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  • 101.
    Rasmusson, Bodil
    et al.
    Socialhögskolan, Lunds universitet.
    Hyvönen, Ulf
    Nygren, Lennart
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Khoo, Evelyn
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Child-centered social work practice: three unique meanings in the context of looking after children and the assessment framwork in Australia, Canada and Sweden2010In: Children and youth services review, ISSN 0190-7409, E-ISSN 1873-7765, Vol. 32, no 3, p. 452-459Article in journal (Refereed)
    Abstract [en]

    This paper explores different orientations to child-centered social work as conveyed in the training materials and guidelines of Looking After Children and Assessment Framework in Australia, Canada and Sweden. ‘Child centered’ is shaped by contextual factors and influences social work practices. We found differences in these approaches as needs based and/or rights based and in relation to how each emphasizes the three P's — Provision, Protection and Participation. Substantial differences were identified both in how references to a child-centered approach appear in theoretical frameworks, values, motives and use of concepts in training materials and guidelines, and in the instructions given as to how to apply these approaches. It appears that Australia balances needs and rights, while Canada is more needs-oriented and Sweden more rights-oriented. Swedish materials show a more explicit emphasis on participation than Australian and Canadian materials. Differences between the three countries indicate the importance of structural, contextual factors shaping orientations to child-centered practice.

  • 102.
    Rexvid, Devin
    et al.
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Evertsson, Lars
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Forssén, Annika
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine.
    Nygren, Lennart
    The precarious character of routine practice in social and primary health care2015In: Journal of Social Work, ISSN 1468-0173, E-ISSN 1741-296X, Vol. 15, no 3, p. 317-336Article in journal (Refereed)
    Abstract [en]

    Summary: This article presents a description and analysis of the written narratives of problematic situations given by social workers and general practitioners (GPs) within the framework of the sociology of professions and organisations. The narratives were collected from 28 social workers and 24 GPs, working in several Swedish counties.

    Findings: Our findings show that the professionals rarely described lack of knowledge or difficulties choosing the right intervention or treatment as problematic. Rather, the problematic situations contained encounters with clients perceived as disruptive to professional routine practice. We conclude that there were three different types of problematic situations where the professional routine practice was disrupted: (1) Situations related to ‘client-making work’, where the professionals perceived it difficult to, e.g., gather enough information about the client to make a diagnosis, set a timetable or decide on adequate interventions; (2) Situations related to ‘wicked work’, where the professionals experienced clients unable to articulate their problems or understand and follow the interventions suggested by the professionals; (3) Situations related to ‘dirty work’ were only present in GPs’ narratives and typically occurred when GPs perceived that they were dealing with clients who endangered their profes- sional status. 

    Applications: Contrary to previous studies, this study indicates that problematic situ- ations are not necessarily connected with traits and characteristic of the client or a lack of professional competence. Instead, they might be connected to situations where professional routine practice is disrupted. Furthermore, it is questionable to what extent problematic situations connected to such disruption can be managed by evi- dence-based methods, manualisation and standardisation. 

  • 103.
    Rostami, Arian
    et al.
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Ghazinour, Mehdi
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Nygren, Lennart
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Nojumi, Marzje
    Richter, Jörg
    Health-related quality of life, marital satisfaction and social support in medical staff in Iran2013In: Applied Research in Quality of Life, ISSN 1871-2584, E-ISSN 1871-2576, Vol. 8, no 3, p. 385-402Article in journal (Refereed)
    Abstract [en]

    Quality of life is a subjective and multidimensional concept that includes all aspects of an individual’s life. Many investigations indicate that marital satisfaction is an important determinant of quality of life and social support affects both marital satisfaction and quality of life. Since medical staff face job stressors in their everyday life, in the present cross-sectional study, the relationships between quality of life, marital satisfaction, and social support in medical staff in Tehran were analyzed. Data collection was performed in 653 medical staff using socio-demographic questions, the SF-36 questionnaire, the ENRICH Marital Satisfaction Inventory, and the Social Support Questionnaire. The results revealed that men reported significantly higher quality of life and marital satisfaction than women, but there was no gender difference in social support. The quality of life and marital satisfaction domains were found to be differentially correlated among male and female participants. All domains of marital satisfaction were found to be significantly associated with the “vitality” and “mental health” domains among females and “physical functioning” domain in the male. Also, social support was associated with almost all quality of life domains in both sexes. The multiple regression analyses indicated that all the study variables combined with socio-demographic factors can explain between 12 % and 28 % of the variance in quality of life domains. Therefore, focusing on these factors could be an effective approach to improve quality of life in medical staff as a group with a stressful job.

