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Publications (10 of 101) Show all publications
Öhman, A., Keisu, B.-I. & Enberg, B. (2023). Professional knowledge development and evidence-based practice in confusing vs. supportive work organizations: A grounded theory situational analysis of Swedish elderly care. Physiotherapy Theory and Practice, 39(5), 994-1006
Open this publication in new window or tab >>Professional knowledge development and evidence-based practice in confusing vs. supportive work organizations: A grounded theory situational analysis of Swedish elderly care
2023 (English)In: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 39, no 5, p. 994-1006Article in journal (Refereed) Published
Abstract [en]

Background: This article focuses on knowledge development and health professionals’ opportunitiesto use evidence-based practice (EBP). We studied registered physiotherapists (PT), occupationaltherapists (OT) and nurses (RN) in Swedish elderly-care institutions, a sector known for highturnover and shortages of competent staff.Objective: To examine the perspectives of healthcare providers on professional knowledge developmentand EBP in their organization.

Methods: We conducted on-site qualitative interviews with a purposive sample of PTs, OTs andRNs, in six elderly care institutions. Situational analysis was used to analyze the material.

Results: Three discursive professional positions were found: 1) Professional ambition in confusingwork organization; 2) Professional ambition in a knowledge-promoting work organization; and 3) Professional indifference with few aspirations for knowledge development. Professional aspirationstoward knowledge development were high in two of these positions, whereas the third representsa slightly different approach with fewer aspirations for knowledge development. Linked to theseprofessional approaches to knowledge development is a continuum of aggravating or facilitatingfactors within the work organization, including varying degrees of support from leadership of theorganization, as well as few opportunities for rewards.

Discussion and conclusions: It is concluded that elderly care needs to develop strategies forevidence-based practice in order for the sector to become a sustainable arena for health professionals’career development, and in order to improve the quality of care for the elderly.

Place, publisher, year, edition, pages
Taylor & Francis, 2023
Keywords
Physiotherapy, occupational therapy, nursing, organization, leadership
National Category
Gender Studies Sociology Nursing
Research subject
physiotherapy; gender studies; Sociology
Identifiers
urn:nbn:se:umu:diva-192211 (URN)10.1080/09593985.2022.2033370 (DOI)000750110900001 ()35089102 (PubMedID)2-s2.0-85124139223 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2011-1140
Available from: 2022-02-04 Created: 2022-02-04 Last updated: 2023-07-13Bibliographically approved
Persson, M., Lindberg, I. & Öhman, A. (2023). Regional and clinical guidelines for prevention and care of obstetric anal sphincter injuries - A critical frame analysis. Midwifery, 119, Article ID 103608.
Open this publication in new window or tab >>Regional and clinical guidelines for prevention and care of obstetric anal sphincter injuries - A critical frame analysis
2023 (English)In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 119, article id 103608Article in journal (Refereed) Published
Abstract [en]

Objective: Policy documents govern how the prevention and care of obstetric anal sphincter injuries (OASIS) are implemented. Thus, in the absence of Swedish national guidelines on OASIS, differing views may be visible in the regional and local policy documents. Therefore, we aimed to analyse regional and local policies, guidelines, and care programs on the prevention of OASIS and care for OASIS-affected women in a Swedish context by applying a critical frame analysis inspired by Verloo.

Design and setting: A cross-sectional study of existing policy documents from Swedish healthcare regions was performed. The documents were analysed using Verloo's critical frame analysis.

Findings: We found that OASIS was framed as a preventable problem addressed by skilled protective manoeuvres of the healthcare staff. Education, communication, and teamwork were three frames of crucial solutions to minimise the prevalence of OASIS. However, complicating power dimensions between professional groups and between professionals and birthing women were identified. Furthermore, several discursive struggles were found, predominantly regarding the scientific evidence for the suggested prevention and care.

Conclusion: The policy documents emphasised that OASIS is preventable, and improved education, communication, and teamwork could diminish the OASIS prevalence. Nevertheless, power dimensions and discursive struggles may challenge the preventive efforts. Furthermore, each Swedish region has the sovereignty to develop its policies, which was reflected in our findings and may imply inequities in care provision. Thus, there is an urgent need to develop comprehensive national high-quality guidelines of high quality for OASIS prevention and care so that all women giving birth have access to equal care and treatment in Sweden.

