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Areskoug Josefsson, KristinaORCID iD iconorcid.org/0000-0002-7669-4702
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Publications (10 of 127) Show all publications
Haraldsson, P., Nylander, E., Jonker, D., Ros, A. & Areskoug Josefsson, K. (2024). Workplace interventions focusing on how to plan, organize and design the work environment in hospital settings: A systematic review. Work: A journal of Prevention, Assessment and rehabilitation
Open this publication in new window or tab >>Workplace interventions focusing on how to plan, organize and design the work environment in hospital settings: A systematic review
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2024 (English)In: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270Article, review/survey (Refereed) Epub ahead of print
Abstract [en]

BACKGROUND: Occupational Health Service (OHS) is a service that should support employers and employees with their work environment. Previous research indicates the need for deeper knowledge about the effect of workplace interventions with a focus on planning, organizing and designing the workplace to improve work conditions in hospital settings.

OBJECTIVE: The aim was to evaluate the outcomes, workplace interventions and intervention strategies in hospital settings.

METHODS: A systematic literature review was conducted. CINAHL, MEDLINE, PsycInfo, Scopus, and Web of Science Core Collection were searched in September 2021. The Mixed Methods Appraisal Tool was used to evaluate the quality of the included studies. Study results are presented through a narrative synthesis. A protocol for this study was registered on the Open Science Framework.

RESULTS: Twenty-six studies, published between 2010 and 2021, were included. These included randomized controlled trials (RCTs), non-RCTs, and mixed methods reports with moderate to good quality. The results support the use of workplace interventions to improve work conditions, health, and well-being in hospital settings. Combinations of different interventions, tailored to the specific organization, were used. Important intervention strategies commonly used in the start-up, evaluation, and intervention of successful workplace interventions, were identified. Using a pragmatist complexity approach in workplace interventions can improve outcomes by providing clear intervention strategies and combinations of tailored interventions, related to context specific problems.

CONCLUSION: OHS support in workplace interventions with clear intervention strategies will contribute to improve work conditions, health and well-being in hospital settings.

Place, publisher, year, edition, pages
IOS Press, 2024
Keywords
Health personnel, health promotion, implementation science, occupational health, occupational health services, working conditions
National Category
Occupational Therapy Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hj:diva-63463 (URN)10.3233/WOR-230205 (DOI)38277328 (PubMedID)HOA;;933829 (Local ID)HOA;;933829 (Archive number)HOA;;933829 (OAI)
Funder
Futurum - Academy for Health and Care, Jönköping County Council, Sweden
Available from: 2024-01-31 Created: 2024-01-31 Last updated: 2024-01-31
Gustafsson, K., Areskoug Josefsson, K., Eriksson, M., Rolfson, O. & Kvist, J. (2023). A Multifaceted Picture of Patient Perspectives of Health Care And Self-Management In Hip and Knee Osteoarthritis. Paper presented at World Congress of Osteoarthritis Research Society International (OARSI), MAR 17-20, 2023, Denver, CO. Osteoarthritis and Cartilage, 31, S399-S399
Open this publication in new window or tab >>A Multifaceted Picture of Patient Perspectives of Health Care And Self-Management In Hip and Knee Osteoarthritis
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2023 (English)In: Osteoarthritis and Cartilage, ISSN 1063-4584, E-ISSN 1522-9653, Vol. 31, p. S399-S399Article in journal, Meeting abstract (Refereed) Published
Place, publisher, year, edition, pages
Elsevier, 2023
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-62378 (URN)10.1016/j.joca.2023.01.462 (DOI)001013148000525 ()
Conference
World Congress of Osteoarthritis Research Society International (OARSI), MAR 17-20, 2023, Denver, CO
Available from: 2023-09-04 Created: 2023-09-04 Last updated: 2024-02-07Bibliographically approved
Thapa, D. R., Subedi, M., Ekström-Bergström, A., Areskoug Josefsson, K. & Krettek, A. (2023). A Qualitative Evaluation and Cross-Cultural Adaptation of the Short Form of the Sense of Coherence Scale (SOC-13) in Nepali. Kathmandu University Medical Journal, 21(82), 254-259
Open this publication in new window or tab >>A Qualitative Evaluation and Cross-Cultural Adaptation of the Short Form of the Sense of Coherence Scale (SOC-13) in Nepali
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2023 (English)In: Kathmandu University Medical Journal, ISSN 1812-2027, E-ISSN 1812-2078, Vol. 21, no 82, p. 254-259Article in journal (Refereed) Published
Abstract [en]

