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  • 3601.
    Welander, Jonas
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Trust issues: Welfare workers' relationship to their organisation2017Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    In the past decades, the public sector has undergone important organisational policy changes, referred to as New Public Management. These management strategies focus on continuous cost improvements and rationalisation of operations. In the aftermath of these policy changes, we have seen reports of increased work demands and less professional autonomy amongst welfare workers. Against this background, the thesis sets out to explore welfare workers’ relationship to their organisation. This was done by investigating how psychosocial and organisational factors related to a number of outcomes assumed to be indicators of the quality of the relationship. Theoretically, the thesis was inspired by psychological contract theory, but also relates to other concepts and theories found in organisational research. The thesis is based on four empirical studies, all of which relate to how welfare workers have perceived their relationship to their organisation.

    Study I aimed to qualitatively investigate how turnover processes evolved amongst statutory social workers who voluntarily had resigned from their jobs. The results showed that dismissive/admonishing organisational responses to the social workers’ perceived work-related dissatisfactions reinforced their beliefs in psychological contract violation, which led to resignation.

    Study II and III employed national web-based questionnaire data collected from employees and managers in the social services. The results of Studies II-III showed that if organisations want welfare workers to stop considering exit, want to counteract silence, want to reduce stress-related ill health and want to improve organisational commitment and job satisfaction, management strategies need to be developed that lead to fewer conflicting demands, a reasonable workload and a greater professional autonomy. The results also showed that the organisation’s open climate and attitude towards employees was of great importance for the studied outcome variables.

    Study IV was based on questionnaire data from different occupational groups in two municipal organisations. The results showed that organisational resources explained additional variance in organisational identification and organisational pride, beyond the contributions of workgroup resources.

    From the findings of this thesis, it can be concluded that the psychosocial demands need to be balanced with organisational resources in order to (re)build a trustworthy employee-organisation relationship. Further, organisations need to reconsider their human resource management strategies and practices, e.g., by enabling a continuous and open dialogue between the strategic and operational levels. Such changes may lead to balanced psychological contracts between welfare workers and the organisation that can improve the organisation’s stability, continuity and, ultimately, the quality of the welfare services.

  • 3602.
    Welander, Jonas
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Astvik, Wanja
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Hellgren, Johnny
    Stockholms universitet, Sweden.
    Stressrelaterad ohälsa och arbetstrivsel hos medarbetare och chefer i socialtjänsten2017In: Arbetsmarknad & Arbetsliv, ISSN 1400-9692, Vol. 23, no 2, p. 8-26Article in journal (Refereed)
    Abstract [sv]

    Situationen inom svensk socialtjänst framstår som särskilt problematisk med svåra arbetsvillkor, stressrelaterad ohälsa och höga ohälsotal. Baserat på en nationell enkätstudie med myndighetsutövande medarbetare och chefer i socialtjänsten undersöks betydelsen av arbetsvillkor och organisatoriska faktorer för ohälsa och arbetstrivsel. Resultaten visar bland annat att rimliga arbetskrav, i synnerhet kvantitativa krav, samt organisationens öppenhet har stor betydelse för ohälsa och arbetstrivsel hos både medarbetare och chefer inom socialtjänsten.

  • 3603.
    Welander, Jonas
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Astvik, Wanja
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Isaksson, Kerstin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Corrosion of trust: Violation of psychological contracts as a reason for turnover amongst social workers2017In: Nordic Social Work Research, ISSN 2156-857X, E-ISSN 2156-8588, Vol. 7, no 1, p. 67-79, article id ISSN: 2156-857XArticle in journal (Refereed)
    Abstract [en]

    Staff shortage in the social sector is a serious problem in several countriesand the high turnover rate of professional social workers presents a majorchallenge to the professional field. Social workers distinguish themselves asa particularly exposed occupational group, reporting higher workloads andmore difficult demands in comparison with other human service workers.Inspired by psychological contract theory, the objective of this study wasto describe social workers’ turnover processes that lead to a decision to quitafter a perceived violation of a psychological contract. Thirty-one interviewswere conducted with former statutory social workers who had voluntarilyresigned from their jobs during the preceding year. The analysis identifiedfour themes in the turnover processes stemming from perceptions oforganisational failure to fulfil promises concerning the provision of: (1) abalance between demands and resources at work, (2) a balance betweenefforts and rewards, (3) organisational professional ethics, and (4) responsiblehuman resource practices. The results highlight how organisational responsesto work-related dissatisfactions by social workers seem to enhance theirconviction of psychological contract breaches and perceptions of contractviolations, resulting in turnover. An important conclusion is that public sectoremployers need to reconsider their personnel strategies and practices inorder to start rebuilding trust and creating a more positive work climate.

  • 3604.
    Welander, Jonas
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Astvik, Wanja
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Isaksson, Kerstin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Exit, silence and loyalty among social workers and managers in the Swedish social services2017Manuscript (preprint) (Other academic)
    Abstract [en]

    Staff shortage in the social sector is a serious problem in several countriesand the high turnover rate of professional social workers presents a majorchallenge to the professional field. Social workers distinguish themselves asa particularly exposed occupational group, reporting higher workloads andmore difficult demands in comparison with other human service workers.Inspired by psychological contract theory, the objective of this study wasto describe social workers’ turnover processes that lead to a decision to quitafter a perceived violation of a psychological contract. Thirty-one interviewswere conducted with former statutory social workers who had voluntarilyresigned from their jobs during the preceding year. The analysis identifiedfour themes in the turnover processes stemming from perceptions oforganisational failure to fulfil promises concerning the provision of: (1) abalance between demands and resources at work, (2) a balance betweenefforts and rewards, (3) organisational professional ethics, and (4) responsiblehuman resource practices. The results highlight how organisational responsesto work-related dissatisfactions by social workers seem to enhance theirconviction of psychological contract breaches and perceptions of contractviolations, resulting in turnover. An important conclusion is that public sectoremployers need to reconsider their personnel strategies and practices inorder to start rebuilding trust and creating a more positive work climate.

  • 3605.
    Welander, Jonas
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Astvik, Wanja
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Isaksson, Kerstin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Exit, silence and loyalty in the Swedish social services – the importance of opennessIn: Nordic Social Work Research, ISSN 2156-857X, E-ISSN 2156-8588, article id .Article in journal (Refereed)
    Abstract [en]

    The advent of New Public Management in Sweden has affected thesocial services in terms of increased workload, more conflicting demandsand a reduction in professional autonomy. This study contributes to theunderstanding of how various job demands, job resources and theorganisational factor of openness influence the exit, silence and loyaltystrategies amongst social workers and managers in the Swedish socialservices. Regression analyses of national web questionnaire data gatheredfrom 4,068 social workers and 432 managers have revealed that: (1)role conflicts associated positively with exit and negatively with loyalty,(2) job autonomy was negatively related to silence and positively relatedto loyalty in both groups, (3) openness had a high explanatory value inall of the outcome variables for both groups and (4) openness was apotential mediator between role conflicts and all of the dependentvariables. A conclusion is that if organisations want social workers andmanagers to stop considering exit, want to counteract silence and wantto improve loyalty, management strategies need to be developed thatreduce the conflicting demands and create organisational structures thatfacilitate a continuous and open dialogue between the strategic andoperational levels of the organisation.

