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  • 1.
    Areskoug Josefsson, Kristina
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Finns kompetensen2017Conference paper (Other academic)
  • 2.
    Areskoug Josefsson, Kristina
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Fysioterapeutens roll för att förbättra sexuell hälsa hos patienten med långvarig smärta2017Conference paper (Other academic)
  • 3.
    Areskoug Josefsson, Kristina
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Förbättringsarbete i Fysioterapi2017Conference paper (Refereed)
  • 4.
    Areskoug Josefsson, Kristina
    Jönköping University, School of Health and Welfare, HHJ, Quality Improvement and Leadership in Health and Welfare.
    Improving hydrotherapy interventions and physical activity intensity for persons with rheumatological diseases2015In: Evidensbaserad träningsintensitet i bassäng vid reumatisk sjukdom, 2015Conference paper (Refereed)
  • 5.
    Areskoug Josefsson, Kristina
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Inkludera sexuell hälsa i fysioterapi2017Conference paper (Refereed)
  • 6.
    Areskoug Josefsson, Kristina
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Kartläggning av utbildning i hivprevention och SRHR inom nio högre utbildningar i Sverige2017Conference paper (Other academic)
  • 7.
    Areskoug Josefsson, Kristina
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Rehabilitation and sexual health in chronic disease2016In: Conference abstracts, 2016Conference paper (Refereed)
  • 8.
    Areskoug Josefsson, Kristina
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Sexual health in rheumatoid arthritis - The role of the physiotherapist to enhance sexual health2016In: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 75, no Suppl. 2, p. 46-46Article in journal (Refereed)
    Abstract [en]

    Sexual health is often negatively affected by rheumatoid arthritis (RA), but rarely discussed between patients and health care professionals. Experienced reasons for decreased sexual health vary among patients, but pain, stiffness, reduced mobility, fatigue and negative feelings towards one’s own body are common factors. In addition to negative effects experienced to be due to RA, there are also negative influences on sexual health by other factors, such as insufficient physical activity, low self-esteem, depression and stressful influences in life. Physiotherapy is a common intervention for patients with RA and patients have reported improved sexual health due to physiotherapy. Regular physiotherapy interventions for patients with RA often include coaching towards increasing physical activity levels, hydrotherapy, pain reductive treatment and mobility exercises, both individually and in groups. The physiotherapy interventions leading to improved sexual health (according to patients with RA) has been regular interventions for patients with RA and not specifically aimed at enhancing sexual health. The patients do seldom describe that the physiotherapist has informed them of how physiotherapy might enhance sexual health, but they have themselves experienced how physiotherapy has improved their sexual life. Patients describe that they experience joy, increased self-esteem and a more positive approach to their body, when participating in physiotherapy and that this positive feeling is affecting their life, including their sexual life. They also describe how increased physical capacity reduces fatigue and increases their capacity to engage in valued life activities, including sexual activities. The way that the physiotherapist can further enhance sexual health, is by informing the patient of how sexual health is linked to experienced symptoms of RA and how physiotherapy interventions, for example increasing physical activity, can enhance also sexual health

  • 9.
    Areskoug Josefsson, Kristina
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Sexuell hälsa & rehabilitering2017Conference paper (Other academic)
  • 10.
    Areskoug Josefsson, Kristina
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Sweden: Co-creating change – Time to include sexual and reproductive health and rights in health and welfare education2018Conference paper (Refereed)
  • 11.
    Areskoug Josefsson, Kristina
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Using resources and addressing challenges—it is time to include sexual health in therapy2016In: International Journal of Therapy and Rehabilitation, ISSN 1741-1645, E-ISSN 1759-779X, Vol. 23, no 4, p. 106-107Article in journal (Other academic)
  • 12.
    Areskoug Josefsson, Kristina
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Value of performing a Rasch analysis on a reliable and valid instrument – case study of the SA-SH2019In: Article in journal (Refereed)
  • 13.
    Areskoug Josefsson, Kristina
    et al.
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Andersson, Ann-Christine
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare.
    The co-constructive processes in physiotherapy2017In: Cogent Medicine, ISSN 2331-205X, Vol. 4, p. 1-8, article id 1290308Article in journal (Refereed)
    Abstract [en]

    To employ a person-centred approach, it is essential to work with the patient in deciding the important issues that the physiotherapy intervention should target, and to develop and adjust the individual treatment accordingly. Those co-constructive processes of physiotherapy consist of several parts, aiming to improve patient involvement and to optimize intervention outcomes. This paper aims to discuss and bring forward the role of the co-constructive processes in physiotherapy, by using perspectives from learning strategies and quality improvement strategies. The conclusion is that co-constructive learning processes are useful theories, which can be used in unison with quality improvement strategies for optimal co-construction between patients and physiotherapists and thus improve results of physiotherapy interventions.

  • 14.
    Areskoug Josefsson, Kristina
    et al.
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Avby, Gunilla
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Andersson Bäck, Monica
    Department of Social Work, University of Gothenburg, Gothenburg, Sweden.
    Kjellström, Sofia
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Workers’ experiences of healthy work environment indicators at well-functioning primary care units in Sweden: a qualitative study2018In: Scandinavian Journal of Primary Health Care, ISSN 0281-3432, E-ISSN 1502-7724, Vol. 36, no 4, p. 406-414Article in journal (Refereed)
    Abstract [en]

    Objective: Staff experiences of healthy work environment (HWE) indicators at primary care units can assist in understanding why some primary care units function better than others. The aim of the study was to create increased understanding of how workers experienced HWE indicators at well-functioning primary care units.

