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Backåberg, S., Brunt, D., Rask, M. & Gummesson, C. (2019). Experiences of using a video-based learning model during a long-term process of movement awareness and learning – a hermeneutical study. European Journal of Physiotherapy, 1-7
Open this publication in new window or tab >>Experiences of using a video-based learning model during a long-term process of movement awareness and learning – a hermeneutical study
2019 (English)In: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, p. 1-7Article in journal (Refereed) Epub ahead of print
Abstract [en]

Aim: To explore the long-term learning process in movement awareness development supported by a video-based learning model.

Participants: Eleven undergraduate nursing students.

Method: The students participated in learning sessions comprising video modelling, video feedback and reflective enquiry with a focus on inter-personal interaction. Each student participated in three individual video sessions during a four-month period. Three individual interviews were carried out, the last one 12–18 months after the final session. Visual, verbal and written material were collected from the video sessions, individual interviews and diaries, and interpreted within a hermeneutical approach.

Results: The learning process was described in three themes: motivation for change, exploring alternative perspectives and movement changes through challenges.

Conclusions: The video-based learning model implies a challenging experience on a personal level that supports motivation and a deep approach to learning. It adds a powerful base for reflection, which encourages student-centred active learning. The facilitator’s reflective approach is essential to allow the student to explore her/his own movement, in contrast to delivering instructions. The learning model may be valuable in the physiotherapist’s clinical work in facilitating patients’ movement awareness in the process of movement improvements.

Place, publisher, year, edition, pages
Taylor & Francis, 2019
Keywords
Ergonomics, Feedback, Hermeneutics, Learning, Movement, Video recording
National Category
Physiotherapy
Research subject
Health and Caring Sciences; Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-87482 (URN)10.1080/21679169.2019.1635639 (DOI)
Available from: 2019-08-09 Created: 2019-08-09 Last updated: 2019-09-03
Eklund, M. & Brunt, D. (2019). Measuring Opportunities for Engaging in Meaningful Home-Based Activities in Housing Services for People With Psychiatric Disabilities: Development of the Perceived Meaning of Activity in Housing (PMA-H). Evaluation & the Health Professions, 42(2), 131-147
Open this publication in new window or tab >>Measuring Opportunities for Engaging in Meaningful Home-Based Activities in Housing Services for People With Psychiatric Disabilities: Development of the Perceived Meaning of Activity in Housing (PMA-H)
2019 (English)In: Evaluation & the Health Professions, ISSN 0163-2787, E-ISSN 1552-3918, Vol. 42, no 2, p. 131-147Article in journal (Refereed) Published
Abstract [en]

There is a scarcity of instruments for assessing opportunities for residents with psychiatric disabilities to engage in meaningful home-based activities. We thus developed the Perceived Meaning of Activity in Housing (PMA-H), containing four subscales (activity opportunities, social interaction, developing as a person, and organization and planning). The aim of the study was to investigate the content validity, utility, internal consistency and concurrent and criterion validity of the PMA-H, as well as possible floor and ceiling effects. One hundred and fifty-five residents in supported housing (SH) and 111 in ordinary housing with support (OHS) completed the PMA-H. The SH group also competed the Community-Oriented Programs Environment Scale (COPES). A majority of the participants found the content of the PMA-H relevant, easy to complete, and the time for completion as reasonable. Internal consistency varied between 0.85 and 0.92 for the subscales. Logical associations with COPES indicated construct validity. The subscales social interaction and developing as a person could discriminate between the SH and OHS groups, whereas activity opportunities could not. No floor or ceiling effects were found. This study indicated adequate initial psychometric properties of the PMA-H. It can thus be used in housing settings to assess the residents' perceived opportunities for meaningful activity in the housing context.