  • 3606.
    Welander, Jonas
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Astvik, Wanja
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Mälardalen University, School of Business, Society and Engineering.
    Larsson, Robert
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    What makes them stay: A longitudinal study of work conditions predicting social workers’ actual behavior to stay in their organization.2018In: Proceedings of the 13th European Academy of Occupational Health Psychology: Adapting to rapid changes in today's workplace. / [ed] Kevin Teoh, Nathalie Saade, Vlad Dediu, Juliet Hassard, and Luis Torres, Nottingham: EAOHP , 2018, p. 301-302Conference paper (Refereed)
  • 3607.
    Welander, Jonas
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Blomberg, Helena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Isaksson, Kerstin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Exceeded expectations: building stable psychological contracts among newly recruited social workers in a Swedish contextIn: Nordic Social Work Research, ISSN 2156-857X, E-ISSN 2156-8588Article in journal (Refereed)
    Abstract [en]

    There is a need for a stable competence provision in the Swedish publicsector in order to ensure the continuity, quality and stability of the socialservices that are provided to citizens. As the turnover rate of newcomersgenerally reaches a peak between three and six months after entry, it isimportant to understand how organisations can retain their newlyrecruited social workers. From a psychological contract theory standpoint,the aim of this exploratory qualitative case study is to describe the processthat leads to relatively stable psychological contracts amongst newlyrecruited social workers. Three focus group interviews (consisting of fournew social worker recruits, six co-workers and two supervisors from thesame department) were conducted to retrospectively capture theexchange relationship between these agents during the newcomers’first year of employment. The analysis identified two themes in theexchange process that shaped the employment relationship: pre-entryexpectations and post-entry experiences. The results showed that theorganisational promises that were kept over time, mostly by supervisorsand also due to co-worker influences, ultimately resulted in fulfilled andstabilized psychological contracts amongst the newcomers. An importantconclusion is that a co-worker-organisation relationship of a good qualityneeds to have been established in order to enable a successful qualitativenewcomer-organisation relationship. High organisational investment isthus required by an employing organisation that wants to builda trustworthy long-term relationship with all its employees.

  • 3608.
    Welander, Jonas
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Wallin, Juliska
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Isaksson, Kerstin
    Mälardalen University, School of Innovation, Design and Engineering. Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Job Resources to Promote Feelings of Pride in the Organization: The Role of Social Identification2017In: Scandinavian Journal of Work and Organizational Psychology, ISSN 2002-2867, no 1Article in journal (Refereed)
    Abstract [en]

    Employees are assumed to obtain job resources from and identify with the organization they work for. Previously, the concepts of job resources and social identification have mostly been studied holistically, that is, on one general organizational level. This study contributes to the understanding of how job resources, operationalized at two different levels in two organizations, influence the amount of group-based pride that employees feel for their workgroups and for their organizations. Social identification is purported to intervene in this relationship on respective level, and its inclusion is expected to contribute to different kinds of pride. Regression analyses of questionnaire data gathered from 436 employees in two middle-sized municipalities in Sweden revealed that: (1) a workgroup’s resources and identification explained additional variance in workgroup pride beyond the effects of resources and identification at the organizational level, (2) leader and organizational resources and identification explained additional variance in organizational pride beyond that of workgroup resources and identification, and (3) social identification in both these areas partially mediated these relationships. Theoretical contributions include the addition of emotional outcomes of job resources and that these effects are foci-specific. This emphasizes the need to distinguish between workgroup and organizational levels regarding both independent and dependent variables. The clarification of the multiple identifications and group-based pride dynamics that exist has practical implications for Human Resource (HR) managers.

  • 3609.
    Welin, Malin
    Mälardalen University, School of Health, Care and Social Welfare.
    Att synas utan att bli sedd: En kvalitativ studie om konsumtionssamhällets påverkan på unga tjejers psykiska hälsa.2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 3610.
    Welin, Åsa
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Haddad, Natalie
    Mälardalen University, School of Health, Care and Social Welfare.
    "Barn far illa i alla samhällsgrupper tänker vi...": En kvalitativ studie om socialsekreterares föreställningar om socioekonomisk status i arbetet med förhandsbedömningar2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Studiens syfte är att undersöka socialsekreterares föreställningar om familjers socioekonomiska status (SES) och hur de påverkar bedömningen av föräldrarnas omsorgsförmåga i förhandsbedömningar i anmälningar om att barn far illa. Det är en kvalitativ studie med vinjett och semistrukturerade intervjuer som metod och de är genomförda med socialsekreterare på en mottagnings- eller utredningsenhet. Resultatet visaratt socialsekreterarna har uppfattningen att en familjs SES generellt inte påverkar föräldrarnas omsorgsförmåga. De föreställningar socialsekreterare har om familjer med högoch låg SES visar sig i stor mån ha stöd i forskning. Slutsatser kan inte dras om huruvida dessa föreställningar påverkar bedömningen av föräldrarnas omsorgsförmåga då endast små tendenser till skillnader finns i bedömningarna av studiens vinjett.

  • 3611.
    Welén, Linnea
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Eriksson, Emelie
    Mälardalen University, School of Health, Care and Social Welfare.
    Att leva med huvud- och halscancer2018Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Cancer in the head and neck region is an unusual form of cancer. The treatment for this cancer can cause permanent damage to vital functions. Nurses' have expressed frustration about feeling insufficient to accommodate the patients' needs. Patients' with head and neck cancer are reported to have low quality of life. Aim Describe patients' experiences of undergoing treatment of cancer in the head and/or neck region. Method: A qualitative systematic literature review with descriptive approach of qualitative articles. Result: Undergoing treatment for cancer in the head and neck region created challenges for the patients'. Many patients' have had experienced that the time between the diagnose and treatment went fast. The treatment caused side effects that led to constraints in daily life and many created a new identity because they did not recognize themselves in the same way as before the diagnose. Patients became dependent to the medical care and made them omitted to others. They had to handle a new life situation, and to manage that, the patients created strategies.

    Conclusion: The treatment provided side effects that affected the everyday lives of the patients. The side effects impacted on patients both physically, psychologically, socially and existentially. More knowledge is needed in order to improve the health care for patients with head and neck cancer.

  • 3612.
    Wennberg, B.
    et al.
    Linkoping Univ, Dept Clin & Expt Med, Ctr Social & Affect Neurosci, Child & Adolescent Psychiat, Linkoping, Sweden..
    Kjellberg, A.
    Linkoping Univ, Dept Social & Welf Studies, Linkoping, Sweden..
    Gustafsson, P. A.
    Linkoping Univ, Dept Clin & Expt Med, Ctr Social & Affect Neurosci, Child & Adolescent Psychiat, Linkoping, Sweden..
    Almqvist, Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Janeslatt, G.
    Ctr Clin Res Dalarna, Falun, Sweden..
    DAILY TIME MANAGEMENT AND AUTONOMY IN SCHOOL-AGE CHILDREN WITH IDD AND TYPICALLY DEVELOPING CHILDREN2019In: Journal of Intellectual Disability Research, ISSN 0964-2633, E-ISSN 1365-2788, Vol. 63, no 7, p. 884-885Article in journal (Refereed)
  • 3613.
    Wernesjö, Ulrika
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Landing in a rural village: Home and belonging from the perspectives of unaccompanied young refugees2015In: Identities: Global Studies in Culture and Power, ISSN 1070-289X, E-ISSN 1547-3384, Vol. 22, no 4, p. 451-467Article in journal (Refereed)
    Abstract [en]

    This article explores how unaccompanied young refugees living in a rural village in Sweden make sense of home and belonging. From a post-structuralist approach, belonging and home are understood as ongoing processes that are negotiated with others, and via processes of othering and racialisation. This article demonstrates that the form of housing available, together with experiences of social exclusion in the village, may contribute to othering and thus challenge their feelings of home and belonging. However, they do construct some kinds of belonging and feelings of home based on social relationships and places that they have access to.

  • 3614.
    Wesström, Josefin
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Gustafsson, Susan
    Mälardalen University, School of Health, Care and Social Welfare.
    Hur webbaserat beslutstöd används i telefonrådgivning på vårdcentral: Telefonsjuksköterskors erfarenheter av beslutstödet2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The telephone nurse's duties are to advise, support and make assessments in a complex situation. Studies have been conducted on the telephone nurse's experience in telephone counseling, but few have included observation.