    Design: Fifty in-depth interviews with staff at six primary care units in Sweden were analysed with deductive content analysis, revisiting a systematic review of HWE indicators.

    Results: The study presents additional perspectives on staff experiences of HWE indicators at well-functioning primary care units. The included primary care units (PCU) shared a similar pattern of work environment indicators, with unique solutions and strategies to meet shared challenges. Staff at the included PCUs were encouraged to work to create and sustain a HWE, but each domain (indicator) also provided challenges that the staff and organisation needed to meet. The results suggest that useful approaches for a healthy work environment could be to address issues of organisational virtuousness, employee commitment and joy at work.

    Conclusions: Both managers and staff are encouraged to actively work not only to create and sustain an HWE but also to promote organisational virtuousness, employee commitment, joy at work and to increase the performance at work, which is of benefit to staff, patients and society.

    Key Points

    • Staff at well-functioning primary care units (PCUs) experienced healthy work environments
    • The included PCUs shared a similar pattern of work environment indicators, with unique solutions and strategies to meet shared challenges.
    • Staff at the included PCUs were encouraged to work to create and sustain a healthy work environment, but each domain (indicator) also provided challenges that the staff and organisation needed to meet.
    • The results suggest that useful approaches for a healthy work environment could be to address issues of organisational virtuousness, employee commitment and joy at work.
  • 15.
    Areskoug Josefsson, Kristina
    et al.
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare). Lunds universitet.
    Bergenzaun, Lill
    Lunds universitet.
    Fahlvik Svensson, Sofia
    Lunds universitet.
    Lundqvist, Sara
    Lunds universitet.
    Peterson, Pernilla
    Lunds universitet.
    Lindberg-Sand, Åsa
    Lunds universitet.
    “Should I stay or should I go?”: Tolvhundra doktoranders syn på avhopp och akademisk karriär2016Report (Other academic)
  • 16.
    Areskoug Josefsson, Kristina
    et al.
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Fristedt, Sofi
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Occupational therapy students’ views on addressing sexual health2017In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, p. 1-9Article in journal (Refereed)
    Abstract [en]

    Background: Sexual health is an important issue in daily life, but little is known about occupational therapy (OT) students’ views on these matters.

    Aim: To explore occupational therapy students’ views on addressing sexual health in their future professional role.

    Material and methods: A descriptive qualitative study involving 37 OT students in 5 focus groups was performed and analyzed using content analysis.

    Results: Three categories: ‘Sexual health is part of occupational therapy and but not of the OT educational program’; ‘Need for knowledge to identify and intervene related to sexual health problems’; and finally, ‘Communication about sexual health—unknown, untried, but necessary’, formed the theme, ‘Willing to try, wanting to know more, and recognizing not only the difficulties and challenges but also the importance of sexual health in OT practice’.

    Conclusions: OT-students consider sexual health as part of OT-practice, but experience lack of knowledge of sexual health related to disease/disability, cultural diversity, and age and sexual orientation. Educational programs need to cover these matters, including how to address sexual health in OT-practice, to enhance OT’s future competence related to promotion of sexual health for clients.

    Significance: Knowledge on students’ views are vital to guide education on this important, rather neglected, area. 

  • 17.
    Areskoug Josefsson, Kristina
    et al.
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Gard, Gunvor
    Lund University.
    Sexual health - a professional challenge for physiotherapists2016In: Conference abstracts: Pre-conference abstracts, 2016Conference paper (Refereed)
  • 18.
    Areskoug Josefsson, Kristina
    et al.
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Gerbild, Helle
    Health Sciences Research Centre, University College Lillebaelt, Denmark.
    Sexual health education - experiences, challenges and recommendations for physiotherapists2016In: Conference abstracts: Pre-conference abstracts, 2016Conference paper (Refereed)
  • 19.
    Areskoug Josefsson, Kristina
    et al.
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Graugaard, Christian
    Center for Sexology Research, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.
    Fysisk aktivitet kan afhjælpe rejsningsproblemer2018In: Månedsskrift for almen praksis, ISSN 1904-7002, Vol. NovemberArticle in journal (Other academic)
    Abstract [da]

    Mænd med rejsningsproblemer søger ofte rådgivning og hjælp i almen praksis. I ni ud af ti tilfælde er organiske faktorer hovedårsagen til erektil dysfunktion, og vaskulær insufficiens er en hyppig patogenetisk mekanisme. Arterielt betinget rejsningsbesvær er tæt associeret med patientens livsstil, og dialog om livsstilsfaktorer er derfor essentiel for at fremme den generelle såvel som den seksuelle sundhed. Regelmæssig fysisk aktivitet anbefales som en både forebyggende og terapeutisk foranstaltning, og denne artikel formidler viden om effekten af fysisk aktivitet på forbedring af rejsningsevnen hos mænd med vaskulært betingede rejsningsproblemer. 