Background Sense of Coherence (SOC) relates to an individual’s overall life orientation, and stronger SOC is associated with better health, quality of life, and coping strategies. When our research group used the SOC-13 questionnaire for the first time in Nepal, we identified difficulties in response patterns. The findings necessitated further evaluation of the Nepali version of the SOC-13 questionnaire. Objective To qualitatively evaluate the SOC-13 questionnaire in Nepali for cross-cultural adaptation. Method Nineteen nurses were interviewed. We used the methodological approach of “think aloud” to obtain a deeper understanding of the interferences of the scales. Transcribed materials were analyzed using a deductive approach through qualitative content analysis. The original translated version of the SOC-13 questionnaire in Nepali was modified by replacing words that were easier to understand. Result Participants found the questionnaire content general and non-specific but easy to complete. The nurses experienced that the meanings and sentences in some of the items and response alternatives were difficult to understand. However, the overall comprehensiveness of most items and response alternatives was perceived as good. Nurses’ interpretation of the SOC-items in the translated version of the SOC-13 questionnaire in Nepali matched the original English version. Items that were experienced as difficult in the Nepali language were modified to increase their comprehensiveness. Modified items and response alternatives had the same content as before, but some words and meanings were substituted with easier language. Conclusion The current revised version of SOC-13 in Nepali is valid and useful to explore individuals’ overall life orientation and their abilities to deal and cope with various life events in the Nepalese context.

Place, publisher, year, edition, pages
Kathmandu University, 2023
Keywords
Health resources, Qualitative validation, Ralutogenesis, Resources, Sense of coherence, adult, article, content analysis, controlled study, female, genetic transcription, health care planning, human, human experiment, language, life event, male, Nepal, nurse, qualitative analysis, Sense of Coherence Scale
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hj:diva-62415 (URN)2-s2.0-85169839017 (Scopus ID)POA;intsam;902977 (Local ID)POA;intsam;902977 (Archive number)POA;intsam;902977 (OAI)
Available from: 2023-09-11 Created: 2023-09-11 Last updated: 2023-09-11Bibliographically approved
Wallin, P., Petersson, C., Areskoug Josefsson, K. & Nordin, A. (2023). Enhancing staff capacity to support children with intellectual disability receiving residential services: A realist evaluation of an improvement program. Journal of Policy and Practice in Intellectual Disabilities, 20(3), 260-272
Open this publication in new window or tab >>Enhancing staff capacity to support children with intellectual disability receiving residential services: A realist evaluation of an improvement program
2023 (English)In: Journal of Policy and Practice in Intellectual Disabilities, ISSN 1741-1122, E-ISSN 1741-1130, Vol. 20, no 3, p. 260-272Article in journal (Refereed) Published
Abstract [en]

Children with intellectual disability receiving residential support, according to the Swedish Disability Act, need substantial support to cope with everyday life. These children have cognitive and communicative limitations, entailing difficulties for staff in consulting the children regarding their support arrangements. In addition, due to lack of research there are knowledge gaps and uncertainties concerning how staff can provide the children's support. To deliver high qualitative support, research suggests that disability organisations should (1) continuously work with quality improvement, (2) adopt a multi-dimensional framework that explains human functioning and disability as a basis for understanding individual support needs, and (3) use person-centred approaches. Based on these principles, this study has applied a realist evaluation to identify enablers and barriers during the implementation of an improvement programme aimed at improving staff's ability to provide support to children living in special residences.

Place, publisher, year, edition, pages
John Wiley & Sons, 2023
Keywords
children, intellectual disability, practice, residence, working methods
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hj:diva-60001 (URN)10.1111/jppi.12453 (DOI)000950478000001 ()2-s2.0-85150758172 (Scopus ID)HOA;;866134 (Local ID)HOA;;866134 (Archive number)HOA;;866134 (OAI)
Available from: 2023-03-21 Created: 2023-03-21 Last updated: 2023-10-12Bibliographically approved
Folkman, A. K., Fjetland, K. J. & Areskoug Josefsson, K. (2023). Forebyggende og helsefremmende «systemsamarbeid» i skolen: PPT- og HS-perspektiver. Norsk pedagogisk tidsskrift, 107(1), 65-80
Open this publication in new window or tab >>Forebyggende og helsefremmende «systemsamarbeid» i skolen: PPT- og HS-perspektiver
2023 (Norwegian)In: Norsk pedagogisk tidsskrift, ISSN 0029-2052, E-ISSN 1504-2987, Norsk pedagogisk tidsskrift, ISSN 0029-2052, Vol. 107, no 1, p. 65-80Article in journal (Refereed) Published
Abstract [no]