    Aim: This study aims at describing how telephone nurses use computer decision support system in telephone counseling at the health center and their experiences with this.

    Method: The study is qualitative with descriptive design. Observations and semi-structured interviews were conducted at the health center. Six district nurses who had worked for at least one year in telephone consulting participated.

    Analysis: The data from the observations and interviews were processed using qualitative content analysis.

    Result: The telephone nurse used the computer decision support system (RGS Webb) as a supportive feature, which created security. Too large text pads with long paths made work difficult. Factors such as organizational time pressure, lack of tools for communication with patients who speak other languages and long experience reduced the use of RGS Webb.

    Discussion: The telephone nurse found support in the fact that RGS Webb provided very accurate information that could be given to caregivers. This leads to safer assessments that increase patient safety. RGS Webb was experienced hard-working with a lot of text masses. Education is needed in information technology because nurses today are expected to be major users of IT.

    Conclusion: RGS Webb supports, reminds, creates security and provides new knowledge. Difficulties that existed were barriers to use and RGS Webb was used to a lesser extent or not at all.

  • 3615.
    Westberg, Elias
    Mälardalen University, School of Health, Care and Social Welfare.
    UNGDOMARS ATTITYDER TILL FYSISK AKTIVITET: En kvantitativ analys från HELENA-studien2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 3616.
    Westberg, Marcus
    Mälardalen University, School of Health, Care and Social Welfare.
    Muskuloskeletala symptom bland personal på LSS-boenden i Västmanland: En kvantitativ studie om förekomsten av muskuloskeletala symptom samt sambandet till fysisk aktivitet och ergonomiska hjälpmedel2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Muskuloskeletala symptom är ett utbrett problem som drabbar människor över hela världen och påverkar folkhälsan negativt. Dels påverkas kroppen fysiskt med minskad funktion och värk i den drabbade kroppsdelen, men även det psykiska välmåendet kan bli lidande. Vårdpersonal som arbetar med tunga eller repetitiva lyft löper stor risk att drabbas av muskuloskeletala symptom. Flera studier visar att fysisk aktivitet och ergonomiska hjälpmedel kan lindra problemen och verka som hälsofrämjande insatser. Studiens syfte är att undersöka förekomsten av muskuloskeletala symptom bland personal på LSS-boenden i Västmanland samt om det finns något samband mellan muskuloskeletala symptom och omfattningen av fysisk aktivitet respektive tillgängligheten och användningen av ergonomiska hjälpmedel. En kvantitativ metod med en tvärsnittsdesign användes för att kunna besvara syftet och frågeställningarna och chi2-test användes för att hitta samband. Resultatet visade bland annat att över hälften av personalen har muskuloskeletala symptom i ryggen. Signifikanta samband hittades mellan omfattningen av fysisk aktivitet och muskuloskeletala symptom, men inte mellan tillgängligheten och användningen av ergonomiska hjälpmedel och muskuloskeletala symptom. Resultatet diskuteras även utifrån PATH-modellen (Practices for the Achievement of Total Health) som teoretiskt perspektiv. Förslag på framtida forskning är att ta fram mer praktiska åtgärder som arbetsplatser kan utgå från för att motverka muskuloskeletala symptom.

  • 3617.
    Westerberg, Gudrun
    Mälardalen University, School of Health, Care and Social Welfare.
    Ledarskaps- och organisationsutveckling i ett interkulturellt perspektiv: En deltagande kvalitativ studie2014Independent thesis Advanced level (degree of Master (One Year)), 40 credits / 60 HE creditsStudent thesis
    Abstract [en]

    Abstract

    The thesis is a participatory qualitative study in a Cambodian Organization, where I in interaction with managers developed and implemented a Human Resource Development (HRD) program. The purpose of the study is to describe, interpret and analyze the development work based on empirical data, theory and previous research in culture, inter-cultural, leadership, organization theory, organizational learning and change. An additional purpose is to explore, interpret and draw conclusions about the methods and approaches that facilitate intercultural meetings, organizational- and leadership development with an intercultural perspective.

    With a social constructionist perspective and an intercultural approach in mutual interaction, it is possible to influence an organization and culture, when taking into account the reality of the culture which is composed. The national culture and an old hierarchical structure have great influence on the processes and relationships within the organization. Skills to build relationships and trust are required in development work in a collectivist culture as Cambodia and also intercultural competence, which embraces openness, communication skills and ability to switch and develop new perspectives. Shared systems of meaning, like theories and research in the field of leadership and organizational development and methods for learning that have a balance between established and new knowledge are important, not being a threat to existing power structures.

  • 3618.
    Westerdahl, Emmy
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Yacoub, Karin
    Mälardalen University, School of Health, Care and Social Welfare.
    Datoranvändning: En diskursanalys av medias attityder till dator och surfplatta2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The essay is a discourse analysis of the media's attitudes toward computing. The aim is to compare what the media is really saying about the usage of tablets, computers and compare it to what the research is saying. In addition, it examines what the media says about socialization. We analyze the newspapers Dagens Nyheter and Expressen and will first compare these two together and see what attitudes that emerge, and then seek similarities and differences with the previous research and theories including socialization learning, attitudes and consumption. Conclusions we can draw is that Expressen has a more negative attitude towards the use of computers while the Dagens Nyheter has a more positive attitude, but is also more objective to what they write about. The research writing a more positive attitude to mainly surf boards within the school as a teaching tool, but is not as positive for high computer use during leisure time, as it may cause health problems or socialization disorders. The media write more articles critical of tablets in schools, because they claim that these are detrimental to learning. Expressen urge that the computer should be used only at home. Joint research and the media is how they write about the effects of computer usage, but the differences lies in how they describe that the personal and social development is affected by computers and tablet use.

  • 3619.
    Westerman, Matilda
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Diaby, Elin
    Mälardalen University, School of Health, Care and Social Welfare.
    Kampen att hantera ansvar: En grundad teori om livet med borderline2020Independent thesis Basic level (degree of Bachelor), 180 HE creditsStudent thesis
    Abstract [sv]

    Diagnosen borderline är förknippad med förutfattade meningar om hur individer med diagnosenär. Förståelsen för diagnosen borderline är sprungen ur ett psykiatriskt utifrånperspektiv somkan sägas definiera individen utifrån de symtomkriterier som föreligger. Av de somdiagnostiseras med borderline är 75 procent kvinnor vilken också är den enda gruppen som ökari diagnosstatistiken. Syftet med studien är att undersöka vad det som kvinna innebär att varadiagnostiserad med borderline genom att finna vad som framträder vara viktigast för dennamålgrupp, ett upplevt inifrånperspektiv. Med grundad teori som metodansats har vi genomförtsex intervjuer med kvinnor diagnostiserade med borderline samt lyssnat till fyra podcasts somrör ämnet för att ta reda på vad det innebär att vara diagnostiserad. Den teoretiska modell somgenererats består av en kärnkategori och sex övriga kategorier och deras inbördes relationerbildar tillsammans en förklaringsmodell som svarar på studiens syftesformulering. Det somframträtt vara kvinnornas huvudangelägenhet är kampen att hantera ansvar vilket svaras uppav kärnkategorin ansvarsstrategier. Resultatet vittnar om att det som kvinna diagnostiseradmed borderline innebär ett ständigt hanterande av olika ansvarsaspekter.