  • 20.
    Areskoug Josefsson, Kristina
    et al.
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Kjellström, Sofia
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Ethics and sexual health: Exploration of the ethical code of conduct for physiotherapists concerning sexual health in clinical practice2018In: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, p. 1-12Article in journal (Refereed)
    Abstract [en]

    Physiotherapists have an important role in sexual health, but there are specific ethical considerations regarding sexuality and the practice of physiotherapy which require serious consideration. This article aims to illustrate how the professional ethical code of physiotherapy can serve as a tool for ethical clinical reasoning regarding sexual health in clinical physiotherapy practice. We analyse the ethical codes for physical therapy, in relation to a definition of sexual health and the declaration of sexual rights. The analysis outlines several ethical considerations crucial in dealing with sexual health, while also acknowledging the critical role of cultural context in any ethical analysis. We conclude that physiotherapists need to practise ethical reasoning and that the ethical code of physiotherapy can act as a point of departure for reflection on thought-provoking ethical dilemmas to improve the practice of physiotherapy and support clients’ overall health. 

  • 21.
    Areskoug Josefsson, Kristina
    et al.
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Larsson, Agneta
    Department of Health Sciences, Luleå Technical University, Luleå, Sweden.
    Gard, Gunvor
    Department of Health Sciences, Luleå Technical University, Luleå, Sweden.
    Rolander, Bo
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Behavioural Science and Social Work.
    Juuso, Päivi
    Department of Health Sciences, Luleå Technical University, Luleå, Sweden.
    Health care students' attitudes towards working with sexual health in their professional roles - survey of students at nursing, physiotherapy and occupational therapy programmes2016In: Conference abstracts: Pre-conference abstracts, 2016Conference paper (Refereed)
  • 22.
    Areskoug Josefsson, Kristina
    et al.
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Lennartsson, Monia
    Rehabiliteringscentrum, Värnamo.
    Tilltro till den egna förmågan att ordinera fysisk träning vid kranskärlssjukdom hos sjukgymnaster/ fysioterapeuter inom svensk primärvård2018Conference paper (Other (popular science, discussion, etc.))
    Abstract [sv]

    Det finns ett ökat behov av sjukgymnaster som arbetar med hjärtrehabilitering i framtiden. Det kan enligt riktlinjerna ske på sjukhus eller via primärvård. För att kunna erbjuda rätt vård krävs tillgängliga sjukgymnaster med rätt kompetens och tilltro till sin egen förmåga. Mer utbildning om fysisk träning vid kranskärlssjukdom behövs för att öka tilltron till den egna förmågan i mötet med dessa patienter, för att försäkra att patienter med kranskärlssjukdom får en jämlik vård.

  • 23.
    Areskoug Josefsson, Kristina
    et al.
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Oslo Metropolitan University, Faculty of Health Sciences, Department of Behavioural Sciences, Oslo, Norway.
    Rolander, Bo
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Behavioural Science and Social Work. Futurum, Academy for Health and Care, Jönköping County Council, Jönköping, Sweden.
    Understanding response patterns among health care professionals regarding their attitudes towards working with sexual health - Latent Class Analysis of the SA-SH2018In: Journal of Nursing Measurement, ISSN 1061-3749, E-ISSN 1945-7049Article in journal (Refereed)
  • 24.
    Areskoug Josefsson, Kristina
    et al.
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Schindele, Anna-Chuchu Schindele
    The Public Health Agency of Sweden, Stockholm, Sweden.
    Deogan, Charlotte
    Karolinska Institutet, Department of Public Health Sciences, Stockholm, Sweden.
    Lindroth, Malin
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Education in sexual and reproductive health and rights (SRHR) – Mapping SRHR-related content in higher education in health care, police, law and social work  in Sweden2019In: Sex Education: Sexuality, Society and Learning, ISSN 1468-1811, E-ISSN 1472-0825Article in journal (Refereed)
    Abstract [en]

    Knowledge of sexual and reproductive health and rights (SRHR) by health care, police, legal and social work professionals has been shown to be insufficient. This lack of competence is likely to affect the quality of services. The aim of this study was to describe SRHR indicators in educational programmes in health care, police, legal and social work higher education in Sweden. A text-based analysis was conducted of written material from all educational programmes in law, midwifery, nursing, occupational therapy, physiotherapy, police work, psychology, social work and undergraduate medicine (93 educational programmes at 27 universities and university colleges). Representation of different SRHR indicators varied, but most were poorly covered in the educational programmes. Existing educational programmes lack comprehensiveness in their coverage of SRHR and are unequal both within and between the professions and universities. This situation creates the risk of inequalities in SRHR competence and suggests that needs within this field may be unmet. There is an urgent need therefore to enhance the presence of SRHR in health care, social work and law enforcement education in Sweden.

