| 1. |
- Kankkunen, Tina Forsberg, et al.
(author)
-
New Public Management i kommunal praktik : En studie om chefers möjlighet att hantera styrning inom verksamheterna Vatten, Gymnasium och Äldreomsorg
- 2014
-
In: ISM rapport. - Göteborg : Institutet för stressmedicin. - 1652-7089. ; 2014:15
-
Reports (other academic/artistic)abstract
- Denna studie belyser chefers möjligheter att hantera styrning inom olika kommunala verksamheter. Syftet med rapporten är att undersöka och jämföra hur styrning praktiseras inom den kvinnodominerade verksamheten ’Äldreboende’, den könsintegrerade verksamheten ’Gymnasium’, samt den mansdominerade tekniska verksamheten ’Vatten’. Analysen baseras på 30 intervjuer med linjechefer i fyra kommuner. För att förstå sammanhanget runt chefernas berättelser har även aktörer på kommunledningsnivå intervjuats. En utgångspunkt i studien är att jämförelser mellan olika organisatoriska sammanhang kan skapa lärande i arbetslivet.De deskriptiva resultat som presenteras i rapporten visar att styrning i linje med New Public Management har inneburit att cheferna upplever sig allt mer klämda mellan organisationens styrning och medarbetarnas och verksamhetens behov. Med New Public Management betonas styrning genom ekonomi, standardiserade processer, mål och uppföljning samt värderingar. De medverkande cheferna beskriver att detta har medfört målkonflikter som kan vara svåra att hantera. Det skiljer sig dock mellan verksamheterna hur målkonflikterna hanteras. Inom den mansdominerade verksamheten Vatten beskriver cheferna hur organisationen tar ansvar för målkonflikterna på ett sätt som möjliggör för cheferna att hantera dem. Inom Gymnasium och Äldreboende beskriver cheferna istället att de många gånger själva får hantera och ta konsekvenserna av målkonflikterna.Vi pekar sammanfattningsvis på fyra lärdomar kring chefens möjligheter att hantera målkonflikter. Dessa lärdomar handlar om hur arbetet organiseras, snarare än om chefernas individuella strategier. Vi talar om vikten av ett nära stöd, av att dela värld, av gemensamt språk och avgränsade mål och slutligen, vikten av tillit.
|
|
| 2. |
- Törnbom, Karin, 1982, et al.
(author)
-
Back to life: Is it possible to be myself again? A qualitative study with persons initially hospitalised due to COVID-19.
- 2022
-
In: Journal of rehabilitation medicine. - : Medical Journals Sweden AB. - 1651-2081 .- 1650-1977. ; 54
-
Journal article (peer-reviewed)abstract
- To gain a deeper understanding of the lived experiences of patients with COVID-19, regarding rehabilitation, work and social life 6 months after hospital discharge.An explorative qualitative study with individual interviews.Patients of working age with persistent self-reported symptoms at a 3-month follow-up who had received inpatient hospital care with discharge approximately 6 months previously were purposively sampled.Semi-structured interviews were performed with 10 men and 5 women. The interviews were transcribed verbatim and analysed with inductive thematic analysis.Four themes were identified: "Social support - crucial, but decreased over time", "Varying needs of, and access to, rehabilitation", "Returning to work after COVID-19 - crucial for future prospects" and "An overwhelming experience that essentially changed one's personality".Rehabilitation provided participants with the valuable tools for recovery, giving them hope for future recovery. Support from next of kin was highly valued, creating stronger family bonds. A new meaning and greater appreciation of life was expressed.
|
|
| 3. |
- Björk, Lisa, et al.
(author)
-
Det kontrollerade chefskapet : variationer i genusmärkta verksamheter
- 2011
-
In: Arbetsmarknad & Arbetsliv. - Karlstad : Karlstads universitet. - 1400-9692 .- 2002-343X. ; 17:4, s. 79-94
-
Journal article (peer-reviewed)abstract
- Även om ett flertal studier undersöker betydelsen av New Public Management (NPM) för välfärdsstatens organisationer finns det få komparativa studier av NPM inom olika verksamheter. I denna studie intervjuas kommunala chefer i syfte att jämföra hur NPM omsätts i praktiken inom en teknisk verksamhet och en omsorgsverksamhet. Resultaten visar att verksamheternas genusmärkning innebär olika förutsättningar för cheferna att hantera NPM.
|
|
| 4. |
- Ramsten, Camilla, et al.
(author)
-
ICT and Intellectual Disability : A survey of Organizational Support at the Municipal Level in Sweden
- 2017
-
In: JARID. - : John Wiley & Sons. - 1360-2322 .- 1468-3148. ; 30:4, s. 705-713
-
Journal article (peer-reviewed)abstract
- Background Young adults today have grown up in a society where information and communication technology (ICT) support empowerment and social participation. Young adults with mild-to-moderate intellectual disability are at risk for marginalization by the digital divide. The aim was to map and describe how municipal organizations in Sweden organize support in terms of policy and strategies to enable the use of ICT in social care for adults with a mild-to-moderate intellectual disability.Methods A quantitative, cross-sectional survey including all municipalities in Sweden (n = 290) was conducted (response rate: 51%, n = 147). Descriptive statistics were used.Results Findings indicate a lack of organizational support for staff as well as for young adults with mildto-moderate intellectual disability.Conclusion Municipalities request more knowledge about strategies for making ICT available. Despite the lack of comprehensive strategies for ICT, some Swedish municipalities have taken the initiative in this area
|
|
| 5. |
- Forsberg Kankkunen, Tina, et al.
