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- Nyberg, Jonna, 1967-, et al.
(author)
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Distrust of Authorities : Experiences of Outcome and Processes of People Who Had Their Driving License Withdrawn Due to Visual Field Loss
- 2021
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In: Social Sciences. - : MDPI. - 2076-0760. ; 10:2
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Journal article (peer-reviewed)abstract
- Citizens’ trust of authorities is of general importance, as it can affect trust in society as awhole. The Swedish Transport Agency is a state administrative authority responsible for drivinglicense withdrawal. If withdrawals are experienced as unfair by those affected, this might leadto decreased trust in the agency and in other actors involved. This study accordingly examineshow the experiences of people who have had their driving license for a private car withdrawndue to visual field loss might affect their distrust of the authorities, as related to outcomes andprocesses. Follow-up interviews were conducted with nine people from a previous study. Contentanalysis revealed one overarching theme, struggling for justice within a system perceived as unfair, whichcomprised four identified categories: preparedness for and understanding of the withdrawn driving license(WDL); perceptions of assessment methods, reactions and actions regarding the decision, and perceptions ofthe authorities’ performance. In sum, the vision tests on which withdrawals are based were perceivedas unfair, as they did not measure individual driving ability. Furthermore, rejections of appeals led tofeelings of hopelessness. Distrust regarding outcomes and processes related to the withdrawals wasalso fueled by experiences of deficiencies regarding, for example, performance and information.
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- Nyberg, Jonna, 1967-, et al.
(author)
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Experienced processes and outcomes of driving license withdrawal due to visual field loss : A Swedish survey study of trust in authorities
- 2023
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In: Transportation Research Interdisciplinary Perspectives. - : Elsevier. - 2590-1982. ; 17
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Journal article (peer-reviewed)abstract
- Citizen perceptions of justice, regarding both processes and outcomes, are closely related to the perceived legitimacy of the authorities involved and are thus significant for trust. This study investigates how a withdrawn driving license due to visual field loss might affect trust in the authorities involved in withdrawal processes and outcomes: the health-care system, the Swedish Transport Agency, and the judicial system. The factors influencing trust were investigated as was whether the withdrawal experience had changed the trust in other authorities not involved in the withdrawal process. Also, the aetiology of the visual field loss and gender were investigated.A survey study was conducted in which 402 Swedish respondents with visual field loss and a withdrawal experience participated. Variance, regression, and content analyses were conducted. The following conceptual factors were used in understanding trust: Benevolence, Openness, Integrity, Ability, and Value Congruence.The results revealed that processes and outcomes affected the overall trust in all three authorities, although the highest trust was in the health-care system (but still low). Diagnosis, but not gender, was important for the experienced trust. Differences in levels of trust in each authority were related to the aetiology of the diagnosis. Benevolence and Ability were the trust factors most important for overall trust in the health-care system and the Swedish Transport Agency. For some respondents (46%), the negative experiences of the withdrawal had worsened their trust in other, not involved authorities, as well.
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- Larsson-Lund, Maria, 1967-, et al.
(author)
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Team-based rehabilitation after traumatic brain injury : a qualitative synthesis of evidence of experiences of the rehabilitation process
- 2022
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In: Journal of Rehabilitation Medicine. - : Foundation for Rehabilitation Information. - 1650-1977 .- 1651-2081. ; 54
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Journal article (peer-reviewed)abstract
- Objective: To synthesize and explore experiences of the rehabilitation process for adults with traumatic brain injury receiving team-based rehabilitation.Data sources: A qualitative evidence synthesis was conducted according to the “Enhancing transparency in reporting the synthesis of qualitative research” (ENTREQ) Guidelines, of qualitative studies published in 5 databases in 2000–21.Study selection and data extraction: Screening, selection of relevant studies, assessment of methodological limitations, systematic qualitative content analysis and assessment of confidence with Grading of Recommendations Assessment, Development, and Evaluation- Confidence in the Evidence from Reviews of Qualitative research (GRADE-CERQual) were carried out by independent researchers.Data synthesis: The 10 included studies revealed how people with traumatic brain injury perceived that they struggled on their own for a long time to adapt their daily life. They experienced that access to team-based rehabilitation was scarce and that the interventions offered were neither individually tailored nor coordinated. A respectful attitude from professionals and individually adapted information facilitated their rehabilitation process.Conclusion: This qualitative evidence synthesis indicates areas for improvement and a need to develop person-centred team-based rehabilitation for adults with traumatic brain injury, in terms of accessibility, coordination, continuity, content and participation. Given the limited opportunities for team-based rehabilitation after hospital discharge, further research is needed to understand how rehabilitation can sup-port the adaptation of everyday life.
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- Le, Klara, 1994-, et al.
(author)
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A Scoping Review on Attitudes towards Sexuality in Residential Aged Care
- 2024
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In: Health & Social Care in the Community. - : John Wiley & Sons. - 0966-0410 .- 1365-2524. ; 2024
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Research review (peer-reviewed)abstract
- Objectives: Sexuality in residential aged care is a complex and often overlooked aspect of aged care. Te attitudes of both staf and residents signifcantly infuence how sexuality is perceived and addressed in these settings. Tis scoping review aims to compile, analyse, and identify gaps in the existing research concerning the attitudes of residents and staf towards sexuality within the context of residential aged care.Methods: Te scoping review involved a systematic search across eight databases, yielding 469 unique articles, with 29 included studies.Results: Tematic synthesis within the selected studies disclosed three themes: hollow attitudes, postsexual residents, and organizational setbacks.Discussion: Te results emphasize the signifcance of treating sexuality as a fundamental right, emphasizing that it should be not only acknowledged in theory but also implemented in practice.
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- Lundqvist, Lars-Olov, 1958-, et al.
(author)
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Risk markers for not returning to work among people with acquired brain injury
- 2019
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Conference paper (peer-reviewed)abstract
- BACKGROUND: Research shows that variety of factors are related to risks of not returning to work among people with acquired brain injury (ABI). In Sweden, 40% of those with ABI in working age return to work within two years after the injury, which in line with international findings. However, since countries may differ in work rehabilitation, social security systems, culture and laws, different factors may influence the possibilities of returning to work across countries.AIMS: The aim of this study was to investigate person, injury, activity and rehabilitation related risk markers for not return to work among persons with ABI in Sweden.METHODS: Retrospective data of an ABI cohort of 2008 people from the WebRehab Sweden quality register were used.RESULTS: Analyses showed that the risk ratio for not returning to work was larger for people that, among the Personal factors, were woman, born outside of Sweden, had low education level, and not having children in the household; among the injury related factors, had long (> 2 months) hospital stay, aphasia, low motor function, low cognitive function, high pain/discomfort, and high anxiety/depression; among the activity related factors, had low function in self-care, inability to perform usual activities, and had their driver´s license suspended; and finally among the rehabilitation related factors, were satisfied with treatment and having influence over their rehabilitation plan.DISCUSSION / CONCLUSION: Several factors in different areas were risk markers for not returning to work among people with ABI. This suggest that work rehabilitation and interventions, in addition to direct injury related issues, need to address personal related, activity related and rehabilitation related factors in order to increase the patient´s possibility to return to work. Influences of general and country specific factors on returning to work among people with ABI will be discussed.
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