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Lindmark, T., Engström, M. & Trygged, S. (2023). First-Line Managers’ Perceptions of Their Psychosocial Work Environment in Nursing Homes: A Qualitative Analysis of the Influence of Ownership Type. Health & Social Care in the Community, Article ID 6694499.
Open this publication in new window or tab >>First-Line Managers’ Perceptions of Their Psychosocial Work Environment in Nursing Homes: A Qualitative Analysis of the Influence of Ownership Type
2023 (English)In: Health & Social Care in the Community, ISSN 0966-0410, E-ISSN 1365-2524, article id 6694499Article in journal (Refereed) Published
Abstract [en]

In the wake of welfare sector reforms and the increasing marketisation of eldercare services, nursing home first-line managers (FLMs) are confronted with escalating work demands within streamlined organisations. Given this background, the aim was to investigate FLMs’ perceptions of their psychosocial work environment and of differences between nursing home ownership types. Nineteen managers from three Swedish municipalities from municipal, outsourced, and private nursing homes participated in semi-structured interviews focused on job demands, job resources, and ownership differences. The FLMs’ perceptions were interpreted as forming two themes. Navigating challenges: striving to cope with demands highlighted various challenges, including recruitment, workload, and lack of organisational support. Key stressors encompassed personnel struggles, time constraints, and complex interactions. Influence of ownership dynamics on the work environment explored variation across ownership types. Private nursing home managers enjoyed more decision-making autonomy but faced more scrutiny than did municipal ones. FLMs in outsourced homes described unique stressors, notably uncertainty and increased workload due to the procurement process. These findings underscore the potential need for tailored systemic changes across different ownership types. The policy implications include enhancing communication and support in municipal homes, reducing the span of control in private homes, and revising the procurement process in outsourced homes. These insights suggest that further research outlining differences between ownership types, particularly private and outsourced nursing homes, is warranted. Such research could aid in formulating specific strategies tailored to each ownership type in order to enhance the psychosocial work environment for FLMs in nursing homes.

Place, publisher, year, edition, pages
Hindawi, 2023
National Category
Health Sciences
Identifiers
urn:nbn:se:hig:diva-43178 (URN)10.1155/2023/6694499 (DOI)001095074600001 ()2-s2.0-85176261293 (Scopus ID)
Available from: 2023-10-25 Created: 2023-10-25 Last updated: 2024-01-02Bibliographically approved
Ingard, C., Sjölund, M. & Trygged, S. (2023). People With Dementia as Active Agents in Nursing Homes: A Scoping Review. SAGE Open, 13(2)
Open this publication in new window or tab >>People With Dementia as Active Agents in Nursing Homes: A Scoping Review
2023 (English)In: SAGE Open, E-ISSN 2158-2440, Vol. 13, no 2Article, review/survey (Refereed) Epub ahead of print
Abstract [en]

People with dementia (PWD) are fragile and need aid and care in their daily lives. This scoping review explores the extent to which PWD can be involved in society and their daily lives. Publications were selected according to PRISMA guidelines. We graded the level of participation/involvement in daily life and research using a five-level participation model developed by Shier. A higher grade means a greater ambition to involve PWD in decisions. Of the 11 included studies, three reached level three according to Shier’s model. The studies describe ways of and potentials for participation, capabilities of PWD, caregivers’ opportunities to foster involvement, and cooperation between PWD caregivers and relatives. Caregivers and managers must have the attitude that PWD can be involved in decisions and caregivers need opportunities to actively promote such involvement. Shier’s model can be a tool with which organizations strive to involve PWD. 

