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  • 1901.
    Grevnerts, Victoria
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Johansson, Nanna
    Ersta Sköndal University College, Department of Health Care Sciences.
    100 olika sätt att räcka över ett glas vatten: Patienters negativa upplevelser av bemötandet i vården2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The nurse is dependent on both their personal and professional qualities, which are a prerequisite for making a good encounter. Encounters outcomes have a big impact and are of great significance on how the patient will experience the received care. Encounters include communication and interaction between humans. Complaints from patients regarding negative encounters in health-care are increasing according to the Patients’ Advisory Committee 2014.

    Aim: The aim of this study was to highlight patient’s negative experiences of encounters within healthcare system.

    Method: A literature review has been conducted. Ten peer-reviewed articles were searched through databases and then further analysed and complied into categories and subcategories. 

    Results: The results are presented in four categories, lack of professionalism, unconfirmed patients, insufficient information and communication and external factors that contribute to negative experiences of the encounter. The result showed that the nurses had an attitude and a behaviour that affected the encounter in a negative manner. Patients described themselves as not to being seen or listened to, which gave them a sense of being unconfirmed. Nurses were not communicating on a level where the patient felt they understood the content of information being presented, which affected the experience of the encounter. Routines, continuity and coordination were also shown to be a factor that influenced the patient’s experience of the encounter.

    Discussion: Encounters are bound to its context and are of a relational character, which makes it complex and this were discussed from Jean Watsons theory for human caring and by the consensus concept human.

  • 1902.
    Greén, Sigrid
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Komi, Jessica
    Ersta Sköndal University College, Department of Health Care Sciences.
    Homo- och bisexuella kvinnor i en heteronorm: En litteraturöversikt av homo- och bisexuella kvinnors upplevelse av mötet med vården2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Vården idag präglas av ett heteronormativt och heterosexistiskt förhållningssätt. Historiskt har kvinnlig sexualitet ofta varit tabubelagt, och många inom vården upplever svårigheter med att bemöta patienter med en annan läggning än den heterosexuella.

    Syfte: Syftet är att beskriva homosexuella och bisexuella kvinnors upplevelse av

    mötet med vården.

    Metod: En litteraturöversikt där tio artiklar rörande ämnet homo- och bisexuella kvinnor och kommunikation i en vårdkontext valts ut och analyserats enligt Fribergs (2010) metod för litteraturstudie. Den teoretiska referensramen för arbetet är Travelbees teori om mellanmänskliga relationer.

    Resultat: Fem faktorer som påverkar homo- och bisexuella kvinnors upplevelse av mötet med vården fanns:  Vårdpersonalens förhållningssätt, Vårdpersonalens attityder, Vårdpersonalens utbildning och kunskapsnivå, Faktorer av betydelse för hbt-personens beslut att komma ut och Faktorer som inverkar på kommunikationen.

    Diskussion: I dagsläget kommer nyutexaminerad vårdpersonal ut med bristfällig kunskap i frågor som rör hbt-personer. En större vikt skulle behöva läggas vid utbildning och fortbildning och det är viktigt att stävja negativa attityder som annars tenderar att spridas från generation till generation. Vidare ingår det i sjuksköterskans kompetensområde att kritiskt granska sig själv och arbeta utifrån ett etiskt förhållningssätt; en nödvändighet för att se hela människan.

    Nyckelord: Bisexuell, hbt, homosexuell, kommunikation, lesbisk, patient, sjuksköterska,   vårdrelation

  • 1903.
    Gribbe, Jessica
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Notini, Hedvig
    Ersta Sköndal University College, Department of Health Care Sciences.
    Bortbytingen - att vara nära anhörig till den av schizofreni lidande människan: en litteraturstudie2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 1904.
    Grip, Ylva
    Ersta Sköndal University College, Department of Health Care Sciences.
    Fysisk hälsa hos patienter med psykossjukdom: Specialistsjuksköterskors arbete och uppfattningar2013Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Patients with psychosis generally have poorer physical health than the general population due to symptoms of psychosis disease; lifestyle habits partly related to symptoms and side effects of antipsychotic drug treatment, which is confirmed by research. Health care has, however, failed to assist these patients in a satisfactory manner. Previous studies suggest that nurses in psychosis care are aware of the problem although beliefs regarding how nursing should be organized differ.

    Aim: The aims of this study are to describe the specialist nurses' perceptions of physical health in patients with psychosis. A further aim is to describe the health promotion work done and furthermore specialist nurses' perceptions about this work.

    Methods: Structured interviews were conducted with six nurses at five outpatient clinics in three health regions in Stockholm. The informants had worked at the present clinic at least for one year and were specialized in psychiatric nursing. The method chosen for analysis of the material was Qualitative content analysis.

    Resultats: The nurses had knowledge and awareness of the patient group as a risk group. At all clinics there were procedures and guidelines for working with patients' physical health, but not enough resources to adhere on these in a satisfactory manner. The nurses asked for more time and personnel for this work and a better collaboration with other health care clinics.

    Discussions: The results of the study was compared to previous research and to the person-centered nursing theory according to McCormack and McCance, where the theory helps to explain the results from a healthcare relationship between patient and nurse.

  • 1905.
    Grosenius, Linda
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Ricci Persson, Ania
    Ersta Sköndal University College, Department of Health Care Sciences.
    Vårdpersonalens attityder till den äldre människans sexualitet2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Sexuality is a basic need for human beings and is because of its private nature a sensitive topic. There are many prejudices about older people and sexuality, and it is not entirely socially acceptable that older people can and want to have a fulfilling sex life. Sexuality in our society is strongly associated with youth, and old age with asexuality. Many older people believe that it is the staff’s duty to bring up the topic while staff find it uncomfortable to discuss sexuality with their patients.

    Aim: The aim of this paper is to describe nursing staff’s attitudes toward the sexuality of older adults in order to understand the impact of the attitude on nursing care.

    Methods: The thesis was conducted as a literature study. Nine research articles, two of which were qualitative, were analyzed. All  were found in Cinahl, PubMed, AgeLine and Ersta Discovery.