  • 3620.
    Westin, Lars
    et al.
    Univ Skovde, Sch Hlth & Educ, Skovde, Sweden.
    Sundler, Annelie J.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Univ Skovde, Sch Hlth & Educ, Skovde, Sweden.
    Berglund, Mia
    Univ Skovde, Sch Hlth & Educ, Skovde, Sweden.
    Students' experiences of learning in relation to didactic strategies during the first year of a nursing programme: a qualitative study2015In: BMC Medical Education, ISSN 1472-6920, E-ISSN 1472-6920, Vol. 15, article id 49Article in journal (Refereed)
    Abstract [en]

    Background: In university undergraduate nursing programmes, didactic strategies that enable students to learn nursing skills, solve problems and develop reflective and critical thinking and practice are needed. The aim of this study was to explore how different didactic strategies support nursing students' experiences of learning during the first year of a reconstructed nursing curriculum. Methods: This study employed a qualitative approach. The data were gathered through written narratives that were analysed using qualitative content analysis. Results: Nursing students' experiences of learning through different didactic strategies, were evident in the text. These perspectives were organised into the following themes: To focus on the patient perspective and paying more attention to others, Learning from discussions and reflections on one's own learning, Training for the professional role and becoming more courage, and Gaining insights into nursing and increasing one's self-awareness. The education increased the students' self-awareness, which helped them to pay greater attention to patients and their relative. During the learning process, the students became more courageous, reflected and discovered their shortcomings. Conclusion: Stated didactic strategies supported a broad base of knowledge on nursing and the professional role of nurses. Educators are challenged to strengthen meaningful learning in nursing and to facilitate the progression of nursing programmes.

  • 3621.
    Westlin, Elisabeth
    Mälardalen University, School of Health, Care and Social Welfare.
    Motivation att leda hos studenter - samband med personlighet och self-efficacy2013Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Motivation för ledarskap styrs av värderingar, personlighet och tro på sin förmåga. Forskning har genererat tre motivationskategorier för ledarskap, affektiv-identitet ledarmotivation, icke-kalkylerande ledarmotivation och social-normativ ledarmotivation. Studien undersökte dessa tre motivationskategoriernas inbördes rangordning och skillnader mellan utbildningsinriktning och kön samt samband med generell self-efficacy och personlighetsegenskaper enligt femfaktormodellen.  192 studenter deltog från en mellansvensk högskola, därav 54 män, 90 från socionomprogrammen, 72 från det internationella businessprogrammet och 30 från två ingenjörsprogram.  De besvarade en enkät bestående av Chan och Drasgows Motivation to lead scale, Chen, Gully och Edens General self- efficacy scale och Shafers femfaktormodell Big Five Marker. Resultatet visar att det finns skillnader mellan motivationskategorier och utbildningsinriktning. Det finns samband mellan motivationskategorier och personlighet. Inga skillnader i self-efficacy mellan utbildningsinriktning eller mellan könen. Resultatet diskuteras utifrån behov av ledarskap i samhället, krav i ledarrollen, utveckling av individer i riktning mot ledarskap och utveckling av nya ledarmodeller exemplifierat med delat ledarskap.  

  • 3622.
    Westlund, Sara
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Siaulys, Natalia
    Mälardalen University, School of Health, Care and Social Welfare.
    Att leva som internationellt adopterad i Sverige2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Denna studie syftar till att lyfta fram de faktorer som påverkar de adopterades livsprocess och visa vad som är avgörande för att skapa en trygg identitet. För att besvara frågeställningen har vi genomfört tio intervjuer och tagit del av en självbiografi och en självrapport. Vi har genomfört denna studie med grundad teori som metodologiskt angreppssätt, vilket innebär att vår frågeställning har vuxit fram ur datamaterialet. Resultatet visar att de faktorer som har påverkat internationellt adopterades livsprocess är en trygg kärna, att kärlek är tjockare än blod, omgivningens stöd, tacksamhet, svenskhet, adoptionens minimala betydelse, bristande intresse, öppenhet till adoptionen, anknytning till födelselandet, ambivalens inför adoptionen, adoptionens maximala betydelse och tillskrivningar kopplat till adoption. Avgörande för att skapa en trygg identitet är en trygg kärna, villkorslös kärlek, stöd från omgivningen och en svensk tillhörighet. Det teoretiska- och begreppsliga ramverk vi använt oss av är symbolisk interaktionism och begreppen stigma, identitet samt svenskhet. Den tidigare forskning vi har tagit del av är indelad i tre teman, svenskhet och rasifiering, identitetsarbete och självkänsla samt mental hälsa och välbefinnande. Den tidigare forskningen belyser dissonansen som internationellt adopterade kan erfara vad gäller svenskhet kontra ett icke-vitt utseende vilket kan resultera i identitetskriser och psykisk ohälsa.

  • 3623.
    Westlund, Sofia
    Mälardalen University, School of Health, Care and Social Welfare.
    Låt hjärtat vara med!: Bakomliggande motiv till att engagera sig i Brottsofferjouren.2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Trenden att hjälpa andra ökar i takt med att samhället blir mer individualiserat. Brottsofferjouren är en förening som bygger på frivilliga krafter och engagemang och huvudsyftet med verksamheten är att fungera som medmänniskor samt informatörer när det gäller rättsprocessen och försäkringsfrågor. Syftet med studien var att lyfta fram centrala motiv till det ideella arbetet och även ge en inblick i dessa människors uppdrag inom brottsofferjouren. Detta skapar en förståelse och fördjupning i vad som motiverar dessa människor att ge av sin tid och sitt engagemang. Metoden för studien var induktiv tematisk analys och åtta semistrukturerade intervjuer med 6 pensionärer och 2 högskolestuderande låg till grund för analysen. Resultatet visade att betydelsen av en meningsfull sysselsättning, viljan att hjälpa andra, social interaktion samt att ta till vara på sin kompetens var viktiga komponenter i motivbilden. Resultatet visade även att det fanns skillnader gällande motivbild mellan yngre och äldre volontärer.

  • 3624.
    Westman, Ebba
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Ström, Amanda
    Mälardalen University, School of Health, Care and Social Welfare.
    Sjuksköterskor som arbetsledare i vården2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 3625. Westmarland, Nicole
    et al.
    Almqvist, Anna-Lena
    Mälardalen University, School of Health, Care and Social Welfare.
    Burrell, Stephen
    Egeberg Holmgren, Linn
    Ruxton, Sandy
    Why do some men take a public stance against men's violence against women, and how can more men be encouraged to do so2018Conference paper (Other academic)
  • 3626.
    Wetell-Jonsson, Anders
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Johansson, Hanna
    Mälardalen University, School of Health, Care and Social Welfare.
    ATT INTE VETA ELLER FÖRSTÅ: Sjuksköterskors erfarenheter av att vårda patienter med psykisk ohälsa inom somatisk vård2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Patients with mental illness is commonly present in physical healthcare for either mental illness or both mental illness and physical illness. Earlier research shows that patients feel aggrieved and discriminated against by healthcare professionals in physical healthcare due to mental illness. Patient experience that they do not receive good care, increasing the suffering.

    Aim: The aim was to describe nurses' experiences of caring for patients with mental illness in physical healthcare.

    Method: Systematic literature review with a descriptive synthesis according to Evans (2002), where 14 qualitative research articles where analyzed with an inductive approach.

    Result: The nurses experienced patients with mental illness as a danger and as not being their responsibility. They could not meet the patients' needs and experienced a lack of knowledge to care for them. They were sceptical about these patients and described negative attitudes and prejudices against them, and that the physical healthcare environment was not suitable for those patients.

    Conclusion: Nurses need skills in psychiatric nursing and a broader introduction into the basic psychiatric care. These skills are necessary to provide quality care that protects patients’ privacy and dignity and reduces the stigma of patients with mental illness.