Place, publisher, year, edition, pages
Elsevier, 2023
Keywords
Critical frame analysis, Management, Obstetric anal sphincter injuries, Policy documents, Prevention
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-205788 (URN)10.1016/j.midw.2023.103608 (DOI)000993214100001 ()36739637 (PubMedID)2-s2.0-85149724831 (Scopus ID)
Available from: 2023-03-28 Created: 2023-03-28 Last updated: 2023-09-05Bibliographically approved
Vaezghasemi, M., Öhman, A., Ng, N., Hakimi, M. & Eriksson, M. (2020). Concerned and conscious, but defenceless - the intersection of gender and generation in child malnutrition in Indonesia: a qualitative grounded theory study. Global Health Action, 13(1), Article ID 1744214.
Open this publication in new window or tab >>Concerned and conscious, but defenceless - the intersection of gender and generation in child malnutrition in Indonesia: a qualitative grounded theory study
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2020 (English)In: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 13, no 1, article id 1744214Article in journal (Refereed) Published
Abstract [en]

Background: Several studies in Indonesia have shown the protective effect of women-headed households on the double burden of malnutrition (coexistence of undernutrition and overnutrition in a household). Many other studies have presented a positive impact on children’s health and conditions when women are educated, have higher social capital and have control of income and its intra-household allocation. However, how women’s status affects the nutritional status of a household and, in particular, of children still remains understudied.

Objective: In this study, our aim was to explore the role of gender relations and contextual factors for overnutrition and undernutrition among children within a household.

Method: We conducted a qualitative study in two provinces of Indonesia: Central Java (urban and rural) and Jakarta (central and suburban) among 123 community members (59 men and 64 women). We utilised principles of constructivist grounded theory in conducting this study, and focus group discussions were chosen as a tool to collect data.

Results: Three categories were constructed, capturing the significance of: (i) the man is dominant within the family (gendered power relations), (ii) the environment that makes the unhealthy choice the easy choice (the emerging obesogenic environment) and (iii) parents’ being concerned but unable to control their children’s eating habits (intersection of gender and generational relations) in child malnutrition.

Conclusion: Community health and nutrition programmes should help both women and men within the context of households to acknowledge and respect women’s status. More importantly, these programmes should involve men when it comes to children’s nutritional habits and consider them as an important factor in the realisation of gender equality and empowerment. Furthermore, it is increasingly important to recognise the implication of the availability and accessibility of junk food among children.

Place, publisher, year, edition, pages
Taylor & Francis, 2020
Keywords
Double burden of malnutrition, nutrition transition, gender, intersectionality, grounded theory, qualitative study, focus group discussions, Indonesia
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-130559 (URN)10.1080/16549716.2020.1744214 (DOI)000531047800001 ()32370625 (PubMedID)2-s2.0-85084328499 (Scopus ID)
Note

Previously included in thesis in manuscript form. 

Available from: 2017-01-23 Created: 2017-01-23 Last updated: 2023-03-24Bibliographically approved
Lundgren, B., Kalman, H., Öhman, A. & Bränström Öhman, A. (2020). Inledning (1ed.). In: Möjligheter och mellanrum: Berättelser om genus och akademiska livslopp (pp. 7-18). Stockholm: Makadam Förlag
Open this publication in new window or tab >>Inledning
2020 (Swedish)In: Möjligheter och mellanrum: Berättelser om genus och akademiska livslopp, Stockholm: Makadam Förlag, 2020, 1, p. 7-18Chapter in book (Other academic)
Place, publisher, year, edition, pages
Stockholm: Makadam Förlag, 2020 Edition: 1
Keywords
feminism, genus, klassresa, skam, erfarenhet, språkdräkt, textila strategier, Jeanette Winterson, Simone de Beauvoir
National Category
Gender Studies
Research subject
gender studies; Literature
Identifiers
urn:nbn:se:umu:diva-182847 (URN)978-91-7061-327-2 (ISBN)
Available from: 2021-05-07 Created: 2021-05-07 Last updated: 2021-07-28Bibliographically approved
Lundgren, B., Kalman, H., Öhman, A. & Bränström Öhman, A. (2020). Möjligheter och mellanrum: berättelser om genus och akademiska livslopp. Makadam förlag
Open this publication in new window or tab >>Möjligheter och mellanrum: berättelser om genus och akademiska livslopp
2020 (Swedish)Book (Other academic)
Place, publisher, year, edition, pages
Makadam förlag, 2020
National Category
Gender Studies
Identifiers
urn:nbn:se:umu:diva-186394 (URN)9789170613272 (ISBN)
Funder
Magnus Bergvall FoundationÅke Wiberg Foundation
Available from: 2021-07-28 Created: 2021-07-28 Last updated: 2021-12-27Bibliographically approved
Joffer, J., Randell, E., Öhman, A., Flacking, R. & Jerdén, L. (2020). Playing the complex game of social status in school – a qualitative study. Global Health Action, 13(1), Article ID 1819689.
Open this publication in new window or tab >>Playing the complex game of social status in school – a qualitative study
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2020 (English)In: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 13, no 1, article id 1819689Article in journal (Refereed) Published
Abstract [en]

Background: Research suggests that social status in school plays an important role in the social lives of adolescents and that their social status is associated with their health. Additional knowledge about adolescents’ understanding of social hierarchies could help to explain inequalities in adolescents’ health and guide public health interventions.

