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Wagman, P., Björklund, A., Johansson, A. & Fristedt, S. (2017). Descriptions of health by EU citizens begging abroad. Society, health and vulnerability, 8(1), Article ID 1389586.
Open this publication in new window or tab >>Descriptions of health by EU citizens begging abroad
2017 (English)In: Society, health and vulnerability, E-ISSN 2002-1518, Vol. 8, no 1, 1389586Article in journal (Refereed) Published
Abstract [en]

Poor citizens from European Union (EU) member countries begging to support themselves are now common in affluent EU countries. Their lack of basic amenities, such as access to a shelter and sanitation is not in line with human rights and also implies a risk for health issues. Despite this, we know little about how these vulnerable EU citizens, themselves, perceive their health situation. The aim of this study was to explore vulnerable EU citizens’ descriptions of their health. Eight females and 12 males from Romania, 19–64 years of age, participated in individual interviews that included health issues. Qualitative content analysis was used, identifying the main category “Begging abroad and health - for better and for worse” together with two categories and five subcategories. It is concluded that EU citizens begging abroad risk poorer health as a consequence of their attempts to improve their situation, both their own health and that of their relatives. Therefore, they need access to affordable health care as this may decrease the need for unwanted travelling abroad to beg.

Place, publisher, year, edition, pages
Taylor & Francis, 2017
Keyword
Health promotion, human rights, social inequality, vulnerable populations, well-being
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hj:diva-37778 (URN)10.1080/20021518.2017.1389586 (DOI)XYZ ()
Available from: 2017-10-25 Created: 2017-10-25 Last updated: 2017-12-15Bibliographically approved
Wagman, P., Nordin, M., Alfredsson, L., Westerholm, P. J. M. & Fransson, E. I. (2017). Domestic work division and satisfaction in cohabiting adults: Associations with life satisfaction and self-rated health. Scandinavian Journal of Occupational Therapy, 24(1), 24-31.
Open this publication in new window or tab >>Domestic work division and satisfaction in cohabiting adults: Associations with life satisfaction and self-rated health
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2017 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 24, no 1, 24-31 p.Article in journal (Refereed) Published
Abstract [en]

Background: The amount and perception of domestic work may affect satisfaction with everyday life, but further knowledge is needed about the relationship between domestic work division and health and well-being.

Aim: To describe the division of, and satisfaction with, domestic work and responsibility for home/family in adults living with a partner. A further aim was to investigate the associations between these aspects and self-rated life satisfaction and health.

Method: Data from the Work, Lipids and Fibrinogen survey collected 2009 were used, comprising 4924 participants living with a partner. Data were analyzed using logistic regression.

Results: The majority shared domestic work and responsibility for home/family equally with their partner. However, more women conducted the majority of the domestic work and were less satisfied with its division. When both division and satisfaction with division was included in the analysis, solely satisfaction with the division and the responsibility were associated with higher odds for good life satisfaction. Regarding health, higher odds for good self-rated health were seen in those who were satisfied with their division of responsibility.

Conclusion and significance: The results highlight the importance of taking into account not solely the actual division of domestic work but also the satisfaction with it.

Place, publisher, year, edition, pages
Taylor & Francis, 2017
Keyword
Activities in everyday life, gender differences, occupational balance
National Category
Occupational Therapy
Identifiers
urn:nbn:se:hj:diva-31256 (URN)10.1080/11038128.2016.1217926 (DOI)000392839900004 ()27686578 (PubMedID)2-s2.0-84981724857 (Scopus ID)
Available from: 2016-08-16 Created: 2016-08-16 Last updated: 2017-11-28Bibliographically approved
Jansson, I. & Wagman, P. (2017). Hannah Arendt’s vita activa: A valuable contribution to occupational science. Journal of Occupational Science, 24(3), 290-301.
Open this publication in new window or tab >>Hannah Arendt’s vita activa: A valuable contribution to occupational science
2017 (English)In: Journal of Occupational Science, ISSN 1442-7591, E-ISSN 2158-1576, Vol. 24, no 3, 290-301 p.Article in journal (Refereed) Published
Abstract [en]

