Föreliggande uppsats handlar om enhetschefers förtroende för omsorgspersonalen inom hemtjänsten ur enhetschefsperspektiv. Eftersom förtroende är ett begrepp som kan se olika ut beroende på vilket område som undersöks, avgränsas uppsatsens undersökning till att gälla enhetschefers förtroende i samband med förekomsten av omsorgspersonal som stjäl hemma hos brukare. Omsorgspersonals stölder hos brukare av hemtjänst är ett outforskat område, det enda som med säkerhet kan sägas är att det förekommer. Därför har uppsatsen som syfte att undersöka hur enhetschefers förtroendebild och kontrollåtgärder ser ut för att kunna ha förtroende avseende förekomsten av stölder. Teorierna som används för analysen är Uslaner´s teori om moralisk och strategisk tillit och Luhmann´s teoretiska funktionsanalys av förtroende samt Cohen´s och Felson´s rutinaktivitetsteori. Resultatet visar att enhetscheferna anser att deras förtroende för omsorgspersonalen är avgörande för att hemtjänstverksamheten ska fungera. Samtidigt visar resultatet att de kontrollåtgärder enhetscheferna använder inte är tillräckliga för att skydda brukaren från stöld, varför fortsatt forskning kring hur detta skydd kan se ut rekommenderas. / The present paper deals with unit managers trust for care staff in home care from a unit manager's perspective. Since trust is a concept that may vary depending on the area under study, defined the essay examination to cover the unit managers' confidence in the existence of social care staff who steal in the homes of patients. Care Personals thefts of users of home care is an unexplored area, the only thing that can certainly be said is that it exists. Therefore, the paper aims to examine how the unit managers' confidence image and control measures appear to have confidence in the existence of theft. The theories used for the analysis is Uslaner´s theory of moral and strategic trust and Luhmann´s theoretical functional analysis of trust as well as Cohen’s and Felson´s routine activity theory. The results show that the unit managers believe that their confidence in social care staff are essential to home care business to work. While the results show that the control unit managers are using is not adequate to protect the user from theft, so continued research on how this protection could look like is recommended.

Diss. (sammanfattning) Umeå : Univ., 2004. / Härtill 5 uppsatser.

The aim of this study was to create an understanding of how unit managers and care workers work with user influence in connection with elderly moving to nursing homes. This study was delimited to analyze two nursing homes in a medium-sized municipality in southern Sweden. The study was based on qualitative semi-structured interviews from two unit managers and six care workers in nursing homes. To analyze the data, Michael Foucault’s theory about power, Pierre Bourdieus's concept of doxa and symbolic power have been used as well as client construction. The result of this study indicates that elderly are given the opportunity to influence through implementation plans, welcome talks, being listened to, relationship-building, feeling homelike, resignation and reluctance, adaption to the conditions that are available and rethinking. The results of the study also shows that elderly were transformed and adapted according to the nursing homes guidelines and routines when moving in. Therefore, there were opinions taken for granted and not questioned within the organizations. With this basis, situations that caused limited influence of the elderly were excused and justified according to the organizations´ implied logic, which was deeply rooted in the workplace structure including the unit managers and care workers.

Sammanfattning Ett hälsofrämjande ledarskap bidrar till att främja hälsan hos sina medarbetare. Året 2020 blev ett speciellt år på många sätt, men speciellt inom vård och omsorg. Syftet med denna studie var att öka kunskapen om olika synsätt som finns på ett hälsofrämjande ledarskap hos vård och omsorgspersonal. En kvalitativ metod valdes och datainsamlingsmetod var semistrukturerade intervjuer. Fem informanter deltog i studien varav alla jobbar inom kommunal vård och omsorg i Göteborgs Stad. Informanterna intervjuades med hjälp av en intervjuguide och materialet analyserades enligt en innehållsanalys. De framkom tre teman ur materialet ledarskap, hälsofrämjande insatser och arbetsplatsen. Resultatet visar centrala delar inom ledarskap var närvarande, information, kommunikation och återhämtning. Hälsofrämjande insatserbeskrevs som friskvård och planeringsdagar. Under arbetsplats framkom sjukfrånvaro och vikarier samt skyddsutrustning. Slutsatsen är att ledarskapet varit positivt om än literörigt under pandemin. Under året 2020 har störst skillnader varit skyddsutrustningen och frånvaro eller anpassningar kring planeringsdagar.