Objective: The study aimed to explore what contributes to subjective social status in school and the strategies used for social positioning.

Methods: A qualitative research design with think-aloud interviews was used. The study included 57 adolescents in lower (7th grade) and upper secondary school (12th grade) in Sweden. Subjective social status was explored using a slightly modified version of the MacArthur Scale of Subjective Social Status in school. Data were analyzed using thematic network analysis.

Results: The participants were highly aware of their social status in school. Elements tied to gender, age, ethnicity and parental economy influenced their preconditions in the positioning. In addition, expectations on how to look, act and interact, influenced the pursue for social desirability. The way these different factors intersected and had to be balanced suggests that social positioning in school is complex and multifaceted.

Conclusions: Because the norms that guided social positioning left little room for diversity, the possible negative impact of status hierarchies on adolescents’ health needs to be considered. In school interventions, we suggest that norms on e.g. gender and ethnicity need to be addressed and problematized from an intersectional approach.

Place, publisher, year, edition, pages
Taylor & Francis, 2020
Keywords
Subjective social status, popularity, gendered norms, health, adolescent, intersectionality
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-169500 (URN)10.1080/16549716.2020.1819689 (DOI)000574933100001 ()33012279 (PubMedID)2-s2.0-85092008922 (Scopus ID)
Funder
Swedish Research CouncilForte, Swedish Research Council for Health, Working Life and Welfare, FAS Dnr 2009-0292
Note

Originally included in thesis in manuscript form.

Available from: 2020-04-02 Created: 2020-04-02 Last updated: 2023-03-23Bibliographically approved
Jordal, M., Öhman, A. & Wijewardene, K. (2020). Respectability and rights: Sexual and reproductive health and rights of Sri Lankan women formerly involved in prostitution. Contemporary South Asia, 28(1), 28-42
Open this publication in new window or tab >>Respectability and rights: Sexual and reproductive health and rights of Sri Lankan women formerly involved in prostitution
2020 (English)In: Contemporary South Asia, ISSN 0958-4935, E-ISSN 1469-364X, Vol. 28, no 1, p. 28-42Article in journal (Refereed) Published
Abstract [en]

Women in prostitution are often disrespected and subject to health risks. The aim of this study is to explore how women formerly engaged in prostitution in Sri Lanka position themselves in relation to gendered norms of respectability, and to discuss the possible implications for their sexual and reproductive health and rights (SRHR). Semi-structured qualitative interviews were conducted with fifteen women formerly engaged in prostitution. Discourse analysis was used to identify and describe interpretative repertoires and four repertoires were identified: Victimhood, Resistance, Responsibility, and Independence. The first three were drawn upon to construct their identities in line with norms of female respectability, as the women emphasised being victims of unfortunate situations, resisting sexual disrespectability and taking responsibility for their children and others. The last repertoire deviated from the respectability norm as it conveyed a picture of the women as independent, strong and courageous subjects, characteristics more in line with male respectability in Sri Lanka. Despite marginalised and oppressive circumstances, the women drew on interpretative repertoires to enhance access to respect, dignity and resources. However, their vulnerability to violence, SRHR risks and virtual absence of rights leave them with little access to resources that could enable a healthier and better life.

Place, publisher, year, edition, pages
Routledge, 2020
Keywords
Respectability, violence, agency, prostitution, sexual and reproductive health and rights
National Category
Gender Studies
Identifiers
urn:nbn:se:umu:diva-164458 (URN)10.1080/09584935.2019.1667301 (DOI)000488798800001 ()2-s2.0-85073957581 (Scopus ID)
Available from: 2019-10-22 Created: 2019-10-22 Last updated: 2023-03-23Bibliographically approved
Öhman, A. (2020). Ständigt på väg och i rörelse - om kön, klass och akademikerblidande. In: Möjligheter och mellanrum: Berättelser om genus och akademiska livslopp (pp. 160-221). Makadam förlag
Open this publication in new window or tab >>Ständigt på väg och i rörelse - om kön, klass och akademikerblidande
2020 (Swedish)In: Möjligheter och mellanrum: Berättelser om genus och akademiska livslopp, Makadam förlag , 2020, p. 160-221Chapter in book (Other academic)
Place, publisher, year, edition, pages
Makadam förlag, 2020
National Category
Gender Studies
Identifiers
urn:nbn:se:umu:diva-186391 (URN)9789170613272 (ISBN)
Available from: 2021-07-28 Created: 2021-07-28 Last updated: 2021-07-28Bibliographically approved
Öhman, A., Burman, M., Carbin, M. & Edin, K. (2020). 'The public health turn on violence against women': Analysing Swedish healthcare law, public health and gender-equality policies. BMC Public Health, 20(1), Article ID 753.
Open this publication in new window or tab >>'The public health turn on violence against women': Analysing Swedish healthcare law, public health and gender-equality policies
2020 (English)In: BMC Public Health, E-ISSN 1471-2458, Vol. 20, no 1, article id 753Article in journal (Refereed) Published
Abstract [en]