Place, publisher, year, edition, pages
Sage Publications, 2019
Keywords
Community-based psychiatry, Housing, Instrument development, Meaningful activity, Mental health
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
urn:nbn:se:lnu:diva-73093 (URN)10.1177/0163278717727333 (DOI)000466369000001 ()28835117 (PubMedID)2-s2.0-85028512022 (Scopus ID)
Available from: 2018-04-19 Created: 2018-04-19 Last updated: 2019-08-29Bibliographically approved
Eklund, M., Brunt, D. & Argentzell, E. (2019). Perceived occupational balance and well-being among people with mental illness living in two types of supported housing. Scandinavian Journal of Occupational Therapy
Open this publication in new window or tab >>Perceived occupational balance and well-being among people with mental illness living in two types of supported housing
2019 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background: People with psychiatric disabilities often struggle with maintaining a satisfying occupational balance. Knowledge about factors of relevance for occupational balance in this group is therefore vital for improving their support. Aim: The aim was to describe perceptions of occupational balance among people with psychiatric disabilities living in supported housing (SH) or in own flat/house with housing support (OHS). Potential importance of housing context and socio-demographic, well-being and recovery factors for occupational balance was also explored. Methods: Participants from SH (N = 155) and OHS (N = 111) responded to questionnaires about sociodemographic situation, well-being (self-rated health, life satisfaction and self-mastery), personal recovery and occupational balance (work, leisure, home chores, self-care and general balance assessed by SDO-OB). Results: A majority in both groups reported being in balance regarding all five domains of occupational balance. The OHS group reported being more under-occupied for home chores and self-care. Self-mastery was the most important contributor in both groups in the domains of work, domestic chores and self-care. Day center attendance was vital for general occupational balance. Conclusion: Both groups generally perceived occupational balance. Control over one's life situation and possibilities for regularly participating in occupations outside the home environment should receive high priority in housing support.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2019
Keywords
Activity, life balance, occupation, psychiatric disabilities, supported accommodation
National Category
Occupational Health and Environmental Health Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-86959 (URN)10.1080/11038128.2019.1622771 (DOI)000473982400001 ()31170857 (PubMedID)
Available from: 2019-07-23 Created: 2019-07-23 Last updated: 2019-07-23Bibliographically approved
Brunt, D., Schroder, 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 Group, 2019
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-88794 (URN)10.1080/01612840.2019.1585496 (DOI)000478574200008 ()31099719 (PubMedID)
Available from: 2019-08-28 Created: 2019-08-28 Last updated: 2019-08-28Bibliographically approved
Brunt, D. & Rask, M. (2018). Resident and staff perceptions of the content of their relationship in supported housing facilities for people with psychiatric disabilities. Journal of Multidisciplinary Healthcare, 11, 673-681, Article ID 179322.
Open this publication in new window or tab >>Resident and staff perceptions of the content of their relationship in supported housing facilities for people with psychiatric disabilities
2018 (English)In: Journal of Multidisciplinary Healthcare, ISSN 1178-2390, E-ISSN 1178-2390, Vol. 11, p. 673-681, article id 179322Article in journal (Refereed) Published
Abstract [en]

Background: The work of staff in supported housing facilities for people with psychiatric disabilities has most often been studied from the perspective of one of the two groups but not from both. The staff in these facilities generally come from differing professions, reflecting either the beliefs of the medical or social models of psychiatric care. 

Aim: The aim of the present study was thus to investigate the perceptions of residents and staff of the frequency and the importance of verbal and social interactions in supported housing facilities for people with psychiatric disabilities and to compare these perceptions. A further aim was to investigate whether differences in education background and other sociodemographic factors are reflected in the staff perceptions of these interactions.

Methods: One hundred and eleven residents living in supported housing facilities in Sweden and 223 staff completed the Verbal and Social Interaction Supported Housing questionnaire. 

Results: The results revealed significant differences between the perceptions of the residents and staff on all six categories of interactions, where the staff rated the frequency and importance higher than the residents, but also some similarities in terms of the relative order of the frequency of the categories of interactions. Both the residents and staff perceived that “To build a relationship with a supportive quality” as the most frequently occurring and most important category. The mean levels of importance for all the categories were higher than for the frequency according to both groups. No differences were found between the staff with a medical or social educational background. Similarly, no differences were found in staff perceptions between those with short experience and those with long experience. 

Conclusion: This study is the first survey of its kind and the results indicate the need for reducing the gap between the staff intentions and the residents’ preferences, which could form the basis for in-house training activities. 

Place, publisher, year, edition, pages
Dove Press, 2018
Keywords
Supported Housing, Psychiatric Disability, Residents, Staff, Interactions
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
urn:nbn:se:lnu:diva-79284 (URN)10.2147/JMDH.S179322 (DOI)000450389500001 ()30532551 (PubMedID)2-s2.0-85058997871 (Scopus ID)
Available from: 2018-12-19 Created: 2018-12-19 Last updated: 2019-08-29Bibliographically approved
Brolin, R., Syrén, S., Rask, M., Sandgren, A. & Brunt, D. (2018). Residents' perceptions of the most positive and negative aspects of the housing situation for people with psychiatric disabilities. Scandinavian Journal of Caring Sciences, 32(2), 603-611
Open this publication in new window or tab >>Residents' perceptions of the most positive and negative aspects of the housing situation for people with psychiatric disabilities
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2018 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 32, no 2, p. 603-611Article in journal (Refereed) Published
Abstract [en]