Occupational science is undergoing dynamic development and claims have been articulated that human occupation must be understood from multiple ontological standpoints. Hannah Arendt (1906–1975) is known for her work The Human Condition in which she explored human occupation from a philosophical and political standpoint. She distinguished the modalities labor, work and action, and labelled them vita activa. The aim of this paper is to present Arendt and her vita activa, in order to provide examples of its relevance for occupational science, showing how vita activa can assist occupational scientists to take a deeper perspective on human occupation. According to Arendt, human occupation is always conditioned. The condition for labor is necessity, which reflects human biological needs and represents the basics of life. The condition for work is utility, as something persistent and durable is produced. Action is the activity that takes place between people without the intermediary of things. Similar to occupational science, vita activa is concerned with human doing but their origins differ. Arendt also emphasized the public sphere as an arena for human occupation, a viewpoint that is shared with recent occupational science literature. The need to expand the scope of occupational science to encompass all aspects of human occupations, including the deleterious, has been expressed and vita activa can contribute to broadening this perspective. Examples of the need for sustainability in working life are also presented in this paper.

Place, publisher, year, edition, pages
Taylor & Francis, 2017
Keyword
Action, Labor, Philosophy, Theory, Work
National Category
Occupational Therapy
Identifiers
urn:nbn:se:hj:diva-34886 (URN)10.1080/14427591.2016.1277780 (DOI)000414755000004 ()2-s2.0-85011310435 (Scopus ID)
Available from: 2017-01-25 Created: 2017-01-25 Last updated: 2017-12-09Bibliographically approved
Wagman, P., Lindmark, U., Rolander, B., Wåhlin, C. & Håkansson, C. (2017). Occupational balance in health professionals in Sweden. Scandinavian Journal of Occupational Therapy, 24(1), 18-23.
Open this publication in new window or tab >>Occupational balance in health professionals in Sweden
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2017 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 24, no 1, 18-23 p.Article in journal (Refereed) Published
Abstract [en]

Background: Health care employees are often women, a group that has high degrees of sick leave and perhaps problems attaining occupational balance. However, people think differently about their everyday activities and it is therefore important to take their perceptions into account but occupational balance has not yet been measured in health professionals. The aim was to describe occupational balance in three different samples of health professionals in Sweden. A further aim was to investigate whether occupational therapists (OTs) rate their occupational balance differently from other health professionals.

Material and method: Four hundred and eighty-two health professionals, employees in public dentistry, mental health care and OTs, aged 21–70 years participated. The participants’ occupational balance was measured using the occupational balance questionnaire (OBQ).Results: The ratings of occupational balance were similar to earlier studies and did not differ significantly between the samples. The OTs’ occupational balance was also similar to that of the other health professionals.

Conclusion: The similarities in occupational balance indicate the same difficulties in attaining it.

Significance: The result highlights the possibility that working people face similar difficulties in achieving occupational balance. Further research is warranted about how to attain it.

Place, publisher, year, edition, pages
Taylor & Francis, 2017
Keyword
Everyday life, health and well-being, occupational balance questionnaire (OBQ)
National Category
Occupational Therapy
Identifiers
urn:nbn:se:hj:diva-31150 (URN)10.1080/11038128.2016.1203459 (DOI)000392839900003 ()27385582 (PubMedID)2-s2.0-84978972762 (Scopus ID)
Available from: 2016-08-01 Created: 2016-08-01 Last updated: 2017-11-28Bibliographically approved
Borgh, M., Eek, F., Wagman, P. & Håkansson, C. (2017). Organisational factors and occupational balance in working parents in Sweden. Scandinavian Journal of Public Health.
Open this publication in new window or tab >>Organisational factors and occupational balance in working parents in Sweden
2017 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background:

Parents with small children constitute a vulnerable group as they have an increased risk of sick leave due to stress-related disorders compared to adults without children. It has been shown that mothers and fathers to small children together spend more time in paid work than any other group, which could create negative stress and an experience of low occupational balance.