Artikkelen undersøker forebyggende og helsefremmende systemsamarbeid i prosjekt i skolen, med fokus på psykologisk pedagogiske rådgivere (PPT) og helsesykepleiere (HS). Studien har mixed methods design med spørreskjema og etterfølgende gruppeintervju til ansatte og ledere ved PPT og HS. Resultatene viste endring i tverrfaglig samarbeid, betydning av ledelse og prosjektforankring. I studien drøftes læringen fra prosjektet, i lys av rom for endring i organisering og ledelse av arbeidsmåter i skolen. Læringen fra prosjektet gir implikasjoner for videreutvikling av forebyggende og helsefremmende systemarbeid i det nasjonale prosjektet: Et lag rundt læreren. Det lokale prosjektet avdekker ubrukt potensiale i samarbeide, grunnet prosjektdesign og ulik forståelse av prosjektets hensikt. I lys av den nasjonale intensjonen om forebyggende og helsefremmende systemarbeid i skolen, kan læring fra kommunale prosjekter ha overføringsverdi.

Abstract [en]

Preventive and health-promoting systematic collaboration in schools: Educational and Psychological Counselling Service (PPT) and public health nurses (HS) perspectives

The article examines preventive and health-promoting systems collaboration in a project in schools, focusing on Educational and Psychological Counselling Service (PPT) and public health nurses (HS). The study has a mixed methods design with a questionnaire and follow-up interviews with employees and managers at PPT and HS. The results showed changes in interdisciplinary collaboration, importance of management and project anchoring. The study discusses the learning from the project, illuminated through room for change in the organization and management of working methods in the school. The learning from the project gives implications for the further development of preventive and health-promoting systems work for the national project: A team around the teacher. The local project reveals unused potential in collaboration, due to project design and different understanding of the project’s purpose. Considering the national intention for preventive and health-promoting system work in schools in Norway, the municipal project has transferable value.

Place, publisher, year, edition, pages
Universitetsforlaget, 2023
Keywords
Systematic improvement work, primary school, multidisciplinary health preventive and health-promotive work, roles, Systemrettet utviklingsarbeid, grunnskole, flerfaglig forebyggende og helsefremmende arbeid, roller
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Educational Sciences
Identifiers
urn:nbn:se:hj:diva-59951 (URN)10.18261/npt.107.1.7 (DOI)
Available from: 2023-03-03 Created: 2023-03-03 Last updated: 2023-10-05Bibliographically approved
Haraldsson, P., Rolander, B., Jonker, D., Strengbom, E. & Areskoug Josefsson, K. (2023). Further psychometric evaluation of the Structured Multidisciplinary Work Evaluation Tool (SMET) questionnaire: Practical implications in healthcare settings. In: : . Paper presented at 2023 Learn at WORK Webinars, 15 February 2023.
Open this publication in new window or tab >>Further psychometric evaluation of the Structured Multidisciplinary Work Evaluation Tool (SMET) questionnaire: Practical implications in healthcare settings
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2023 (English)Conference paper, Oral presentation only (Refereed)
Keywords
Work environment, occupational health service, questionnaire, reliability, validity
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hj:diva-59913 (URN)
Conference
2023 Learn at WORK Webinars, 15 February 2023
Available from: 2023-02-24 Created: 2023-02-24 Last updated: 2023-02-24Bibliographically approved
Suutari, A.-M., Thor, J., Nordin, A. & Areskoug Josefsson, K. (2023). Improving heart failure care with an Experience-Based Co-Design approach: what matters to persons with heart failure and their family members?. BMC Health Services Research, 23(1), Article ID 294.
Open this publication in new window or tab >>Improving heart failure care with an Experience-Based Co-Design approach: what matters to persons with heart failure and their family members?
2023 (English)In: BMC Health Services Research, E-ISSN 1472-6963, Vol. 23, no 1, article id 294Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Heart failure is a chronic heart condition. Persons with heart failure often have limited physical capability, cognitive impairments, and low health literacy. These challenges can be barriers to healthcare service co-design with family members and professionals. Experience-Based Co-Design is a participatory healthcare quality improvement approach drawing on patients', family members' and professionals' experiences to improve healthcare. The overall aim of this study was to use Experience-Based Co-Design to identify experiences of heart failure and its care in a Swedish cardiac care setting, and to understand how these experiences can translate into heart failure care improvements for persons with heart failure and their families.

