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Publications (10 of 17) Show all publications
Johansson, A., Fristedt, S., Boström, M., Björklund Carlstedt, A. & Wagman, P. (2019). Occupational challenges and adaptations of vulnerable EU citizens from Romania begging in Sweden. Journal of Occupational Science, 26(2), 200-210
Open this publication in new window or tab >>Occupational challenges and adaptations of vulnerable EU citizens from Romania begging in Sweden
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2019 (English)In: Journal of Occupational Science, ISSN 1442-7591, E-ISSN 2158-1576, Vol. 26, no 2, p. 200-210Article in journal (Refereed) Published
Abstract [en]

Introduction: People from European Union (EU) countries such as Latvia, Romania and Bulgaria who beg on the streets have become a common part of the townscape in Sweden. While demanding situations in their home countries drive them abroad to earn their living, those who turn to begging still face challenges in their everyday lives. Additional knowledge is needed, from their perspective, about the occupational challenges of begging, as well as how they adapt to those challenges.

Aim: To describe the occupational challenges and related adaptations of vulnerable EU citizens begging in Sweden.

Methods: We used a descriptive qualitative design. Individual interviews with 20 Romanian participants were conducted and analysed using qualitative content analysis with a deductive and inductive approach.

Results: Six categories of occupational adaptation responses were identified: Keeping the family tier intact despite distance; Dealing with shame and stress; Managing body and mind when begging despite the monotony; Living as cheaply as possible; Trying to get a night's sleep without drawing attention to oneself; and Seeking alternatives for earning their living.

Conclusion: Everyday life, when begging abroad, is filled with occupational challenges requiring occupational adaptations, for better or for worse, to sustain basic human needs. To further understand the needs of this vulnerable and marginalised group in society, human rights discourses that go beyond the individual level are needed.

Place, publisher, year, edition, pages
Taylor & Francis, 2019
Keywords
Occupational science, Occupational adaptation, Occupational justice, Vulnerability, Migration
National Category
Occupational Therapy
Identifiers
urn:nbn:se:hj:diva-42365 (URN)10.1080/14427591.2018.1557071 (DOI)000482560100008 ()2-s2.0-85058708395 (Scopus ID)HOA HHJ 2019 (Local ID)HOA HHJ 2019 (Archive number)HOA HHJ 2019 (OAI)
Available from: 2018-12-19 Created: 2018-12-19 Last updated: 2019-10-01Bibliographically approved
Johansson, A., Ericsson, I., Boström, M., Björklund Carlstedt, A. & Fristedt, S. (2018). A participatory evaluation of the health promotion programme “more healthy years of life” programme among senior citizens in Sweden. Cogent Medicine, 5(1), Article ID 1521085.
Open this publication in new window or tab >>A participatory evaluation of the health promotion programme “more healthy years of life” programme among senior citizens in Sweden
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2018 (English)In: Cogent Medicine, Vol. 5, no 1, article id 1521085Article in journal (Refereed) Published
Abstract [en]

Background: Older adults have, in general, been sparsely involved in development and evaluation of programmes intended to promote their health.

Aim: To describe older adults’ reflections on and involvement in the development and evaluation of a health promotion programme.

Material and Method: Ten older persons participated in a health promotion programme (HPP) focusing on activity during four sessions. After each HPP session, focus group discussions were held, analysed through qualitative content analysis.

Results: The main theme; “Being involved adds value and new experiences to life“, were built from sub-themes; “From sceptical individual to engaged group member”, “From beholder to active co-creator”, and “From individual knowledge recipient to collective knowledge sharer”.

Conclusions: Having a leader with a gerontological competence was mentioned as important, as well as to integrate existential topics into the HPP. Social inclusion together with the possibility to influence the HPP had a positive effect on the participants and provided a sense of belonging.

Significance: Several contributions to the development of the HPP were given, that would not have been captured without the reflections and involvement of the participants. However, more and larger studies are needed to develop strategies that enable older adult’s involvement in the development of HHP.

