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  • 1.
    Ineland, Jens
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Pedagogiska institutionen.
    Molin, Martin
    Avdelningen för socialpedagogik och sociologi. Högskolan Väst..
    Sauer, Lennart
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Handling plurality and dealing with difficult work experiences: a comparative study of human service professionals' work with individuals with intellectual disabilities2018Inngår i: Journal of Policy and Practice in Intellectual Disabilities, ISSN 1741-1122, E-ISSN 1741-1130, Vol. 15, nr 1, s. 36-42Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This article examines how administrators in social services (n=70) and habilitation staff in healthcare (n=40) in Sweden experience difficult work situations in their daily work with people with intellectual disabilities (ID). The research aim was a) to scrutinize the most typical aspects of difficult working situations and b) to apply a comparative analysis of differences and similarities, where the respondents’ organizational affiliations are taken into account. The results are primarily based on a content analysis, although contextual standardized questions were also included. The results revealed that experiences of difficult work situations were associated with (1) structure, (2) professional role, (3) relationships, and (4) collaboration. The study also demonstrate that the respondents’ experiences of difficulties did not correspond to work dissatisfaction or unclear goals. On the contrary, handling this plurality within a specific organizational context was interpreted as an important aspect of professionalism. We argue that the different characteristics of the organizations reflect two different institutional logics. While the administrators mainly operated within an administrative logic based on a regulatory framework, the habilitation staff operated within a therapeutic logic based on a cognitive framework. The organizations different norms and rule systems, seem to have influenced when, and to what extent, everyday situations were experienced and defined as difficult when working with people with intellectual disabilities. This suggest that organizational context are important to acknowledge in order to understand professional experiences within intellectual disability services.

  • 2.
    Lundström, Mats
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Antonsson, Helena
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Karlsson, Stig
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Hällgren Graneheim, Ulla
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Use of physical restraints with people with intellectual disabilities living in Sweden's group homes2011Inngår i: Journal of Policy and Practice in Intellectual Disabilities, ISSN 1741-1122, E-ISSN 1741-1130, Vol. 8, nr 1, s. 36-41Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    People with intellectual disabilities (ID) often exhibit physical and communicative difficulties as well as challenging behaviors. Physical restraints are one method used to manage challenging behaviors and promote physical safety for people with ID, their fellow residents, and professional carers. However, there is a lack of data regarding the practice of employing physical restraints in Swedish group homes for people with ID. The aim was to investigate the prevalence of physical restraint use in group homes for people with ID, and to identify the characteristics of individuals subjected to these restraints. The study had a cross-sectional design and included 556 people with ID, aged 16–90 years, living in 118 group homes. Physical restraint use and residents' characteristics were surveyed with a questionnaire. Of the 556 residents studied, 99 (17.8%) had been subjected to physical restraint over the previous week. Of these, 99.2% were subjected to more than one type of restraint. The most commonly used type of physical restraint was a belt (73.7%). Using logistic regression analysis, the independent risk factors strongly associated with being physically restrained were inability to walk independently, impaired speech, screaming and shouting continuously, epileptic seizures, and spasticity. Despite the absence of legal authority for physical restraint use in group homes for people with ID, physical restraints are frequently used in Sweden. Both physical impairments and behavioral symptoms are significantly associated with physical restraint use.

  • 3.
    Lundström, Mats
    et al.
    Umeå universitet, Medicinsk fakultet, Omvårdnad.
    Graneheim, Ulla
    Umeå universitet, Medicinsk fakultet, Omvårdnad.
    Eisemann, Martin
    Richter, Jörg
    Åström, Sture
    Umeå universitet, Medicinsk fakultet, Omvårdnad.
    Personality impact on experiences of strain among caregivers exposed to violence in care of people with learning disabilities.2007Inngår i: Journal of Policy and Practice in Intellectual Disabilities, ISSN 1741-1122, E-ISSN 1741-1130, Vol. 4, nr 1, s. 30-39Artikkel i tidsskrift (Fagfellevurdert)
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