(author)
-
Från kvinnors arbetsmiljö till genus och arbetsmiljö : reflektioner om genus, arbetsmiljö och förändring
- 2015
-
In: Sprickor, öppningar & krackeleringar. - Sundsvall/Härmösand : Mittuniversitetet. - 9789188025425 ; , s. 125-142
-
Book chapter (peer-reviewed)abstract
- När arbetsmiljö studeras i ett genusperspektiv talas i allmänhet i termer av kvinnors arbetsmiljö och förklaringar till ohälsa söks hos kvinnorna själva. Det talas sällan i termer av mäns arbetsmiljö. När det handlar om mansdominerade delar av arbetsmarknaden synliggörs istället arbetsvillkoren och ansträngningar görs för att förbättra dem. I detta bokkapitel argumenterar vi för att det är dags att sluta använda begreppet kvinnors arbetsmiljö. Arbetsmiljön är inte utformad efter kön och lösningarna hittas inte om analyser och åtgärder av arbetsmiljön baseras på särskiljande av kvinnor och män. Gör man det riskerar man att förklara arbetsmiljön med kön och riskerar att dölja att könsskillnader som syns i könsuppdelad statistik är konsekvenser av att arbetsmarknaden är segregerad och att det finns systematiska skillnader mellan typiskt kvinnliga och manliga verksamheter. För att synliggöra och förändra sådana könsskillnader i arbetsmiljön behövs ett fokus på de organisatoriska sammanhang som flertalet kvinnor och män finns i. Kapitlet handlar om hur arbetsmiljön kan förstås och studeras med ett genusperspektiv som tar fasta på den horisontella könssegregeringen och på hur de könssegregerade arbetsplatserna är organiserade.
|
|
| 6. |
- Forsberg, Tina, et al.
(author)
-
Shaping Management in Gendered Work : A Comparative Study in the Swedish Public Sector
- 2022
-
In: Scandinavian Journal of Public Administration. - : University of Gothenburg. - 2001-7405 .- 2001-7413 .- 2000-8058. ; 26:2, s. 89-112
-
Journal article (peer-reviewed)abstract
- By exploring management in a study of different municipal departments, this paper contributes to a theoretical and empirical understanding of how the type of work shapes and reproduces management practices and inequality in working conditions within a horizontally segregated public sector. A structural theoretical model guides the design of the empirical qualitative study within education, elderly care and water supply in several Swedish municipalities. The comparative analysis shows that, while managers within water supply take control over management and are allowed to do so, managers in education and care are instructed to take personal responsibility when handling goal conflicts and lack of resources. Gendered norms and values inscribed in the type of work seem to be fundamentally integral to management practices, which affect the local manager’s authority and actions. The results of this study illustrate how management is practiced and reinforces differences in status between different types of work.
|
|
| 7. |
- Härenstam, Annika, 1949, et al.
(author)
-
Könssegregering, makt och arbetsmiljö
- 2020
-
In: Att arbeta för lika villkor. Britt-Inger Keisu (red.). - Lund : Studentlitteratur. - 9789144135045 ; , s. 103-130
-
Book chapter (peer-reviewed)
|
|
| 8. |
- Gerdle, Björn, et al.
