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Munck, B., Björklund, A., Jansson, I., Lundberg, K. & Wagman, P. (2018). Adulthood transitions in health and welfare; a literature review. Nursing Open
Open this publication in new window or tab >>Adulthood transitions in health and welfare; a literature review
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2018 (English)In: Nursing Open, E-ISSN 2054-1058Article in journal (Refereed) Epub ahead of print
Abstract [en]

Aim

The aim of the literature review was to describe how adulthood transition is used in health and welfare.

Design

A qualitative design with a deductive approach were used.

Methods

As material, 283 articles published in scientific journals, between 2011–August 2013, were selected. The search was conducted August 2013. The data were analysed and sorted in a categorization matrix.

Results

Transition was identified as a process mainly related to the four types previously identified; developmental, situational, health-illness and organizational transitions. Another one transition was also identified, lifestyle transition.

Place, publisher, year, edition, pages
John Wiley & Sons, 2018
Keywords
developmental transition, health illness transition, life style transition, literature review, nurse education, organizational transition, situational transition
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-38968 (URN)10.1002/nop2.136 (DOI)
Available from: 2018-03-07 Created: 2018-03-07 Last updated: 2018-03-07
Jansson, I. & Wagman, P. (2018). Hannah Arendt’s thoughts in relation to occupational science: A response to Turnbull. Journal of Occupational Science
Open this publication in new window or tab >>Hannah Arendt’s thoughts in relation to occupational science: A response to Turnbull
2018 (English)In: Journal of Occupational Science, ISSN 1442-7591, E-ISSN 2158-1576Article in journal (Refereed) Epub ahead of print
Abstract [en]

In his response to our article “Hannah Arendt’s vita activa: A valuable contribution to occupational science,” Turnbull (2017) outlined some tensions he perceived with our discussion of “her approach to philosophy, politics and science”. In our reply, we express appreciation of his interest in Arendt related to occupational science and the contribution his article makes, as well as clarifying some points in his critique. We argue that Turnbull’s main arguments do not address our primary purpose of presenting Arendt’s vita activa and provide examples of its relevance for occupational science. We thus focused on activity-related aspects of Arendt’s thoughts, to raise awareness of this work amongst occupational scientists. However, we are thankful for Turnbull’s reflections, which broaden the insights of Arendt’s thinking and contribute to a better understanding of human occupation. 

Place, publisher, year, edition, pages
Taylor & Francis, 2018
Keywords
Individualistic, Pluralistic, Vita activa, Vita contemplativa, article, awareness, human, human experiment, occupation, occupational science, scientist, thinking
National Category
Occupational Therapy
Identifiers
urn:nbn:se:hj:diva-38942 (URN)10.1080/14427591.2018.1437066 (DOI)XYZ ()2-s2.0-85041930491 (Scopus ID)
Available from: 2018-02-28 Created: 2018-02-28 Last updated: 2018-02-28
Borgh, M., Eek, F., Wagman, P. & Håkansson, C. (2018). Organisational factors and occupational balance in working parents in Sweden. Scandinavian Journal of Public Health, 46(3), 409-416
Open this publication in new window or tab >>Organisational factors and occupational balance in working parents in Sweden
2018 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 46, no 3, p. 409-416Article in journal (Refereed) Published
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, 2018
Keywords
Organisational factors, occupational balance, working parents, Sweden
National Category
Occupational Therapy
Identifiers
urn:nbn:se:hj:diva-37779 (URN)10.1177/1403494817713650 (DOI)XYZ ()28699386 (PubMedID)2-s2.0-85042225667 (Scopus ID)
Available from: 2017-10-25 Created: 2017-10-25 Last updated: 2018-05-21Bibliographically approved
Gunnarsson, B., Wagman, P., Hedin, K. & Håkansson, C. (2018). Treatment of depression and/or anxiety – outcomes of a randomised controlled trial of the tree theme method® versus regular occupational therapy. BMC Psychology, 6(25)
Open this publication in new window or tab >>Treatment of depression and/or anxiety – outcomes of a randomised controlled trial of the tree theme method® versus regular occupational therapy
2018 (English)In: BMC Psychology, E-ISSN 2050-7283, Vol. 6, no 25Article in journal (Refereed) Published
Abstract [en]

Depression and anxiety disorders are a major concern in western countries, and because these often have a negative affect on everyday life interventions based on activities in everyday life are needed. The Tree Theme Method® (TTM) is a client-centred occupational therapy intervention designed to increase the ability to cope with, and to enhance satisfaction with, everyday life, both at home and at work. The aim of this study was to compare the short term outcomes of the TTM intervention with regular occupational therapy treatment for people with depression and/or anxiety disorders.