  • 25.
    Areskoug Josefsson, Kristina
    et al.
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Sjökvist, Michael
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Social Work. Jönköping University, School of Health and Welfare, HHJ. CHILD. Jönköping University, School of Health and Welfare, HHJ. SALVE (Social challenges, Actors, Living conditions, reseach VEnue).
    Bülow, Pia H.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Social Work. Jönköping University, School of Health and Welfare, HHJ. SALVE (Social challenges, Actors, Living conditions, reseach VEnue).
    Rolander, Bo
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Social Work. Jönköping University, School of Health and Welfare, HHJ. SALVE (Social challenges, Actors, Living conditions, reseach VEnue). Futurum - akademin för hälsa och vård, Länssjukhuset Ryhov, Jönköping, Sverige.
    Psychometrics of the students' attitudes towards addressing sexual health scale for students in social work2019In: Social Work Education, ISSN 0261-5479, E-ISSN 1470-1227Article in journal (Refereed)
  • 26.
    Areskoug Josefsson, Kristina
    et al.
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Stenz, Cathrine
    Gerbild, Helle
    Syddansk Unversitet, Danmark.
    Fysioterapi og Seksuel Sundhet2018Conference paper (Refereed)
  • 27.
    Areskoug Josefsson, Kristina
    et al.
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Thidell, Fredrik
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Rolander, Bo
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Social Work. Jönköping University, School of Health and Welfare, HHJ. SALVE (Social challenges, Actors, Living conditions, reseach VEnue).
    Ramstrand, Nerrolyn
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. CHILD.
    Prosthetic and orthotic students’ attitudes toward addressing sexual health in their future profession2018In: Prosthetics and orthotics international, ISSN 0309-3646, E-ISSN 1746-1553, Vol. 42, no 6, p. 612-619Article in journal (Refereed)
    Abstract [en]

    Background:

    Prosthetists and orthotists have a responsibility to direct treatment toward enabling their clients to perform desired activities and to facilitate participation of their clients in all areas of life. This may include provision of assistive technologies to help clients meet goals related to participation in sexual activities. To help prosthetic and orthotic students develop competencies in dealing with the sexual health of their future clients, it is necessary to generate knowledge of their own perceived competence and capacity.

    Objectives:

    To explore prosthetic and orthotic students’ attitudes and competence toward working with sexual health and to evaluate reliability and validity of the Students’ Attitudes Towards Addressing Sexual Health questionnaire.

    Study design:

    Cross-sectional study.

    Methods:

    Students enrolled in all three years of an undergraduate prosthetic and orthotic program were requested to complete the Students’ Attitudes Towards Addressing Sexual Health questionnaire (n = 65). Reliability and validity were evaluated using the content validity index and Cronbach’s alpha.

    Results:

    Students felt unprepared to talk about sexual health with future clients and thought that they would be embarrassed if they raised the issue. No differences were identified between students enrolled in each of the three years of the program and few differences were observed between male and female students. The content validity index values were low but improved as the students’ level of education increased. Internal consistency of the questionnaire was acceptable (α = 0.86).

    Conclusion:

    Prosthetic and orthotic students are unprepared to address sexual health issues with their future clients. There is a need to provide students with training related to sexual health issues.

    Clinical relevance:

    This study indicates the need for additional education of prosthetic and orthotic students in issues related to sexual health and how to address sexual health issues with clients. Results can be used to develop training programs for students and will serve to improve the sexual health of individuals who receive prosthetic and orthotic services.

  • 28.
    Areskoug-Josefsson, Kristina
    Jönköping University, School of Health and Welfare, HHJ, Quality Improvement and Leadership in Health and Welfare.
    HBTQ - Fysioterapeutens roll2015Conference paper (Refereed)
  • 29.
    Areskoug-Josefsson, Kristina
    et al.
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Gard, Gunvor
    Sexual health – A professional challenge for physiotherapists2016Conference paper (Refereed)
  • 30.
    Areskoug-Josefsson, Kristina
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Quality Improvement and Leadership in Health and Welfare.
    Haraldsson, Patrik
    AME, Region Jönköpings län.
    SMAK - Nyttan av ett strukturerat, validerat multidisciplinärt bedömningsinstrument inom företagshälsovården2015Conference paper (Refereed)
  • 31.
    Areskoug-Josefsson, Kristina
    et al.
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare). Luleå University of Technology, Luleå, Sweden.
    Juuso, Päivi
    Luleå University of Technology, Luleå, Sweden.
    Gard, Gunvor
    Luleå University of Technology, Luleå, Sweden.
    Rolander, Bo
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Behavioural Science and Social Work. Jönköping University, School of Health and Welfare, HHJ. SALVE (Social challenges, Actors, Living conditions, reseach VEnue). Futurum, Academy for Health and Care, Jönköping County Council, Jönköping, Sweden.
    Larsson, Agneta
    Luleå University of Technology, Luleå, Sweden.
    Health care students' attitudes toward addressing sexual health in their future profession: Validity and reliability of a questionnaire2016In: International Journal of Sexual Health, ISSN 1931-7611, E-ISSN 1931-762X, Vol. 28, no 3, p. 243-250Article in journal (Refereed)
    Abstract [en]

    Objectives: To test the reliability and validity of the Students' Attitudes Towards Addressing Sexual Health Questionnaire (SA-SH), measuring students' attitudes toward addressing sexual health in their future professions.

    Method: A cross-sectional online survey (22 items) were distributed to 186 nursing, occupational therapy and physiotherapy students in Sweden, April 2015. Validity and reliability were tested.

    Results: The construct validity analysis led to three major factors: present feelings of comfortableness, future working environment, and fear of negative influence on future patient relations. The construct validity, internal consistency reliability, and intrarater reliability showed good results.

    Conclusion: The SA-SH is valid and reliable.