(author)
-
The importance of emotional distress, cognitive behavioural factors and pain for life impact at baseline and for outcomes after rehabilitation - a SQRP study of more than 20,000 chronic pain patients
- 2019
-
In: Scandinavian Journal of Pain. - : Walter de Gruyter GmbH. - 1877-8860 .- 1877-8879. ; 19:4, s. 693-711
-
Journal article (peer-reviewed)abstract
- Background and aims Although literature concerning chronic pain patients indicates that cognitive behavioural variables, specifically acceptance and fear of movement/(re)injury, are related to life impact, the relative roles of these factors in relation to pain characteristics (e.g. intensity and spreading) and emotional distress are unclear. Moreover, how these variables affect rehabilitation outcomes in different subgroups is insufficiently understood. This study has two aims: (1) to investigate how pain, cognitive behavioural, and emotional distress variables intercorrelate and whether these variables can regress aspects of life impact and (2) to analyse whether these variables can be used to identify clinically meaningful subgroups at baseline and which subgroups benefit most from multimodal rehabilitation programs (MMRP) immediately after and at 12-month follow-up. Methods Pain aspects, background variables, psychological distress, cognitive behavioural variables, and two life impact variables were obtained from the Swedish Quality Registry for Pain Rehabilitation (SQRP) for chronic pain patients. These data were analysed mainly using advanced multivariate methods. Results The study includes 22,406 chronic pain patients. Many variables, including acceptance variables, showed important contributions to the variation in clinical presentations and in life impacts. Based on the statistically important variables considering the clinical presentation, three clusters/subgroups of patients were identified at baseline; from the worst clinical situation to the relatively good situation. These clusters showed significant differences in outcomes after participating in MMRP; the subgroup with the worst situation at baseline showed the most significant improvements. Conclusions Pain intensity/severity, emotional distress, acceptance, and life impacts were important for the clinical presentation and were used to identify three clusters with marked differences at baseline (i.e. before MMRP). Life impacts showed complex relationships with acceptance, pain intensity/severity, and emotional distress. The most significant improvements after MMRP were seen in the subgroup with the lowest level of functioning before treatment, indicating that patients with complex problems should be offered MMRP. Implications This study emphasizes the need to adopt a biopsychosocial perspective when assessing patients with chronic pain. Patients with chronic pain referred to specialist clinics are not homogenous in their clinical presentation. Instead we identified three distinct subgroups of patients. The outcomes of MMRP appears to be related to the clinical presentation. Thus, patients with the most severe clinical presentation show the most prominent improvements. However, even though this group of patients improve they still after MMRP show a complex situation and there is thus a need for optimizing the content of MMRP for these patients. The subgroup of patients with a relatively good situation with respect to pain, psychological distress, coping and life impact only showed minor improvements after MMRP. Hence, there is a need to develop other complex interventions for them.
|
|
| 9. |
- Arkkukangas, Marina
(author)
-
Involvement of Older Adults, the Golden Resources, as a Primary Measure for Fall Prevention
- 2023
-
In: Clinical Interventions in Aging. - : Dove Medical Press Ltd. - 1176-9092 .- 1178-1998. ; 18, s. 2165-2170
-
Journal article (peer-reviewed)abstract
- Falls remain the second leading cause of injury-related deaths worldwide; therefore, longstanding practical fall-prevention efforts are needed. Falls can also lead to a reduction in independence and quality of life among older adults. Fall-prevention research has found that early prevention promotes a prolonged independence. However, it remains unknown which intervention is most beneficial for early prevention and how these interventions should be implemented for long-term effects. In addition, the present and future burden on social and healthcare services contributes to a gap in needs and requires an evidence-based fall prevention. Research suggests that strength, balance, and functional training are effective in reducing falls and fall-related injuries. Such training could greatly impacting independence. Fear of falling and strategies for managing falls are the suggested components to be included when evaluating fall-prevention programs. Thus, the preservation of physical functions is highly relevant for both independence and quality of life. It also contributes to psychological and social well-being, which are important factors for enabling individuals to stay at home for as long as possible. To meet future challenges associated with the expected increase in the older population, older adults should be viewed as a golden resource. With assistance from professionals and researchers, they can learn and gain the ability to institute fall-prevention programs in their own environments. These environments are primarily beyond the responsibilities of the healthcare sector. Therefore, programs comprising current knowledge about fall prevention should be developed, evaluated, and implemented with older adults by using a “train-The-trainer” approach, where a natural collaboration is established between civil society and/or volunteers, healthcare professionals, and researchers. For sustainable and effective fall-prevention programs, a co-design and early collaborative approach should be used in the natural environment, before social and healthcare services are required.
|
|
| 10. |
- Eilertsen, M. E. B., et al.
(author)
-
Impact of Social Support on Bereaved Siblings' Anxiety: A Nationwide Follow-Up
- 2013
-
In: Journal of Pediatric Oncology Nursing. - : SAGE Publications. - 1043-4542 .- 1532-8457. ; 30:6, s. 301-310
-
Journal article (peer-reviewed)abstract
- Purpose:To assess adolescent and young adult siblings' perception of social support prior to and following the loss of their brother or sister to cancer, 2 to 9 years earlier, and their anxiety at follow-up. Method: In 2009, 174 (73%) bereaved siblings (12-25 years) participated in a nationwide, long-term follow-up study in Sweden using an anonymous study-specific questionnaire. The Hospital Anxiety and Depression Scale was used to measure self-assessed anxiety. Results: Siblings had a higher risk of anxiety if they perceived their need for social support was unsatisfied during their brother or sisters' last month before death, relative risk (RR) = 3.6 (95% confidence interval [CI] = 1.8-7.3); time after death, RR = 2.9 (95% CI = 1.5-5.6); and at follow-up, RR = 3.8 (95% CI = 2.0-7.2). Furthermore, a higher risk for anxiety was shown for siblings if they did not perceive that their parents and neighbors cared for them after their brother or sisters' death, RR = 2.7 (95% CI = 1.3-5.5), RR = 5.4 (95% CI = 1.3-21.9), respectively. Conclusion: Bereaved siblings had a greater probability to report self-assessed anxiety if they perceived that their need for social support was not satisfied prior to and following death. Information from both nurses and other health care professionals to families about the impact of social support may contribute to lessen the siblings' risk of anxiety.
|
|
