umu.sePublikasjoner
Endre søk
Link to record
Permanent link

Direct link
BETA
Alternativa namn
Publikasjoner (10 av 35) Visa alla publikasjoner
Andersson, K. & Johansson, S. (2019). Assessing individual needs in Swedish elderly home care services: care managers’ argumentation in relation to the needs of migrant customers. Nordic Social Work Research
Åpne denne publikasjonen i ny fane eller vindu >>Assessing individual needs in Swedish elderly home care services: care managers’ argumentation in relation to the needs of migrant customers
2019 (engelsk)Inngår i: Nordic Social Work Research, ISSN 2156-857X, E-ISSN 2156-8588Artikkel i tidsskrift (Fagfellevurdert) Epub ahead of print
Abstract [en]

The aim of the article is to analyse and problematize care managers’ argumentation of individual needs when assessing migrant customers within Swedish public elderly home care services. According to legislation, need for assistance should always be assessed individually. In recent decades of service decline, standardization of needs has been part of the distribution of elderly care services. Simultaneously, the stratum of older people has become more diverse, which means that a wider spectrum of needs is presented to the care managers. Ten interviews with care managers were analysed with a focus on their arguments regarding the care needs of elderly people with migrant backgrounds seeking assistance. The theoretical conceptions of the two perspectives of care and services were used to analyse the understanding of care managers’ arguments. Our analysis shows that the service perspective with assistance and support that are standardized for Swedes is poorly suited to people born outside Sweden and socialized into other expectations of family and society. The meaning of individual needs was imprecise and contradictory when confronted with diverse cultural codes. When general standards were used in the arguments by referring to regulations and local guidelines, immigrants’ individual needs were not prioritized. Our analysis suggests that the tension between national standards, local guidelines and individual needs has to be discussed further, where theoretical tools related to care and services may be useful in guiding care managers’ professional arguments of individual needs and cultural sensitivity in the needs assessment.

Emneord
Individual needs, care managers, needs assessment, elderly home care services, migrant customers
HSV kategori
Forskningsprogram
sociologi
Identifikatorer
urn:nbn:se:umu:diva-165539 (URN)10.1080/2156857X.2019.1694056 (DOI)
Forskningsfinansiär
Swedish Research Council, 2007-9620-53427-13
Tilgjengelig fra: 2019-11-26 Laget: 2019-11-26 Sist oppdatert: 2019-11-26
Nouf-Latif, F., Andersson, K. & Markström, U. (2019). Encouraging real or make-believe citizen-workers?: Narratives of self-realization versus disabling support-to-work contexts by individuals with High Functioning Autism. Alter;European Journal of Disability Research ;Journal Europeen de Recherche Sur le Handicap, 13(2), 126-140
Åpne denne publikasjonen i ny fane eller vindu >>Encouraging real or make-believe citizen-workers?: Narratives of self-realization versus disabling support-to-work contexts by individuals with High Functioning Autism
2019 (engelsk)Inngår i: Alter;European Journal of Disability Research ;Journal Europeen de Recherche Sur le Handicap, ISSN 1875-0672, E-ISSN 1875-0680, Vol. 13, nr 2, s. 126-140Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Sweden, like other Western countries, has a disability legislation that coexists with the Active Labour Market Policies. ALMP address a discourse emphasizing the importance of the able and productive ‘citizen-worker’, who is expected to crafthis/her own success through meaningful personal goals and ambitions. This discourse also impacts disability groups who are actualized for support-to-work interventions, such as people with high-functioning autism (HFA). The objective of this paper is to analyse how narratives targeting ambitions and self-realisation in work life are expressed by individuals with HFA in relation to the citizen-worker discourse. This ethnographic study comprises 26 qualitative interview narratives by 11 participants with HFA. Findings indicate that the participants have developed a strong citizen-worker identity. The will is an essential point of gravity, expressed through notions of individual meaningfulness and ambitions of being perceived as resources in any vocational context. Barriers to these ambitions are experienced as personally counteractive support-to-work practices. These results suggest that disability legislation and policies are caught in a mantra of stagnating normalisation, resulting in disability-worker interventions that are incompatible with meanings emphasized in the citizen-worker discourse, which is the new ‘normal’ of today.