  • 3627.
    Wetterhus Ravinale, Jesper
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Håkansson, Nicklas
    Mälardalen University, School of Health, Care and Social Welfare.
    "Fet, ful och asocial ..": En diskursanalytisk studie om stereotypa konstruktioner och attribuerande av datorspelande individer2015Independent thesis Basic level (degree of Bachelor), 180 HE creditsStudent thesis
    Abstract [en]

    This study aimed to create an understanding of the stereotypes that video game players attribute to themselves and others. This was revealed by demonstrating how different stereotypes were given expression as well as how video game players used language to position themselves in relation to these stereotypes. The increased role that the internet plays in the intensive worldwide development of video games is an interesting question for the field of social psychology. The internet creates a platform that provides room and opportunity for public discussion and it is interesting for the field of social psychology to study how these discussions take place and how they help shape what can be considered as truth. Previous research on the subject of video game stereotypes has been permeated by quantitative and psychological approaches and has revealed that there is still much to learn when it comes to understanding how stereotypes are used and expressed in everyday life. Our theoretical framework consisted of social constructionism and its theories. Our study focused on written discussions and comments expressed on online gaming forums, where critical discourse analysis provided an appropriate method in relation to the purpose of the study. By using the analytical tools interpretative repertoires and subject positions we managed to distinguish how there exists different stereotypes of video game players and how those stereotypes came to affect how players describe themselves and others. The stereotypical assertions that the study took part of were primarily focused on discrimination between gender, age and ethnicity, but also showed the existence of a stigma towards video gaming in general. Our result was then transferred to a larger social context.

  • 3628.
    Wickford, Jenny
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Conscious seeing: A description of a reflective framework used with final-year Swedish physiotherapy students in the context of international clinical placements2014In: European Journal of Physiotherapy, ISSN 2167-9169, Vol. 16, no 1, p. 41-48Article in journal (Refereed)
    Abstract [en]

    This paper describes a reflective framework that aims to support physiotherapy students participating in new cultural contexts to develop their personal and professional learning, and their reflective skills. The framework was used by eight Swedish physiotherapy students who did international clinical placements in Thailand and Mexico. This was done as part of their bachelor's thesis projects. The data generated from the reflective process was analysed by the students using Interpretive Phenomenological Analysis. The outcome demonstrated that this structured approach to reflection facilitated the students' reflective processes and led to perceived personal and professional insight, increased cultural appreciation and a greater appreciation for reflection. This framework can be a useful tool to support students' reflection processes in new cultural contexts. It is presented for further testing and development, such as in intercultural contexts in the home country, and by physiotherapy teachers and clinical supervisors.

  • 3629.
    Wickford, Jenny
    Mälardalen University, School of Health, Care and Social Welfare.
    Considerations for enhanced community based physiotherapy services in Afghanistan.2011In: Development efforts in Afghanistan: is there a will and a way?: The case of disability and vulnerability. / [ed] Jean-Francois Trani, Paris: L'Harmattan , 2011, p. 193-214Chapter in book (Other academic)
  • 3630.
    Wickford, Jenny
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Duttine, A.
    Handicap International, United Kingdom .
    Answering global health needs in low-income countries: Considering the role of physical therapists2013In: World Medical and Health Policy, ISSN 1948-4682, Vol. 5, no 2, p. 141-160Article in journal (Refereed)
    Abstract [en]

    In the changing landscape of global health, new challenges continuously emerge and new ways of addressing them are needed. There are huge discrepancies between health care services in high- and low-income countries, and those countries' ability to deal with these health challenges. Physical inactivity is recognized as a growing and serious problem for global health. Physical therapy - an allied health profession primarily interested in function and movement of the human body - is well-established and -recognized in most high-income countries. In low- and middle-income countries, however, physical therapists are either severely limited in numbers and inaccessible to most, or services are established largely outside of national health systems. Yet in these countries, physical therapists can have a major role to play from promotion and prevention to habilitation and rehabilitation. Using physical activity as its underpinning approach, there are clear gaps to fill within the spheres of non-communicable disease, maternal and child health, aging populations, HIV/AIDS, musculoskeletal disorders and injuries, and mental health, to name a few. Thus in this discussion paper we propose that, as a component of collaborative interdisciplinary care and with contextually adapted and locally rooted services, physical therapy is an important health profession for health systems in low-income countries.

  • 3631.
    Widarsson, Margareta
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Asp, Margareta
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Letterstål, Anna
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Karolinska Institutet, Stockholm, Sweden.
    Källestedt Södersved, Marie Louise
    Uppsala University, Region Västmanland, Västerås, Sweden.
    Newly graduated swedish nurses’ inadequacy in developing professional competence2020In: Journal of Continuing Education in Nursing: Continuing Competence for the Future, ISSN 0022-0124, E-ISSN 1938-2472, Vol. 51, no 2, p. 65-74Article in journal (Refereed)
    Abstract [en]

    Background: The learning process for student and recently graduated nurses during their transition to professional nursing is stressful and challenging. The aim of this study was to describe recent graduates’ experiences of developing professional competence in their basic nursing program and during their first year. Method: A qualitative descriptive design with an inductive approach based on interviews with 11 nurses, with a qualitative content analysis. Results: Recently graduated nurses experience shortages and struggle to develop their professional competence. They find that reflection is a fundamental tool in the process of professional competence development. The competence gap is not between theoretical and practical knowledge, but rather between the university and health care organizations. Conclusion: Focusing on the intertwining of theoretical and practical knowledge can bridge the gap between these two organizations and create a foundation for lifelong learning of professional competence. Creating opportunities for reflection is central to the learning process. 

  • 3632.
    Widarsson, Margareta
    et al.
    Uppsala University, Uppsala, Sweden.
    Engström, G.
    Florida Atlantic University, United States.
    Tydén, T.
    Uppsala University, Uppsala, Sweden.
    Lundberg, P.
    Uppsala University, Uppsala, Sweden.
    Marmstål Hammar, Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    'Paddling upstream': Fathers' involvement during pregnancy as described by expectant fathers and mothers2015In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 24, no 7-8, p. 1059-1068Article in journal (Refereed)
    Abstract [en]

    Aims and objectives: To describe the perspectives of expectant mothers and fathers on fathers' involvement during pregnancy. Background: Becoming a father is a major life event and paternal involvement during pregnancy has a positive influence on the family. However, research into both expectant mothers' and fathers' perspectives on fathers' involvement during pregnancy is relatively scarce. Design: A descriptive qualitative study was used. Methods: Thirty expectant parents (20 women and 10 men) were interviewed either as part of one of four focus groups or in an individual interview. Qualitative content analysis was performed on the interview transcripts. Results: A theme of 'Paddling upstream' emerged as an expression of the latent content of the interviews concerning perspectives on fathers' involvement. Five sub-themes described the manifest content: trying to participate, trying to be understanding, trying to learn, trying to be a calming influence and trying to find a balanced life. Expectant parents suggested several ways to improve fathers' involvement and to meet parents' need for shared involvement. Conclusion: Expectant mothers and fathers wanted the father to be more involved in the pregnancy. Although fathers attempted different strategies, they did not always perceive what was expected of them and encountered many barriers as they tried to navigate through this unique experience. The best support for the father was the mother. Expectant parents wanted their healthcare to include the father more thoroughly and to focus on the whole family. Relevance to clinical practice: Prenatal care professionals can overcome barriers that prevent paternal involvement. Although fathers are not able to engage in the pregnancy on the same level as the mother, we suggest that their specific needs also be recognised through an increased awareness of gender norms in healthcare.