Sammanfattning Titel: I mötet med depressiv ohälsa på äldreboenden Handledare: Anna Siverskog Examinator: Klas Borell Forskning pekar på en betydande omfattning av depressiv ohälsa bland äldre på äldreboende, något som medför mänskligt lidande och hög belastning på samhället. Mot den bakgrunden ämnar följande studie undersöka förekomst och symtombild av denna ohälsa utifrån vård-och omsorgspersonals erfarenheter. Studien syftar även till att utforska de bemötande- och arbetsstrategier som medarbetarna använder i sina yrkesroller samt om olika yrkesbakgrund förefaller utgöra grund för skillnader i arbetet med depressiva äldre på äldreboenden. I syfte att besvara frågeställningarna har semistrukturerade intervjuer gjorts med elva yrkesverksamma personer. Bearbetning av empirin har skett utifrån en tematisk ansats och med stöd av teorierna kring ålderism och livslopp.  Den upplevda förekomsten av depressiv ohälsa varierar utifrån intervjupersonernas erfarenheter, men flertalet upplever att problematiken är omfattande bland de äldre på boenden. Symtomen för depressiv ohälsa skiftar, men det råder samstämmighet bland de intervjuade att symtomen ofta är diffusa och sällan uttrycks med konkreta ord. Personalen beskriver att de utifrån sin kompetens och i nära samarbete inom arbetsgruppen använder sig av olika övergripande bemötandestrategier som anpassas utifrån de individuella behoven och förutsättningarna med ambitionen att bedriva en god vård. Mindre skillnader mellan yrkesgrupperna har iakttagits i det att sjuksköterskorna förefaller ge uttryck för en starkare tilltro till kliniskt medicinsk vård medan omvårdnadspersonalen i större utsträckning lyfter dess risker och i stället framhåller vikten av nära relationer för att skapa god vård och omsorg.  Begränsade förutsättningar i tid och kompetens utgör dock hinder och belyser behovet av att förhålla sig till ålderistiska föreställningar och tillskapa resurser för att leva upp till samhällets ambitioner för en äldreomsorg som möter allt fler äldre med komplex problematik. Det är av vikt att rikta forskning mot hur vård-och omsorgspersonalens uttryckta behov av ökad individuell kompetens avseende depressiv ohälsa bland äldre kan understödjas på ett optimalt sätt. / Abstract Title: Dealing with depressive illness in nursing homes Tutor: Anna Siverskog Examinator: Klas Borell Research indicates a significant extent of depressive illness among the elderly in nursing homes, something that causes human suffering and a high burden on society. The following study intends to investigate the prevalence and symptoms based on the experiences of health and care professionals. The study also aims to explore the treatment and work strategies that employees use in their professional roles and whether different professional backgrounds seem to form differences in working with depressed elderly people in nursing homes. Eleven semi-structured interviews were conducted with professionals in the specified field of work in order to answer the questions. The empirical data was processed using a thematic approach supported by theories of ageism and life course.   The perceived incidence of depressive illness varies based on the interviewees' experiences, but the majority experience this to be extensive among the elderly in nursing homes. The symptoms of depressive illness vary, but there is a consensus among the interviewees that the symptoms are often diffuse and rarely expressed in specific words. Care and nursing staff describe that, based on their competence and in close collaboration within the team, they use various overall treatment strategies based on the individual needs and conditions with the ambition of conducting good care. Minor differences between professional groups have been observed, nurses seem to express a stronger reliance on clinical medical care, while other nursing staff are more likely to highlight its risks and instead emphasize the importance of close relationships in providing good care and support. However, the study points towards that limited time and individual skills obstruct as well as highlight the need to address ageist notions and provide resources to meet society's ambitions for elderly care, which is facing an increasing number of older people with complex problems. It is important to focus research on how to optimally support the expressed needs of health and social care professionals, for increased individual competence in relation to depressive illness in older people.