Place, publisher, year, edition, pages
Cogent OA, 2018
Keywords
belonging, education, health promotion, older adults
National Category
Occupational Therapy
Identifiers
urn:nbn:se:hj:diva-41630 (URN)10.1080/2331205X.2018.1521085 (DOI)
Available from: 2018-10-01 Created: 2018-10-01 Last updated: 2019-01-23Bibliographically approved
Johansson, A., Fristedt, S., Boström, M., Björklund, A. & Wagman, P. (2018). Occupational adaptation in vulnerable EU citizens when begging in Sweden. In: : . Paper presented at WFOT Congress 2018, 21st – 25th May 2018, Cape Town, South Africa.
Open this publication in new window or tab >>Occupational adaptation in vulnerable EU citizens when begging in Sweden
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2018 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Occupational Therapy
Identifiers
urn:nbn:se:hj:diva-41865 (URN)
Conference
WFOT Congress 2018, 21st – 25th May 2018, Cape Town, South Africa
Available from: 2018-10-18 Created: 2018-10-18 Last updated: 2018-10-18Bibliographically approved
Johansson, A., Fristedt, S., Boström, M. & Björklund, A. (2018). The use of occupational adaptation in research articles: a scoping review. Occupational Therapy in Health Care, 32(4), 422-439
Open this publication in new window or tab >>The use of occupational adaptation in research articles: a scoping review
2018 (English)In: Occupational Therapy in Health Care, ISSN 0738-0577, E-ISSN 1541-3098, Vol. 32, no 4, p. 422-439Article, review/survey (Refereed) Published
Abstract [en]

The aim of this scoping review was to identify and describe how occupational adaptation has been used in different research studies published from 1992 to 2015 and to identify possible gaps in study design. Four categories of studies were identified: those focused on understanding how occupational adaptation occurs in different life situations and different health conditions, those focused on the use of occupational adaptation as a guide or model in organizing the occupational therapy process, and those using occupational adaptation as a part of instrument development. Several gaps in research are evident including updating the theory development on occupational adaptation, types of maladaptation, studies conducted in less affluent countries, quantitative studies with robust designs, inclusion of men and younger persons as subjects, vulnerable groups, health promotion, and community settings.

Place, publisher, year, edition, pages
Taylor & Francis, 2018
Keywords
Literature review, occupational therapy model, occupational therapy theory
National Category
Occupational Therapy
Identifiers
urn:nbn:se:hj:diva-35515 (URN)10.1080/07380577.2018.1526433 (DOI)000465182300007 ()30465609 (PubMedID)2-s2.0-85057247529 (Scopus ID)
Note

Included in thesis in manuscript form.

Available from: 2017-05-15 Created: 2017-05-15 Last updated: 2019-05-10Bibliographically approved
Boström, M., Ernsth Bravell, M., Björklund, A. & Sandberg, J. (2017). How older people perceive and experience sense of security when moving into and living in a nursing home: [Hur äldre personer uppfattar och erfar trygghet i flytt till och boende i särskilt boende för äldre. En fallstudie]. European Journal of Social Work, 20(5), 697-710
Open this publication in new window or tab >>How older people perceive and experience sense of security when moving into and living in a nursing home: [Hur äldre personer uppfattar och erfar trygghet i flytt till och boende i särskilt boende för äldre. En fallstudie]
2017 (English)In: European Journal of Social Work, ISSN 1369-1457, E-ISSN 1468-2664, Vol. 20, no 5, p. 697-710Article in journal (Refereed) Published
Abstract [en]

Sense of security is important throughout the lifespan not at least in advanced age with increased risks of functional declines and decreased social capital. Despite this, knowledge concerning older person’s perceptions and experiences of sense of security when moving into nursing homes is scarce. This study is a longitudinal, descriptive, exploratory case study with in-depth interviews and observations of three older persons in the age of 87, 88, and 91 years in a mid-sized municipality in the south of Sweden, in order to highlight how sense of security is experienced when moving into and living in a nursing home. Data were analysed using qualitative content analysis, which resulted in one main theme and four categories. The main theme, ‘Adaptation and sense of security’, indicates older persons’ need to adapt to the new context of the nursing home, and how this relates to their sense of security. The categories – ‘Control’, ‘Struggling for understanding’, ‘Lack of influence’, and ‘Grasping’ – suggest that older persons’ sense of security is reduced when they must adjust to routines without sufficient management and understanding. When able to maintain control over daily routines, and felt as a part of the new context, they perceived a sense of security.