  • 32.
    Areskoug-Josefsson, Kristina
    et al.
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Larsson, Agneta
    Department of Health Sciences, Luleå University of Technology, Luleå, Sweden.
    Gard, Gunvor
    Department of Health Sciences, Luleå University of Technology, Luleå, Sweden.
    Rolander, Bo
    Jönköping University, School of Health and Welfare, HHJ. SALVE (Social challenges, Actors, Living conditions, reseach VEnue). Jönköping University, School of Health and Welfare, HHJ, Dep. of Behavioural Science and Social Work. Futurum, Academy for Health and Care, Jönköping County Council, Jönköping, Sweden.
    Juuso, Päivi
    Department of Health Sciences, Luleå University of Technology, Luleå, Sweden.
    Health care students' attitudes towards working with sexual health in their professional roles: Survey of students at nursing, physiotherapy and occupational therapy programmes2016In: Sexuality and disability, ISSN 0146-1044, E-ISSN 1573-6717, Vol. 34, no 3, p. 289-302Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to explore differences and similarities in health care students’ attitudes towards working with and communicating with patients about sexual health issues in their future professions. The aim was also to explore whether the students’ gender, age and future professions were influencing factors and whether there was a change in attitude depending on educational levels, gender, age and future professions. The study also aimed to explore the potential development of those differences and similarities in attitudes between health care students having achieved different levels of education and training in their future professions. A cross-sectional quantitative study was performed with an online survey distributed to nursing, occupational therapy and physiotherapy students. The students believed that they needed increased sexual health education and increased communication skills about sexual health. Gender and future profession are factors that significantly affect the attitudes of the students towards working with sexual health. Nursing and occupational therapy students have a more positive attitude towards addressing sexual health in their future professions than do physiotherapy students. Further research is needed in this field to improve competence in sexual health for all student groups, particularly physiotherapy students. Further research is also needed to explore the significance of gender regarding education in sexual health and attitudes towards working with sexual health.

  • 33.
    Avby, Gunilla
    et al.
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Kjellström, Sofia
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Andersson Bäck, Monica
    Göteborgs universitet.
    Areskoug Josefsson, Kristina
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Andersson-Gäre, Boel
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare). Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Sparf, Anette
    Siljehult, Mats
    Samarbete bygger en stark primärvård2017In: Dagens Nyheter 2017-08-17, ISSN 1101-2447Article in journal (Other (popular science, discussion, etc.))
  • 34.
    Fristedt, Sofi
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Areskoug-Josefsson, Kristina
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare). Samrehab, Värnamo Hospital, Värnamo, Jönköping County Council, Sweden.
    Kammerlind, Ann-Sofi
    Futurum – the Academy for Healthcare, Jönköping County Council, Jönköping, Sweden.
    Factors influencing the use of evidence based practice among physiotherapists and occupational therapists in their clinical work2016In: The Internet Journal of Allied Health Sciences & Practice, ISSN 1540-580X, E-ISSN 1540-580X, Vol. 14, no 3, p. 1-13, article id 7Article in journal (Refereed)
    Abstract [en]

    Background: Evidence-based practice (EBP) is a process through which research is applied in daily clinical practice. Occupational therapists (OTs) and physiotherapists (PTs) are expected to work in line with EBP in order to optimise health care resources. This expectation is too seldom fulfilled. Consequently, research findings may not be implemented in clinical practice in a timely manner, or at all. To remedy this situation, additional knowledge is needed regarding what factors influence the process of EBP among practitioners. The purpose of the present study was to identify factors that influence the use of EBP and the experienced effects of the use of EBP among PTs and OTs in their clinical work.

    Method: This was a qualitative interview study that consisted of six group interviews involving either OTs or PTs employed by the Jönköping County Council in the South of Sweden. Resulting data were analysed using content analysis.

    Results: The analysis resulted in the following categories: “definition of evidence and EBP”, “sources of evidence”, “barriers to acquiring evidence and to using evidence in clinical work”, “factors that facilitate the acquisition of evidence and the use of evidence in clinical work”, and “personal experiences of using EBP”. Basing clinical practice on scientific evidence evoked positive experiences, although an ambivalent view towards acting on clinical experience was evident. Participants reported that time for and increased knowledge about searching for, evaluating, and implementing EBP were needed.

    Conclusion: Because OTs are more oriented towards professional theories and models, and PTs are more focused on randomised controlled trials of interventions, different strategies appear to be needed to increase EBP in these two professions. Management support was considered vital to the implementation of EBP. However, the personal obligation to work in line with EBP must also be emphasised; the participants apparently underestimate its importance.

  • 35.
    Gabrielsson-Järhult, Felicia
    et al.
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Areskoug Josefsson, Kristina
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Masterprogram i kvalitetsförbättring och ledarskap inom hälsa och välfärd: till nytta för individ, organisation och samhälle2018Conference paper (Other (popular science, discussion, etc.))
    Abstract [sv]

    Alumnutvärderingen visar mycket god nytta av masterprogrammet för individen, organisation och samhället. Alumnerna upplever att de kontinuerligt använder den kunskap som masterprogrammet har gett i förbättringskunskap och ledande av förbättringsprojekt. Samtliga alumner skulle rekommendera masterprogrammet till andra ledare i hälsa och välfärdsorganisationer.  Arbetet med ständiga förbättringar i masterprogrammet har vidareutvecklats utifrån resultaten.