Aim:

The aim of this study was to examine associations between organisational factors and occupational balance among parents with small children in Sweden.

Methods:

Data were collected by a survey including questions about occupational balance, organisational factors and age, sex, employment rate, work position, monthly household income, number of children at home, separation/divorce last five years and overtime. The total number of parents included in this study was 718 (490 mothers and 228 fathers). Logistic regression models were applied to examine the odds ratios for occupational balance in relation to organisational factors.

Results:

Parents who experienced positive attitudes towards parenthood and parental leave among colleagues and managers were more likely to experience high occupational balance than parents who experienced negative or neutral attitudes. Having a clear structure for handover when absent from work was also strongly associated with high occupational balance.

Conclusions:

The result of the present study indicates that some organisational factors could be important for the occupational balance of parents with small children.

Place, publisher, year, edition, pages
Sage Publications, 2017
Keyword
Organisational factors, occupational balance, working parents, Sweden
National Category
Occupational Therapy
Identifiers
urn:nbn:se:hj:diva-37779 (URN)10.1177/1403494817713650 (DOI)28699386 (PubMedID)
Available from: 2017-10-25 Created: 2017-10-25 Last updated: 2017-10-25
Evans, K. L., Girdler, S. J., Falkmer, T., Richmond, J. E., Wagman, P., Millsteed, J. & Falkmer, M. (2017). Viewpoints of working sandwich generation women and occupational therapists on role balance strategies. Scandinavian Journal of Occupational Therapy, 24(5), 366-382.
Open this publication in new window or tab >>Viewpoints of working sandwich generation women and occupational therapists on role balance strategies
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2017 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 24, no 5, 366-382 p.Article in journal (Refereed) Published
Abstract [en]

Occupational therapists need to be cognizant of evidence-based role balance advice and strategies that women with multigenerational caring responsibilities can implement independently or with minimal assistance, as role balance may not be the primary goal during many encounters with this population. Hence, this study aimed to identify the viewpoints on the most helpful role balance strategies for working sandwich generation women, both from their own perspectives and from the perspective of occupational therapists. This was achieved through a Q methodology study, where 54 statements were based on findings from interviews, sandwich generation literature and occupational therapy literature. In total, 31 working sandwich generation women and 42 occupational therapists completed the Q sort through either online or paper administration. The data were analysed using factor analysis with varimax rotation and were interpreted through collaboration with experts in the field. The findings revealed similarities between working sandwich generation women and occupational therapists, particularly in terms of advocating strategies related to sleep, rest and seeking practical assistance from support networks. Differences were also present, with working sandwich generation women viewpoints tending to emphasize strategies related to coping with a busy lifestyle attending to multiple responsibilities. In contrast, occupational therapy viewpoints prioritized strategies related to the occupational therapy process, such as goal setting, activity focused interventions, monitoring progress and facilitating sustainable outcomes.

Place, publisher, year, edition, pages
Taylor & Francis, 2017
Keyword
Multigenerational caregiving; Q methodology; working carer; working mother; work–family balance
National Category
Occupational Therapy
Identifiers
urn:nbn:se:hj:diva-32252 (URN)10.1080/11038128.2016.1250814 (DOI)000405478700007 ()27809698 (PubMedID)2-s2.0-84994128713 (Scopus ID)HHJCHILDIS, HHJADULTIS (Local ID)HHJCHILDIS, HHJADULTIS (Archive number)HHJCHILDIS, HHJADULTIS (OAI)
Available from: 2016-11-08 Created: 2016-11-08 Last updated: 2017-09-11Bibliographically approved
von Post, H. & Wagman, P. (2017). What is important to patients in palliative care? A scoping review of the patient’s perspective. Scandinavian Journal of Occupational Therapy, 1-8.
Open this publication in new window or tab >>What is important to patients in palliative care? A scoping review of the patient’s perspective
2017 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, 1-8 p.Article, review/survey (Refereed) Epub ahead of print
Abstract [en]

Background:

The research conducted in palliative care is often medically oriented. There are few studies clarifying the patient's preferences, priorities and desires in palliative care. The occupational therapy research conducted mostly concerns occupational therapy interventions based on the profession's experiences. Further knowledge is needed regarding what patients in palliative care want to prioritize.