    Results: The analysis resulted in four main themes: personal factors, education and experience, attitudes as barriers to care and the influence of workplace culture and health care environment on attitudes.

    Discussions: The results were discussed in relation to Henderson's nursing theory and the holistic perspective. In dealing with sexuality staff are influenced by prior understanding, personal values ​​and education. There is a discrepancy between theory and practice with regards to the sexuality of older people. The current healthcare environment and workplace culture also affects the ability of staff to adequately meet sexual issues and needs of the older adult.

  • 1906.
    Grosse, Julia
    Ersta Sköndal University College, Institute for Civil Society Studies.
    Forskning om tillit i Norden - innehåll, särart och tomrum2009In: Tillit i det moderna Sverige: den dumme svensken och andra mysterier / [ed] Lars Trägårdh, Stockholm: SNS förlag , 2009, 1, p. 59-89Chapter in book (Other (popular science, discussion, etc.))
  • 1907.
    Grosse, Julia
    Ersta Sköndal University College, Department of Social Work.
    Gamla bakom galler: äldre fångars levnadsförhållanden i USA, Storbritannien och Tyskland - en selektiv kunskapsöversikt2004Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 1908.
    Grosse, Julia
    Ersta Sköndal University College, Department of Social Sciences.
    Kommer tid kommer tillit?: Unga vuxnas och medelålders erfarenheter2012Doctoral thesis, monograph (Other academic)
    Abstract [en]

    Even though Sweden is considered a high trust society, research on this topic is primarily based on a few standardized survey questions. It is also known that there is a robust pattern of less trustful young people compared to older ones. Still, a satisfactory explanation of this fact is lacking. Thus, the first aim of this dissertation is to map trust among young adults and middle-aged individuals. The second aim is to examine by which factors and in what way different dimensions of trust are determined, focusing on individuals’ life course and consequently experiences. Analytical principles from the life course tradition are used as a theoretical framework.

    Data is derived from a Swedish cross-sectional nationally representative postal survey on trust, and qualitative interviews using a mixed-methods approach.

    A multi-dimensional concept of trust is suggested. Participants report relatively high levels of trust in known and unknown people, confidence in institutions, normative notions of trust, security, and trustful behaviour. Trust also seems to be structured according to a closeness principle. Young adults display lower trust levels in general. However, in some respects the pattern is reversed, particularly regarding domains they are expected to be more familiar with.

    Contrary to the well-established idea of generalised trust derived from predispositions and primary socialization, and particularised trust originating from experiences in adulthood, the results of this study suggest that unique combinations of factors, both individual characteristics and experiences, might explain each of the different dimensions. Often there is a sphere-specific relationship between experiences and later trust, i.e. experiences from one sphere of life seem to exclusively affect trust within the same sphere. It is suggested that as people grow older they accumulate what is called experience capital, which might benefit trust and contribute to an explanation of the age differences.

  • 1909.
    Grosse, Julia
    Ersta Sköndal University College, Institute for Civil Society Studies.
    Nonprofitorganisationer inom vård och omsorg: en explorativ genomgång av kunskapsläget i Sverige, Kanada och Storbritannien2005Report (Other academic)
  • 1910.
    Grosse, Julia
    Ersta Sköndal University College, Department of Social Work.
    Nonprofitorganisationer inom vård och omsorg: en kunskapsöversikt2005Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 1911.
    Grosse, Julia
    Ersta Sköndal University College, Institute for Civil Society Studies.
    Nordisk tillitsforskning: en kartläggning och värdering av det vetenskapliga läget2007Report (Other academic)
  • 1912.
    Grosse, Julia
    Ersta Sköndal University College, Institute for Civil Society Studies.
    Relationships between Social Capital and Trust: a Typology2008In: Perspectives on Social Capital and Social Inclusion, 2008Conference paper (Other academic)
    Abstract [en]

    There is confusion about the conceptual relationship between trust and social capital and classification and grading of the connections between these concepts is lacking. It is argued that the relationship between concepts of social capital and concepts of trust needs to be strengthened. The objective of this study is to explore the relation-ship between social capital and trust in various theoretical and empirical studies of social capital and to develop a classification system for grading existing concepts/conceptual fragments. A qualitative review of the research on social capital and trust within such disci-plines as sociology, political science and economics is conducted. The results show that there is a strong distinction between the subset and the input-output view. It is argued that locating the problem is necessary in order to avoid category mistakes and validity problems. It is suggested that the different categories should be treated separately instead of integrating them and that one should be explicit about it. The conclusions are that awareness of different categories allows one to pinpoint one’s position and movements on the “conceptual map”. Further one conceivable classification of existing ideas about the relationship between social capital and trust might be the one into subsets and input-output including a range of specific sub-ordinate categories. It is also concluded, that measurement issues are in focus for the subset view; explanation for the input-output view.

  • 1913.
    Grosse, Julia
    Ersta Sköndal University College, Institute for Civil Society Studies.
    Rädda Barnen - en organisation i förändring: en studie om barnrättsaktiviteter på det lokala planet2007Report (Other academic)
  • 1914.
    Grosse, Julia
    Ersta Sköndal University College, Institute for Civil Society Studies.
    Volontärprogram riktade till ungdomar: en introduktion till ett nygammalt fenomen2006Report (Other academic)
  • 1915.
    Grosse, Julia
    et al.
    Ersta Sköndal University College, Institute for Civil Society Studies.
    Warming, Hanne
    Trust Building and Violation During Childhood Consequences for Children’s Wellbeing and Dispositions for Trust in Later Life2012In: Participation, citizenship and trust in children's lives / [ed] Hanne Warming, Basingstoke: Palgrave Macmillan, 2012, p. 52-72Chapter in book (Other academic)
  • 1916.
    Grossi, Giorgio
    et al.
    Psykologiska Institutionen, Stockholms universitet.
    Perski, Aleksander
    Psykologiska Institutionen, Stockholms universitet.
    Ekstedt, Mirjam
    Ersta Sköndal University College, Department of Health Care Sciences.
    Johansson, Thorbjörn
    Lindström, Morie
    Holm, Karin
    The morning salivary cortisol response in burnout.2005In: Journal of Psychosomatic Research, ISSN 0022-3999, E-ISSN 1879-1360, Vol. 59, no 2, p. 103-11Article in journal (Refereed)
    Abstract [en]

    The results of the present study indicate a dysregulation in hypothalamic-pituitary-adrenocortical axis (HPA axis) activity, characterised by elevated morning salivary cortisol levels, among female burnout patients. Among males, increased cortisol levels were observed among participants with moderate levels of burnout, but not among patients or healthy controls.