  • 3633.
    Widarsson, Margareta
    et al.
    Uppsala University, Sweden.
    Engström, Gabriella
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Rosenblad, A.
    Uppsala University, Sweden.
    Kerstis, B.
    Uppsala University, Sweden.
    Edlund, B.
    Uppsala University, Sweden.
    Lundberg, P.
    Uppsala University, Sweden.
    Parental stress in early parenthood among mothers and fathers in Sweden2013In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 27, no 4, p. 839-847Article in journal (Refereed)
    Abstract [en]

    Background: Parental stress affects parenting behaviour and the quality of dyadic parent-child interactions. Mothers generally show higher parental stress than fathers. Aims: Our aims were to assess the perceived level of parental stress in early parenthood and examine the differences between mothers and fathers within couples in relation to their levels of education, parental experience, existence of a parental role model and sense of coherence. Methods: In total, 307 mothers and 301 fathers of 18-month-old children answered the Swedish Parenthood Stress Questionnaire (SPSQ); and 318 mothers and 311 fathers answered the Sense of Coherence (SOC-3) scale; 283 couples answered both the SPSQ and SOC-3. Results: Mothers perceived higher levels of stress than fathers in the sub-areas incompetence (p < 0.001), role restriction (p < 0.001), spouse relationship problems (p = 0.004) and health problems (p = 0.027), and in total (p = 0.001). In contrast, fathers perceived higher stress than mothers in the sub-area social isolation (p < 0.001). When the data were stratified with respect to education, parental experience, existence of a parental role model and sense of coherence, significant results were observed in some of these sub-areas. Conclusions: Mothers and fathers experience stress in different areas during their early parenthood. Healthcare professionals should be aware of the differences in stress that exist between mothers and fathers, so that parents can be adequately prepared for parenthood and avoid parental stress. 

  • 3634. Widarsson, Margareta
    et al.
    Kerstis, Birgitta
    Sundquist, Kristina
    Engström, Gabriella
    Mälardalen University, School of Health, Care and Social Welfare.
    Sarkadi, Anna
    Support Needs of Expectant Mothers and Fathers: A Qualitative Study2012In: The Journal of Perinatal Education,, ISSN 1058-1243, Vol. 21, no 1, p. 36-44Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to describe expectant mothers' and fathers' perceived needs of support during pregnancy. Twenty-two women and 10 men were interviewed in four focus groups and 13 individual interviews. Systematic text condensation was performed to analyze the data. Parents described not only a broad spectrum of social support needs but also needs of psychological and physical support. They also requested to share their experiences with others. The foci of care and parents' needs of support are more harmonized with medical support than with psychological and emotional support. Mothers' needs were predominately addressed in the health services, but fathers often felt “invisible.“ Antenatal services may need to offer more customized individual support and emphasize peer support in groups; the challenge is to involve both parents through communication and encouragement so they can support each other. 

  • 3635.
    Widarsson, Margareta
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Nohlert, E.
    Centre for Clinical Research, Uppsala University Västmanland County Hospital, Sweden.
    Öhrvik, J.
    Uppsala Univ, Vastmanland Cty Hosp, Ctr Clin Res, Uppsala, Sweden; Department of Medicine, Karolinska Institutet, Sweden.
    Kerstis, Birgitta
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Parental stress and depressive symptoms increase the risk of separation among parents with children less than 11 years of age in Sweden.2019In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 47, p. 207-214Article in journal (Refereed)
    Abstract [en]

    Aims: Parental separations have become more frequent in recent decades. In Western countries, about 25% of children experience parental separation. There is a need to explore the risk factors for separation to give children an optimal childhood. The objective of the present study was to examine parental stress and depressive symptoms during early parenthood and their association with parental separation. Methods: Four hundred and seven couples completed questionnaires on depressive symptoms for 3 months and parental stress for 18 months after childbirth. Total parental stress and five sub-areas were investigated. To study the separation rate, parents’ addresses were recorded 9 to 11 years after childbirth. Results: Twenty-nine percent of the parents were separated 9 to 11 years after childbirth. Separation was associated with depressive symptoms at 3 months (mothers p =.002, fathers p =.025) and total parental stress at 18 months after childbirth (mothers p =.010, fathers p =.005). The sub-areas of parental stress, Spouse relationship problems (mothers p = <.001, fathers p =.001) and fathers’ Social isolation (p =.005), were associated with separation. In multivariable regression analyses of the parents’ separation rate 9 to 11 years after childbirth, the only significant predictor was mothers’ Spouse relationship problems (p <.001). Conclusions: The knowledge that parental stress and depressive symptoms are risk factors for separation may simplify professional support for parents in early parenting. Courses for new and expectant parents can use this knowledge to increase parents’ awareness

  • 3636.
    Widegren, Ann
    Mälardalen University, School of Health, Care and Social Welfare.
    Anhörigvårdares upplevelser av ACTION-IT-baserat anhörigstöd i Västerås: - en intervjustudie2008Independent thesis Advanced level (degree of Magister), 10 points / 15 hpStudent thesis
    Abstract [sv]

    I Sverige ökar antalet anhörigvårdare, detta leder till ökande behov av stöd och information. Att vara anhörigvårdare är oftast en livsuppgift där de positiva upplevelserna är övervägande. Dock upplever många anhörigvårdare känslor som ensamhet, stress, oro, skuld och minskat socialt umgänge. Det finns olika typer av anhörigstöd. I Västerås pågår sedan 2006 projektet ACTION-IT-baserat anhörigstöd. Projektet utvärderas på olika sätt under hösten 2008 och där ingår denna uppföljning. Syftet var att beskriva anhörigvårdares upplevelser av ACTION-IT-baserat anhörigstöd i Västerås. Data insamlades genom intervjuer med sju anhörigvårdare som använt ACTION i 1-2 år och analyserades med hjälp av en kvalitativ innehållsanalys. Resultatet presenteras utifrån analysens nio kategorier av upplevelser, där dessa redovisas och förklaras: Behov av stödet, Eget ansvar, Förkovran, Gemenskap, Kraftkälla, Oro att förlora stödet, Samspel, Tidsprioritering och Tillgänglighet. Slutsatserna visar att ACTION är ett välfungerande anhörigstöd som till vis del handlar om att främja hälsa hos anhörigvårdarna. Uppföljning har belyst styrkor med anhörigstödet ACTION men även belyst de områden som behöver vidareutvecklas.

  • 3637.
    Widing, Therese
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Andersson, Therese
    Mälardalen University, School of Health, Care and Social Welfare.
    DET BOR EN MÄNNISKA BAKOM BEROENDET: Sjuksköterskans upplevelse av att vårda patienter som befinner sig i ett substansberoende.2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Patients’ who are in a substance dependency experience a constant feeling of being mistrusted and sorted as bad people instead of being seen as the human being behind the substance dependency. Previous research from a patient perspective shows major shortcomings in the treatment of patients. Stigmatization and prejudice are clearly prominent and are major barriers to achieving good and fair care. Patients describe how the staff's treatment is of great importance in the way of proper care and recovery. Aim: To describe the nurse’s experience of caring for patients with a substance dependency. Method: The chosen method is a systematic literature study with a qualitative approach based of eleven qualitative articles.  Result: The nurses’ experiences appeared in three themes; Barriers to good care, The opportunities for good care and Deficiencies in the healthcare organization. Conclusion: The nurses 'view of patients with substance dependence varied between prejudices and an understanding of the patients' situation. One reason for prejudice was insufficient education and lack of understanding of the patient’s background.  The nurses worked under conditions that made it difficult to accommodate the patients’ specific needs. Further education and knowledge of substance dependency is needed.