Place, publisher, year, edition, pages
SAGE, 2023
Keywords
dementia; human rights; nursing home; participation; political sociology; social sciences; social work; sociology
National Category
Sociology
Identifiers
urn:nbn:se:hig:diva-42458 (URN)10.1177/21582440231180585 (DOI)001005246400001 ()2-s2.0-85161719369 (Scopus ID)
Available from: 2023-06-26 Created: 2023-06-26 Last updated: 2024-01-17Bibliographically approved
Lindmark, T., Ingard, C. & Trygged, S. (2023). Prerequisites for empowerment: a study of procurement documents for the provision of care in Swedish nursing homes. European Journal of Social Work, 26(5), 853-868
Open this publication in new window or tab >>Prerequisites for empowerment: a study of procurement documents for the provision of care in Swedish nursing homes
2023 (English)In: European Journal of Social Work, ISSN 1369-1457, E-ISSN 1468-2664, Vol. 26, no 5, p. 853-868Article in journal (Refereed) Published
Abstract [en]

Public sector reforms have expanded the number of subcontracted nursing homes in Europe. In Sweden, municipalities contract out nursing homes to various providers through procurement documents, while simultaneously striving for equality in care. This has placed increasing demands on caregivers, in hope of improving care recipients' empowerment and well-being. Consequently, this study has two aims: first, to investigate the prerequisites for empowering care recipients and caregivers in Swedish nursing homes, as expressed in procurement documents; second, to compare procurement documents between municipalities, to determine whether they are (dis)similar based on the objective of care equality. In total, we collected 7 procurement documents, with attachments, from three Swedish municipalities, from 2015 to 2020. Deductive content analysis, based on empowerment theory regarding care recipients and caregivers, was used to analyse the documents. The results indicated an emphasis on empowering the care recipients. The procurement documents placed multiple demands on the caregivers but barely touched on staff empowerment. The municipalities differed in how the providers competed to win the procurement. The result highlights a problematic aspect of the marketisation of nursing homes, namely combining the objective of equality with competition between providers.

Place, publisher, year, edition, pages
Taylor & Francis, 2023
Keywords
Long-term care, outsourcing, policy practice, social work and health care, tender documents
National Category
Social Work
Identifiers
urn:nbn:se:hig:diva-39962 (URN)10.1080/13691457.2022.2115017 (DOI)000853186000001 ()2-s2.0-85138426355 (Scopus ID)
Available from: 2022-09-22 Created: 2022-09-22 Last updated: 2023-09-08Bibliographically approved
Lindmark, T., Engström, M. & Trygged, S. (2023). Psychosocial Work Environment and Well-Being of Direct-Care Staff Under Different Nursing Home Ownership Types: A Systematic Review. Journal of Applied Gerontology, 42(2), 347-359
Open this publication in new window or tab >>Psychosocial Work Environment and Well-Being of Direct-Care Staff Under Different Nursing Home Ownership Types: A Systematic Review
2023 (English)In: Journal of Applied Gerontology, ISSN 0733-4648, E-ISSN 1552-4523, Vol. 42, no 2, p. 347-359Article, review/survey (Refereed) Published
Abstract [en]

This systematic review investigated the psychosocial work environment and well-being of direct-care staff under different nursing home ownership types. Databases searched: Scopus, Web of Science, Cinahl, and PubMed, 1990–2020. Inclusion criteria: quantitative or mixed-method studies; population: direct-care staff in nursing homes; exposure: for-profit and non-profit ownership; and outcomes: psychosocial work environment and well-being. In total, 3896 articles were screened and 17(n = 12,843 participants) were assessed using the Joanna Briggs Institute Critical Appraisal tools and included in the narrative synthesis. The results were inconsistent, but findings favored non-profit over for-profit settings, for example, regarding leaving intentions, organizational commitment, and stress-related outcomes. There were no clear differences concerning job satisfaction. Job demands were higher in non-profit nursing homes but alleviated by better job resources in one study. The result highlights work environment issues, with regulations concerning for-profit incentives being discussed in terms of staff benefits.