  • 1917.
    Grujic, Danko
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Silva, Alan
    Ersta Sköndal University College, Department of Health Care Sciences.
    Omvårdnadsproblem relaterade till polyfarmaci hos äldre2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    BackgroundThe development of various medicines and treatments has resulted in better treatment for the elderly that has led to a longer life. Because the elderly often suffer from various diseases, they consume more drugs than other age groups. At the same time, the presence of different drug therapies, defined as polypharmacy, increases the risk of adverse effects that can affect the patient's well-being and quality of life. It is therefore important to illuminate the nursing problems that may arise associated with polypharmacy. Through the identification of these problems, the nurse can be able to prioritize and manage nursing actions that benefit the elderly security and wellbeing.

    AimIlluminate nursing problems related to polypharmacy in the elderly.

    MethodsThis paper has been carried out as a literature review. The content acquired through the compilation of available studies in the chosen problem area. The choice of material included articles written in english and included people aged 65 years and older treated with polypharmacy.

    ResultsThe result is based on 12 reviewed articles that illustrate associations between polypharmacy and nursing problems. Nursing problems that have emerged in this study include risk of falls, malnutrition, function disability, confusion and lack of adherence.

    Discussion: The relationship between polypharmacy and nursing problems can be complicated to determine. The difficulty is due to the fact that polypharmacy lacks a clear definition. In addition, polypharmacy is seen in many cases only as a risk factor in the crowd, rather than a unique cause of various problems.

  • 1918.
    Grusell, Annelie
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Pirzadeh, Jeerawan
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Vårdrelationen mellan sjuksköterska och patient med sustansbrukssyndrom: Litteraturöversikt2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Patients with substance use disorder often have complex problems and the nurse needs knowledge and compassion to make the care relationship work. The nurse needs to handle both her own and the patient's feelings in order for the care relationship to work. The nurse needs to support the patient as he or she finds a healthy lifestyle without substance use.

    A functioning care relationship between nurse and patient with substance use disorder is important for the care to work successfully.

    Aim:

    The aim of the study was to describe the care relationship between nurse and patient with substance use disorder from a nursing perspective.

    Method:

    A literature review was chosen as method. The article search was conducted in   the databases PubMed and Cinahl. In total, 18 original scientific articles were included in the results.

    Results:

    The results showed that attitude and perspective as well as negative experience   affect the relationship between nurse and patient with substance use disorder. The nurse experiences difficulties related to lack of knowledge and patients' manipulative behavior.

    Conclusions:

    The care relationship between the nurse and patient with substance use disorder can be improved by providing support and education for nurses in their professional role.

  • 1919. Grände, Josefin
    et al.
    Lundberg, Lisa
    Stockholms universitet.
    Eriksson, Maria
    Mälardalens högskola.
    I arbete med våldsutsatta kvinnor: En handbok för yrkesverksamma2014 (ed. 3)Book (Other (popular science, discussion, etc.))
  • 1920.
    Gräske, Daniella
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Manzanares, Claudia
    Ersta Sköndal University College, Department of Health Care Sciences.
    Kvinnors upplevelser vid en hjärtinfarkt: en litteraturstudie2004Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 1921.
    Gråberg, Charlotta
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Nilsson, Malin
    Ersta Sköndal University College, Department of Health Care Sciences.
    Patienters och sjuksköterskors erfarenheter av tvång i psykiatrisk vård: En litteraturöversikt2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 1922.
    Grönberg, Emmy
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Hultén, Natalia
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Att leva med bipolär sjukdom: En litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Bipolar disease is characterized by a state of mind that commutes between high and low mood swings. The variating episodes contribute to a complex life situation for the patient. The patient’s symptoms are used for diagnosing bipolar disorder and treatment is primarily pharmacological treatment and psychotherapy commonly used when needed. Furthermore good cooperation between relatives, patients and healthcare professionals are required. This is essential so that the patient can receive adequate support and also increase presumptions for good compliance with treatment. 

    Aim: The purpose was to illustrate patients’ experiences of living with bipolar disorder.

    Method: This essay is a literature review and eleven scientific articles with qualitative method have been analyzed.  

    Results: Based on the analysis, five main themes were created with associated subtheme. Five main themes emerged: The social context, Identity and loss of control, The experience of disease symptoms, Becoming stigmatized and Being medicated- An ambivalent experience. The result shows that patients experienced insufficient knowledge from the environment regarding bipolar disorder which has led to isolation and a sense of identity loss in patients. 

    Discussion: Bipolar disorder requires in many cases a strong social network in order for the patients to receive support in their management of the disease and the environment can contribute with both positive and negative experiences for the patient. In order for the patient to receive adequate support, bipolar disorder requires knowledge and understanding from the environment as well as healthcare professionals. Phil Barker's Nursing Theory illustrates collaboration with relatives and evidence-based tools, that focus on the patient's story, as crucial parts of the patient's nursing process.