  • 3638.
    Widén, Rosalie
    Mälardalen University, School of Health, Care and Social Welfare.
    NYCKELN TILL FÖRSTÅELSE: En litteraturstudie om kommunikationens betydelse i demensvården2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Dementia is a disease`s which constitute memory disorder, communication difficulties and the ability to manage daily activities become reduced. The patient´s behaviour problem cause expressions like anxiety, aggression, confusion against relatives and carers. When the patient is unable to convey his desire of communication contributes the patient cannot achieve health. Misunderstandings may have arisen from what the patient has tried to convey. The patient's lifeworld cannot arrive due to the inability of the disease may cause. This means that the patient need is not being identified. Problem: There is a need for more knowledge on communication for patients living with dementia. Aim: The purpose is to describe the importance of communication to facilitate the care for patients living with dementia, from a caring perspective. Method: A literature review was conducted by ten nursing research articles in a descriptive synthesis compiled and described in the result. Results: The nurse should be aware of their approach and apply an individualized method of communication to the patient's needs can be met. Moreover, it arises as the importance of understanding of the human being behind the disease. By knowing the different methods of communication, the relationship improved. Conclusion: There is an increased need for being able to exercise skills in communication, for nurses and allow themselves to be touched by the patient by patient's resources and not just the patient's disease.

     

  • 3639.
    Wigzell Karlström, Anna
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Gustafsson, Malin
    Mälardalen University, School of Health, Care and Social Welfare.
    “VI HINNER INTE JOBBA LIKA MYCKET FÖREBYGGANDE SOM VI FÅR JOBBA MED BRANDSLÄCKNING”: En intervjustudie om elevhälsans förutsättningar att arbeta förebyggande och hälsofrämjande2019Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Previous research shows a constant increase of mental illness among children and young people since the 1980s and the statutory assignment of the student school health team includes to work preventive in order to promote the students' health. Through seven semi-structured interviews with professionals within the student school health team, this study aims to investigate how they perceive their ability to work health promotive and preventive regarding mental illness. The study has taken place in a medium sized city in the middle of Sweden and the participants are exclusively women. The result of the study shows that there are both obstacles and opportunities in the work against mental illness. The professionals' action space and the support of the organization is emphasized as acceptable and proves to be a base for the student health team to be able to fulfill its mission. There are however some shortcomings in collaboration, job descriptions and evaluations which complicates a successful work. The result thereby shows that there is a development potential in the work of the student school health team. Continued research within the subject could give the professionals better opportunities to complete their assignment and actively work to promote the mental health of children and young people.

  • 3640.
    Wihlman, Thomas
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Creating innovation in Swedish municipalities2015Conference paper (Refereed)
    Abstract [en]

    This article gives an overview of a study into innovation in welfare

    services, conducted in four Swedish municipalities. Data collection was made

    from official documents and from interviews.

    The result indicates that there were difficulties in implementing decided

    innovation policies. Major hindrances were lack of structures and support,

    understanding of the innovation concept, lacking communication but also that

    other priorities were made. The organizations as such did not prepare

    themselves for the implementation of the policies.

    The study gives insight into the difficulties of implementing innovation in

    municipal welfare services. It improves our understanding of innovation

    management and innovation processes in the municipalities studied. The study

    also contributes to the discussion of how a concept such as innovation needs to

    be adapted to the welfare services of the public sector if it should be useful. It

    also suggested that further concept development, as well as empirical studies is

    needed.

  • 3641.
    Wihlman, Thomas
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Innovation, ett svårfångat begrepp2015In: Tidningen Kulturen, ISSN 2000-7086Article in journal (Other academic)
    Abstract [sv]

    Låt blicken vandra över tidningssidorna, tv-reklamen, storföretagets årsredovisning och kommunens verksamhetsplan. Chansen är stor att ordet innovation dyker upp. I politiken framhålls vikten av svensk innovationsförmåga, innovation blir näst intill en nödvändighet för att behålla och helst öka konkurrensförmåga och välstånd.

    Innovation är dock inget nytt. Den förste som i nutida mening beskrev innovation var Joseph Schumpeter (1911, första utgåvan), österrikisk ekonom. För honom handlade det i första hand om entreprenörskap och nya affärsmöjligheter, när man till exempel använde nya material eller nya tekniker. Schumpeter menade att den offentliga sektorn saknade incitament för att bli innovativ. Ett av de stora namnen inom innovationsforskningen, Everett M Rogers, hade en betydligt mer positiv uppfattning om innovation inom offentlig sektor. I sin flitigt citerade bok Diffusion of Innovation är många exempel hämtade från den offentliga sektorn. Det handlar då i första hand om statliga åtgärder och aktiviteter, till exempel för att göra det amerikanska jordbruket mer effektivt. Här var också sociologer inblandade, så synsättet blev inte bara Schumpeters ekonomiska. Faktum är också att flera stora innovationer har uppkommit inom den offentliga sektorn, till exempel internet, eller med stöd av det offentliga.

    De olika tolkningarna och användningsområdena för oss in på själva begreppet innovation. Innovation kommer av det latinska innovare, att göra nytt. Ordet i sig fångar essensen, att göra någonting nytt eller att göra någonting på ett nytt sätt. Men i praktiken och även i forskningen finns oenighet att vad begreppet står för och dess användning har förändrats över tiden. Det som kanske bara beskrevs som en förändring tidigare skulle vi med dagens språkbruk se som en innovation. För att tränga djupare in på innovationsfältet behöver vi därför se på innovation ur två aspekter, dels utifrån den faktiska definitionen, dels vad användandet av begreppet faktiskt står för.

  • 3642.
    Wihlman, Thomas
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Innovation in Municipal Welfare Services2014Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    This thesis investigates, analyzes and discusses innovation efforts and the use and understanding of the innovation concept and related policies in municipal welfare services. There are two main themes in the study, policy and practice. It is based on interviews with employees and managers in four Swedish municipalities. Also, an analysis of related policy documents on both a national and local level was done. Methods used were document analysis, thematic analysis and critical discourse analysis.

    The results indicate differences between management levels in the view of innovation and what was achieved. Senior managers stressed the importance of innovation, but experienced obstacles in the form of old structures, ways of working, and employees lack of time for innovation. Employee innovations achieved were accordingly not acknowledged.

    Middle managers and employees experienced opportunities for employee-driven innovation (EDI). However, barriers such as time and lack of internal communication existed. The study suggests that an excessive control, insufficient empowerment and limited autonomy for employees may be of hindrance for innovation.

    Local authorities stressed the importance of innovation in strategic documents, but the dynamic resources of the municipalities were not used to support and develop innovation.

    Innovation procurement was prominent in central governmental policies, but concrete elements were otherwise missing. The documents were also influenced by New Public Management, for example on control and efficiency.

    Research on welfare services innovation is limited. The study contributes with an understanding of the challenges management meet and knowledge of what barriers and opportunities employees experience for their taking part in innovation. It also raises several fundamental questions about innovation in welfare services, such as if a different approach to innovation in welfare services may be needed as compared to other sectors or if innovation is less important in this context.

    This study develops welfare sector innovation research, from empirical knowledge to concept development and a better understanding of the conditions for innovation in welfare services. Further research is needed, addressing the question how innovation, if at all, ought to be managed within the context of welfare services.

  • 3643.
    Wihlman, Thomas
    Mälardalen University, School of Health, Care and Social Welfare.
    The innovation concept in the Public SectorIn: Innovation: Management, Policy & Practice, ISSN 1447-9338Article in journal (Refereed)
    Abstract [en]

    This study explores the concept of innovation and its use in today´s Swedish public sector. Based on interviews and critical discourse analysis it is demonstrated that the social practice of New Public Management, NPM, was highly visible on the governmental level. Rhetoric from the 80´s was used for the challenges of the future, despite the fact that research indicates that NPM has not led to increasing innovation. NPM rhetoric was less noticeable at the local government level than at the national.

