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Josephson, Irene
Alternative names
Publications (10 of 14) Show all publications
Nordström, E., Josephson, I., Hedberg, B. & Kjellström, S. (2016). Agenda för samverkan eller verksamhetens agenda? Om professionellas erfarenheter av samverkan enligt samordnad individuell plan (SIP). Socialvetenskaplig tidskrift (1), 37-57
Open this publication in new window or tab >>Agenda för samverkan eller verksamhetens agenda? Om professionellas erfarenheter av samverkan enligt samordnad individuell plan (SIP)
2016 (Swedish)In: Socialvetenskaplig tidskrift, ISSN 1104-1420, no 1, p. 37-57Article in journal (Refereed) Published
Abstract [en]

Agenda for collaboration or an agency agenda? Professionals’ experiences of colla­boration according to a coordinated individual plan (CIP)

An increasing number of children and adolescents develop complex needs that require simultaneous action by different professionals. Several reports state that efforts for these children and adolescents have become increasingly specialized and fragmented. Since 2010, there are statutory requirements for collaboration according to a coordinated individual plan (SIP) between health care and social services. Pre-school and school can after regional agreement be involved in the co-ordination as equal partner. Collaboration in line with CIP is expected to offset the fragmentation for benefit of the service users’ ability to monitor and comprehend interventions. The aim was to investigate professionals’ experiences of CIP. The study consists of qualitative analysis of 12 focus group interviews with a total of 71 staff with different professions in health care, education and social services about their experiences of CIP. The results indicate that the participants act according to their core mission: nurturing, teaching and investigation. Two main categories with four sub-categories each appeared in the analysis. The main category, hindering factors, contains the categories: different mandates and requirements, requirements for presence initiative, questioning and censure, and timelines and prioritization. The main category of facilitating factors contains the categories: similar interpretation of common agreement, mutual respect and shared learning, common terminology and documentation, and willingness to collaborate. The analysis indicate that CIP was perceived as alternating between, on the one hand, a pro-active and service-focused tool, and on the other hand, a competing and compelling professional instrument.

Place, publisher, year, edition, pages
Förbundet för forskning i socialt arbete (FORSA), 2016
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hj:diva-30943 (URN)
Available from: 2016-06-29 Created: 2016-06-29 Last updated: 2018-09-04Bibliographically approved
Hallgren, J., Ernsth Bravell, M., Dahl Aslan, A. K. & Josephson, I. (2015). In hospital we trust: Experiences of older peoples' decision to seek hospital care. Geriatric Nursing, 36(4), 306-311
Open this publication in new window or tab >>In hospital we trust: Experiences of older peoples' decision to seek hospital care
2015 (English)In: Geriatric Nursing, ISSN 0197-4572, E-ISSN 1528-3984, Vol. 36, no 4, p. 306-311Article in journal (Refereed) Published
Abstract [en]

The purpose of this study was to explore how older people experience and perceive decisions to seek hospital care while receiving home health care. Twenty-two Swedish older persons were interviewed about their experiences of decision to seek hospital while receiving home health care. The interviews were analyzed using qualitative content analysis. The findings consist of one interpretative theme describing an overall confidence in hospital staff to deliver both medical and psychosocial health care, In Hospital We Trust, with three underlying categories: Superior Health Care, People’s Worries, and Biomedical Needs. Findings indicate a need for establishing confidence and ensuring sufficient qualifications, both medical and psychological, in home health care staff to meet the needs of older people. Understanding older peoples’ arguments for seeking hospital care may have implications for how home care staff address individuals’ perceived needs. Fulfillment of perceived health needs may reduce avoidable hospitalizations and consequently improve quality of life.