  • 36.
    Gerbild, H.
    et al.
    Health Sciences Research Center, University College Lillebaelt, Odense, Denmark.
    Larsen, C. M.
    Health Sciences Research Center, University College Lillebaelt, Odense, Denmark.
    Rolander, Bo
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Behavioural Science and Social Work. Futurum, Academy for Health and Care, Jönköping County Council, Jönköping, Sweden.
    Areskoug Josefsson, Kristina
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Health care students' attitudes towards addressing sexual health in their future professional work: Psychometrics of the Danish version of the Students' Attitudes Towards Addressing Sexual Health scale2017In: Sexuality and disability, ISSN 0146-1044, E-ISSN 1573-6717, Vol. 35, no 1, p. 73-87Article in journal (Refereed)
    Abstract [en]

    Students’ attitudes and educational needs regarding sexual health are important, since their ability to promote sexual health in their future profession can be challenged by their attitudes and knowledge of sexuality and sexual health. There are no existing Danish instruments able to measure students’ attitudes towards working with and communicating about sexual health; thus, to be able to use the Students’ Attitudes Towards Addressing Sexual Health (SA-SH) questionnaire in a Danish context, it is necessary to translate and test the translated questionnaire psychometrically. The aim of the project was to translate and psychometrically test the Danish version of the SA-SH. Translation and psychometric testing of a Danish version of the SA-SH included testing of internal consistency reliability, content validity construct validity, and analysis of floor and ceiling effects. The Danish version of the SA-SH (SA-SH-D) had a Cronbach’s alpha of 0.67. The content validity index showed high relevance (item context validity index 0.82–1.0), and item scale correlation was satisfactory. The SA-SH-D is a valid and reliable questionnaire, which can be used to measure health care professional students’ attitudes towards working with sexual health in their future profession. © 2016, Springer Science+Business Media New York.

  • 37.
    Gerbild, Helle
    et al.
    Syddansk Unversitet, Danmark.
    Areskoug Josefsson, Kristina
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Fysioterautiske samtale om seksuel sundhet2018Conference paper (Refereed)
  • 38.
    Gerbild, Helle
    et al.
    Health Sciences Research Centre, University College Lillebaelt, Odense, Denmark.
    Larsen, Camilla Marie
    Health Sciences Research Centre, University College Lillebaelt, Odense, Denmark.
    Graugaard, Christian
    Center for Sexology Research, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.
    Areskoug Josefsson, Kristina
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Physical activity to improve erectile function: A systematic review of intervention studies2018In: Sexual Medicine, ISSN 2050-1161, Vol. 6, no 2, p. 75-89Article, review/survey (Refereed)
    Abstract [en]

    The leading cause of erectile dysfunction (ED) is arterial dysfunction, with cardiovascular disease as the most common comorbidity. Therefore, ED is typically linked to a web of closely interrelated cardiovascular risk factors such as physical inactivity, obesity, hypertension, and metabolic syndrome. Physical activity (PA) has proved to be a protective factor against erectile problems, and it has been shown to improve erectile function for men affected by vascular ED. This systematic review estimated the levels of PA needed to decrease ED for men with physical inactivity, obesity, hypertension, metabolic syndrome, and/or manifest cardiovascular diseases.

  • 39.
    Gerbild, Helle
    et al.
    Research Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense, Denmark.
    Larsen, Camilla Marie
    Department of Physiotherapy, University College Lillebaelt, Odense, Denmark.
    Rolander, Bo
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Social Work. Jönköping University, School of Health and Welfare, HHJ. SALVE (Social challenges, Actors, Living conditions, reseach VEnue). Futurum, Academy for Health and Care, Jönköping County Council, Jönköping, Sweden.
    Areskoug Josefsson, Kristina
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Does a 2-week sexual health in rehabilitation course lead to sustained change in students’ attitudes? — A pilot study2018In: Sexuality and disability, ISSN 0146-1044, E-ISSN 1573-6717, Vol. 36, no 4, p. 417-435Article in journal (Refereed)
    Abstract [en]

    This pilot study aimed to explore if healthcare professional students participating in a 2-week elective course, Sexual Health in Rehabilitation (SHR), led to significant and sustained change in experienced competence and attitudes towards addressing sexual health in their future professions, when measured with the Students’ Attitudes towards Sexual Health-Danish version (SA-SH-D). Comparison-group design, using the SA-SH-D at baseline, after the 2 weeks course and 3 months after completing the course. Participation in the SHR course significantly changed the students’ attitudes; decreasing their fears of offending the patients and increasing their feelings of comfort in communicating about sexual health, and the results sustained during the follow-up period of 3 months. The results of the intervention suggest that a 2-week elective SHR course leads to sustained change healthcare students’ attitudes towards addressing sexual health in their future profession. Sexual health education positively changed the students’ attitudes, decreased their fears of offending the patients and increased their feelings of comfort in communicating about sexual health. The SA-SH-D is a useful tool to measure results of educational interventions aiming to change healthcare students’ attitudes towards addressing sexual health in their future profession. Future research is recommended regarding students’ attitudes towards addressing sexual health with persons living with disabilities. There is also a need to further research the effect of elective versus compulsory sexual health education in healthcare programs, to lessen the risk that healthcare students in their future profession will not be able to give equal care due to variation in competence and attitude.

