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Publications (10 of 29) Show all publications
Kjerstin, L., Wallroth, V. & Schröder, A. (2019). "Du blir aldrig van vid ensamhet": Äldre personers erfarenhet av ensamhet innan de deltar i ett äldrekollo. In: : . Paper presented at FORSA nationellt symposium 2019: Social förändring - (O)lika villkor, Norrköping, Sweden, March 12-13, 2019.
Open this publication in new window or tab >>"Du blir aldrig van vid ensamhet": Äldre personers erfarenhet av ensamhet innan de deltar i ett äldrekollo
2019 (Swedish)Conference paper, Oral presentation with published abstract (Other academic)
Abstract [sv]

Ensamhet ses som en riskfaktor för att utveckla fysisk och mental ohälsa. I Sverige uppskattas var tionde äldre vuxen besväras av ensamhet och psykisk ohälsa. I denna fenomenologiskt inspirerade studie har 19 äldre personer mellan 66-94 år intervjuats om varför de är ensamma och hur de upplever ensamheten, detta innan de deltog i ett äldre kollo sommaren 2017.

Målgruppen för äldre kollot var äldre personer som upplever att de är ensamma och har ett begränsat socialt umgänge och som inte har möjlighet att själva att ta initiativ till att delta i olika aktiviteter och bryta ensamheten.

Syftet med studien var att få kunskap om varför informanterna upplevde ensamhet samt hur de beskrev sina erfarenheter av att vara ensamma innan de deltog i äldre kollot.

Informanterna angav flera orsaker till sin ensamhet och det som framkom i resultaten var bl.a. att det var svårare att få kontakt med andra personer på äldre dar, vänner och bekanta har dött och vänskapsrelationer som de haft tidigare har varit svåra att behålla. Många av informanterna var anhörigvårdare till sin make/maka, några hade nyligen flyttat, de hade sämre ekonomi och att de inte kunde förflytta sig lika flexibelt som tidigare då de inte hade en bil att tillgå. När det gäller upplevelsen om ensamhet utryckte många informanter att de kände sig väldigt ensamma trots att de hade ett aktivt socialt liv. De saknade meningsfulla relationer, någon som de kunde vända sig till i förtroende och utveckla en nära vänskapsrelation med. De upplevde behovet av att tillhöra något eller behovet av en förändring i vardagen.

National Category
Social Work
Research subject
Social Work
Identifiers
urn:nbn:se:oru:diva-73185 (URN)
Conference
FORSA nationellt symposium 2019: Social förändring - (O)lika villkor, Norrköping, Sweden, March 12-13, 2019
Available from: 2019-03-18 Created: 2019-03-18 Last updated: 2019-10-07Bibliographically approved
Selvin, M., Almqvist, K., Kjellin, L., Lundqvist, L.-O. & Schröder, A. (2019). Patient and staff experiences of quality in Swedish forensic psychiatric care: a repeated cross-sectional survey with yearly sampling at two clinics. International Journal of Mental Health Systems, 13, Article ID 8.
Open this publication in new window or tab >>Patient and staff experiences of quality in Swedish forensic psychiatric care: a repeated cross-sectional survey with yearly sampling at two clinics
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2019 (English)In: International Journal of Mental Health Systems, ISSN 1752-4458, E-ISSN 1752-4458, Vol. 13, article id 8Article in journal (Refereed) Published
Abstract [en]

Background: Systematic efforts to improve the quality, safety and value of health care have increased over the last decades. Even so, it is hard to choose priorities and to know when the desired results are reached, especially in forensic psychiatric care where there can be a discrepancy between patient and staff expectations of what good quality of care is and how it should be reached. The aim of the present study was to describe and compare patient and staff experiences of quality of care in two forensic psychiatric clinics over a period of 4years.

Methods: A quantitative design was used and yearly between 2011 and 2014, a total of 105 questionnaires were answered by patients and 598 by staff.

Results: The sample consisted of four different groups; patient and staff in Clinic A and Clinic B respectively. The repeated measurements showed that quality of care, as described by the patients, varied over time, with significant changes over the 4years. The staff evaluations of the quality of care were more stable over time in both clinics compared with the patients. Generally, the staff rated the quality as being better than the patients but these differences tended to decrease when efforts were made to improve the care.

Conclusions: It is important to highlight both what staff and patients perceive as both high and low quality care. With regular measurements and sufficient resources, training, support and leadership, the chances of successful improvement work increase. This knowledge is important in forensic nursing practice, for teaching and for management and decision makers in the constant work of improving forensic psychiatric care.

