotiating young people's sexuality regulations related to current ideas of socio-sexual problems, and to outline constructions of young people's sexuality through the organisation of sex education. Two studies with ten years in between highlight the contemporary view on youth and sexuality through an analysis of 1) professional views on sexuality education and 2) analysis of documents regarding the new Swedish curriculum, in force since autumn semester 2022. The first study contains of focus group interviews with staff working with young people with intellectual disabilities, previously published 2014, using Theory of Social Representations. The second, newer study, using Critical Discourse Analysis as method and Rubin´s radical theories on sexuality politics as theory, analyses views on sexuality in open access published preparatory works regarding the new curriculum. Young people's sexuality is related to risks, while the idea of pleasure is absent. Young women, young LGBTQ people, and young with intellectual disabilities are made vulnerable and norm breaking, while young men´s sexuality, heterosexuality and able-bodiedness are a not scrutinised norm. Sex education is defined by professionals and experts on elite level, not necessarily linked to scientific knowledge. Equality, pornography, and consent appear as questions that engage. Equality is related to a binary understanding of gender, or a freer view on gender as a prerequisite for equality work to succeed. Pornography is understood as a problem in young men, affecting young women and promoting violence and negative attitudes. Consent is welcomed, but with lacking analyses of how to communicate it.
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| 10. |
- Wallroth, Veronika, fil.dr, 1978-, et al.
(författare)
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Older adults' experiences of being at a senior summer camp : A phenomenographic study
- 2022
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Ingår i: Qualitative Social Work. - London, UK : Sage Publications. - 1473-3250 .- 1741-3117. ; 21:5, s. 956-973
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Tidskriftsartikel (refereegranskat)abstract
- Senior summer camps are arranged by more and more municipalities in Sweden with the purpose of creating a place where older adults can meet and mitigate their social isolation. The aim of the study is to understand, from their own point of view, how the participants experienced senior summer camp. A phenomenographic approach was used to surface the older adults' experiences and analyze the data. Three descriptive categories evolved: "A pleasant environment to be in", "Something to do for everyone" and "Breaking one's loneliness". Findings from this study suggest that just getting away, not having to cook, seeing and experiencing something else, and having company when eating food or doing activities meant a lot to the participants, who all have different experiences of loneliness. Knowing that other people were lonely made the participants at the senior summer camp realize that they were not to blame for their loneliness.
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