  • 40.
    Haraldsson, Patrik
    et al.
    Occupational Safety and Health Care, Region Jönköping County, Sweden.
    Jonker, Dirk
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Occupational Safety and Health Care, Region Jönköping County, Sweden.
    Areskoug Josefsson, Kristina
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Structured multidisciplinary work evaluation tool: Development and validation of a multidisciplinary work questionnaire2016In: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 55, no 4, p. 883-891Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Important success factors for the Occupational Health Service (OHS) include services being based on active participation and risk identification from a multidisciplinary/multifactorial perspective. Despite an extensive search, no questionnaire with this approach was found so a new questionnaire was developed at the OHS. The aim of this study was to develop and validate the new questionnaire named Structured Multidisciplinary work Evaluation Tool (SMET) through action research.

    METHOD: Communicative and pragmatic validity were tested through the development of the questionnaire using action theory and presented in a descriptive portrayal. The Content Validity Index (CVI) was used to test content validity for each item as well as for the questionnaire as a whole.

    RESULT: Communicative and pragmatic validity were developed and tested over time in four different periods between 2008 and 2014, in 24 clinics (with a total of approximately 1000 employees) in Region Jönköping County. The content validity of the SMET questionnaire as a whole was close to excellent and the validity of the questions regarding physically and psychosocially demanding work factors were found to be excellent. The questions regarding environmentally demanding work factors were found to have a lower, but still good, validity.

    CONCLUSION: The SMET questionnaire has very good content validity. The pervasive work with the SMET questionnaire also shows good pragmatic and communicative validity.

  • 41.
    Kjellström, Sofia
    et al.
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Avby, Gunilla
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Andersson Bäck, Monica
    University of Gothenburg.
    Areskoug Josefsson, Kristina
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Andersson-Gäre, Boel
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare). Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Leadership as a driver for work motivation: a study of well-functioning primary healthcare centers in Sweden2017Conference paper (Refereed)
    Abstract [en]

    Introduction: Little is known about how, why, or under which circumstances work motivation is formed and linked to reforms and interventions.

    Aim: The aim of this study is to explore work motivation among professionals at well-functioning primary healthcare centers subject to a national healthcare reform which include financial incentives.

    Material & method: Five primary healthcare centers in Sweden were purposively selected for being well-operated and representing public/private and small/large units. Forty-three interviews were completed with different medical professions and qualitative deductive content analysis was conducted.

    Results: Work motivation exists for professionals when their individual goals are aligned with the organizational goals and the design of the reform. The centers’ positive management was due to a unique combination of factors, such as clear direction of goals, a culture of nonhierarchical collaboration, and systematic quality improvement work. Social processes where professionals work together as cohesive groups, and provided space for quality improvement work is pivotal in addressing how alignment is created. The units expressed a collective capacity to produce direction, alignment and commitment.

    Conclusions: The design of the reforms and leadership are essential preconditions for work motivation. Leaders need to consistently translate and integrate reforms with the professionals’ drives and values. This is done by encouraging participation through teamwork, time for structured reflection and quality improvement work. The values of the study consist of showing how a range of aspects combine for primary healthcare professionals to successfully manage external reforms, and how professionals collectively produce leadership.

  • 42.
    Kjellström, Sofia
    et al.
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Avby, Gunilla
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Areskoug Josefsson, Kristina
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Andersson Bäck, Monica
    University of Gothenburg.
    Research on successful and well-functioning organizations: The role of qualitative studies for theoretical and practical use. Workshop.2017Conference paper (Refereed)
    Abstract [en]

    Introduction: Organizations strive to handle external and internal demands, and a lot is being written about the struggles and shortages. However, there are organizations that thrive, combining quality of performance and beneficial working conditions. What can we learn from these cases and how are the best studied? Also, how do we move beyond a list of good looking features that we already know are essential, such as leadership and continuous quality improvement work, in order to produce knowledge which is of practical use.

    Goal: This workshop takes point of departure in a study on well function primary care centers. The aim is to share our primary insights from this project and learn from it weaknesses and strengths to inspire to innovative, theoretical and practical meaningful research.

    Method: Six primary healthcare centers in Sweden were purposively selected for being well-operated and representing public/private/non-profit and small/large units. In total 56 interviews were completed with various professions (managers, physicians, nurses, physical- and occupational therapists, care administrators, and nurse assistants). At this time, four different qualitative analysis approaches have been used.

    Results/Conclusion: Each center reveals inspiring as well as challenging features. In the workshop, we will discuss how we can learn from studying good practice and design to further our understanding on sustainable healthcare and the use of qualitative methods in this context.

  • 43.
    Kjellström, Sofia
    et al.
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Avby, Gunilla
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Areskoug Josefsson, Kristina
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Andersson-Gäre, Boel
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Andersson Bäck, Monica
    Department of Social Work, University of Gothenburg, Gothenburg, Sweden.
    De komplexa drivkrafterna inom vård och omsorg - en fallstudie av finansiella incitament och dess konsekvenser ur ett arbetsmiljöperspektiv: Slutrapport2017Report (Other academic)
    Abstract [sv]

    Olika ekonomiska drivkrafter och ersättningssystem används för att öka effektiviteten inom vård och omsorg. Forskningen visar dock att de ofta hamnar i konflikt med personalens motivation och normer. Studien har undersökt hur så kallade finansiella instrument påverkar patienters och anställdas upplevelse av arbetsmiljö och vårdkvalitet.