Place, publisher, year, edition, pages
BMC, 2019
Keywords
Forensic psychiatry, Forensic nursing, Quality improvement
National Category
Psychiatry
Identifiers
urn:nbn:se:oru:diva-72424 (URN)10.1186/s13033-019-0265-z (DOI)000457489600001 ()30733827 (PubMedID)2-s2.0-85061003262 (Scopus ID)
Available from: 2019-02-14 Created: 2019-02-14 Last updated: 2019-02-14Bibliographically approved
Brunt, D., Schröder, A., Lundqvist, L.-O. & Rask, M. (2019). Residents' Perceptions of Quality in Supported Housing for People with Psychiatric Disabilities. Issues in Mental Health Nursing, 40(8), 697-705
Open this publication in new window or tab >>Residents' Perceptions of Quality in Supported Housing for People with Psychiatric Disabilities
2019 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 40, no 8, p. 697-705Article in journal (Refereed) Published
Abstract [en]

The residents' perspective of the quality of housing support for people with psychiatric disabilities living in congregate supported housing has been studied and a comparison has been made with the findings from those from a previous study in ordinary housing with outreach support. One-hundred and seventy-eight residents from 27 supported housing facilities in eight Swedish municipalities completed the Quality of Psychiatric Care-Housing (QPC-H) instrument. The highest quality ratings were found for: Secluded Environment, Encounter and Support, while Participation, Housing Specific and Secure Environment were rated at lower levels. Despite relatively high ratings, a majority of items did not attain the 80% cutoff point deemed as defining satisfactory quality of service. The residents in ordinary housing with outreach support rated higher levels for the majority of the QPC-H dimensions in comparison with those in supported housing. A conclusion is that the quality of care in supported housing facilities has a number of deficiencies that need to be addressed. Supported housing is generally rated as having a lower quality of care than in ordinary housing with outreach support. Suggestions for the content of staff training are made based on the results.

Place, publisher, year, edition, pages
Taylor & Francis, 2019
National Category
Occupational Therapy Psychiatry Nursing
Identifiers
urn:nbn:se:oru:diva-74313 (URN)10.1080/01612840.2019.1585496 (DOI)000478574200008 ()31099719 (PubMedID)2-s2.0-85066105299 (Scopus ID)
Available from: 2019-05-20 Created: 2019-05-20 Last updated: 2019-08-16Bibliographically approved
Höglund, E., Schröder, A., Möller, M., Andersson-Hagiwara, M. & Ohlsson Nevo, E. (2019). The ambulance nurse experiences of non-conveying patients. Journal of Clinical Nursing, 28(1-2), 235-244
Open this publication in new window or tab >>The ambulance nurse experiences of non-conveying patients
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2019 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 28, no 1-2, p. 235-244Article in journal (Refereed) Published
Abstract [en]

AIMS AND OBJECTIVES: To explore ambulance nurses' (ANs) experiences of non-conveying patients to alternate levels of care.

BACKGROUND: Increases in ambulance utilisation and in the number of patients seeking ambulance care who do not require medical supervision or treatment during transport have led to increased nonconveyance (NC) and referral to other levels of care.

DESIGN: A qualitative interview study was conducted using an inductive research approach.

METHODS: The study was conducted in a region in the middle of Sweden during 2016-2017. Twenty nurses were recruited from the ambulance departments in the region. A conventional content analysis was used to analyse the interviews. The study followed the COREQ checklist.

RESULTS: The ANs experienced NC as a complex and difficult task that carried a large amount of responsibility. They wanted to be professional, spend time with the patient and find the best solution for him or her. These needs conflicted with the ANs' desire to be available for assignments with a higher priority. The ANs could feel frustrated when they perceived that ambulance resources were being misused and when it was difficult to follow the NC guidelines.

CONCLUSION: If ANs are expected to nonconvey patients seeking ambulance care, they need a formal mandate, knowledge and access to primary health care.

RELEVANCE TO CLINICAL PRACTICE: This study provides new knowledge regarding the work situation of ANs in relation to NC. These findings can guide future research and can be used by policymakers and ambulance organisations to highlight areas that need to evolve to improve patient care.

