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Bernspång, Birgitta
Publications (10 of 46) Show all publications
Eriksson, G., Hellman, T., Nilsson, A. O., Johansson, U., Ekbladh, E. & Bernspång, B. (2018). The return to work process after stroke changes over time while participating in a newly designed person-centred rehabilitation programme. International Journal of Stroke, 13, 31-31
Open this publication in new window or tab >>The return to work process after stroke changes over time while participating in a newly designed person-centred rehabilitation programme
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2018 (English)In: International Journal of Stroke, ISSN 1747-4930, E-ISSN 1747-4949, Vol. 13, p. 31-31Article in journal, Meeting abstract (Other academic) Published
Place, publisher, year, edition, pages
Sage Publications, 2018
National Category
Neurology
Identifiers
urn:nbn:se:umu:diva-154839 (URN)000452504600120 ()
Available from: 2019-01-07 Created: 2019-01-07 Last updated: 2019-01-07Bibliographically approved
Nygren, U., Markström, U. & Bernspång, B. (2016). Processes towards employment among persons with psychiatric disabilities: a study of two individual placement and support programmes in Sweden. Scandinavian Journal of Disability Research, 18(1), 32-51
Open this publication in new window or tab >>Processes towards employment among persons with psychiatric disabilities: a study of two individual placement and support programmes in Sweden
2016 (English)In: Scandinavian Journal of Disability Research, ISSN 1501-7419, E-ISSN 1745-3011, Vol. 18, no 1, p. 32-51Article in journal (Refereed) Published
Abstract [en]

Individual placement and support (IPS) has been found to be an effective intervention for rehabilitation to work in the field of mental health. Being as the principles used in IPS reflect core values in the concept of personal recovery, several other outcomes than just the percentage of clients gaining employment are of interest. The purpose of the study was to describe a number of unique processes and analyze these with a special concern for circumstances perceived as important for the individual IPS process. A collective instrumental case-study design was used and five cases were included. Data from three different sources were collected, both quantitative and qualitative. The findings illustrate how a relationship characterized by curiosity, interest and engagement in the individual client, positive risk-taking and time for reflected experiences resulted in processes of change. It was concluded that providing IPS is a type of specialized relationship-based work that includes advanced problem solving.

Keywords
psychiatric rehabilitation, case study, processes of change, social psychiatry, recovery
National Category
Psychiatry
Identifiers
urn:nbn:se:umu:diva-123476 (URN)10.1080/15017419.2014.964765 (DOI)000377392200003 ()
Available from: 2016-07-18 Created: 2016-07-04 Last updated: 2018-06-07Bibliographically approved
Bernspång, B., Fischl, C. & Sawert, B. (2015). Från kulturell nyfikenhet till samarbete. In: Universitetspedagogiska konferensen 2015: Gränslös kunskap. Paper presented at Universitetspedagogiska konferensen 2015, Gränslös kunskap, Umeå, 8-9 oktober 2015 (pp. 65). Umeå: Umeå universitet
Open this publication in new window or tab >>Från kulturell nyfikenhet till samarbete
2015 (Swedish)In: Universitetspedagogiska konferensen 2015: Gränslös kunskap, Umeå: Umeå universitet , 2015, p. 65-Conference paper, Poster (with or without abstract) (Other academic)
Place, publisher, year, edition, pages
Umeå: Umeå universitet, 2015
National Category
Pedagogy
Identifiers
urn:nbn:se:umu:diva-112380 (URN)
Conference
Universitetspedagogiska konferensen 2015, Gränslös kunskap, Umeå, 8-9 oktober 2015
Available from: 2015-12-07 Created: 2015-12-07 Last updated: 2018-06-07Bibliographically approved
Sturesson, M., Hörnqvist Bylund, S., Edlund, C., Hansen Falkdal, A. & Bernspång, B. (2015). Quality in sickness certificates in a Swedish social security system perspective. Scandinavian Journal of Public Health, 43(8), 841-847
Open this publication in new window or tab >>Quality in sickness certificates in a Swedish social security system perspective
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2015 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 43, no 8, p. 841-847Article in journal (Refereed) Published
Abstract [en]