Abstract [fr]

À l’instar d’autres pays occidentaux, la Suède a une législation sur le handicap qui coexiste avec les politiques d’activation sur le marché du travail. Le discours de ces dernières met l’accent sur le « citoyen-travailleur », compétent et productif, dont on attend qu’il réussisse en réalisant ses ambitions et des objectifs qui leurs soient personnels et auxquels ils attachent du sens. Ce discours touche aussi les groupes de personnes handicapées qui bénéficient d’aide à l’emploi, par exemple les personnes atteintes d’autisme de haut niveau de fonctionnement. En lien avec ce discours sur le citoyen-travailleur, l’article propose d’analyser comment ces personnes expriment leurs ambitions et rendent compte de la réalisation d’elles-mêmes dans la vie professionnelle. Cette étude ethnographique est constituée de 26 entretiens qualitatifs, menés avec 11 participants atteints d’autisme de haut niveau de fonctionnement. Les résultats montrent que les participants se sont approprié une forte identité de citoyen-travailleurs. La volonté joue un rôle central, elle s’exprime via les notions de sens personnel et d’ambition à être considéré comme une ressource, quel que soit le contexte professionnel. Les pratiques qui s’opposent aux mesures d’aide au travail sont perçues comme des obstacles à la réalisation de ces ambitions. Nos résultats suggèrent que la législation et les politiques du handicap restent prises dans l’éternel mantra de la normalisation, ce qui aboutit à des interventions auprès des travailleurs handicapés difficilement compatibles avec le sens valorisé par le discours du citoyen-travailleur, nouveau standard contemporain du « normal ».

sted, utgiver, år, opplag, sider
Elsevier, 2019
Emneord
Citizen-worker, High functioning autism, Inclusion, Self-realisation, Vocational rehabilitation, Work
HSV kategori
Identifikatorer
urn:nbn:se:umu:diva-157714 (URN)10.1016/j.alter.2019.03.001 (DOI)000467422900005 ()
Merknad

French title: Encourager des citoyens-travailleurs réels ou imaginaires ? Accomplissement de soi et aide à l’emploi dans les récits de personnes atteintes d’autisme de haut niveau de fonctionnement

Tilgjengelig fra: 2019-04-01 Laget: 2019-04-01 Sist oppdatert: 2019-06-18bibliografisk kontrollert
Andersson, K., Hanberger, A. & Nygren, L. (2019). Statlig tillsyn. In: Anders Hanberger & Lena Lindgren (Ed.), Perspektiv på granskning inom offentlig sektor: med äldreomsorgen som exempel (pp. 55-70). Malmö: Gleerups Utbildning AB
Åpne denne publikasjonen i ny fane eller vindu >>Statlig tillsyn
2019 (svensk)Inngår i: Perspektiv på granskning inom offentlig sektor: med äldreomsorgen som exempel / [ed] Anders Hanberger & Lena Lindgren, Malmö: Gleerups Utbildning AB, 2019, s. 55-70Kapittel i bok, del av antologi (Annet vitenskapelig)
sted, utgiver, år, opplag, sider
Malmö: Gleerups Utbildning AB, 2019
HSV kategori
Forskningsprogram
statskunskap
Identifikatorer
urn:nbn:se:umu:diva-153909 (URN)9789151100654 (ISBN)
Forskningsfinansiär
Forte, Swedish Research Council for Health, Working Life and Welfare
Tilgjengelig fra: 2018-12-07 Laget: 2018-12-07 Sist oppdatert: 2019-02-27bibliografisk kontrollert
Kamp, A., Obstfelder, A. & Andersson, K. (2019). Welfare Technologies in Care Work. Nordic Journal of Working Life Studies, 9(S5), 1-12
Åpne denne publikasjonen i ny fane eller vindu >>Welfare Technologies in Care Work
2019 (engelsk)Inngår i: Nordic Journal of Working Life Studies, ISSN 2245-0157, E-ISSN 2245-0157, Vol. 9, nr S5, s. 1-12Artikkel i tidsskrift, Editorial material (Fagfellevurdert) Published
HSV kategori
Identifikatorer
urn:nbn:se:umu:diva-156937 (URN)10.18291/njwls.v9iS5.112692 (DOI)
Tilgjengelig fra: 2019-03-03 Laget: 2019-03-03 Sist oppdatert: 2019-03-08bibliografisk kontrollert
Hanberger, A., Nygren, L. & Andersson, K. (2018). Can state supervision improve eldercare?: An analysis of the soundness of the Swedish supervision model. British Journal of Social Work, 48(2), 371-389
Åpne denne publikasjonen i ny fane eller vindu >>Can state supervision improve eldercare?: An analysis of the soundness of the Swedish supervision model
2018 (engelsk)Inngår i: British Journal of Social Work, ISSN 0045-3102, E-ISSN 1468-263X, Vol. 48, nr 2, s. 371-389Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