Place, publisher, year, edition, pages
Elsevier, 2015
Keywords
Hospitalization, Home Health Care, Decision making, Older persons, Qualitative Research Methods
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-28661 (URN)10.1016/j.gerinurse.2015.04.012 (DOI)000360187900009 ()25971421 (PubMedID)2-s2.0-84938746848 (Scopus ID)
Available from: 2015-12-16 Created: 2015-12-16 Last updated: 2019-04-09Bibliographically approved
Josephson, I. (2014). Meeting the challenges for the health and elderly care:Problematizing vulnerability in care encounters: The professional body in treatment. In: : . Paper presented at International Conference on Communication, Medicine and Ethics (COMET) Lugano, Schweiz.
Open this publication in new window or tab >>Meeting the challenges for the health and elderly care:Problematizing vulnerability in care encounters: The professional body in treatment
2014 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Humanities
Identifiers
urn:nbn:se:hj:diva-25622 (URN)
Conference
International Conference on Communication, Medicine and Ethics (COMET) Lugano, Schweiz
Available from: 2015-01-14 Created: 2015-01-14 Last updated: 2018-06-26
Josephson, I., Woodward-Kron, R., Delaney, C. & Hiller, A. (2014). Therapists’ and patients’ use of evaluation in physiotherapy: implications for understandings of patient-centredness. In: : . Paper presented at International Conference on Communication in Healthcare (EACH), 28 September - 1 October, Amsterdam, NL.
Open this publication in new window or tab >>Therapists’ and patients’ use of evaluation in physiotherapy: implications for understandings of patient-centredness
2014 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Humanities
Identifiers
urn:nbn:se:hj:diva-25623 (URN)
Conference
International Conference on Communication in Healthcare (EACH), 28 September - 1 October, Amsterdam, NL
Available from: 2015-01-14 Created: 2015-01-14 Last updated: 2018-06-26Bibliographically approved
Josephson, I., Woodward-Kron, R., Delany, C. & Hiller, A. (2014). Therapists' and patients' use of evaluation inphysiotherapy: implications for understandings of patient-centredness. In: : . Paper presented at Conference on Communication, Medicine and Ethics (COMET) Lugano, Schweiz, 2014.
Open this publication in new window or tab >>Therapists' and patients' use of evaluation inphysiotherapy: implications for understandings of patient-centredness
2014 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Humanities
Identifiers
urn:nbn:se:hj:diva-25621 (URN)
Conference
Conference on Communication, Medicine and Ethics (COMET) Lugano, Schweiz, 2014
Available from: 2015-01-14 Created: 2015-01-14 Last updated: 2018-06-26Bibliographically approved
Hallgren, J., Dahl, A., Ernsth Bravell, M., Mölstad, S., Midlöv, P., Östgren, C. J., . . . Josephson, I. (2013). Factors associated with a greater risk of hospitalization among nursing home residents. In: : . Paper presented at GSA 66th Annual Scientific Meeting in New Orleans.
Open this publication in new window or tab >>Factors associated with a greater risk of hospitalization among nursing home residents
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2013 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Background: Nursing home residents are at a higher risk of hospital care as they represent the oldest and most frail segment of the population. At the same time, hospitalization is associated with a greater risk of various diseases, such as iatrogenic disorders, physical impairments and other adverse outcomes. Knowledge about factors associated with greater risk of hospitalization among nursing home residents is scarce. The aim of this study was to identify predictors of hospitalization among nursing home residents. Methods: Four hundred twenty-nine Swedish nursing home residents (mean age 84.9 years, ± 7.27, 71% females) were followed during three years in the longitudinal SHADES study. Participants were examined on physical, psychological, and social functioning, and information about hospitalization was recorded across the study period. Results: Of the 429 participants, 196 (45.7%) had at least one hospital admission during the three year follow-up period. The most common cause of admission was cardiovascular diseases (CVD) and complications due to falls.  Cox proportional hazard regression model controlling for dependency within nursing homes and municipalities showed that nursing home residents with previous falls (HR=1.59, p=.000), cognitive impairment (HR=1.28, p=.008) and malnutrition (HR=1.51, p=.018) were at a greater risk of hospitalization. Discussion: The results suggest that nursing home residents are at high risk of hospitalization, especially due to CVD and falls. Several modifiable factors associated with an increased risk of hospitalization were identified, including nutritional status and falls. Hospital admissions for older people could potentially be reduced by preventive measures aiming at fall reduction and malnutrition. 