Place, publisher, year, edition, pages
Blackwell Science Ltd., 2019
Keywords
ambulance nursing, care pathways, clinical decision-making, content analysis, experiences, health services research, nurse, qualitative study, refusal of care, self-care
National Category
Nursing
Identifiers
urn:nbn:se:oru:diva-71216 (URN)10.1111/jocn.14626 (DOI)000453228000022 ()30016570 (PubMedID)2-s2.0-85052619602 (Scopus ID)
Note

Funding Agency:

Research Committee in the county council of Örebro OLL-590171  OLL-670821  OLL-767261

Available from: 2019-01-08 Created: 2019-01-08 Last updated: 2019-01-08Bibliographically approved
Schröder, A. & Lundqvist, L.-O. (2019). What patients think about quality of psychiatric care in different countries. European psychiatry, 56, S373-S373
Open this publication in new window or tab >>What patients think about quality of psychiatric care in different countries
2019 (English)In: European psychiatry, ISSN 0924-9338, E-ISSN 1778-3585, Vol. 56, p. S373-S373Article in journal, Meeting abstract (Other academic) Published
Place, publisher, year, edition, pages
Elsevier, 2019
National Category
Psychiatry
Identifiers
urn:nbn:se:oru:diva-75271 (URN)000471659001161 ()
Available from: 2019-07-24 Created: 2019-07-24 Last updated: 2019-07-24Bibliographically approved
Lundqvist, L.-O., Suryani, ., Anna, N., Rafiyah, I. & Schröder, A. (2018). Indonesian adaptation of the Quality in Psychiatric Care-Inpatient (QPC-IP) instrument: Psychometric properties and factor structure. Asian Journal of Psychiatry, 34, 1-5
Open this publication in new window or tab >>Indonesian adaptation of the Quality in Psychiatric Care-Inpatient (QPC-IP) instrument: Psychometric properties and factor structure
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2018 (English)In: Asian Journal of Psychiatry, ISSN 1876-2018, E-ISSN 1876-2026, Vol. 34, p. 1-5Article in journal (Refereed) Published
Abstract [en]

Aim: The aim of the present study was to adapt and evaluate the psychometric properties and factor structure of the Indonesian version of the Quality in Psychiatric Care - Inpatient (QPC-IP) instrument.

Methods: The QPC-IP is based on a definition of quality of care from the patient's perspective; it consists of 30 items covering six factors. A sample of 150 inpatients at general psychiatric wards in Indonesia completed the QPC-IP questionnaire.

Results: Confirmatory factor analysis revealed that the factor structure of the Indonesian version was equivalent to that of the original Swedish QPC-IP, with the exception of the secluded environment factor. The results thus demonstrate that the concept of quality of care expressed in the QPC-IP is to a large extent equivalent among inpatients in fundamentally different health care systems and cultural contexts. Internal consistency for the full QPC-IP was adequate, but poor for the separate factors.

Conclusion: The Indonesian QPC-IP is a useful instrument for evaluating psychiatric inpatient care, and thus contributes to health care improvement in the field of psychiatry.

Place, publisher, year, edition, pages
Elsevier, 2018
Keywords
Confirmatory factor analysis, Cross-cultural adaptation, Inpatient psychiatric care, Psychometric properties, Quality of care, Questionnaire
National Category
Psychiatry
Identifiers
urn:nbn:se:oru:diva-66930 (URN)10.1016/j.ajp.2018.03.006 (DOI)000430846800001 ()29550549 (PubMedID)2-s2.0-85043788376 (Scopus ID)
Available from: 2018-05-14 Created: 2018-05-14 Last updated: 2018-05-14Bibliographically approved
Schröder, A. & Lundqvist, L.-O. (2018). Patients' and staff's experiences of quality of psychiatric care: An international comparison. In: : . Paper presented at World summit on Psychiatry and Mental health nursing, Los Angeles, California, USA, 26-27 November, 2018.
Open this publication in new window or tab >>Patients' and staff's experiences of quality of psychiatric care: An international comparison
2018 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Psychiatry
Identifiers
urn:nbn:se:oru:diva-69443 (URN)
Conference
World summit on Psychiatry and Mental health nursing, Los Angeles, California, USA, 26-27 November, 2018
Available from: 2018-10-09 Created: 2018-10-09 Last updated: 2018-11-27Bibliographically approved
Lundqvist, L.-O., Ivarsson, A.-B., Rask, M., Brunt, D. & Schröder, A. (2018). The attendees' view of quality in community-based day centre services for people with psychiatric disabilities. Scandinavian Journal of Occupational Therapy, 25(3), 162-171
Open this publication in new window or tab >>The attendees' view of quality in community-based day centre services for people with psychiatric disabilities
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2018 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 25, no 3, p. 162-171Article in journal (Refereed) Published
Abstract [en]

Background/Aims: Community-based day centres in Sweden are well-established arenas for psychiatric rehabilitation, but little is known of the attendees' perception of the quality of the service provided. The aim of the study was thus to describe and investigate the quality of the services in community-based day centre for people with psychiatric disabilities.