This article examines the assumptions regarding how Swedish state supervision (SSV) ofeldercare is to achieve its intended effects. It explores how SSV is intended to work toensure and improve eldercare quality, and theoretically and empirically assesses the validityof its guiding assumptions with programme theory methodology. The theoreticalassessment suggests that most intended effects are partly achieved, though the qualityenhancingassumption finds little support in caring research. The assumption that thesupervised parties will improve their compliance with laws and regulations has some validity,but this compliance is temporary and confined to the aspects of eldercare beingsupervised. Twenty-four interviews with the chairs of Social Welfare Committees andcare unit managers provide empirical support for all but two intended effects. SSV hasnot increased ‘awareness of national regulative demands in eldercare’ or contributed to‘general quality improvement in eldercare’. Four unintended effects of SSV were also recognisedin the interviews—for example, unsupervised caring activities were less prioritised.The authors conclude that, although SSV does little to improve eldercare quality, itis needed for transparency and accountability as well as to hold local governments andpublic and private service providers to account for compliance with national statutes.

sted, utgiver, år, opplag, sider
Oxford: Oxford University Press, 2018
Emneord
State supervision, Sweden, eldercare quality, intended effects, unintended effects
HSV kategori
Identifikatorer
urn:nbn:se:umu:diva-135472 (URN)10.1093/bjsw/bcx032 (DOI)000428440800007 ()
Forskningsfinansiär
Forte, Swedish Research Council for Health, Working Life and Welfare, 2012-0379
Tilgjengelig fra: 2017-05-29 Laget: 2017-05-29 Sist oppdatert: 2018-08-07bibliografisk kontrollert
Andersson, K., Hanberger, A. & Nygren, L. (2018). Governance, Accountability, and Organizational Development: Eldercare Unit Managers' and Local Politicians' Experiences of and Responses to State Supervision of Swedish Eldercare. Journal of Aging & Social Policy, 30(5), 419-439
Åpne denne publikasjonen i ny fane eller vindu >>Governance, Accountability, and Organizational Development: Eldercare Unit Managers' and Local Politicians' Experiences of and Responses to State Supervision of Swedish Eldercare
2018 (engelsk)Inngår i: Journal of Aging & Social Policy, ISSN 0895-9420, E-ISSN 1545-0821, Vol. 30, nr 5, s. 419-439Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

This article explores how local politicians and care unit managers in Swedish eldercare experience and respond to state supervision. Twelve politicians and 12 managers in 15 previously inspected municipalities were interviewed about their experiences of and reactions to state supervision (SSV) in relation to their views of care quality and routines in eldercare practice. The findings indicate that local managers and political chairs perceived SSV in eldercare positively at a superficial level, but were critical of and disappointed with specific aspects of it: in terms of a) governance—chairs and managers said SSV strengthened implementation of national policies via local actors, but were critical of SSV’s narrow focus on control and flaws in eldercare practice; b) accountability—SSV was seen as limited to accountability for finances and systemic performance; and c) organizational development—SSV was seen as limited to improving routines and compliance with legislation, while local definitions of quality are broader than that. In general, local actors regarded SSV as improving administrative aspects and routines in practice but ignoring the relational content of eldercare quality.