National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-22748 (URN)
Conference
GSA 66th Annual Scientific Meeting in New Orleans
Available from: 2013-12-16 Created: 2013-12-16 Last updated: 2018-09-13Bibliographically approved
Josephson, I. (2013). In what ways do physiotherapists utilize patient resources inintervention?: A qualitative analysis of the interaction in the context of non-specific low back pain. In: : . Paper presented at Communication, Medicine & Ethics (COMET).
Open this publication in new window or tab >>In what ways do physiotherapists utilize patient resources inintervention?: A qualitative analysis of the interaction in the context of non-specific low back pain
2013 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

This paper reports on an empirical study of how patient resources are explicitly utilized in intervention. A qualitative analysis of five videorecorded and observed first encounters between patients with nonspecific low back pain (NSLBP) and physiotherapists in primary care was conducted in southern Sweden. The analysis focuses on physiotherapists’ various ways of explicitly utilizing patient resources in intervention. The findings illuminate a gap between the number of occurring patient resources and the explicit utilization of these resources in intervention. Resources like objects, condition, personal characteristics and energies were identified and followed during the first encounter with physiotherapists. These resources were checked by the therapists or initiated by the patients. Resources concerning personal characteristics (such as optimism and motivation) and energies (such as experience-based knowledge) seem to be the underutilized. The findings raise questions about professional challenges beyond professional skill, indicating a need for clinical improvement regarding interaction, with potential implication for back pain recovery. The findings are discussed in relation to patient participation and professional ethics.

National Category
Health Sciences
Identifiers
urn:nbn:se:hj:diva-22749 (URN)
Conference
Communication, Medicine & Ethics (COMET)
Available from: 2013-12-16 Created: 2013-12-16 Last updated: 2018-06-26Bibliographically approved
Josephson, I., Hedberg, B. & Bülow, P. H. (2013). Problem-solving in physiotherapy - physiotherapists' talk about encounters with patients with non-specific low back pain. Disability and Rehabilitation, 35(8), 668-677
Open this publication in new window or tab >>Problem-solving in physiotherapy - physiotherapists' talk about encounters with patients with non-specific low back pain
2013 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 35, no 8, p. 668-677Article in journal (Refereed) Published
Abstract [en]

Purpose: To investigate how physiotherapists talk about the choice of intervention for patients with NSLBP, particularly how professionals manage clinical encounters that may be experienced as challenging.

Method: Discourse analysis was performed of four focus groups’ talk. Twenty-one experienced physiotherapists working in primary health care in southern Sweden participated.

Results: Four focal themes appeared: Responsibility for health and health-related problems; Normalization – what counts as a normal back pain problem in relation to living an ordinary life; Change process – how to lead one’s life; and Individualization of the intervention in relation to the individual patient but also from the physiotherapists’ point of view. The themes shape an over-arching pattern of Problem-solving – which concerned both the professional task and the back pain problem, and was related to varying case complexity. This may have implications for the intervention the individual patient will be offered and on outcome.

Conclusions: Physiotherapists’ attitudes and approaches seem to entail components of professional and personal values which may influence patients’ access to health care, with a risk for unequal assessment and intervention as a consequence. We argue that enhanced physiotherapist-patient collaboration, including patient-led problem-investigation, is a prerequisite for improved outcome in terms of patient satisfaction, and for physiotherapy development. Future investigations of patients’ roles in specific face-to-face encounters are needed.