Aim:

The aim was to describe what patients in palliative care describe as important at the end of life.

Methods:

A scoping review was conducted using the inclusion criteria: articles published in 2004-August 2015; written in English; participants>18 years with life-threatening illness without possible cure; focusing on the patient?s experience.

Results:

Seventeen articles were included in the review and they were based on interviews. The theme 'Continuing occupational participation is important for people at the end of life' was identified. This included five sub-themes: maintaining previous occupational patterns; feeling needed; being involved in the social environment; leaving a legacy; and living as long as you live.

Conclusions:

The results show that continued occupational participation is important for people in palliative care. Occupational therapists can contribute to this by taking a highly person-centered approach and gaining information about what matters most for their clients.

Place, publisher, year, edition, pages
Taylor & Francis, 2017
Keyword
Activity, everyday life, occupation, occupational therapy, participation, person centered
National Category
Occupational Therapy
Identifiers
urn:nbn:se:hj:diva-37402 (URN)10.1080/11038128.2017.1378715 (DOI)28937317 (PubMedID)2-s2.0-85029902349 (Scopus ID)
Available from: 2017-09-25 Created: 2017-09-25 Last updated: 2017-10-17
Rolander, B., Wåhlin, C., Johnston, V., Wagman, P. & Lindmark, U. (2016). Changes in division of labour and tasks within public dentistry: relationship to employees work demands, health and work ability. Acta Odontologica Scandinavica, 74(6), 471-479.
Open this publication in new window or tab >>Changes in division of labour and tasks within public dentistry: relationship to employees work demands, health and work ability
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2016 (English)In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 74, no 6, 471-479 p.Article in journal (Refereed) Published
Abstract [en]

Objective: By 2023, fewer dentists are expected in Sweden, at the same time as the demand for dental care is expected to increase. Older people, in particular, are expected to require more dental health than previous generations. To meet this demand, the public sector dentistry in Sweden is moving towards changes in division of labour among dental professionals, including dentists, dental hygienists and dental nurses. However, the impact of this reallocation on the physical and psychosocial wellbeing of employees is unknown. The aim of this study was to compare workplaces with an equal or larger proportion of dental hygienists than dentists (HDH) with workplaces with a larger proportion of dentists than dental hygienists (HD) on the physical and psychosocial work load, musculoskeletal and psychosomatic disorders and sickness presence.

Material: A total of 298 persons employed in the Public Dental Service in a Swedish County Council participated in this study.

Conclusion: The medium large clinics HDH reported 85% of employee’s with considerably more high psychosocial demands compared to employees in medium HD (53%) and large HD (57%). Employees in medium large clinics HDH also reported sleep problems due to work (25%) compared with employees in medium large clinics HD (6%), large clinics HD (11%) and small clinics HDH (3%). Clinic size does not seem to influence the outcome of the HD and HD clinics to any great extent. Of all employees, about 94–100% reported high precision demands and 78–91% poor work postures.

Keyword
Dentistry employees, psychosocial workload, sickness absence, sickness presence, work organization
National Category
Dentistry Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-31238 (URN)10.1080/00016357.2016.1203023 (DOI)000381408200008 ()27391284 (PubMedID)2-s2.0-84978119340 (Scopus ID)
Available from: 2016-08-12 Created: 2016-08-12 Last updated: 2018-01-10Bibliographically approved
Ramirez-Pasillas, M., Almers, E., Wagman, P. & Stagell, U. (2016). Education for sustainability: Transformative processes, actions and systemic change in a Swedish university. In: : . Paper presented at EURAM 2016, "Manageable Cooperation", June 1-2-3 and 4, 2016, Paris, France. .
Open this publication in new window or tab >>Education for sustainability: Transformative processes, actions and systemic change in a Swedish university
2016 (English)Conference paper, Published paper (Refereed)
Abstract [en]