METHODS: A convenience sample of 17 persons with heart failure and four family members participated in this single case study as a part of an improvement initiative within cardiac care. In line with Experienced-Based Co-Design methodology, field notes from observations of healthcare consultations, individual interviews and meeting minutes from stakeholders' feedback events, were used to gather participants' experiences of heart failure and its care. Reflexive thematic analysis was used to develop themes from data.

RESULTS: Twelve service touchpoints, organized within five overarching themes emerged. The themes told a story about persons with heart failure and family members struggling in everyday life due to a poor quality of life, lack of support networks, and difficulties understanding and applying information about heart failure and its care. To be recognized by professionals was reported to be a key to good quality care. Opportunities to be involved in healthcare varied, Further, participants' experiences translated into proposed changes to heart failure care such as improved information about heart failure, continuity of care, improved relations, and communication, and being invited to be involved in healthcare.

CONCLUSIONS: Our study findings offer knowledge about experiences of life with heart failure and its care, translated into heart failure service touchpoints. Further research is warranted to explore how these touchpoints can be addressed to improve life and care for persons with heart failure and other chronic conditions.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2023
Keywords
Experience-Based Co-Design, Healthcare quality improvement, Heart failure, Patient and public involvement, Thematic analysis
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hj:diva-60111 (URN)10.1186/s12913-023-09306-w (DOI)000962498500004 ()36978125 (PubMedID)2-s2.0-85151111282 (Scopus ID)GOA;;874896 (Local ID)GOA;;874896 (Archive number)GOA;;874896 (OAI)
Funder
Futurum - Academy for Health and Care, Jönköping County Council, SwedenRegion Jönköping County
Available from: 2023-04-11 Created: 2023-04-11 Last updated: 2023-05-04Bibliographically approved
Nordin, A., Kjellström, S., Robert, G., Masterson, D. & Areskoug Josefsson, K. (2023). Measurement and outcomes of co-production in health and social care: A systematic review of empirical studies. BMJ Open, 13(9), Article ID e073808.
Open this publication in new window or tab >>Measurement and outcomes of co-production in health and social care: A systematic review of empirical studies
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2023 (English)In: BMJ Open, E-ISSN 2044-6055, Vol. 13, no 9, article id e073808Article, review/survey (Refereed) Published
Abstract [en]

Background: Co-production is promoted as an effective way of improving the quality of health and social care but the diversity of measures used in individual studies makes their outcomes difficult to interpret.

Objective: The objective is to explore how empirical studies in health and social care have described the outcomes of co-production projects and how those outcomes were measured.

Design and methods: A scoping review forms the basis for this systematic review. Search terms for the concepts (co-produc∗ OR coproduc∗ OR co-design∗ OR codesign∗) and contexts (health OR 'public service∗ OR "public sector") were used in: CINAHL with Full Text (EBSCOHost), Cochrane Central Register of Controlled trials (Wiley), MEDLINE (EBSCOHost), PsycINFO (ProQuest), PubMed (legacy) and Scopus (Elsevier). There was no date limit. Papers describing the process, original data and outcomes of co-production were included. Protocols, reviews and theoretical, conceptual and psychometric papers were excluded. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline was followed. The Mixed Methods Appraisal Tool underpinned the quality of included papers.

Results: 43 empirical studies were included. They were conducted in 12 countries, with the UK representing >50% of all papers. No paper was excluded due to the Mixed Methods Quality Appraisal screening and 60% of included papers were mixed methods studies. The extensive use of self-developed study-specific measures hampered comparisons and cumulative knowledge-building. Overall, the studies reported positive outcomes. Co-production was reported to be positively experienced and provided important learning.

Conclusions: The lack of common approaches to measuring co-production is more problematic than the plurality of measurements itself. Co-production should be measured from three perspectives: outputs of co-production processes, the experiences of participating in co-production processes and outcomes of co-production. Both self-developed study-specific measures and established measures should be used. The maturity of this research field would benefit from the development and use of reporting guidelines.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2023
Keywords
patient participation, quality in health care, systematic review, Empirical Research, Humans, Knowledge, Learning, MEDLINE, Social Support, article, Cinahl, Cochrane Library, controlled clinical trial (topic), empiricism, human, maturity, outcome assessment, practice guideline, Preferred Reporting Items for Systematic Reviews and Meta-Analyses, PsycINFO, public sector, Scopus, social care, theoretical study
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hj:diva-62624 (URN)10.1136/bmjopen-2023-073808 (DOI)001072843300045 ()37739472 (PubMedID)2-s2.0-85172425579 (Scopus ID)GOA;;908642 (Local ID)GOA;;908642 (Archive number)GOA;;908642 (OAI)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2018-01431
Available from: 2023-10-10 Created: 2023-10-10 Last updated: 2023-11-06Bibliographically approved
Folkman, A. K., Areskoug Josefsson, K. & Fjetland, K. J. (2023). Norwegian Teachers’ Experiences with Distance Teaching and Online Schooling During the COVID-19 Pandemic. Scandinavian Journal of Educational Research, 67(3), 447-462
Open this publication in new window or tab >>Norwegian Teachers’ Experiences with Distance Teaching and Online Schooling During the COVID-19 Pandemic
2023 (English)In: Scandinavian Journal of Educational Research, ISSN 0031-3831, E-ISSN 1470-1170, Vol. 67, no 3, p. 447-462Article in journal (Refereed) Published
Abstract [en]