Place, publisher, year, edition, pages
BioMed Central, 2018
Keywords
Adults; Affective disorders; Art therapy; Intervention; Mental health
National Category
Occupational Therapy
Identifiers
urn:nbn:se:hj:diva-39523 (URN)10.1186/s40359-018-0237-0 (DOI)29792226 (PubMedID)2-s2.0-85047486330 (Scopus ID)
Funder
Medical Research Council of Southeast Sweden (FORSS)
Available from: 2018-05-25 Created: 2018-05-25 Last updated: 2018-06-04Bibliographically approved
Johnsson, A., Boman, Å., Wagman, P. & Pennbrant, S. (2018). Voices used by nurses when communicating with patients and relatives in a department of medicine for older people - An ethnographic study.. Journal of Clinical Nursing, 27(7-8), e1640-e1650
Open this publication in new window or tab >>Voices used by nurses when communicating with patients and relatives in a department of medicine for older people - An ethnographic study.
2018 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 7-8, p. e1640-e1650Article in journal (Refereed) Published
Abstract [en]

AIMS AND OBJECTIVES: To describe how nurses communicate with older patients and their relatives in a department of medicine for older people in western Sweden.

BACKGROUND: Communication is an essential tool for nurses when working with older patients and their relatives, but often patients and relatives experience shortcomings in the communication exchanges. They may not receive information or are not treated in a professional way. Good communication can facilitate the development of a positive meeting and improve the patient's health outcome.

DESIGN: An ethnographic design informed by the sociocultural perspective was applied.

METHODS: Forty participatory observations were conducted and analysed during the period October 2015-September 2016. The observations covered 135 hours of nurse-patient-relative interaction. Field notes were taken, and 40 informal field conversations with nurses and 40 with patients and relatives were carried out. Semistructured follow-up interviews were conducted with five nurses.

RESULTS: In the result, it was found that nurses communicate with four different voices: a medical voice described as being incomplete, task-oriented and with a disease perspective; a nursing voice described as being confirmatory, process-oriented and with a holistic perspective; a pedagogical voice described as being contextualised, comprehension-oriented and with a learning perspective; and a power voice described as being distancing and excluding. The voices can be seen as context-dependent communication approaches. When nurses switch between the voices, this indicates a shift in the orientation or situation.

CONCLUSION: The results indicate that if nurses successfully combine the voices, while limiting the use of the power voice, the communication exchanges can become a more positive experience for all parties involved and a good nurse-patient-relative communication exchange can be achieved.

RELEVANCE TO CLINICAL PRACTICE: Working for improved communication between nurses, patients and relatives is crucial for establishing a positive nurse-patient-relative relationship, which is a basis for improving patient care and healthcare outcomes.

Place, publisher, year, edition, pages
John Wiley & Sons, 2018
Keywords
communication, ethnography, nurses’ voices, older patient, relative, sociocultural perspective
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-39542 (URN)10.1111/jocn.14316 (DOI)000430825100036 ()29493834 (PubMedID)2-s2.0-85045891204 (Scopus ID)
Available from: 2018-05-28 Created: 2018-05-28 Last updated: 2018-06-11Bibliographically approved
Johnsson, A., Wagman, P., Boman, Å. & Pennbrant, S. (2018). What are they talking about? Content of the communication exchanges between nurses, patients and relatives in a department of medicine for older people - An ethnographic study.. Journal of Clinical Nursing, 27(7-8), e1651-e1659
Open this publication in new window or tab >>What are they talking about? Content of the communication exchanges between nurses, patients and relatives in a department of medicine for older people - An ethnographic study.
2018 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 7-8, p. e1651-e1659Article in journal (Refereed) Published
Abstract [en]

AIMS AND OBJECTIVES: To explore and describe the content of the communication exchanges between nurses, patients and their relatives in a department of medicine for older people in western Sweden.

BACKGROUND: Information, messages and knowledge are constantly being communicated between nurses, older patients and relatives in the healthcare sector. The quality of communication between them has a major influence on patient outcomes. A prerequisite for good care to be given and received is that there is mutual understanding between the parties involved.