Research on the development of education for sustainability places attention to transformative processes and systemic changes at the university. Literature mainly studies processes to develop courses, programs and management systems but seldom investigates transformative processes and actions triggering organizational change. The objective of this paper is to identify key actions and transformative processes embodying an education for sustainability and to explore the systemic change outcomes, using the perspective of social learning. We relied on a participatory research method for the exploratory case study in a Swedish university. Our findings showed multiple key actions that resulted in five transformational processes. Together these transformative processes resulted in three systemic changes: organizational changes in sustainability perceptions, organizational changes in the working structures and educational curricula, and individual changes in perceptions and engagement on sustainability. A novel finding was that networking cross disciplinary facilitated double loop refection and worked as catalyst for other transformational processes. The result indicates that development of education for sustainability is facilitated by a combination of multiple transformative processes taking place with both top-down and bottom-up rationale. These processes generate individual and collective actions. Individual and network champions and top-managers play a key role in developing education for sustainability. In order to foster systemic change at the university, the existence of this complexity is crucial for developing education for sustainability.

Keyword
Higher education, sustainability, change
National Category
Business Administration Educational Sciences
Identifiers
urn:nbn:se:hj:diva-35543 (URN)
Conference
EURAM 2016, "Manageable Cooperation", June 1-2-3 and 4, 2016, Paris, France
Note

Published in e-proceedings (ISSN: 2466-7498)

Available from: 2017-05-17 Created: 2017-05-17 Last updated: 2017-05-17Bibliographically approved
Morville, A.-L., Håkansson, C., Wagman, P. & Hansen, T. (2016). Validity of the Danish version of Occupational Balance Questionnaire (OBQ-DK). In: : . Paper presented at COTEC - ENOTHE, European Congress for Occupational Therapists, Galway, 15 June - 19 June, 2016.. .
Open this publication in new window or tab >>Validity of the Danish version of Occupational Balance Questionnaire (OBQ-DK)
2016 (English)Conference paper, Oral presentation only (Other academic)
Abstract [en]

Background:Occupational balance is a well-known concept within occupational therapy. The OBQ (Wagman and Håkansson, 2014) is developed to measure occupational balance. The OBQ is a 13-item questionnaire with 4 response categories and has been translated into Danish. The aim of this study was to investigate the construct validity of the OBQ-DK using the Rasch model.

Method:Postal survey data to working aged participants (n=366; 69% women) were included. Their responses to the OBQ-DK were evaluated by Rasch analysis, partial credit model.

Results: Initially, Rasch analysis failed to support the unidimensional structure of the 13-item OBQ-DK (Chi-Square 104.5 (df 52; p <0.001). All items had ordered threshold. Differential Item Functioning was absent across contextual factors (sex, age, education). Adjustment of local item dependency between two items and removal of four misfitting items resulted in perfect fit to the Rasch model (Chi-Square 36.85 (df 32; p = 0.254). Reliability was high (PSI = 0.82). The four deleted misfitting items formed an additional unidimensional scale (Chi-Square 19.35 (df 16; p = 0.251). Reliability was acceptable (PSI = 0.78).

Conclusion: The study provides evidence for OBQ-DK’s construct validity. The Rasch analysis produced a 2-dimensional, 13-item questionnaire assessing the persons’ perception of occupational balance. Further research is required to establish the measures’ validity in various populations.Application to Practice:The results and small number of items makes it feasible to implement the OBQ-DK into clinical and/or research settings, where measuring occupational balance is needed. 

National Category
Occupational Therapy
Identifiers
urn:nbn:se:hj:diva-36891 (URN)
Conference
COTEC - ENOTHE, European Congress for Occupational Therapists, Galway, 15 June - 19 June, 2016.
Available from: 2017-08-16 Created: 2017-08-16 Last updated: 2017-08-18Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-7964-7143

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