AIM: In Sweden, the information in the sickness certificate is crucially important for the sick-listed person as well as for the Swedish Social Insurance Agency and the sick-listed person's employer. The certificate is used as the basis for deciding whether a person is entitled to sickness benefits. Further, it communicates information significant for the return-to-work process. The aim of the study was to evaluate the quality of sickness certificates issued in primary health care and examine if the patients' or physicians' gender influences the information in the sickness certificate.

METHODS: An insurance specialist at the Swedish Social Insurance Agency assessed the quality of the stated information in a sample of 323 certificates issued by 146 different general practitioners at 29 different primary health care centres in northern Sweden.

RESULTS: Thirty-four percent of the certificates did not contain sufficient information requested. The areas of the certificates in need of supplementary information were mainly the descriptions of impairment of body function and activity limitation. More certificates issued for women than certificates issued for men lacked the required information. Full-time sick leave was more often prescribed for male patients than for female. Significant differences between certificates issued for women and certificates issued for men appeared in the group of musculoskeletal diseases. No differences in quality aspects connected to physicians' gender were found.

CONCLUSION: Our study indicates a need for increased knowledge about the descriptions of functioning for sick-listed persons; more cooperation between health professionals in primary health care and a better gender awareness in health care encounters.

Keywords
Sick leave, primary health care, gender, International Classification of Functioning, Disability and Health, insurance medicine
National Category
Occupational Therapy
Identifiers
urn:nbn:se:umu:diva-108225 (URN)10.1177/1403494815597163 (DOI)000364636600009 ()26229074 (PubMedID)
Available from: 2015-09-08 Created: 2015-09-07 Last updated: 2018-06-07Bibliographically approved
Sturesson, M., Edlund, C., Falkdal, A. H. & Bernspång, B. (2014). Healthcare encounters and return to work: a qualitative study on sick-listed patients' experiences. Primary Health Care Research and Development, 15(4), 464-475
Open this publication in new window or tab >>Healthcare encounters and return to work: a qualitative study on sick-listed patients' experiences
2014 (English)In: Primary Health Care Research and Development, ISSN 1463-4236, E-ISSN 1477-1128, Vol. 15, no 4, p. 464-475Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Sickness absence is a complex phenomenon affected by aspects other than disease. One important factor that can affect sick leave is the individual's experience of healthcare encounters. It is therefore essential to consider the quality of the encounter with health professionals and its impact on the patient's rehabilitation and return to work.

AIM: The aim was to explore how sick-listed patients in Sweden perceive their contact with healthcare professionals in primary healthcare and to analyse what they view as crucial components for returning to work.

METHODS: A qualitative approach was used. Data were collected by semi-structured telephonic interviews with patients who were or had been on sick leave. The transcribed interview text was analysed according to qualitative content analysis.

FINDINGS: The analysis revealed two themes that highlight important areas for persons on sick leave in their healthcare encounters. The theme 'Trust in the relationship' contains categories describing the patients' feelings of participation, and of being believed, confirmed, and listened to, and also dedication on the part of healthcare providers. Healthcare encounters that were characterised by professionalism, knowledge, continuity, and a holistic approach seemed to create trust. The theme 'Structure and balance' contains the participants' views on important factors that could support the return-to-work process. All participants stated the importance of follow-up and a plan for rehabilitation. Sick leave itself can make a person passive, and participants in this study asked for support to balance activity, exercise, and work demands, which could facilitate their return to work.

CONCLUSION: Healthcare professionals can facilitate sick-listed persons' rehabilitation back to work by providing a clear structure in the process and support in occupational balance. The healthcare encounters must build on a mutual trust.