Vård- och omsorgspersonal påverkas i dagsläget av hög stressrelaterad ohälsa, samtidigt som få interventioner implementeras för att hantera det. Studiens syfte var att utforska vård- och omsorgspersonals upplevelse av en internetbaserad stresshanteringskurs utifrån compassionfokuserad terapi med fokus på kursens genomförbarhet och hur den påverkat hantering av arbete och vardagligt liv. Flertalet regioner i Sverige representerades av elva deltagare som arbetade med direkt patientkontakt inom vård- och omsorg. Deltagarna besvarade frågeformulären Treatment Credibility Scale och “Utvärdering av stresshanteringskursen”. Sju deltagare deltog även i en semistrukturerad intervju som syftade till att utforska upplevelsen av kursen. Det insamlade materialet analyserades med kvalitativ innehållsanalys samt deskriptiv sammanställning av frågeformulären. Resultatet påvisade att kursen hade hög genomförbarhet som ökade deltagarnas upplevda stresshantering. Alla deltagarna beskrev nya förhållningssätt utifrån bland annat ökade insikter och nya färdigheter. Studiens resultat indikerar att en liknande kurs kan implementeras i större skala för att öka vård- och omsorgspersonals hantering av stress samt öka välmående. / Care and nursing staff are currently affected by high-stress-related health issues, while few interventions are implemented to handle it. The purpose of the study was to explore care and nursing staff´s experiences of an internet-based stress management course based on compassion-focused therapy with a focus on the course's feasibility and how it affected coping of work and everyday life stress. Some regions in Sweden were represented by eleven participants who worked with direct patient contact in healthcare. Participants answered the questionnaires Treatment Credibility Scale and “Evaluation of the stress management course”. Seven participants also participated in a semi-structured interview which aimed to explore the experience of the course. The material was analyzed with qualitative content analysis and a descriptive compilation of the questionnaires. The results showed that the course had high feasibility that increased the participants' stress management. All participants described new approaches based on, for instance, increased insights and new skills. The results of the study indicate that a similar course can be implemented to a greater extent to increase care and nursing staff's coping of stress and well-being. / ICOP

The aim of this study was to examine how care professionals experienced the need of an elder counselor in communal geriatric care. The ambition was to discover how the caregivers viewed the need of an elder counselor to identify and antagonize the suffering from mental illness and loneliness against older people and to reach a greater understanding of what they experience is the opportunities and difficulties with the eldercounselor. The study was conducted through six semi-structured, qualitative interviews with six different home care staff in two municipalities who had counselors provided for the older people living there. We identified six themes in the interviews which were used for analyzing our results. The themes were: Professions treatment of mental illness and loneliness, A support for the care professionals, An anonymous profession, Loneliness and mental illness, Elders need to talk and Elders oppose counselor support. The results of our study shows that it is common that older people suffer from mental illness and loneliness. The care professionals experience that there is a need of having a counselor to support and help their patients to counteract mental illness. The care professionals also experience that the counselors can be used as a support for the care professionals themselves. The results also showed that a lot of the older people were offered professional talk with a counselor but resisted the offer. We also discovered difficulties with the collaboration within the organization between the counselor, the patients and the care staff.

Dementia is one of the biggest global challenges within healthcare of our timeand to develop the interventions and preventions of this condition is important tobetter the quality of life for these individuals (Livington et al., 2017). In fall of 2018 the municipality of Kalmar established a team of specialists to assistassistant nurses in their care of the elders. The aim of this study is to understandhow a team of specialists cooperates with assistant nurses who work in dementiacare and if there are any differences in the view that the team has opposite to theassistant nurses. This study is based on semi-structured interviews with the teamof specialists and assistant nurses that works in residential homes with a focuson dementia and has had experiences from the team's work. The interviews arealso analyzed through the theoretical model cooperation theory. The studyindicates that there are several areas where the team of specialists has a positiveimpact in helping the assistant nurses. They provide education, both practicaland emotional support by giving advice and being a source where the assistantnurses can ventilate their concerns. They provide security for the workers whohave good attitudes towards the team in most areas of their work.

The aim of this study was to depict care personnel’s perception of social treatment in care relations. Another aim was to bring forth what the personnel acknowledge as important factors to reach a goal of good encounters with the elderly. Through interviews with five care assistants working at the same nursing home, three different themes were formulated in order to answer the study questions. The themes were Concerning treatment, Organized care, and Personnel force.The personnel described the social treatment as something else than just being friendly and polite when approaching the elderly. They meant that the importance was lying in the energy and the feeling you convey everyday when coming in to the ward in the beginning of the shift. Organizational issues, however, were perceived as hinders for the personnel to always be able to accomplish a desirable encounter in care relations. The most important factor that improved the conditions for a positive social treatment in care relations was the team of colleagues. Within the team they had the opportunity to reflect over work, issues, the social treatments and other problems, and also learn from each other. The most important issue that the interviewed persons emphasized is that it is not about being friendly and polite when approaching care takers. It is about being percipient and able to create a positive energy around yourself and others.Nyckelord: Bemötande, omsorgspersonal, social omsorg, äldreboende, äldreomsorg

Diss. (sammanfattning) Stockholm : Karol. inst., 2004. / Härtill 5 uppsatser.