  • 1923.
    Grönberg Sandin, Fanni
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Thunberg, Elin
    Ersta Sköndal University College, Department of Health Care Sciences.
    Hur patienter med kronisk smärta upplever sjuksköterskans bemötande: en litteraturstudie2007Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 1924.
    Grönlund, Catarina Fischer
    et al.
    Umeå universitet.
    Dahlqvist, Vera
    Ersta Sköndal University College, Department of Health Care Sciences.
    Zingmark, Karin
    Luleå tekniska universitet.
    Sandlund, Mikael
    Umeå universitet.
    Söderberg, Anna
    Umeå universitet.
    Managing Ethical Difficulties in Healthcare: Communicating in Inter-professional Clinical Ethics Support Sessions.2016In: HEC Forum, ISSN 0956-2737, E-ISSN 1572-8498, Vol. 28, no 4, p. 321-338Article in journal (Refereed)
    Abstract [en]

    Several studies show that healthcare professionals need to communicate inter-professionally in order to manage ethical difficulties. A model of clinical ethics support (CES) inspired by Habermas' theory of discourse ethics has been developed by our research group. In this version of CES sessions healthcare professionals meet inter-professionally to communicate and reflect on ethical difficulties in a cooperative manner with the aim of reaching communicative agreement or reflective consensus. In order to understand the course of action during CES, the aim of this study was to describe the communication of value conflicts during a series of inter-professional CES sessions. Ten audio- and video-recorded CES sessions were conducted over eight months and were analyzed by using the video analysis tool Transana and qualitative content analysis. The results showed that during the CES sessions the professionals as a group moved through the following five phases: a value conflict expressed as feelings of frustration, sharing disempowerment and helplessness, the revelation of the value conflict, enhancing realistic expectations, seeing opportunities to change the situation instead of obstacles. In the course of CES, the professionals moved from an individual interpretation of the situation to a common, new understanding and then to a change in approach. An open and permissive communication climate meant that the professionals dared to expose themselves, share their feelings, face their own emotions, and eventually arrive at a mutual shared reality. The value conflict was not only revealed but also resolved.

  • 1925.
    Grönlund, Catarina Fischer
    et al.
    Umeå universitet.
    Söderberg, Anna
    Umeå universitet.
    Dahlqvist, Vera
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Andersson, Lars
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Isaksson, Ulf
    Umeå universitet.
    Development, validity and reliability testing the Swedish Ethical Climate Questionnaire.2019In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, article id 969733018819122Article in journal (Refereed)
    Abstract [en]

    BACKGROUND:: An ethical climate has been described as a working climate embracing shared perceptions about morally correct behaviour concerning ethical issues. Various ethical climate questionnaires have been developed and validated for different contexts, but no questionnaire has been found concerning the ethical climate from an inter-professional perspective in a healthcare context. The Swedish Ethical Climate Questionnaire, based on Habermas' four requirements for a democratic dialogue, attempts to assess and measure the ethical climate at various inter-professional workplaces. This study aimed to present the construction of and to test the psychometric properties of the Swedish Ethical Climate Questionnaire.

    METHOD:: An expert group of six researchers, skilled in ethics, evaluated the content validity. The questionnaire was tested among 355 healthcare workers at three hospitals in Sweden. A parallel analysis (PA), an exploratory factor analysis and confirmatory factor analysis were performed.

    ETHICAL CONSIDERATIONS:: The participants included in the psychometric analysis were informed about the study, asked to participate in person and informed that they could withdraw at any time without giving any reason. They were also assured of confidentiality in the reporting of the results.

    FINDINGS:: The parallel analysis (PA) recommended one factor as a solution. The initial exploratory factor analysis with a four-factor solution showed low concordance with a four-factor model. Cronbach's alpha varied from 0.75 to 0.82; however, since two factors only consisted of one item, alpha could not be reported. Cronbach's alpha for the entire scale showed good homogeneity (α = 0.86). A confirmatory factory analysis was carried out based on the four requirements and showed a goodness-of-fit after deleting two items. After deletion of these items, Cronbach's alpha was 0.82.

    DISCUSSION:: Based on the exploratory factor analysis, we suggest that the scale should be treated as a one-factor model. The result indicates that the instrument is unidimensional and assesses ethical climate as a whole.

    CONCLUSION:: After testing the Swedish Ethical Climate Questionnaire, we found support for the validity and reliability of the instrument. We found the 10-item version of Swedish Ethical Climate Questionnaire satisfactory. However, we found no support for measuring different dimensions and, therefore, this instrument should be seen as assessing ethical climate as of whole.

  • 1926.
    Grönlund, Catarina Fischer
    et al.
    Umeå universitet.
    Söderberg, Anna
    Umeå universitet.
    Dahlqvist, Vera
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sandlund, Mikael
    Umeå universitet.
    Zingmark, Karin
    Luleå tekniska universitet.
    Communicative and organizational aspects of clinical ethics support.2018In: Journal of Interprofessional Care, ISSN 1356-1820, E-ISSN 1469-9567, p. 1-10Article in journal (Refereed)
    Abstract [en]

    Studies show that healthcare professionals need inter-professional clinical ethics support (CES) in order to communicate and reflect on ethically difficult care situations that they experience in their clinical practice. Internationally, various CES interventions have been performed, but the communication processes and organisation of these interventions are rarely described in detail. The aim of this study was to explore communicative and organisational conditions of a CES intervention with the intention of promoting inter-professional communication about ethically difficult care situations. Eight audio- and video-recorded inter-professional CES sessions, inspired by Habermas' theory of communicative actions, were conducted. The observations were transcribed, sorted, and analysed using concept- and data-driven content analysis methods. The findings show three approaches to promoting communicative agreement, which include the CES facilitators' and participants' approaches to promoting a permissive communication, extended views, and mutual understanding. The CES sessions had organizational aspects for facilitating communicative agreement with both a given structure and openness for variation. The dynamic structure of the organization, promoted both safety and stability as well as a creativity and responsiveness, which in turn opened up for a free and dynamic inter-professional dialogue concerning ethically difficult care situations. The findings constitute a step towards a theory-based CES method inspired by Habermas' theory of communicative action. Further research is needed in order to fully develop the method and obtain increased knowledge about how to promote an inter-professional dialogue about ethically difficulties.

  • 1927.
    Gudmarsdotter, Anna
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Falk, Charlotte
    Ersta Sköndal University College, Department of Health Care Sciences.
    Sjuksköterskans arbete med motiverande samtal vid livsstilsförändringar: En litteraturöversikt2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Livsstilsrelaterad ohälsa är ett stort samhällsproblem både i Sverige och i övriga världen. Sjukvården står inför en stor utmaning att komma till rätta med de sjukdomar och det lidande som orsakas av en ohälsosam livsstil. Sjuksköterskor har en viktig roll i mötet och behandlingen av patienter som lider av livsstilsrelaterad ohälsa. Motiverande samtal är en klinisk praktiserad och erkänd metod för att hjälpa människor att ändra sitt beteende.  