This article focuses on policy and law concerning violence against women as a public health issue. In Sweden, violence against women is recently recognized as a public health problem; we label this shift "The public health turn on violence against women". The new framing implies increased demands on the Swedish healthcare sector and its’ ability to recognise violence and deal with it in terms of prevention and interventions. The aim was to describe and discuss the main content and characteristics of Swedish healthcare law, and national public health and gender-equality policies representing the public health turn on violence against women. Through discursive policy analysis, we investigate how the violence is described, what is regarded to be the problem and what solutions and interventions that are suggested in order to solve the problem. Healthcare law articulates violence against women as an ordinary healthcare issue and the problem as shortcomings to provide good healthcare for victims, but without specifying what the problem or the legal obligation for the sector is. The public health problem is rather loosely defined, and suggested interventions are scarce and somewhat vague. The main recommendations for healthcare are to routinely ask patients about violence exposure. Violence against women is usually labelled "violence within close relationships" in the policies, and it is not necessarily described as a gender equality problem. While violence against women in some policy documents is clearly framed as a public health problem, such a framing is absent in others, or is transformed into a gender-neutral problem of violence within close relationships. It is not clearly articulated what the framing should lead to in terms of the healthcare sector's obligations, interventions and health promotions, apart from an ambivalent discourse on daring to ask about violence.

Place, publisher, year, edition, pages
BioMed Central, 2020
Keywords
Violence against women, Intimate partner violence, Public health, Gender equality, Policy, Healthcare services, Sweden, Governing, Healthcare law
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
gender studies
Identifiers
urn:nbn:se:umu:diva-171239 (URN)10.1186/s12889-020-08766-7 (DOI)000537218700010 ()32448199 (PubMedID)2-s2.0-85085465654 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2015-00929
Available from: 2020-05-29 Created: 2020-05-29 Last updated: 2023-08-28Bibliographically approved
Keisu, B.-I., Öhman, A. & Enberg, B. (2018). Employee effort: reward balance and first-level manager transformational leadership within elderly care. Scandinavian Journal of Caring Sciences, 32(1), 407-416
Open this publication in new window or tab >>Employee effort: reward balance and first-level manager transformational leadership within elderly care
2018 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 32, no 1, p. 407-416Article in journal (Refereed) Published
Abstract [en]

Background: Negative aspects, staff dissatisfaction and problems related to internal organisational factors of working in elderly care are well-known and documented. Much less is known about positive aspects of working in elderly care, and therefore, this study focuses on such positive factors in Swedish elderly care. We combined two theoretical models, the effort–reward imbalance model and the Transformational Leadership Style model. The aim was to estimate the potential associations between employee-perceived transformational leadership style of their managers, and employees' ratings of effort and reward within elderly care work.

Methods: The article is based on questionnaires distributed at on-site visits to registered nurses, occupational therapists, physiotherapists (high-level education) and assistant nurses (low-level education) in nine Swedish elderly care facilities. In order to grasp the positive factors of work in elderly care, we focused on balance at work, rather than imbalance.

Results: We found a significant association between employees' effort–reward balance at work and a transformational leadership style among managers. An association was also found between employees' level of education and their assessments of the first-level managers.

Conclusions: We conclude that the first-level manager is an important actor for achieving a good workplace within elderly care, since she/he influences employees' psychosocial working environment. We also conclude that there are differences and inequalities, in terms of well-being, effort and reward at the work place, between those with academic training and those without, in that the former group to a higher degree evaluated their first-level manager to perform a transformational leadership style, which in turn is beneficial for their psychosocial work environment. Consequently, this (re)-produce inequalities in terms of well-being, effort and reward among the employees at the work place.

Keywords
effort, reward, transformational leadership style, elderly care, first-level manager, quantitative method
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Work Sciences
Research subject
Sociology
Identifiers
urn:nbn:se:umu:diva-140079 (URN)10.1111/scs.12475 (DOI)000426524200042 ()28851057 (PubMedID)2-s2.0-85042565889 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare
Available from: 2017-09-29 Created: 2017-09-29 Last updated: 2023-03-24Bibliographically approved
Projects
The public health turn on violence against women - healthcare system´s readiness and governance [2015-00929_Forte]; Umeå University; Publications
Öhman, A., Burman, M., Carbin, M. & Edin, K. (2020). 'The public health turn on violence against women': Analysing Swedish healthcare law, public health and gender-equality policies. BMC Public Health, 20(1), Article ID 753.
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-3083-106X

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