  • 44.
    Kjellström, Sofia
    et al.
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Avby, Gunilla
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Areskoug Josefsson, Kristina
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Andersson-Gäre, Boel
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare). Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Andersson Bäck, Monica
    Department of Social Work, University of Gothenburg, Gothenburg, Sweden.
    Work motivation among healthcare professionals: A study of well-functioning primary healthcare centers in Sweden2017In: Journal of Health Organisation & Management, ISSN 1477-7266, E-ISSN 1758-7247, Vol. 31, no 4, p. 487-502Article in journal (Refereed)
    Abstract [en]

    Purpose

    The purpose of this paper is to explore work motivation among professionals at well-functioning primary healthcare centers subject to a national healthcare reform which include financial incentives.

    Design/methodology/approach

    Five primary healthcare centers in Sweden were purposively selected for being well-operated and representing public/private and small/large units. In total, 43 interviews were completed with different medical professions and qualitative deductive content analysis was conducted.

    Findings

    Work motivation exists for professionals when their individual goals are aligned with the organizational goals and the design of the reform. The centers? positive management was due to a unique combination of factors, such as clear direction of goals, a culture of non-hierarchical collaboration, and systematic quality improvement work. The financial incentives need to be translated in terms of quality patient care to provide clear direction for the professionals. Social processes where professionals work together as cohesive groups, and provided space for quality improvement work is pivotal in addressing how alignment is created.

    Practical implications

    Leaders need to consistently translate and integrate reforms with the professionals? drives and values. This is done by encouraging participation through teamwork, time for structured reflection, and quality improvement work.

    Social implications

    The design of the reforms and leadership are essential preconditions for work motivation.

    Originality/value

    The study offers a more complete picture of how reforms are managed at primary healthcare centers, as different medical professionals are included. The value also consists of showing how a range of aspects combine for primary healthcare professionals to successfully manage external reforms.

  • 45.
    Marklund, Sarah
    et al.
    Umeå University.
    Enberg, Birgit
    Umeå University.
    Areskoug Josefsson, Kristina
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Physiotherapists self-reported knowledge and education regarding meeting LGBTQ-patients2016In: Conference abstracts: Pre-conference abstracts, 2016Conference paper (Refereed)
  • 46.
    Schindele, Anna-ChuChu
    et al.
    Folkhälsomyndigheten.
    Wallin, Malin
    Folkhälsomyndigheten.
    Areskoug Josefsson, Kristina
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare.
    Lindroth, Malin
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Kartläggning av utbildning i hivprevention och SRHR: En kartläggande studie om hivprevention samt sexuell och reproduktiv hälsa och rättigheter (SRHR) inom människo- och rättsvårdande högre utbildning i Sverige2017Report (Other academic)
    Abstract [sv]

    Bakgrund

    Den här rapporten är en del av Folkhälsomyndighetens uppföljning av arbetet med hivprevention samt sexuell och reproduktiv hälsa och rättigheter (SRHR) bland unga och unga vuxna. Arbetet utgår från regeringens proposition Nationell strategi mot hiv och aids och vissa andra smittsamma sjukdomar och genomfördes inom ramen för Nationell handlingsplan för klamydiaprevention 2009–2014.

    Metod

    Kartläggningen är en textbaserad granskning av högre utbildning till arbetsterapeut, barnmorska, fysioterapeut, jurist, läkare, polis, psykolog, sjuksköterska och socionom. En gemensam nämnare för de olika utbildningar som ingår är att de alla förbereder den studerande för ett självständigt arbete av människo- eller rättsvårdande karaktär där den professionella möter människor i olika livssituationer. Granskningen omfattade yrkesbeskrivningar, utbildningsplaner och kursplaner på 93 utbildningsprogram vid 27 högskolor och universitet i Sverige. Vid granskningen gjordes en kategorisering av utbildningarnas innehåll utifrån indikatorer som relaterar till SRHR-området. Indikatorerna togs fram med stöd av en referensgrupp.

    Resultat och slutsats

    Resultatet visar att hivprevention och SRHR sällan förekommer i yrkesbeskrivningar, utbildningsplaner och kursplaner på de utbildningar som undersökts. Detta kan leda till att studenter inte får med sig relevanta kunskaper. Det finns särskilt lite indikatorer för SRHR inom universitets och högskolors professionsutbildningar till: sjuksköterska, socionom, jurist, polis, psykolog samt arbetsterapeut och fysioterapeut. Barnmorska och läkare har fler indikatorer inom SRHR än övriga utbildningar som studerats men trots det är områden som: sex mot sin vilja, hedersrelaterat våld, sex mot ersättning och heteronormen inte alls förekommande samt att området sexuellt våld är mycket lite belyst.

    I förlängningen kan detta leda till kompetensbrist kring sexualitetsområdet och dess betydelse för hälsan. Det kan också försvåra förståelsen för klienters och patienters behov och rättigheter. Högskolor och universitet bör se resultaten som underlag för fortsatt utvecklingsarbete av yrkesutbildningarna. Studenter behöver få möjlighet att i sin kommande yrkesroll stödja alla människors rätt att uppnå sexuell och reproduktiv hälsa och rättigheter oavsett kön, ålder, sexuell läggning, könsidentitet, funktionalitet, socioekonomisk position, etnicitet, kulturell bakgrund och juridisk status.

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