    Syfte: Att belysa sjuksköterskans användning och erfarenhet av motiverande samtal i praktiken med patienter som är i behov av livsstilsförändring.   

    Metod: Metoden som använts är litteraturöversikt. Tio vetenskapliga artiklar har granskats och använts för att besvara syftet.  

    Resultat: I resultatet framkom två huvudteman. Det första temat, hur MI används, beskriver vikten av utbildning och hur utbildning i MI står i relation till det kliniska användandet samt i vilken utsträckning MI-metoden används. Det andra temat, erfarenheter, beskriver sjuksköterskors erfarenheter av att arbeta med MI.  

    Diskussion: Diskussionen fördes utifrån Rosemarie Rizzo Parses teori om Human becoming och relevant litteratur.

  • 1928.
    Guevara, Sari
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Lindroos, Catrine
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Att handskas med en förändrad livssituation: En litteraturöversikt över närståendes erfarenheter av att hantera livet tillsammans med någon med psykisk ohälsa2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Mental illness is something that affects many people and it is the most common reason for sick leave in Sweden. Except for changed life circumstances regarding the patient, it may also have negative or positive effects on relatives. Relatives to patients suffering from mental illness may experience challenging life circumstances and various kinds of burdens. It is also common for relatives to receive a role as an informal caregiver.

    Aim: Based on relative's experiences, the aim of this study was to explore how relatives manage life together with someone with mental illness.

    Method: A literature overview was conducted. In the search for articles three different databases were used. The work is based on twelve articles with qualitative, quantitative and mixed-method design. Roy's Adaptation Model was used as a theoretical framework.

    Results: The results describe how relatives manage and process their life, which is being described from the overall theme adaption along with the sub-themes acceptance, change and enhanced knowledge, control and balance, alienation and a search for support. A search for support and acceptance was most prominent regarding to how relatives managed their life. An example of this could be that relatives accepted the current situation as it was or searched for support within the family or from friends.

    Discussion: The results are being discussed on the basis of Roy's Adaptation Model and its four adaptive modes; physiologic-physical, self-concept, role function and interdependence.

  • 1929.
    Guillen Kindelan, Taylina
    et al.
    Ersta Sköndal University College, Department of Social Sciences.
    Klockar, Jeanette
    Ersta Sköndal University College, Department of Social Sciences.
    Fokusgruppsstudie av socialarbetares uppfattningar om massmediers framställningar av och påverkan på socialt arbete och profession2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Denna uppsats syftar till att undersöka socialarbetares uppfattningar om massmediers framställningar av och påverkan på socialt arbete och professionen.

    Vi har genom kontakter fått tag på samtliga respondenter. Urvalet har skett genom ett snöbollsurval då vi var ute efter en specifik målgrupp, socialarbetare som arbetar inom Socialtjänsten. Respondenterna har i fokusgrupper fått diskutera om sina egna uppfattningar av socialt arbete och massmedia utifrån tre artiklar som berör socialt arbete. En fokusgruppsguide utformades och användes som stöd vid fokusgrupperna. Fokusgruppsguiden berörde teman såsom hur de uppfattar att massmedier framställer socialt arbete och socialarbetare, om de uppfattar att massmedier påverkar socialt arbete och socialarbetare och hur de skulle vilja att massmedier framställer socialt arbete och socialarbetare.

    Socialarbetarnas uppfattningar av massmediers framställningar var att det övervägande var negativa. Framställningarna ansågs bidra till okunskap och skandalisering av yrket. Socialarbetarna uppfattade att massmediers framställningar bidrog till ett avstånd mellan det sociala arbete och allmänheten genom moralisk panik. Socialarbetarnas uppfattningar om massmedier påverkan var att de ansåg att det påverkar såväl socialarbetarna, allmänheten och andra professioners syn på det sociala arbetet. Resultatet visade även på att massmediers framställningar påverkar på både individnivå och organisatorisk nivå. Massmediers framställningar påverkar allmänheten genom att det som sätts på dagordningen även blir viktiga frågor för allmänheten. Socialarbetarnas uppfattningar om allmänheten i relation till massmediers framställningar var att allmänhetens uppfattningar var både positiva och negativa till socialt arbete. Socialarbetarnas uppfattningar om vilka bakgrundsfaktorer det finns till massmediers framställningar var att de trodde att mycket berodde på okunskap. Deras uppfattning var att allmänheten, massmedia och andra professioner har väldigt dålig insyn i yrket. Allmänheten har hög tilltro till vad massmedier förmedlar vilket massmedier ofta använder i säljande syfte. Socialarbetarnas uppfattningar om hur de skulle vilja framställas i massmedier var att de önskade att en mer nyanserad och neutral bild förmedlades till allmänheten. Fokusgrupperna ansåg att massmedia skulle kunna användas till att marknadsföra och sprida kunskap kring yrket.