Place, publisher, year, edition, pages
SAGE, 2023
Keywords
caregiving, health outcomes, long-term services and supports, marketization, working conditions
National Category
Social Work
Identifiers
urn:nbn:se:hig:diva-40250 (URN)10.1177/07334648221131468 (DOI)000865576900001 ()36214292 (PubMedID)2-s2.0-85139643541 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2020-01281
Available from: 2022-10-13 Created: 2022-10-13 Last updated: 2023-01-23Bibliographically approved
Trygged, S., Lindgren Ödén, B. & Björkman, A. (2022). Body. Grade. Relation. Understanding children’s needs through interprofessional learning. Nordic Social Work Research, 12(1), 153-165
Open this publication in new window or tab >>Body. Grade. Relation. Understanding children’s needs through interprofessional learning
2022 (English)In: Nordic Social Work Research, ISSN 2156-857X, E-ISSN 2156-8588, Vol. 12, no 1, p. 153-165Article in journal (Refereed) Published
Abstract [en]

The aim of the study was to explore interprofessional learning among students from nursing, education, and social work programmes in Sweden. Four or five students from each programme participated in focus group interviews. Students were asked in homogenous and mixed groups to judge a fictitious case of a young schoolboy with multiple needs. Interviews were recorded, transcribed, and analysed with content analysis. We found that nursing students focused on nutrition and physi-cal well-being, education students on grades and course, and social work students on context, collaboration, and coordinating activities. Students in the mixed groups described the concept of interprofessional learning as opening their eyes to the need for later collaboration as professionals. To conclude, the study shows that students adopt a narrow professional way of thinking when socialized only within their own discipline as illu-strated by the theme: Body, Grade, Relation, with a risk of not taking full responsibility in a complex case such as a child in need. When exposed to other professions, students expand their perspectives and learn from each other to the benefit of their mutual clients.

Place, publisher, year, edition, pages
Taylor & Francis, 2022
Keywords
Interprofessional learning, collaboration, nursing, education, social work
National Category
Other Social Sciences not elsewhere specified
Research subject
Health-Promoting Work
Identifiers
urn:nbn:se:hig:diva-33331 (URN)10.1080/2156857X.2020.1797857 (DOI)001026167300012 ()2-s2.0-85128398702 (Scopus ID)
Available from: 2020-08-17 Created: 2020-08-17 Last updated: 2023-09-08Bibliographically approved
Larsson, S. & Trygged, S. (2022). Integration - professionella samtal, möten och relationer (1ed.). In: Sam Larsson & Sven Trygged (Ed.), Stödjande samtal, möten och relationer i socialt arbete: (pp. 353-372). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Integration - professionella samtal, möten och relationer
2022 (Swedish)In: Stödjande samtal, möten och relationer i socialt arbete / [ed] Sam Larsson & Sven Trygged, Lund: Studentlitteratur AB, 2022, 1, p. 353-372Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2022 Edition: 1
National Category
Social Work
Research subject
Health-Promoting Work
Identifiers
urn:nbn:se:hig:diva-40365 (URN)9789144155197 (ISBN)
Available from: 2022-11-07 Created: 2022-11-07 Last updated: 2022-11-11Bibliographically approved
Larsson, S. & Trygged, S. (2022). Introduktion  - stödsamtal i socialt arbete (1ed.). In: Sam Larsson & Sven Trygged (Ed.), Stödjande samtal, möten och relationer i socialt arbete: (pp. 19-35). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Introduktion  - stödsamtal i socialt arbete
2022 (Swedish)In: Stödjande samtal, möten och relationer i socialt arbete / [ed] Sam Larsson & Sven Trygged, Lund: Studentlitteratur AB, 2022, 1, p. 19-35Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2022 Edition: 1
National Category
Social Work
Identifiers
urn:nbn:se:hig:diva-40364 (URN)9789144155197 (ISBN)
Available from: 2022-11-07 Created: 2022-11-07 Last updated: 2022-11-11Bibliographically approved
Andersson, J., Cole, E. & Trygged, S. (2022). När hjälpen finns på Facebook: Om försummade behov och nya hjälpformer. Socialmedicinsk Tidskrift, 99(4), 509-521
Open this publication in new window or tab >>När hjälpen finns på Facebook: Om försummade behov och nya hjälpformer
2022 (Swedish)In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 99, no 4, p. 509-521Article in journal (Refereed) Published
Abstract [sv]