In March 2020, the Norwegian schools were closed in response to Covid19. The current study concerns teachers? experiences of distance teaching in April 2020 during the online schooling period in one Norwegian municipality. A survey was sent via e-mail to all teachers in primary and secondary state schools in the explored municipality. Thematic analysis of the data provided the following three themes: (1) Adjustment of teaching context (2) Involving and supportive management. (3) A culture of collaboration and sharing. Distance teaching is time-consuming for teachers, increases inequality in learning and increases the needs for adaptive education. Teachers? experience of interaction and collaboration with other professions is generally challenged and reduced due to online schooling.

Place, publisher, year, edition, pages
Taylor & Francis, 2023
Keywords
Collaboration, Covid-19, distance learning, online schooling, inequality, interaction, supportive management, Norway
National Category
Educational Sciences
Identifiers
urn:nbn:se:hj:diva-55495 (URN)10.1080/00313831.2021.2021445 (DOI)000739196800001 ()2-s2.0-85122277938 (Scopus ID);intsam;789192 (Local ID);intsam;789192 (Archive number);intsam;789192 (OAI)
Available from: 2022-01-11 Created: 2022-01-11 Last updated: 2023-06-30Bibliographically approved
Gustafsson, K., Areskoug Josefsson, K., Eriksson, M., Rolfson, O. & Kvist, J. (2023). Perspectives on health care and self-management of osteoarthritis among patients who desire surgery: A qualitative interview study. Physiotherapy Theory and Practice
Open this publication in new window or tab >>Perspectives on health care and self-management of osteoarthritis among patients who desire surgery: A qualitative interview study
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2023 (English)In: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040Article in journal (Refereed) Epub ahead of print
Abstract [en]

BACKGROUND: Expressing a desire for surgery before participating in first-line osteoarthritis (OA) interventions (patient education and exercise therapy) has been shown to contribute to poorer outcomes from the interventions, but we lack knowledge on how these patients reflect on health care and self-management of OA.

OBJECTIVES: To explore and describe patients' perspectives of health care and self-management of OA among those expressing a desire for surgery before participating in first-line OA interventions.

METHODS: Sixteen patients with hip or knee OA referred to participate in a standardized first-line OA intervention program in primary health care in Sweden were included in the study. We used individual semi-structured interviews to collect data, which were analyzed using inductive qualitative content analysis.

RESULTS: One theme of meaning "A multifaceted picture of needs, expectations, and individual choices" and five categories were identified as perspectives from the participants regarding health care and self-management of OA: 1) lacking control and needing support; 2) standing alone in an unsupportive environment; 3) going with the flow; 4) having expectations; and 5) taking ownership.

CONCLUSION: Patients who express a desire for surgery before participating in first-line interventions for OA are not a homogeneous group. They describe a broad range of perspectives on how they reason and reflect on health care and self-management of OA based on their own needs, expectations, and choices. Findings from this study strengthen insights on the importance of exploring the patient's perspectives and individualizing OA interventions to achieve the lifestyle changes that first-line interventions strive to accomplish.

Place, publisher, year, edition, pages
Taylor & Francis, 2023
Keywords
Interview, osteoarthritis, physiotherapy, qualitative research, self-management
National Category
Physiotherapy
Identifiers
urn:nbn:se:hj:diva-60837 (URN)10.1080/09593985.2023.2215302 (DOI)000998415500001 ()37246837 (PubMedID)2-s2.0-85161171912 (Scopus ID)HOA;;884129 (Local ID)HOA;;884129 (Archive number)HOA;;884129 (OAI)
Funder
Futurum - Academy for Health and Care, Jönköping County Council, Sweden, 933130; 933329
Available from: 2023-06-07 Created: 2023-06-07 Last updated: 2023-06-21
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ORCID iD: ORCID iD iconorcid.org/0000-0002-7669-4702

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