  • 1930.
    Guirao, Monica
    et al.
    Ersta Sköndal University College, Department of Social Work.
    Gustavsson, Carina
    Ersta Sköndal University College, Department of Social Work.
    "...att man har en modell helt enkelt.": en kvalitativ studie om praktikers erfarenheter av Trappan-modellen2005Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 1931. Gullberg, Eva
    et al.
    Kassman, Anders
    Ersta Sköndal University College, Institute for Civil Society Studies.
    Waltersson, Kent
    Ungdomar, civilsamhälle och stat: en undersökning om historiska relationer och en studie av samtida teorier om främjande ungdomsarbete2009Report (Other academic)
  • 1932.
    Gullberg-Ceesay, Efva
    et al.
    Ersta Sköndal University College, Department of Social Work.
    Lindgren, Christina
    Ersta Sköndal University College, Department of Social Work.
    Familjevårdskonsulenterna: en vinstdrivande privat människovårdande organisation på den offentliga arenan : utredning och samverkan som vårdform för personer med dubbla diagnoser2001Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 1933.
    Gullholm, Maria
    et al.
    Ersta Sköndal University College, Institutionen för socialvetenskap.
    Vikner, Mia
    Ersta Sköndal University College, Institutionen för socialvetenskap.
    En studie om socialsekreterares tankar om stress och återhämtning2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 1934.
    Gummesson, William
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Jonsson, Anders
    Ersta Sköndal University College, Department of Health Care Sciences.
    Tvång som vård: Patienters upplevelser av tvångsvård och tvångsåtgärder – en litteraturöversikt2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background For patients in need for psychiatric care who refuse treatment, coercive care might be necessary due to The Law of Psychiatric Compulsory Care, LPT. The purpose of this law is to make sure the patient later on will be able to increase autonomy. The most frequent patients in coercive care suffer from psychosis, heavy depression or having high risk of committing suicide. One of the most important tasks in the nurse profession is to increase patients’ autonomy. Therefore having ethical judgment is necessary to know when to use paternalism. To take note of patients’ experiences may increase awareness, making care more patient-centered.

    Aim To describe patients’ experiences of coercive care and coercive interventions in psychiatric care.

    Method A literature review has been conducted in order to compile what is currently known about the topic at hand. The result is based on ten scientific articles with findings responding to the aim of this study. The articles have been analyzed by identifying similarities and differences that have synthesized to a new whole.  

    Result The literature review yielded a profound view of patients’ experiences when being in coercive care. Three main themes were found to cover the phenomenon. Those were Coercive Care - limits and possibilities, The care relationship is fundamental and From abuse to life saving.

    Discussion The result has been discussed using the theory about Care Suffering, as described by Katie Eriksson. This theory is applicable on the context of interest. The findings has also been discussed using earlier studies concerning coercive care, as well as studies emphasizing the perspective of the nurse’s using coercive restraint.

    Key words Coercive care, coercive interventions, psychiatric care, patients’ experiences.

  • 1935.
    Gunnarsson, Catarina
    Ersta Sköndal University College, St Lukas Educational Institute.
    Psykoterapins plats i offentligt finansierad sjukvård: Om mellanchefers attityder till psykoterapi som behandlingsform2012Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    This exploratory study is based on an interest in the interaction between clinical routine and the surrounding community. Seven middle managers in health care centers and psychiatric clinics were interviewed to examine their beliefs and attitudes about psychotherapy as a treatment, such as their thoughts on psychotherapy effectiveness and availability as well as their awareness of and attitudes to a growing emphasis on evidence-based care. Questions: 1. How do you describe the heads psychotherapy as a treatment and what attitudes they have to psykoterapi.2. How managers experience psychotherapy conditions, for example on the boundary issues and evidence-based care, and what attitudes they have. Through semistructured interviews, a survey of the sample space made by the responses was categorized into the areas that emerged during the interviews. The managers had a positive view of psychotherapy and found that psychotherapy is needed as a form of treatment. Their knowledge regarding psychotherapy and its terms varied. Mistrust between policy makers and clinicians were described, as well as the desire for a variety of treatment methods. Conclusions included the need to find ways to integrate different types of knowledge, to build trust between healthcare stakeholders.

  • 1936.
    Gunnarsson, Fia
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Hedin Ribeiro, Elisabet
    Ersta Sköndal University College, Department of Health Care Sciences.
    Ett gott skratt förlänger livet: en litteraturanalys om humor i omvårdnaden2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 1937. Gunnarsson, H
    et al.
    Öhlén, Joakim
    Göteborgs universitet.
    Spouses grief before the patient's death: retrospective experiences related to palliative home care in urban Sweden2006In: Mortality, ISSN 1357-6275, E-ISSN 1469-9885, Vol. 11, no 4, p. 336-51Article in journal (Refereed)
  • 1938.
    Gunnarsson, Karin
    Ersta Sköndal University College, Institutionen för omvårdnad.
    Parse´s human becoming theory: ett omvårdnadsperspektiv utifrån en humanvetenskaplig världsbild1998Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 1939.
    Gunnarsson, Maria
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Strinnlund, Elin
    Ersta Sköndal University College, Department of Health Care Sciences.
    Från sjuksköterskestudent till legitimerad sjuksköterska: En litteraturöversikt om upplevelser av transition från utbildning till profession i Sverige2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The nursing profession requires both theoretical and practical knowledge, judgment and critical thinking. The work as a nurse in a constantly changing health care context, can be troublesome and the transition from student to registered nurse may become a reality shock. To give the nurse a solid base and conditions to be able to provide good and safe care, suggestions have been made regarding training and professional induction in attempt to reduce the gap between the education and professional practice.

    Aim: To describe nursing students and registered nurses' experiences in transition from education to profession.

    Method: A literature review with a result based on twelve scientific articles, of which nine were qualitative and three quantitative.

    Results: The results revealed three main themes: Developing personal prerequisites and characteristics, with two subthemes: Identity and self-esteem in the professional role and Problem solving ability and ability to prioritize, Training and preparation before the nursing profession with two subthemes: Being trained to provide good and safe care and To be trained and prepared of the leadership role and The psychosocial working environment with three sub-themes: Preconditions of the organization, Support and mentoring and An accepting working environment.

    Discussion: The results were discussed on the basis of the working environment and together with Benner's (1984/1993) model of nursing students´ and registered nurses´ development from novice to expert. The results were compared with other relevant literature related to the transition and how it can be facilitated by support, mentoring and reflection.