sted, utgiver, år, opplag, sider
Routledge, 2018
Emneord
State supervision, Sweden, eldercare governance, care quality, accountability
HSV kategori
Identifikatorer
urn:nbn:se:umu:diva-145910 (URN)10.1080/08959420.2018.1444890 (DOI)000443888600001 ()29469674 (PubMedID)
Prosjekter
Granskningars konsekvenser för äldreomsorgens praktik
Forskningsfinansiär
Forte, Swedish Research Council for Health, Working Life and Welfare, 2012-0379
Tilgjengelig fra: 2018-03-21 Laget: 2018-03-21 Sist oppdatert: 2018-10-25bibliografisk kontrollert
Andersson, K. (2018). Lokala värdighetsgarantier: att skapa(o)lika villkor i äldreomsorgen? (1ed.). In: Håkan Jönson & Marta Szebehely (Ed.), Äldreomsorger i Sverige: lokala variationer och generella trender (pp. 59-73). Malmö: Gleerups Utbildning AB
Åpne denne publikasjonen i ny fane eller vindu >>Lokala värdighetsgarantier: att skapa(o)lika villkor i äldreomsorgen?
2018 (svensk)Inngår i: Äldreomsorger i Sverige: lokala variationer och generella trender / [ed] Håkan Jönson & Marta Szebehely, Malmö: Gleerups Utbildning AB, 2018, 1, s. 59-73Kapittel i bok, del av antologi (Annet vitenskapelig)
sted, utgiver, år, opplag, sider
Malmö: Gleerups Utbildning AB, 2018 Opplag: 1
HSV kategori
Identifikatorer
urn:nbn:se:umu:diva-144671 (URN)978-91-40-69707-3 (ISBN)
Forskningsfinansiär
Forte, Swedish Research Council for Health, Working Life and Welfare, 2015-00820
Tilgjengelig fra: 2018-02-09 Laget: 2018-02-09 Sist oppdatert: 2018-08-15bibliografisk kontrollert
Andersson, K. & Johansson, S. (2017). Biståndshandläggning och mötet med det främmande (1ed.). In: Stina Johansson (Ed.), Social omsorg i socialt arbete: grunder och fördjupningar (pp. 75-88). Malmö: Gleerups Utbildning AB
Åpne denne publikasjonen i ny fane eller vindu >>Biståndshandläggning och mötet med det främmande
2017 (svensk)Inngår i: Social omsorg i socialt arbete: grunder och fördjupningar / [ed] Stina Johansson, Malmö: Gleerups Utbildning AB, 2017, 1, s. 75-88Kapittel i bok, del av antologi (Annet vitenskapelig)
sted, utgiver, år, opplag, sider
Malmö: Gleerups Utbildning AB, 2017 Opplag: 1
Emneord
social omsorg, biståndshandläggning, äldre, behov
HSV kategori
Forskningsprogram
sociologi
Identifikatorer
urn:nbn:se:umu:diva-138721 (URN)978-91-40-69623-6 (ISBN)
Tilgjengelig fra: 2017-08-29 Laget: 2017-08-29 Sist oppdatert: 2018-06-09bibliografisk kontrollert
Andersson, K. & Sjölund, M. (2017). Challenges in Elderly Night-Time Care: Dignity 24 Hours a Day in Swedish Elderly Home Care Services?. In: Innovation in Aging, Volume 1, Issue suppl_1, 1 July 2017, Pages 302,: Published by Oxford University Press on behalf of The Gerontological Society of America. 2017. Paper presented at The 21st IAGG World Congress of Gerontology & Geriatrics. Global Aging and Health: Bridging Science, Policy and Practice, July 23-27, 2017, San Francisco, USA.
Åpne denne publikasjonen i ny fane eller vindu >>Challenges in Elderly Night-Time Care: Dignity 24 Hours a Day in Swedish Elderly Home Care Services?
2017 (engelsk)Inngår i: Innovation in Aging, Volume 1, Issue suppl_1, 1 July 2017, Pages 302,: Published by Oxford University Press on behalf of The Gerontological Society of America. 2017, 2017Konferansepaper, Oral presentation with published abstract (Fagfellevurdert)
Abstract [en]

The research study explores a large knowledge gap within Swedish elderly care – namely the challenges of within home care services at night. Despite that home care services is the most common support given to the elderly in Sweden. The few National and International studies that exist on night-time care, have focused on residential care facilities for the elderly. Therefore, focus here is on night-time care in their own homes, given by the night patrol – which we know very little about.

In the last decades, organizational transformation has taken place within elderly care towards increased rationalization and marketization. Along with demographical changes, this raises questions of dignified care, equal social rights and access to care. As the elderly are living longer and living in their own homes with severe disability and vulnerability, the pressure on home care services will increase – including at night. Dignity in care has been legislated in the Swedish Social Services Act, but is vaguely implemented, specifically at night.

Discussed are results of an interview survey with managers responsible for night-time home care services in 50 Swedish municipalities. How night-time care is organized varies depending on local governance, location and size of municipalities. This indicates challenges for equal access to care, depending on where you live. Care workers experience time pressure at night with many fragile elderly in need of care. How efforts to secure dignity and safety for older people varies over night is therefore important to reveal, not the least from a social equality perspective.