  • 104.
    Rostami, Arian
    et al.
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Ghazinour, Mehdi
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Nygren, Lennart
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Richter, Jörg
    Marital Satisfaction with a Special Focus on Gender Differences in Medical Staff in Tehran-Iran2012In: Journal of family issues, ISSN 0192-513X, E-ISSN 1552-5481Article in journal (Refereed)
  • 105.
    Rostami, Arian
    et al.
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Ghazinour, Seyedmehdi
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Nygren, Lennart
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Richter, Jörg
    Centre for child and Adolescent Mental Health, Eastern and Southern, Oslo, Norway .
    Marital Satisfaction With a Special Focus on Gender Differences in Medical Staff in Tehran, Iran2014In: Journal of family issues, ISSN 0192-513X, E-ISSN 1552-5481, Vol. 35, no 14, p. 1940-1958Article in journal (Refereed)
    Abstract [en]

    The family is a fundamental component of society, and marital satisfaction is the main characteristic of a healthy family. The aim of this cross-sectional research was to assess marital satisfaction in medical staff in Tehran, with a special focus on gender differences. Data were collected from 653 medical staff using sociodemographic questions and the ENRICH marital satisfaction questionnaire. The results indicated that marital satisfaction was significantly higher in men than in women. There was a negative correlation between age and marital satisfaction in women. Educational level was associated with marital satisfaction in both genders. Number of children was correlated with marital satisfaction in both men and women. Gender differences in marital satisfaction were revealed, and all sociodemographic factors showed significant relationships, with at least one subscale of marital satisfaction. This study provides a general view of marital satisfaction in Iranian medical professionals as a group with a stressful job.

  • 106.
    Skoog, Viktoria
    et al.
    Umeå University, Faculty of Social Sciences, Department of Social Work. FoU Kommunförbundet Västernorrland, S-87103 Härnösand, Sweden.
    Khoo, Evelyn
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Nygren, Lennart
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Disconnection and dislocation: relationships and belonging in unstable foster and institutional care2015In: British Journal of Social Work, ISSN 0045-3102, E-ISSN 1468-263X, Vol. 45, no 6, p. 1888-1904Article in journal (Refereed)
    Abstract [en]

    This paper investigates how children who have experienced instability in substitute family care describe their sense of belonging and relationships with adults who share responsibility for caring for them. Using an interpretive phenomenological methodology, we interviewed twelve children in Swedish foster and institutional care. Our study found that the children craved a close relationship with consistent adults and an opportunity to feel that they belonged somewhere. These needs were difficult for them to receive due to their parents' problematic life histories, instability in care which repeatedly placed them in new care situations and a lack of continuity of social workers. These children endured a repeated disconnection to those adults who were supposed to share the role of raising them and, at the same time, an incredible ability to adapt to new care environments was demanded of them. After continually losing relationships, some children finally decided to ‘hold off adults’ in order to not get hurt. Working with and caring for children who have experienced unstable care puts great demand on adults to develop relationships that children feel will be consistent and that they can trust.

  • 107.
    Uttjek, Margaretha
    et al.
    Umeå University, Faculty of Social Sciences, Department of Social Work. Umeå University, Faculty of Medicine, Public Health and Clinical Medicine, Dermatology and Venerology.
    Dufåker, Mona
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Nygren, Lennart
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Stenberg, Berndt
    Umeå University, Faculty of Medicine, Public Health and Clinical Medicine, Dermatology and Venerology.
    Determinants of quality of life in a psoriasis population in northern Sweden2004In: Acta Dermato-Venereologica, ISSN 0001-5555, E-ISSN 1651-2057, Vol. 84, no 1, p. 37-43Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to assess possible determinants of quality of life in psoriasis patients in northern Sweden, and to analyse the association between these determinants and quality of life. A questionnaire was mailed to 1,707 subjects, resulting in a response rate of 74%. The study is therefore based on 1,060 subjects, since 195 denied having psoriasis. Quality of life was measured using a version of the Dermatology Life Quality Index. The extent of the disease was estimated using the patients' sketches. The association between determinants and quality of life was calculated in a risk analysis using logistic regression. Large disease extent and joint symptoms were the strongest indicators for impaired quality of life. Other indicators were withdrawal from medical treatment due to distance to treatment facilities, which strongly influenced the quality of life and choice of treatment.