Place, publisher, year, edition, pages
Cambridge University Press, 2014
Keywords
primary healthcare, sick leave, work ability
National Category
Other Health Sciences
Research subject
Occupational therapy
Identifiers
urn:nbn:se:umu:diva-96990 (URN)10.1017/S1463423614000255 (DOI)000209619700014 ()25098326 (PubMedID)
Available from: 2015-02-02 Created: 2014-12-08 Last updated: 2018-06-07Bibliographically approved
Nygren, U., Sandlund, M., Bernspång, B. & Fisher, A. G. (2013). Exploring perceptions of occupational competence among participants in Individual Placement and Support (IPS). Scandinavian Journal of Occupational Therapy, 20(6), 429-437
Open this publication in new window or tab >>Exploring perceptions of occupational competence among participants in Individual Placement and Support (IPS)
2013 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 20, no 6, p. 429-437Article in journal (Refereed) Published
Abstract [en]

Objective: The purpose of this study was to explore perceptions of occupational competence and occupational value among a group of clients engaged in Individual Placement and Support (IPS). Methods: The Occupational Self-Assessment (OSA), based on the Model of Human Occupation, was used with 65 men and women with mental illness, and 45 of these completed the study. Results: Rasch analyses showed that the participants perceived "Managing my finances", "Managing my basic needs", and "Doing activities I like" as the most valued occupations. Most competence was perceived in "Taking care of myself". Among the occupations where the participants perceived least competence, "Getting done what I need to do" and "Accomplishing what I set out to do" were the occupations that most stand out. Significant differences were also found between perceived competence and value in most of the occupations. Conclusions: Beyond those occupations valued as most important among the participants, it is essential also to pay attention to those in which they perceived least competence, as they are important for being able to achieve a desired occupation. Support related to perceptions of occupational competence can contribute to enabling clients in IPS to master a desired working life.

Place, publisher, year, edition, pages
Informa Healthcare, 2013
Keywords
Individual Placement and Support (IPS), occupational adaptation, occupational identity, occupational therapy, psychiatric rehabilitation
National Category
Physiotherapy
Identifiers
urn:nbn:se:umu:diva-85566 (URN)10.3109/11038128.2013.785017 (DOI)000328280300004 ()
Available from: 2014-02-07 Created: 2014-02-06 Last updated: 2018-06-08Bibliographically approved
Nygren, U., Markström, U., Bernspång, B., Svensson, B., Hansson, L. & Sandlund, M. (2013). Predictors of vocational outcomes using Individual Placement and Support for people with mental illness. Work: A journal of Prevention, Assesment and rehabilitation, 45(1), 31-39
Open this publication in new window or tab >>Predictors of vocational outcomes using Individual Placement and Support for people with mental illness
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2013 (English)In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 45, no 1, p. 31-39Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: People with disabilities find it harder to enter the labour market than people without disabilities and those with a mental illness are, in relation to people with other disabilities, employed at an essentially lower extent. Many are effectively helped by the vocational rehabilitation model Individual Placement and Support (IPS), but there are still many individuals left in undesired unemployment. This study investigates potential predictors of the vocational outcomes of a one-year follow up of IPS in the north of Sweden. PARTICIPANTS: The participants were 65 men and women, mostly younger than 30 years of age diagnosed with a mental illness (predominantly with a diagnosis of anxiety and/or depression). METHODS: Baseline data related to sociodemographic and clinical characteristics of the client, the client's own perceptions of every day living and participation, self-esteem and quality of life, as well as the quantity of employment support, were investigated using analyses of logistic regression. RESULTS: Of three identified potential predictors, only psychiatric symptoms remained significant in the multivariate logistic regression analyses. A lower level of symptoms increased the odds with 5.5 for gaining employment during one year. CONCLUSIONS: Careful investigation of how psychiatric symptoms influence clients' occupational performance is of importance. By understanding essential aspects of the relationships between the clients' individual characteristics, the rehabilitation context and the vocational outcomes, more appropriate and effective interventions may be offered to the individual client.