Abstract [sv]

Trygghet är viktigt genom hela livet, inte minst som äldre med tilltagande funktionedsättningar. Kunskap behövs gällande äldre personers uppfattning av trygghet i flytt från ordinärt till särskilt boende. Syftet med studien var att öka förståelsen av hur äldre personer med skiftande omsorgsbehov uppfattar och erfar trygghet, i flytt från ordinärt till särskilt boende. En explorativ fallstudie med intervjuer och observation av tre äldre personer i åldrarna 87, 88 och 91 år genomfördes över en tidsperiod på 3 -4 månader; före flytten till särskilt boende; 3 -5 dagar efter flytt; 2 -4 veckor efter flytt då genomförandeplanen ägde rum och slutligen efter 12 -16 veckor efter flytt. Vid varje intervjutillfälle användes samma fokusområden och följdfrågor. Kvalitativ innehållsanalys användes för att analysera datamaterialet, vilket resulterade i ett huvudtema och fyra kategorier. Huvudtemat indikerar äldre personer genom hela flyttprocessen behöver anpassa sig till den nya miljön på särskilt boende för att uppleva trygghet. Anpassning till de nya rutinerna gav visserligen struktur i vardagen och uppfattades som en säkerhet, men inte nödvändigtvis som trygghet. Då de äldre personerna kunde behålla kontrollen och kunskapen över dagliga rutiner, och kände sig som en del av den nya sammanhang uppfattas de en känsla av trygghet.

Place, publisher, year, edition, pages
Taylor & Francis, 2017
Keywords
Case study, control, routines, in-depth interviews, sense of security, fallstudie, upplevelse av kontroll, rutiner, djupintervju, känsla av trygghet
National Category
Social Work
Identifiers
urn:nbn:se:hj:diva-23857 (URN)10.1080/13691457.2016.1255877 (DOI)000413972900008 ()2-s2.0-85002050769 (Scopus ID)
Available from: 2014-05-23 Created: 2014-05-23 Last updated: 2018-01-24Bibliographically approved
Boström, M., Ekberg, K., Ernsth-Bravell, M. & Ågren, H. (2016). Stärka tryggheten i flytt till särskilt boende. In: Stefan Österström (Ed.), 10 förbättringar från DIALOGEN: En långsiktig strategi för att utveckla en innovativ, sammanhållen och hållbar socialtjänst (pp. 133-150). Jönköping: Jönköpings kommun, socialtjänsten
Open this publication in new window or tab >>Stärka tryggheten i flytt till särskilt boende
2016 (Swedish)In: 10 förbättringar från DIALOGEN: En långsiktig strategi för att utveckla en innovativ, sammanhållen och hållbar socialtjänst / [ed] Stefan Österström, Jönköping: Jönköpings kommun, socialtjänsten , 2016, p. 133-150Chapter in book (Other academic)
Abstract [sv]

De flesta kan kanske känna igen sig i en situation då flytt till särskilt boende blir aktuellt, oavsett om det gäller en nära anhörigs flytt eller sin egen. Våra skäl och orsaker till flytten kan variera men behovet av vård och omsorg är ofta detsamma. I en tid av livet då skörheten gör sig påmind och behovet av hjälp och stöd ökar, kan flytten bli ett känslosamt möte mellan det förflutna och en oviss framtid. Att arbeta för att få den äldre personen att känna trygghet under hela flyttprocessen och även under den första tiden på det särskilda boendet blir därför viktigt. Socialtjänsten och Hälsohögskolan har sedan 2013 genomfört ett samverkansprojekt i syfte att fördjupa kunskapen om äldres upplevelse av trygghet i flyttprocessen, för att på så vis förbättra och stärka den.