Personer med låga inkomster söker ekonomisk hjälp via Facebook och andra sociala medier. Vad avser biståndet som efterfrågas och vilka individer söker hjälp? 30 ansökningar hos organisationen Giving People som granskades visade att det är barnfamiljer som söker hjälp till basala behov som mat och kläder. Denna hjälp sätts i relation till hjälp som ges från Sveriges Stadsmissioner och till socialtjänstens försörjningsstöd. Hjälpen från Giving People är snabb samtidigt som organisationen medvetet kringgår socialtjänstens krav på redovisning av inkomster. Den hjälpsökande individen får ett litet extra tillskott samtidigt som det finns en risk att fattigdomen i samhället inte uppmärksammas tillräckligt. Sveriges Stadsmissioner och socialtjänsten erbjuder professionella personliga möten till skillnad från Giving People. Detta kan vara viktigt eftersom ekonomiska svårigheter ofta är en markör för andra sociala problem

Abstract [en]

People with low incomes seek financial support via Facebook and other social media. For what is the assistance requested and which individuals seek help? 30 applications from Giving People showed that families with children seek help for basic needs such as food and clothing. This help is compared to help given from the charity organization Sveriges Stadsmissioner and to financial assistance from the social services. The help from Giving People is fast and the organization deliberately circumvents the social services’ requirements for reporting income. The help-seeking individual receives a small supplement but with a risk that poverty in society will not receive enough attention. Sveriges Stadsmissioner and the social services offer professional personal meetings, unlike Giving People. This can be important because financial difficulties are often a marker for other social problems.

National Category
Sociology
Research subject
Health-Promoting Work, Digital shapeshifting
Identifiers
urn:nbn:se:hig:diva-39991 (URN)
Available from: 2022-09-26 Created: 2022-09-26 Last updated: 2023-09-15Bibliographically approved
Trygged, S. (2022). När kravbreven kommer - förändringsarbete med skuldsatta klienter (1ed.). In: Sam Larsson & Sven Trygged (Ed.), Stödjande samtal, möten och relationer i socialt arbete: (pp. 159-178). Lund: Studentlitteratur AB
Open this publication in new window or tab >>När kravbreven kommer - förändringsarbete med skuldsatta klienter
2022 (Swedish)In: Stödjande samtal, möten och relationer i socialt arbete / [ed] Sam Larsson & Sven Trygged, Lund: Studentlitteratur AB, 2022, 1, p. 159-178Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2022 Edition: 1
National Category
Social Work
Research subject
Health-Promoting Work
Identifiers
urn:nbn:se:hig:diva-40366 (URN)9789144155197 (ISBN)
Available from: 2022-11-07 Created: 2022-11-07 Last updated: 2022-11-11Bibliographically approved
Larsson, S. & Trygged, S. (Eds.). (2022). Stödjande samtal, möten och relationer i socialt arbete (1ed.). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Stödjande samtal, möten och relationer i socialt arbete
2022 (Swedish)Collection (editor) (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2022. p. 376 Edition: 1
National Category
Social Work
Research subject
Health-Promoting Work
Identifiers
urn:nbn:se:hig:diva-40362 (URN)9789144155197 (ISBN)
Available from: 2022-11-07 Created: 2022-11-07 Last updated: 2023-12-03Bibliographically approved
Projects
Is ownership important for staff? A systematic review of work conditions and work related wellbeing among staff in nursing homes run for profit and not-for-profit [2020-01281_Forte]; University of GävleThe Intervention CAN-Work-S: Facilitating Work Participation among Cancer Survivors During their Entire Professional Career [2021-01546_Forte]; University of Gävle
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-7028-8247

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