Place, publisher, year, edition, pages
Amsterdam, Netherlands: IOS Press, 2013
National Category
Social Work Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-73589 (URN)10.3233/WOR-131598 (DOI)000318769600006 ()
Available from: 2013-06-25 Created: 2013-06-25 Last updated: 2018-06-08Bibliographically approved
Bernspång, B. (2013). The publications are covering fields of great interest to our researchers and research students, as well as all clinicians. Scandinavian Journal of Occupational Therapy, 20(1), 1-1
Open this publication in new window or tab >>The publications are covering fields of great interest to our researchers and research students, as well as all clinicians
2013 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 20, no 1, p. 1-1Article in journal, Editorial material (Refereed) Published
National Category
Occupational Therapy
Identifiers
urn:nbn:se:umu:diva-81616 (URN)10.3109/11038128.2013.753176 (DOI)23268551 (PubMedID)
Available from: 2013-10-18 Created: 2013-10-18 Last updated: 2018-06-08Bibliographically approved
Sturesson, M., Edlund, C., Fjellman-Wiklund, A., Falkdal, A. H. & Bernspång, B. (2013). Work ability as obscure, complex and unique: Views of Swedish occupational therapists and physicians. Work: A journal of Prevention, Assesment and rehabilitation, 45(1), 117-128
Open this publication in new window or tab >>Work ability as obscure, complex and unique: Views of Swedish occupational therapists and physicians
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2013 (English)In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 45, no 1, p. 117-128Article in journal (Refereed) Published
Abstract [en]

The concept of work ability is not clearly defined although it has a central place in vocational rehabilitation. Several health professions are involved in assessing work ability, physicians and occupational therapists are two of these. OBJECTIVE: The purpose of this study was to explore occupational therapist and physician views about work ability and experiences in assessing work ability. PARTICIPANTS: Fourteen physicians and 23 occupational therapists participated in seven focus group discussions that were audio taped and transcribed verbatim. METHODS: Qualitative content analysis was used. Each author performed an individual preliminary analysis. These analyses were later discussed and refined in the research team and a workshop. The final categorization resulted in one theme, four categories and 13 sub-categories. RESULTS: The overall theme expressed work ability as an obscure, complex and unique concept. The four categories illustrate the affecting factors and confirm the complex structure of work ability: the person, the context of life, the work, and the society. Physicians expressed greater difficulty in assessing work ability than occupational therapists did, because they have fewer instruments to access this concept. CONCLUSIONS: Assessment of work ability requires team cooperation with several different professionals. Cooperation could increase accuracy in issuing sickness certification and strengthens the ability of identifying individual requirements for rehabilitation.

Place, publisher, year, edition, pages
AMSTERDAM, NETHERLANDS: IOS PRESS, 2013
National Category
Public Health, Global Health, Social Medicine and Epidemiology Occupational Therapy
Identifiers
urn:nbn:se:umu:diva-73590 (URN)10.3233/WOR-2012-1416 (DOI)000318769600013 ()
Available from: 2013-06-25 Created: 2013-06-25 Last updated: 2018-06-08Bibliographically approved
Bernspång, B. & Nilsson, I. (2012). Aktivitetsengagemang under åldrandet (1ed.). In: Astrid Norberg, Berit Lundman, Regina Santamäki Fischer (Ed.), Det goda åldrandet: (pp. 217-236). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Aktivitetsengagemang under åldrandet
2012 (Swedish)In: Det goda åldrandet / [ed] Astrid Norberg, Berit Lundman, Regina Santamäki Fischer, Lund: Studentlitteratur AB, 2012, 1, p. 217-236Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2012 Edition: 1
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-105598 (URN)978-91-44-06804-6 (ISBN)
Available from: 2015-06-26 Created: 2015-06-26 Last updated: 2018-06-07Bibliographically approved
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