  • 1940. Gustafsson, Barbro
    et al.
    Andersson, Lars
    Ersta Sköndal University College, Department of Health Care Sciences.
    "The Nine-Field-Model" for Evaluation of Theoretical Constructs in Nursing: Part One. Development of a new model for nursing theory evaluation and application of this model to theory description of the SAUC model2001In: Theoria : journal of nursing theory, ISSN 1400-8033, Vol. 10, no 1, p. 10-34Article in journal (Refereed)
  • 1941. Gustafsson, Barbro
    et al.
    Andersson, Lars
    Ersta Sköndal University College, Department of Health Care Sciences.
    "The Nine-Field-Model" for Evaluation of Theoretical Constructs in Nursing: Part Two. Application of the evaluation model to theory analysis, theory critique and theory support of the SAUC model2001In: Theoria : journal of nursing theory, ISSN 1400-8033, Vol. 10, no 2, p. 19-38Article in journal (Refereed)
  • 1942. Gustafsson, Barbro
    et al.
    Andersson, Lars
    Ersta Sköndal University College, Department of Health Care Sciences.
    The SAUC model for confirming nursing analysed through "the Nine-Field-Model" for evaluation of theoretical contructs in nursing2001In: Monograph - Critical Appraisal Nursing Theories in Practice, Education and Research / [ed] Ania Willman and Roland Nilsson, Stockholm: Svensk sjuksköterskefören. :Riksfören. för omvårdnadsteorier inom praktik, utbildning och forskning :Gothia [distributör] , 2001Conference paper (Other academic)
  • 1943. Gustafsson, Christine
    et al.
    Asp, Margareta
    Fagerberg, Ingegerd
    Mälardalens högskola.
    Reflection in night nursing: a phenomenographic study of municipal night duty registered nurses’ conceptions of reflection2009In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 18, no 10, p. 1460-1469Article in journal (Refereed)
    Abstract [en]

    Aim. The aim of the study was to describe nurses’ conception of reflection in their working situation. Background. To be a municipal night duty registered nurse in Sweden means to shoulder nursing care responsibility for numerous units with older people in need of care. Two night nurses share nursing care responsibility for up to 1300 people. In nursing research, reflection is an often-mentioned phenomenon discussed with advantages and benefits within the ‘traditional fields’ of nursing (hospital context). A question to ask is, how do night nurses having an untraditional amount of nursing care responsibility conceptualise and experience reflection in their working situation? Design. A phenomenographic methodology was used. Methods. Data were collected by interviewing all nurses ( n = 7) in a medium-sized municipality bordering a metropolitan area of Sweden. Results. The nurses’ conceptions of reflection are categorised as ‘Field of applications’ (an instrument for interpreting, a strategy for handling the working situation and an approach to learning) and ‘Field of prerequisites’ (presence facilitates reflection; flexibility implies reflection; courage in thought and activity increases reflection). Conclusion. The findings reveal that reflection in the nurses’ working situation is more than an instrument for learning, understanding and encouragement for change and improvement. Reflection is conceptualised as an instrument for interpreting nursing care situations, which requires courage and is facilitated by presence and flexibility. Reflection is also conceptualised as an approach to handling, managing and coping with a sometimes impossible working situation that includes nursing responsibility for hundreds of older people and can sometimes entail difficulties and stress. Relevance to clinical practice. The findings showed that reflection has a broader use than had earlier been described. Deliberate use of reflection could mean improved nursing practice. This guides nursing managers to pay attention to the phenomenon as an instrument for nursing care improvement.

  • 1944. Gustafsson, Christine
    et al.
    Asp, Margareta
    Fagerberg, Ingegerd
    Mälardalens högskola.
    Reflective practice in nursing care: embedded assumptions in qualitative studies 2007In: International Journal of Nursing Practice, ISSN 1322-7114, E-ISSN 1440-172X, Vol. 13, no 3, p. 151-160Article in journal (Refereed)
    Abstract [en]

    Qualitative nursing researchers have long recognized that reflective practice (RP) seems to be a valuable tool in nursing care. The aim of the present meta-study was to analyse current qualitative research on RP in nursing care, in order to create and synthesize the knowledge and the understanding of registered nurses' RP. Using a meta-study synthesis approach, embedded assumptions were identified in qualitative studies that have influenced the way researchers have interpreted and made sense of RP in nursing care. Despite empirical focus in research on RP in nursing care, it was found that assumptions about RP were predominantly based on theory. The reflective movement within the practice of nursing care has mainly a constructivist epistemology, based on learning from experience. The individual nurse's RP capability is essential in providing and improving ethical and holistic nursing care.

  • 1945. Gustafsson, Christine
    et al.
    Fagerberg, Ingegerd
    Mälardalens högskola.
    Reflection, the way to professional development?2004In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 13, no 3, p. 271-280Article in journal (Refereed)
    Abstract [en]

    Background. Many studies have focused on reflection and the advantages that can be gained from the practice of reflection among Registered Nurses (RNs) but, what are the implications of the nurses' reflections, what do they reflect about, and how do they deal with their reflections?

    Aims and objectives. The aim of this study was to describe the RNs' experiences of reflection in relation to nursing care situations, and to understand how RNs use reflection in their daily work. What are the implications of the nursing care situations that the RNs' reflect upon? What consequences did the practice of reflection have in nursing care situations in relation to the RNs professional development?

    Design and method. The study was carried out with interviews and the phenomenographic method. Interviews were carried out with four RNs. The choice of informants was made with purposive sampling with the aim of finding informants who could bring the kind of knowledge that was necessary for the study.

    Results. The qualitative differences regarding the RNs' experiences of reflection were categorized as follows: to reflect (to think back – consider, mirroring, to reflect before and reflect after, to use experiences), nursing care situations (ethical considerations, to have courage, to use one's imagination, empathy) and consequences (to meet the unique, empathy, development). Finally, the findings were implicated in the model of professional development.

    Conclusion. By using reflection as a tool, many advantages can be gained in the development of nursing care. Encouraging RNs to reflect upon nursing situations, in order to promote the nurse's professional development, will imply better nursing care for the patients. The model for professional development implies a simplified representation of the thoughts pertaining to professional nursing development.

    Relevance to clinical practice. The relevance for clinical practice will be to understand the contents of the RNs reflections, to recognize the advantages of reflective practice and how and when to use such measures. Furthermore, to show how the model for professional development can be used in order to create a framework for evaluating these observations and consequently, for expressing tacit knowledge.

