Pennbrant S.,University west
International Journal of Qualitative Studies on Health and Well-being | Year: 2013
In previous research, no uniform picture emerged of the role of relatives in the meeting between an elderly patient and a physician. Knowledge about relatives' experiences of the meeting between an elderly patient and a physician will help healthcare practitioners better understand the role of relatives during the meeting and how practitioners can assist relatives in assuming their supporting role more efficiently. The purpose of this study is to explore experiences of relatives of meeting with the physician in a hospital setting when an elderly patient is discharged from hospital care to home care, in order to identify aspects that may facilitate relatives in taking up their role in a more efficient manner. This descriptive and exploratory study is based on 20 interviews with relatives. The result shows that the physician's communication style influences the meeting between the relative, the elderly patient, and the physician, and that this style is the result of power and interaction. A trustful relationship during the meeting between the relative and the physician can increase the relative's feeling of confidence with the healthcare organization and treatment of the elderly patient. The relative has an important supporting role in the care for the elderly family member, both in the hospital and the home setting. It is likely that the relative's value as a resource, for both the patient and the physician, increases as the relative experiences feelings of confidence in the meeting with the physician. It is therefore of value to increase our knowledge about the conditions and circumstances facilitating and/or hampering the meeting between the relative and the physician. The result stresses the importance of encouraging relatives to participate in the meeting. Physicians need more guidance and training in communication skills, respectful demeanor, and collaboration while meeting the relatives. © 2013 S. Pennbrant.
Andreasson I.,Gothenburg University |
Asplund Carlsson M.,University west
International Journal of Special Education | Year: 2013
The documentation of pupils in Swedish schools is extensive and a documentation culture has come to characterize the schools in recent years. In the context of decentralization and changing governance, focus has increasingly been directed towards assessment, follow-up and evaluation of pupils' learning and social development. This article examines the Individual Educational Plans (hereafter IEP) used for pupils with special educational needs in Swedish compulsory schools from the perspective of text analyses based on discourse theory. The aim of this study is to shed light on how pupils are constructed in the school's documentation. The study examines how these IEPs are used as a pedagogical technique for new ways of governing in order to impose self-regulation, individual responsibility and social control.The documents, which comprise the empirical material in this article, are gathered from 14 different schools and consist of documents for a total of 136 pupils with special educational needs.
Pennbrant S.,University west |
Pilhammar Andersson E.,Gothenburg University |
Nilsson K.,Gothenburg University
Research on Aging | Year: 2013
Previous research has provided contradictory findings on how important it is for elderly patients to actively participate in the meeting with their doctors. Using descriptive and exploratory interview study with 20 elderly patients discharged from medicine and geriatric hospital care in Sweden, the authors describe how elderly patients experience their meetings with their doctor in the hospital setting. The results indicate that the meetings between elderly patients and doctors are influenced by the nature and shape of the conversation, which are influenced by power and interaction. A good relationship between an elderly patient and his or her doctor leads to reduced apprehension and increased faith in the health care system. This study was inspired by the sociocultural perspective and highlights the importance of the health care sector becoming a learning organization in which doctors are trained to prevent misunderstandings in their meetings with elderly patients. © The Author(s) 2012.
Lindroth T.,University west
Nordic Journal of Digital Literacy | Year: 2012
Based on a qualitative study of laptop-equipped university students, this article investigates the laptop's role in educational practice. Goffman's framework on unfocused interaction was used to develop and analyze three use patterns: screen peeking, online tics and screensaver fear. These patterns advance our understanding of laptop use, unfocused interaction and the the role of the laptop in the studied situations. The laptop introduces an interpretative flexibility that allows a greater range of different behaviors relative to the dominant involvement. © 2012 Universitetsforlaget.
Axelsson M.,Gothenburg University |
Axelsson M.,University west
Heart and Lung: Journal of Acute and Critical Care | Year: 2013
Objectives: To identify young adults' stated reasons for not taking asthma medication and to determine the significance of personality, asthma control and health-related quality of life in relation to these stated reasons. Background: Reasons for non-adherence to asthma medication treatment have previously been studied, but research on the significance of personality in relation to stated reasons for not taking asthma medication is limited. Methods: Young adults with asthma (age 22years; n=216) stated their most common reasons for not taking asthma medication and completed postal questionnaires on personality, asthma control and health-related quality of life (HRQL). Results: The most common reason for non-adherence was ". No perceived need" (n=141). Participants giving this reason for not taking asthma medication scored lower on the personality trait Negative Affectivity and reported both higher asthma control and higher mental HRQL. "Insufficient routines" was the second most common reason (n=66), and participants stating it scored higher on Negative Affectivity and reported lower asthma control. An increase in asthma control increased the odds of stating ". No perceived need" as the reason for not taking asthma medication. An increase in Negative Affectivity was associated with an increase in the odds of giving ". Insufficient routines" as a reason. Conclusions: The personality trait Negative Affectivity and perceived asthma control played a role in the young adults' stated reasons for not taking asthma medication, which indicates that these parameters are of importance to young adults' medication management. © 2013 Elsevier Inc.