    The results suggest that the concept of innovation may be understood and used very differently. It may be used internally to promote change and effectiveness in a competitive society. It may also be used as the manifestation of the hegemony of certain values and beliefs. From the interviews, it was also clear that the interpretation varied. When we interpret and study public sector innovation, we should be cognizant of these differences. 

  • 3644.
    Wihlman, Thomas
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Hoppe, Magnus
    Mälardalen University, School of Business, Society and Engineering, Industrial Economics and Organisation.
    Wihlman, Ulla
    Independent Researcher, Sweden.
    Sandmark, Helene
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Employee-driven Innovation in Welfare Services2014In: Nordic Journal of Working Life Studies, ISSN 2245-0157, E-ISSN 2245-0157, Vol. 4, no 2, p. 159-180Article in journal (Refereed)
    Abstract [en]

    There is a growing interest in both employee-driven innovation (EDI) and innovation in welfare services, but a lack of empirical studies addressing innovation from the employee perspective.

    Accordingly, this study was designed to contribute with well-grounded empirical knowledge, aiming

    to explore the barriers to and opportunities for participation in innovation experienced by employees of the Swedish welfare services. In order to reach the aim, a qualitative thematic analysis of

    27 semi-structured interviews with employees in four municipalities was performed.

    The study identified three main themes, with a great impact on the innovative performance of the studied organizations: support, including leadership and innovation processes; development, including creativity and learning; and organizational culture, which includes attitudes and communication, all essential ingredients in EDI. Experienced barriers for innovation were unclear or non-existing innovation processes with ambiguous goals, insufficient learning, and deficient organizational slack, thus creating a tension between day-to-day work and innovation and hindering reflection and exploration.

    Attitudes of colleagues and lack of communication were also barriers to implementing innovation, suggesting the need for better management support for a communicative and open culture.

    Opportunities were found, including commitment to innovation and willingness to try new ideas, but the employees must be given the mandate and sufficient time to develop the potential that emerges from continuous learning, time for reflection, and user dialogue. The conclusion was that incremental innovations existed, but the full potential of these did not benefit the entire organization due to inadequate communication and lack of innovation processes.

    The study improves our understanding of how employees regard their involvement in innovation.

    It also discusses how to make better use of employees’ resources in innovation processes andcontributes to important knowledge about EDI in the public sector. On the basis of our results, we suggest a model of EDI for use in practice.

  • 3645.
    Wihlman, Thomas
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Hoppe, Magnus
    Mälardalen University, School of Business, Society and Engineering, Industrial Economics and Organisation.
    Wihlman, Ulla
    Independent Researcher.
    Sandmark, Hélène
    Stockholm University, Sweden.
    Innovation Management in Swedish Municipalities2016In: European Journal of Workplace Innovation, ISSN 2387-4570, Vol. 2, no 1, p. 43-62Article in journal (Refereed)
    Abstract [en]

    Research on public sector innovation is still limited, and increased knowledge of innovation processes is needed. This article is a based on a study of the implementation of innovation policies in Swedish municipalities, and gives a first-hand, empirical view of some of the complexities of innovation in the public sector. The study took place in four municipalities in central Sweden. The municipalities varied in size and organisational forms. Interviews and policy documents were used for data collection.The results showed that the innovation policies were not followed by action, which may be described as not mobilizing dynamic capabilities to create innovativeness. Thus, dynamic capabilities, such as learning and HRM, Human Resource Management, were not used in conjunction with innovation. Particularly amongst senior management there was a negative attitude towards the innovative capacity of their organization. Middle management saw possibilities. However, barriers such as extensive control systems removed the focus from innovation. There was a lack of communication between senior management and middle management regarding innovation. The conclusion was that innovation, as both concept and practice, was not fully embraced by the municipalities.

    It is suggested that generative leadership, opening up communication within the organisations, especially between employees, could be beneficial, and that a common understanding and definition of the innovation concept is needed. Integration of top-down processes with bottom-up processes, such as employee-driven innovation, is also suggested.

  • 3646.
    Wihlman, Thomas
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Sandmark, Hélène
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Hoppe, Magnus
    Mälardalen University, School of Business, Society and Engineering, Industrial Economics and Organisation.
    Innovation policy for welfare services in a Swedish context2013In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 16, no 4, p. 27-48Article in journal (Refereed)
    Abstract [en]

    The aim of the study is to explore the role of public welfare services expressed in theSwedish government’s innovation policy. The focus is on municipal and county services,such as education and health care. The study is based on an analysis of 55 documentsproduced by the government and its agencies. Although innovation policy is a major issue in Sweden, and Sweden has a large public sector, research on innovation within this fieldis very limited. The results show that the municipality and county services are visible ininnovation policy when they are a driving force for innovation in the private sector. Thisapplies especially when public procurement becomes a vehicle for business innovation.Innovation is not used as a concept representing radical change and general progress ofthe public sector as such. When municipal welfare services become visible in the studieddocuments, there are often references to a need for efficiency improvements and forprocurement leading to innovation. For the public sector, including local welfare services, no coherent innovation policy is present, but this study found elements that could becomepart of an innovation policy. Policy development is important for the future, consideringthe public sector´s role in the important and increasing service sector and in the society as a whole.

  • 3647.
    Wiklund, C. A.
    et al.
    Karolinska Institutet, Stockholm, Sweden.
    Kuja-Halkola, R.
    Karolinska Institutet, Stockholm, Sweden.
    Thornton, L. M.
    Karolinska Institutet, Stockholm, Sweden.
    Bälter, Katarina
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Karolinska Institutet, Stockholm, Sweden.
    Welch, E.
    Karolinska Institutet, Stockholm, Sweden.
    Bulik, C. M.
    Karolinska Institutet, Stockholm, Sweden.
    Childhood body mass index and development of eating disorder traits across adolescence2018In: European eating disorders review, ISSN 1072-4133, E-ISSN 1099-0968, Vol. 26, no 5, p. 462-471Article in journal (Refereed)
    Abstract [en]

    Objective: Understanding the role of premorbid body mass index (BMI) in the emergence of eating disorders may be key to identifying effective prevention strategies. We explore relations between BMI and eating disorders traits in young twins. Method: The effect of BMI at age 9/12 and 15 on eating disorder traits measured using the Eating Disorders Inventory-2 (EDI) at ages 15 and 18 was examined using bivariate modelling in a longitudinal population sample of Swedish twins. Results: The correlation between BMI and EDI within individuals was stable across all ages and remained significant after adjusting for later BMI. Bivariate analysis indicated significant positive genetic correlations between BMI ages 9/12 and 15 and subsequent EDI scores. The relationship remained significant for BMI age 9/12 and EDI age 15 in the adjusted model, indicating a longitudinal association. Conclusion: Our results have implications for conceptualizing the interrelation of BMI and eating disorders across childhood and adolescence. 

  • 3648.
    Wiklund Gustin, Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Att använda sin specialistkompetens i patientens tjänst2014In: Vårdande vid psykisk ohälsa: På avancerad nivå, Lund: Studentlitteratur AB, 2014, 2, p. 457--487Chapter in book (Other academic)
  • 3649.
    Wiklund Gustin, Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Att balansera mellan värdighet och skam2014In: Vårdande vid psykisk ohälsa: På avancerad nivå / [ed] Lena Wiklund Gustin, Lund: Studentlitteratur AB, 2014, 2, p. 231-246Chapter in book (Other academic)
  • 3650.
    Wiklund Gustin, Lena
    Mälardalen University, School of Health, Care and Social Welfare.
    Att balansera mellan värdighet och skam2010In: Vårdande vid psykisk ohälsa: på avancerad nivå / [ed] Lena Wiklund Gustin, Lund: Studentlitteratur , 2010, 1, p. 217-234Chapter in book (Other academic)
70717273747576 3601 - 3650 of 3897
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