DESIGN: An ethnographic study was informed by a sociocultural perspective.

METHOD: Data were collected through 40 participatory observations of meetings between nurses and older patients and/or relatives which covered 135 hr of nurse-patient-relative interaction, field notes, 40 field conversations with 24 nurses and 40 field conversations with patients (n = 40) and relatives (n = 26). Five semi-structured interviews were conducted with nurses. An ethnographic analysis was performed.

RESULTS: The analysis identified three categories of content of the communication exchanges: medical content focusing on the patient's medical condition, personal content focusing on the patient's life story and explanatory content focusing on the patient's health and nursing needs. The content is influenced by the situation and context.

CONCLUSIONS: Nurses would benefit from more awareness and understanding of the importance of the communication content and of the value of asking the didactic questions (how, when, what and why) to improve the patients' and relatives' understanding of the information exchanges and to increase patient safety.

RELEVANCE TO CLINICAL PRACTICE: Nurses can use the communication content to create conditions enabling them to obtain a holistic view of the patient's life history and to develop an appropriate person-centred care plan.

Place, publisher, year, edition, pages
John Wiley & Sons, 2018
Keywords
communication content, ethnography, nurses, older patient, person-centred care, relative, sociocultural perspective
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-39434 (URN)10.1111/jocn.14315 (DOI)000430825100037 ()29493840 (PubMedID)2-s2.0-85045879016 (Scopus ID)
Available from: 2018-05-28 Created: 2018-05-28 Last updated: 2018-06-11Bibliographically approved
Lindmark, U., Wagman, P., Wåhlin, C. & Rolander, B. (2018). Workplace health in dental care – a salutogenic approach. International Journal of Dental Hygiene, 16(1), 103-113
Open this publication in new window or tab >>Workplace health in dental care – a salutogenic approach
2018 (English)In: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, Vol. 16, no 1, p. 103-113Article in journal (Refereed) Published
Abstract [en]

Objective

The purpose was to explore self-reported psychosocial health and work environments among different dental occupations and workplaces from a salutogenic perspective. A further purpose was to analyse possible associations between three salutogenic measurements: The Sense of Coherence questionnaire (SOC), the Salutogenic Health Indicator Scale (SHIS) and the Work Experience Measurement Scale (WEMS).

Methods

Employees in the Public Dental Service in a Swedish county council (n = 486) were invited to respond to a self-reported web survey including demographics, work-related factors, the SOC, the SHIS and the WEMS.

Results

This study showed positive associations between employee characteristics and self-reported overall psychosocial health as well as experienced work environment. Autonomy was reported more among men than women (P < 0.000) and to a higher degree by dentists and dental hygienists than dental nurses (P < 0.000). Meaningfulness, happiness, job satisfaction, autonomy and positive to reorganization were reported by personnels aged less than 40 years (P ≤ 0.047). Clinical coordinators reported significant better health (SOC, SHIS) and experienced more autonomy, better management and more positive to reorganization than other dental professions. Dental hygienists and nurses experienced less time pressure than dentists (P ≤ 0.007). Better health and positive work experiences were also seen in smaller clinics (P ≤ 0.29).

Conclusion

Dental professionals reported a high degree of overall psychosocial health as well as a positive work experience. Some variations could be seen between employee characteristics such as gender, years in dental care, professionals, managing position and workplace size. Identify resources and processes at each workplace are important and should be included in the employee's/employers dialogue.

Place, publisher, year, edition, pages
John Wiley & Sons, 2018
Keywords
dental staff; health promotion; psychosocial health; workplace
National Category
Dentistry
Identifiers
urn:nbn:se:hj:diva-32258 (URN)10.1111/idh.12257 (DOI)000422697100011 ()27860378 (PubMedID)2-s2.0-85002774457 (Scopus ID)
Available from: 2016-11-10 Created: 2016-11-10 Last updated: 2018-02-07Bibliographically approved
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, article id 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
Keywords
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)000417166600001 ()
Available from: 2017-10-25 Created: 2017-10-25 Last updated: 2018-01-19Bibliographically 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, p. 24-31Article 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
Keywords
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, p. 290-301Article 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
Keywords
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: 2018-02-28Bibliographically approved
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Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-7964-7143

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