Place, publisher, year, edition, pages
Jönköping: Jönköpings kommun, socialtjänsten, 2016
National Category
Social Work
Identifiers
urn:nbn:se:hj:diva-34726 (URN)
Available from: 2017-01-16 Created: 2017-01-16 Last updated: 2017-01-16Bibliographically approved
Johansson, A., Boström, M., Ericsson, I., Björklund, A. & Fristedt, S. (2015). Fler hälsosamma år till livet genom lärande och engagemang i ett hälsofrämjande program: En utvärdering av programmet ur ett deltagarperspektiv. Jönköping: Jönköping University, School of Health and Welfare
Open this publication in new window or tab >>Fler hälsosamma år till livet genom lärande och engagemang i ett hälsofrämjande program: En utvärdering av programmet ur ett deltagarperspektiv
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2015 (Swedish)Report (Other (popular science, discussion, etc.))
Place, publisher, year, edition, pages
Jönköping: Jönköping University, School of Health and Welfare, 2015. p. 30
Series
Arbetsrapporter från Hälsohögskolan ; 3
National Category
Occupational Therapy
Identifiers
urn:nbn:se:hj:diva-28208 (URN)
Available from: 2015-10-22 Created: 2015-10-22 Last updated: 2018-08-21Bibliographically approved
Boström, M. (2015). Så skapas trygghet vid flytt hemifrån.
Open this publication in new window or tab >>Så skapas trygghet vid flytt hemifrån
2015 (Swedish)Other (Other (popular science, discussion, etc.))
Publisher
p. 3
Series
Tidningen Äldreomsorg ; 3
National Category
Social Work
Identifiers
urn:nbn:se:hj:diva-28986 (URN)
Available from: 2016-01-11 Created: 2016-01-11 Last updated: 2016-01-11
Boström, M. (2015). Trygghet utifrån den äldres perspektiv. In: : . Paper presented at Äldreomsorgsdagarna 2015.
Open this publication in new window or tab >>Trygghet utifrån den äldres perspektiv
2015 (Swedish)Conference paper, Oral presentation only (Other (popular science, discussion, etc.))
National Category
Social Work
Identifiers
urn:nbn:se:hj:diva-28987 (URN)
Conference
Äldreomsorgsdagarna 2015
Available from: 2016-01-11 Created: 2016-01-11 Last updated: 2016-01-11
Boström, M. (2014). Trygghet - på vems villkor? Uppfattningar om och erfarenheter av trygghet hos äldre personer med behov av omsorg. (Doctoral dissertation). Jönköping: Jönköping University, School of Health Sciences
Open this publication in new window or tab >>Trygghet - på vems villkor? Uppfattningar om och erfarenheter av trygghet hos äldre personer med behov av omsorg
2014 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [sv]

Syftet med avhandlingen var att bidra till ökad förståelse av hur äldre personer med skiftande omsorgsbehov uppfattade och erfor trygghet, i ordinärt och särskilt boende.

Avhandlingens två första studier baserades på material från fokusgruppintervjuer med totalt 45 äldre personer boende i seniorboende. Intervjuerna analyserades med kvalitativ innehållsanalys (I, II). Den tredje studien bestod av en sekundäranalys av en brukarenkät till 350 äldre personer i ordinärt boende med hemtjänst och 145 äldre personer i särskilt boende. Materialet bearbetades med deskriptiv och analytisk statistik (III). I den fjärde studien följdes tre äldre personer, genom djupintervjuer och observationer under 12-16 veckor, vid flytt till särskilt boende och den första tiden på särskilt boende. Även detta material analyserades med kvalitativ innehållsanalys (IV).

Avhandlingens resultat visar bland annat att de trygghetslarm som de äldre hade erfarenhet av uppfattades som begränsande då larmets korta räckvidd gav orsak till minskad frihet, otrygghet, oro och rädsla (I). Övervakningsteknik, där den äldres person och position övervakas i större omfattning, ansågs inte som något problem att använda när omsorgsinsatserna ökade, så länge detta medförde ökad trygghet (II). Upplevd hälsa, relationstrygghet samt kunskap och kontroll var faktorer som var positivt relaterade till hur äldre personer med äldreomsorg uppfattade och erfor trygghet i vardagen, både i ordinärt och i särskilt boende (III). Flytt till särskilt boende som innebar att stegvis överlämna sitt livoch sin kontroll till omsorgspersonalen, ledde till en känsla av ökad säkerhet för de äldre personerna men inte nödvändigtvis till känsla av trygghet (IV).