Place, publisher, year, edition, pages
United Kingdom: Informa Healthcare, 2013
Keywords
clinical reasoning, discourse analysis, low back pain, physiotherapy
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-19945 (URN)10.3109/09638288.2012.705221 (DOI)000316211800005 ()22897738 (PubMedID)2-s2.0-84875124212 (Scopus ID)
Available from: 2012-11-29 Created: 2012-11-29 Last updated: 2018-11-01Bibliographically approved
Josephson, I. (2013). Utrymme för deltagande: Beslutsprocesser i möten mellan patienter med ospecifika ländryggsbesvär och sjukgymnaster i primärvård. (Doctoral dissertation). Jönköping: School of Health Sciences
Open this publication in new window or tab >>Utrymme för deltagande: Beslutsprocesser i möten mellan patienter med ospecifika ländryggsbesvär och sjukgymnaster i primärvård
2013 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [sv]

Hälso- och sjukvårdsmöten som föranleds av medicinskt ospecifika symptom innebär utmaningar för både patient och vårdprofessionell. Samtidigt erbjuder det ospecifika ett mer flexibelt utrymme för patienters aktiva deltagande i beslutsprocesser än vad som är fallet vid specifika hälsoproblem med ett begränsat antal vedertagna behandlingsalternativ. Syftet med forskningsprojektet var att undersöka utmaningar relaterade till utrymmet för patienters deltagande i beslutsprocesser avseende intervention. Avhandlingen baseras på fyra artiklar som undersöker erfarna sjukgymnasters föreställningar om, och interagerande i möten med patienter med ospecifika ländryggsbesvär.

Forskningsprojektet genomfördes med explorativ empirisk ansats kombinerat med fokuserad etnografi. Det betyder att forskningen grundas på erfarenhetsbaserad kunskap som samlas in i naturligt förekommande verksamhet. Data samlades in via fokusgrupper med sjukgymnaster, samt via deltagande observationer av det första mötet mellan sjukgymnast och patient. Samtliga sammankomster videofilmades och transkriberades, och analyserades med fokus på beslutsprocesser avseende intervention.

Forskningsprojektet resulterade i tre mönster: i) kontrasten mellan sjukgymnasternas förställningar om helhetsperspektiv i förhållande till det biomedicinska intresse som de utövade, ii) omvandlingen av patienternas resursorientering till biomedicinskt hälsoproblem, samt iii) överensstämmelse mellan sjukgymnasternas inställning till, och deras hantering av andra aktörer. Resultatet tyder på att sjukgymnasterna resonerade om element från flera systemnivåer men fattade beslut på sin egen systemnivå, det vill säga utifrån professionell metodik och teori. Det innebär att utrymmet för patienters aktiva deltagande i beslutsprocesser avseende intervention inte togs tillvara i den omfattning som var möjlig. Genom att vårdprofessionella utvecklar kommunikativa och interaktiva förmågor kan patienters resurser bättre tas tillvara i intervention, vilket indirekt kan leda till ökad nöjdhet och bättre funktionsförmåga.

Place, publisher, year, edition, pages
Jönköping: School of Health Sciences, 2013. p. 119
Series
Hälsohögskolans avhandlingsserie, ISSN 1654-3602 ; 42
Series
Studies from the Swedish Institute for Disability Research, ISSN 1650-1128 ; 47
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-20912 (URN)978-91-85835-41-6 (ISBN)
Public defence
2013-04-29, Forum Humanum, Barnarpsgatan 39, 553 18, Jönköping, 13:00 (Swedish)
Opponent
Supervisors
Available from: 2013-04-04 Created: 2013-04-04 Last updated: 2018-06-26Bibliographically approved
Josephson, I. (2012). Patterns of interaction about problem-identification in first face-to-face encounters between physiotherapists in primary care and patients with back pain. In: : . Paper presented at European Association for Communication in Healthcare, International Conference on Communication in Healthcare. 4-7 September, St Andrews University, Scotland, UK.
Open this publication in new window or tab >>Patterns of interaction about problem-identification in first face-to-face encounters between physiotherapists in primary care and patients with back pain
2012 (English)Conference paper, Oral presentation only (Refereed)
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-19946 (URN)
Conference
European Association for Communication in Healthcare, International Conference on Communication in Healthcare. 4-7 September, St Andrews University, Scotland, UK
Available from: 2012-11-29 Created: 2012-11-29 Last updated: 2018-06-26Bibliographically approved
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