  • 108.
    Uttjek, Margaretha
    et al.
    Umeå University, Faculty of Social Sciences, Department of Social Work. Umeå University, Faculty of Medicine, Public Health and Clinical Medicine, Dermatology and Venerology.
    Dufåker, Mona
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Nygren, Lennart
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Stenberg, Berndt
    Umeå University, Faculty of Medicine, Public Health and Clinical Medicine, Dermatology and Venerology.
    Psoriasis care consumption and expectations from a gender perspective in a psoriasis population in northern Sweden2005In: Acta Dermato-Venereologica, ISSN 0001-5555, E-ISSN 1651-2057, Vol. 85, no 6, p. 503-508Article in journal (Refereed)
    Abstract [en]

    The aim was to analyse use of psoriasis care and expectations from a gender perspective in a psoriasis population. The study is based on questionnaire data from 1060 subjects. The response rate was 74%. The relation between care consumption and studied variables was measured using regression and chi-square analysis. Care consumption was strongly influenced by age, quality of life, income and joint symptoms. Men visited a dermatologist more often, while women visited a general practitioner and treated themselves topically more frequently. Important expectations among both women and men concerned the receiving of professional care and amelioration, while more women wanted to be treated politely. Expectations were fulfilled, except those regarding amelioration, especially among men. Awareness of gender differences is important among professionals. In order to decrease such differences decision-makers should provide for a maintained specialized care as well as a local health care system of high standard.

  • 109.
    Uttjek, Margaretha
    et al.
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Dermatology and Venerology. Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.
    Dufåker, Mona
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Stenberg, Berndt
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Public Health Sciences. Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Dermatology and Venerology.
    Nygren, Lennart
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Priority dilemmas in psoriasis care and visions of a future care in a group of administrators, politicians and professionals in northern Sweden.2008In: Health Policy, ISSN 0168-8510, E-ISSN 1872-6054, Vol. 87, no 2, p. 203-216Article in journal (Refereed)
    Abstract [en]

    During the 1990s priority discussions were actualized in Sweden due to increased demands on health care and limited resources. In the county of Västerbotten in northern Sweden, with large rural areas, the decision makers faced special challenges due to distances and cost. Despite discussions striving for fairness in priorities, decision makers are still dealing with limited resources and difficult priority decisions regarding different diseases and treatments.

    In this study we aimed at describing views on priorities in public psoriasis care and visions of a future care among politicians, administrators and professionals in the county of Västerbottten in northern Sweden. Qualitative research interviews were performed with 23 key-persons. The findings revealed priority dilemmas about issues on organization, accessibility and ethics. Visions of a future care appeared as ambitions of a more effective care with good accessibility, continued research, information and a holistic approach in priorities.

    We conclude that dilemmas revealed in this study were a reflection of a gap between intentions and practice. In efforts to reduce these dilemmas we suggest methods with fairness in economic planning and priority setting, with concrete, official statements about the dominating views on which the priorities are based, and public information about these statements.

  • 110.
    Uttjek, Margaretha
    et al.
    Umeå University, Faculty of Social Sciences, Department of Social Work. Umeå University, Faculty of Medicine, Public Health and Clinical Medicine, Dermatology and Venerology.
    Nygren, Lennart
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Stenberg, Berndt
    Umeå University, Faculty of Medicine, Public Health and Clinical Medicine, Dermatology and Venerology.
    Dufåker, Mona
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Marked by visibility of psoriasis in everyday life.2007In: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, Vol. 17, no 3, p. 364-372Article in journal (Refereed)
    Abstract [en]

    In this study, the authors aimed at a sociological approach to the individual’s everyday life with psoriasis and to this end conducted qualitative interviews with 18 persons from a county in northern Sweden. The most difficult aspects of living with psoriasis were being marked by the visibility of psoriasis, especially in the younger ages, and the visibility of joint changes. Therefore, those with both rashes and joint changes felt marked and discredited in a twofold way. Commonly used coping strategies were routinization of both the treatment and the adjustment to the marking process, and acceptance, and these strategies developed with age. Most participants experienced a good quality of life but still could find nothing positive about psoriasis. The authors suggest efforts toward increased awareness among health care professionals of the marking process and future qualitative studies about experiences of psoriasis during adolescence.

  • 111.
    Westman, Berith
    et al.
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Forsgärde, Marianne
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Nygren, Lennart
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Gruppkultur som hinder och möjlighet för intervention vid samarbetssvårigheter. En studie bland social omsorgs- och vårdpersonal inom äldre och handikappomsorg.:  2003In: Socialvetenskaplig tidskrift, ISSN 1104-1420, no 1, p. 48-65Article in journal (Other academic)
  • 112.
    Wikström, Eva
    et al.
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Nygren, Lennart
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Place, space and pace: Spatial conflicts in a small remote mining town related to the establishment of a refugee reception centre2003In: Norsk tidsskrift for migrasjonsforskning, ISSN 1502-4008, E-ISSN 1890-7016, Vol. 4, no 2, p. 99-113Article in journal (Refereed)
123 101 - 112 of 112
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