Resultatet tolkades i förhållande till Antonovskys salutogena teori där de tre koncepten meningsfullhet, hanterbarhet och begriplighet, tillsammans utgör grunden för känsla av sammanhang (KASAM).

Sammanfattningsvis uppfattade och erfor äldre personer trygghet som så meningsfull att de kunde tänka sig att ge avkall på en del av sin frihet, integritet, självständighet och självbevarande för att uppnå den. De äldre personerna beskrev att resurser som personal och trygghetslarm stärkte tryggheten, men att hanterbarheten av dessa resurser kan stärkas ytterligare, i både ordinärt boende och särskilt boende. Resultaten visaratt äldre personers begriplighet av vardagen relaterar positivt till uppfattningar och erfarenheter av trygghet. Äldre personer saknar dock begriplighet avseende exempelvis trygghetslarm och nya rutiner, vilket får negativ inverkan på deras trygghet. Äldre personer bör ges större utrymme att själva beskriva trygghet utifrån sina unika villkor. För att stärka trygghet på äldre personers villkor, oavsett deras omsorgsbehov, bör således hanterbarheten, men framförallt begripligheten, stärkas.

Abstract [en]

The aim of this thesis was to increase the knowledge and understanding of how older people with varying needs of care perceive and experience sense of security in ordinary homes and in nursing homes.

This thesis comprised four studies, which are to be found at the end of this manuscript. The first two studies were based on the same data material, collected using focus group interviews with 45 elderly individuals living in senior housing with minimal care needs. The interviews were analyzed using qualitative content analysis (I, II). The third study was based on secondary analysis of a user survey of 350 older individuals in ordinary housing with some kind of elder care/service and 145 older individuals with around-the-clock care needs living in nursing homes. The material was processed using descriptive and analytical statistics (III). The fourth study followed three older individuals for 12-16 weeks, using four in-depth interviews and observations to examine the move from ordinary into nursing homes. This material was also analyzed using qualitative content analysis. The use of a personal emergency response system (PERS) was perceived as limiting the lives of elderly people, because the alarm only functions within a person’s apartment. The limited range of the PERS was perceived as reducing elders’ freedom and increasing insecurity, anxiety, and fear (I). Increased reliance on care interventions using monitoring technology, with which the individual and their position is monitored on a larger scale, was not considered a problem, as long as it led to increased security and allowed older individuals to maintain control and a sense of self (II). Perceived health, secure relationships, knowledge, and control were factors that were related to perceived sense of security in the daily lives of older individuals with care, both in ordinary homes and in nursing homes (III).

Moving to a nursing home and gradually transferring the control of one’s belongings and daily routines to care staff led to a feeling of greater safety for the older person, but not necessarily a sense of security (IV). In summary, older individuals value, prioritize, and perceive sense of security as very important in their life, but do not always experience a sense of security in ordinary housing and nursing homes. Security is perceived as something so important in life that older people will consider sacrificing their privacy and integrity in lieu of security. Because the sense of security is not always perceived and experienced as good, older individuals search for strategies that contribute to their sense of security through material objects and through relationships with other people. These results indicate that it is essential to support older individuals’ everyday life, regardless of care type, to promote a sense of security on their terms.

Place, publisher, year, edition, pages
Jönköping: Jönköping University, School of Health Sciences, 2014. p. 90
Series
Hälsohögskolans avhandlingsserie, ISSN 1654-3602 ; 53
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-23852 (URN)978-91-85835-52-2 (ISBN)
Public defence
2014-05-23, Röda rummet, Hälsohögskolan, Jönköping, 10:00 (Swedish)
Available from: 2014-05-23 Created: 2014-05-23 Last updated: 2018-01-11Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-9616-5237

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