Methods: A sample of 218 attendees in 14 community-based day centre services in Sweden completed the Quality in Psychiatric Care - Daily Activities (QPC-DA).

Results: The results showed that people with psychiatric disabilities perceived the quality of community-based day centre services as high. Most notably, quality of service was rated higher by those with lower educational level, had waited shorter time to attend the centre, and had better mental and physical health. However, particularly aspects of a secluded environment and participation (information) may be areas with potential for improvement.

Conclusion/Significance: From an occupational science perspective, the results adhere to the importance of occupational balance, with periods of rest/privacy during the time at the centre.

Place, publisher, year, edition, pages
Oxfordshire, United Kingdom: Taylor & Francis, 2018
Keywords
Daily activities, occupational balance, quality of care, participation
National Category
Occupational Therapy Other Health Sciences
Identifiers
urn:nbn:se:oru:diva-55409 (URN)10.1080/11038128.2017.1283441 (DOI)000429357900002 ()28145145 (PubMedID)2-s2.0-85011296007 (Scopus ID)
Note

Funding Agency:

NSPH (National Partnership for Mental Health) 

Available from: 2017-03-10 Created: 2017-03-10 Last updated: 2018-04-25Bibliographically approved
Kjerstin, L., Wallroth, V. & Schröder, A. (2018). Understanding loneliness at older ages: Insight from a Swedish study on summer camps for older adults. In: : . Paper presented at Nationell forskningskonferens i socialt arbete, Örebro University, Örebro, Sweden, October 9-10, 2018.
Open this publication in new window or tab >>Understanding loneliness at older ages: Insight from a Swedish study on summer camps for older adults
2018 (English)Conference paper, Oral presentation with published abstract (Other academic)
Abstract [en]

Loneliness is seen as a risk factor for decreased physical and mental health. Swedish studies have shown that every ten older adults experience severe anxiety and 15 percent are often bothered by loneliness. According to Swedish law all older adults should have an active and meaningful life in community with others. Thus, loneliness among older people has become an important concern in Sweden. Within municipalities various projects are taking place to decrease loneliness among older adults, but these projects are often poorly evaluated. Therefore, knowledge of interventions to decrease loneliness among older adults is essential. From a larger phenomenological inspired study based on interviews with 19 older adults (4 men and 15 women) who had been attending a summer camp, this presentation will bring attention to the reason that these older adults were applying for this experience. Thus, the aim in this part of the study was to explore why they were feeling lonely and considered themselves in need of attending a summer camp and also how they experience loneliness. Often, anxiety and illness are associated with loneliness, but our analysis showed a complex picture of why the interviewees were feeling lonely. Furthermore their experience of loneliness was due not only to an absence of other people to socialize with, but also with the quality of the relationship. This study makes an important contribution in understanding loneliness at older ages and identifies factors that might lead to loneliness among older adults.

National Category
Social Work
Research subject
Social Work
Identifiers
urn:nbn:se:oru:diva-69498 (URN)
Conference
Nationell forskningskonferens i socialt arbete, Örebro University, Örebro, Sweden, October 9-10, 2018
Available from: 2018-10-11 Created: 2018-10-11 Last updated: 2018-10-16Bibliographically approved
Schröder, A. & Lundqvist, L.-O. (2017). International comparisons of patients and staff views of quality in psychiatric care with the QPC instrument. In: : . Paper presented at International Association of Forensic Mental Health Services (IAFMHS 2017), Split, Croatia, June 13-15, 2017.
Open this publication in new window or tab >>International comparisons of patients and staff views of quality in psychiatric care with the QPC instrument
2017 (English)Conference paper, Poster (with or without abstract) (Other academic)
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:oru:diva-63362 (URN)
Conference
International Association of Forensic Mental Health Services (IAFMHS 2017), Split, Croatia, June 13-15, 2017
Available from: 2017-12-13 Created: 2017-12-13 Last updated: 2018-08-13Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-2157-8579

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