Emneord
Night-time care, elderly care, home care services, dignity, Care worker
HSV kategori
Forskningsprogram
sociologi
Identifikatorer
urn:nbn:se:umu:diva-138843 (URN)10.1093/geroni/igx004.1122 (DOI)
Konferanse
The 21st IAGG World Congress of Gerontology & Geriatrics. Global Aging and Health: Bridging Science, Policy and Practice, July 23-27, 2017, San Francisco, USA
Prosjekter
Värdig äldreomsorg 24 timmar om dygnet? En kartläggning och analys av hemtjänstens organisering och arbete
Forskningsfinansiär
Forte, Swedish Research Council for Health, Working Life and Welfare, 2015-00820
Tilgjengelig fra: 2017-09-04 Laget: 2017-09-04 Sist oppdatert: 2018-06-09
Andersson, K. & Kalman, H. (2017). Strategies to handle the challenges of intimacy in nighttime home care services. European Journal of Social Work, 20(2), 219-230
Åpne denne publikasjonen i ny fane eller vindu >>Strategies to handle the challenges of intimacy in nighttime home care services
2017 (engelsk)Inngår i: European Journal of Social Work, ISSN 1369-1457, E-ISSN 1468-2664, Vol. 20, nr 2, s. 219-230Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

The provision of intimate and personal care constitutes a challenge for both careworkers and care recipients and is still a neglected area of research. An observational study of the interaction between the careworkers and care recipients in night-time home care services was conducted in a large municipality in Sweden. The results were analysed in light of previous research and theorising on strategies for handling intimacy in intimate care. The study highlights what appears to be a tension between the ways in which the recipient of care is conceptualised as an active consumer of care in present-day guidelines and the strategies chosen on the part of both caregivers and care recipients, when intimacy and integrity is most at stake, and framed as it is by the care recipients' situation of dependency and vulnerability. Home care services night-time was shown to be a case that markedly differs from many other settings of intimate care, but in the interactional routines intimate care came forth as a smooth and minimally obtrusive activity. The careworkers and care recipients engaged in strategies such as disattention, eye-discipline, middle-distance orientation, and objectification, thereby serving the purpose of balancing the transgressions of thresholds of intimacy.

Abstract [sv]

Intim hjälp och omsorg i hemtjänsten innebär en utmaning för både omsorgstagare och omsorgsgivare och utgör ett eftersatt forskningsområde. Artikeln presenterar resultat från en observationsstudie av interaktionen mellan omsorgsgivare och omsorgstagare i en nattlig hemtjänstverksamhet i en större kommun i Sverige. Resultaten har analyserats i förhållande till tidigare forskning och teoretiska studier vad gäller hur intimitet hanteras i omsorg och vård. Den intima hjälp och omsorg som utförs på natten inom hemtjänsten skiljer sig markant från den omsorg som utförs dagtid, liksom inom ramen för andra institutioner. Så väl objektifierande som distanserande strategier påvisades i samspelet mellan omsorgsgivare och omsorgstagare. Strategierna bidrog till att i viss mån balansera de nödvändiga överträdelser av intimitetsgränser som gavs av omsorgstagarnas situation av utsatthet, beroende och sårbarhet. Resultaten står i bjärt kontrast till framställningen av omsorgstagaren som en 'aktiv konsument' i dagens riktlinjer.

sted, utgiver, år, opplag, sider
Taylor & Francis, 2017
Emneord
Intimate care, framing, home care services, participant observation, night-time, Intim omsorg, framing, hemtjänst, deltagande observation, nattetid
HSV kategori
Identifikatorer
urn:nbn:se:umu:diva-111965 (URN)10.1080/13691457.2016.1188779 (DOI)000395162500007 ()
Forskningsfinansiär
Swedish Research Council, 2007-7231
Merknad

Strategier för att hantera intimitetens utmaningar nattetid i hemtjänsten

Published online 28 Jun 2016

Tilgjengelig fra: 2015-11-27 Laget: 2015-11-27 Sist oppdatert: 2018-06-07bibliografisk kontrollert
Prosjekter
Värdig äldreomsorg 24 timmar om dygnet? En kartläggning och analys av hemtjänstens organisering och arbete nattetid [2015-00820_Forte]; Umeå universitetForskningskommunikation riktad till baspersonal inom äldre- och funktionshinderomsorg samt deras chefer [KOM18-1359:1_RJ]; Umeå universitet
Organisasjoner
Identifikatorer
ORCID-id: ORCID iD iconorcid.org/0000-0003-1456-1207