  • 1946. Gustafsson, Christine
    et al.
    Fagerberg, Ingegerd
    Ersta Sköndal University College, Department of Health Care Sciences.
    Asp, Margareta
    Dependency in autonomous caring - night nurses' working conditions for caring in nursing2010In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 24, no 2Article in journal (Refereed)
    Abstract [en]

    Few research studies have focused on nurses' working conditions for caring provided at night, and these studies have mainly described nurses' work in hospital settings, not in a municipal, social-care context. In Swedish municipal care, nurses have responsibility for hundreds of older people in need of care. This working condition compromises caring encounters; instead the nurses' caring is mainly mediated through care staff (or relatives). In considering that caring based on caring encounters is fundamental to ethical nursing practice questions leads to the aim: to explore Swedish municipal night nurses' experiences of their working conditions for caring in nursing. All municipal night-duty nurses (n = 7) in a medium-sized community in Sweden participated in interviews, while six of them also wrote diaries. Thematic content analysis has been used in analysing the data. The findings revealed that the nurses experienced their working conditions for caring in nursing in the themes of Dependency in the Organisation and Other Staff, Vocational Responsibility, Deficiency in Conditions for Caring and Autonomous Caring. The findings illustrate privileged, as well as, poor working conditions for caring in nursing. The nurses' role as consultants emerge as their main function. The consultant function implies that nurses do not participate in ordinary bed-side caring, which makes it easier for them to find time for caring in situations that arise when nurses' skills, expertise and authority are called upon. Conversely the consultancy function entails short-term solution of complex caring problems, which can signify deficient caring due to prevailing working conditions. The findings also point to nurses' possible problems in fulfilling their own and vocational demands for ethics in the practice of caring in nursing related to existing working conditions.

  • 1947. Gustafsson, Christine
    et al.
    Fagerberg, Ingegerd
    Ersta Sköndal University College, Department of Health Care Sciences.
    Asp, Margareta
    Supportive leadership in Swedish community night nursing2010In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 18, no 7, p. 822-831Article in journal (Refereed)
    Abstract [en]

    Aim The aim of the present study was to examine the support night nurses' give to staff in community night nursing. Background Studies have shown that support given to staff is one of night registered nurses' (RNs') experiences of the meaning of caring. This support, that community RNs display for staff in night-time care, is sparsely described. Methods All community night-duty nurses in a medium-sized municipal in Sweden participated in the present study. Thematic content analysis was used to analyse data from observations. Results The support given by RNs to staff is described using three themes: (1) a conditional supporting stance, (2) preparing propitious conditions for caring and (3) confidence in the abilities of individual staff members and adaptation to their individual needs. The results reveal that RNs consider support to staff in terms of nursing leadership . Conclusions Out of 'concern for the staff' the RNs try to be there for them, which corresponds to nursing leadership. Such concern also arises from the RNs' awareness that by giving support to staff this affects the staffs' caring for older people. Implications for nursing management The current municipal social care organization of community nursing of older people in which RNs have extensive responsibilities with insufficient control, is a working condition with a risk for decreased quality of care and a high risk for work-related stress syndrome.

  • 1948.
    Gustafsson, Emma
    Ersta Sköndal University College, Department of Social Work.
    Barnavårdsutredningar: En diskursanalys2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Det övergripande syftet med denna uppsats har varit att belysa normer och värderingar i socialtjänstens arbete med barn, detta genom att problematisera olika föreställningar om barns behov och föräldraskap samt utredarens roll i barnavårdsutredningar. Jag ställde mig frågan, hur ser egentligen barnavårdsutredningar ut i sken av rådande samhällsmoral och socialpolitik? Vilka föreställningar om barns behov, föräldraskap och inte minst utredarens roll bygger egentligen utredningarna på?

    Jag kan konstatera att det finns en speciell utredningskultur. Vidare har jag funnit att barnets behov avgörs av föräldraförmåga men även att föräldraförmåga bedöms utifrån barnets behov. Jag har också identifierat utredare som omedvetet eller medvetet framstår som neutrala. Neutral eller inte har utredaren ändå störst makt att påverka en barnavårdsutredning. Vid genomförandet av studien har jag använt mig av diskursanalys som metod. I studien ingår 14 st barnavårdsutredningar som alla avslutats de senaste två åren och lett till åtgärd enligt SoL eller LVU. Jag har använt mig av kritisk social teori, genusteori och empowerment för att analysera resultatet. Samtliga teorier liksom den diskursteoretiska metoden har ett maktperspektiv såväl som ett generellt kritiskt perspektiv och utgår alla från förutsättningen att människan är en social konstruktion snarare än ett biologiskt och förutbestämt väsen.

  • 1949.
    Gustafsson, Gabriel
    Ersta Sköndal University College, Department of Social Work.
    Kamratstöd: en deduktiv studie kring Team med uppdrags kamratstödjarutbildning2002Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 1950.
    Gustafsson, Gabriella
    et al.
    Umeå universitet.
    Eriksson, Sture
    Umeå universitet.
    Strandberg, Gunilla
    Umeå universitet.
    Norberg, Astrid
    Ersta Sköndal University College, Palliative Reserch Centre, PRC. Umeå universitet.
    Burnout and perceptions of conscience among health care personnel: a pilot study2010In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 17, no 1, p. 23-38Article in journal (Refereed)
    Abstract [en]

    Although organizational and situational factors have been found to predict burnout, not everyone employed at the same workplace develops it, suggesting that becoming burnt out is a complex, multifaceted phenomenon. The aim of this study was to elucidate perceptions of conscience, stress of conscience, moral sensitivity, social support and resilience among two groups of health care personnel from the same workplaces, one group on sick leave owing to medically assessed burnout (n = 20) and one group who showed no indications of burnout (n = 20). The results showed that higher levels of stress of conscience, a perception of conscience as a burden, having to deaden one's conscience in order to keep working in health care and perceiving a lack of support characterized the burnout group. Lower levels of stress of conscience, looking on life with forbearance, a perception of conscience as an asset and perceiving support from organizations and those around them (social support) characterized the non-burnout group.

36373839404142 1901 - 1950 of 5158
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