The major aim of the present study was to explore what people with psychiatric disabilities, living in two different types of housing, consider to be the best and the worst in their housing situation. A secondary aim was to explore to what extent additional questions to a questionnaire with a free-response format can provide complementary information to the previous knowledge in the field. The content analysis revealed that the physical attributes were of great significance for the residents in ordinary housing, while both psychosocial aspects and physical attributes were important for those living in supported housing. When providing good housing solutions for people with psychiatric disabilities, attention needs to be given to these aspects by politicians, policymakers as well as by nursing staff.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2018
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
urn:nbn:se:lnu:diva-56282 (URN)10.1111/scs.12485 (DOI)000436254800016 ()2-s2.0-85054131074 (Scopus ID)
Available from: 2016-09-01 Created: 2016-09-01 Last updated: 2019-08-29Bibliographically 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
Taylor & Francis, 2018
Keywords
Daily activities, occupational balance, participation, quality of care
National Category
Occupational Therapy
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-74283 (URN)10.1080/11038128.2017.1283441 (DOI)000429357900002 ()28145145 (PubMedID)2-s2.0-85011296007 (Scopus ID)
Available from: 2018-05-09 Created: 2018-05-09 Last updated: 2019-08-29Bibliographically approved
Brolin, R., Brunt, D. & Rask, M. (2017). "Jag kan öppna fönstret när jag vill": Boendesituationen för personer med psykisk funktionsnedsättning - ur de boendes perspektiv. Växjö: Institutionen för hälso- och vårdvetenskap, Linnéuniversitetet
Open this publication in new window or tab >>"Jag kan öppna fönstret när jag vill": Boendesituationen för personer med psykisk funktionsnedsättning - ur de boendes perspektiv
2017 (Swedish)Report (Other (popular science, discussion, etc.))
Place, publisher, year, edition, pages
Växjö: Institutionen för hälso- och vårdvetenskap, Linnéuniversitetet, 2017. p. 31
Keywords
boende, boendestöd, boendetillfredsställelse, grundad teori, innehållsanalys, psykisk funktionsnedsättning, psykometri
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-68344 (URN)
Available from: 2017-10-13 Created: 2017-10-13 Last updated: 2018-07-25Bibliographically approved
Holst, H., Hörberg, U., Brunt, D. & Ozolins, L.-L. (2017). Learning to care in changing times. In: European Academy of Caring Sciences in collaboration with Nordic College of Caring Science: “Wellbeing and caring in changing times”, Nord University, Bodø, Norway, 20–21 April 2017: book of abstracts. Paper presented at European Academy of Caring Sciences in collaboration with Nordic College of Caring Science: “Wellbeing and caring in changing times”, Nord University, Bodø, Norway, April 20–21, 2017 (pp. 20-20).
Open this publication in new window or tab >>Learning to care in changing times
2017 (English)In: European Academy of Caring Sciences in collaboration with Nordic College of Caring Science: “Wellbeing and caring in changing times”, Nord University, Bodø, Norway, 20–21 April 2017: book of abstracts, 2017, p. 20-20Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

A Developing and Learning Care Unit is a learning environment in clinical practice designed to integrate theory and practice by using lifeworld didactics in order to support pairs of students in their professional development. Lifeworld didactics is based on a lifeworld led learning approach, which focuses on each student’s experiences and knowledge and supports each individual student and the students as a pair. The aim of this study is to explain and create an understanding of the phenomenon “learning space” that occurs in the interaction between patient, pairs of students and supervisors, during clinical practice. This hermeneutic study is based on a Reflective Lifeworld Research approach. The analysis is based on observations and interviews with patients, pairs of student nurses and supervisors at Developing and Learning Care Units. The result shows that the patient, pairs of students and supervisors are placed in the learning space, and are therefore related to each other. The relationships that arise in the learning space are enhanced through responsibility and the respect shown to each other. A relationship that appears to be supportive is characterized by: thoughtfulness, understanding of each other and enabling to ask questions. This creates an interplay of dynamic movements that are directed toward a common goal and thus provide opportunities to give and receive support. A balance between the patient, pairs of students and supervisor should thus be recognized to facilitate a favorable learning environment.

Keywords
Clinical practice, Hermeneutic, Learning space, Lifeworld didactics, Patient perspective, Perspective of pairs of students, Supervisor perspective
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
urn:nbn:se:lnu:diva-69406 (URN)
Conference
European Academy of Caring Sciences in collaboration with Nordic College of Caring Science: “Wellbeing and caring in changing times”, Nord University, Bodø, Norway, April 20–21, 2017
Available from: 2017-12-19 Created: 2017-12-19 Last updated: 2019-02-22Bibliographically approved
Lundqvist, L. O., Rask, M., Brunt, D. & Schröder, A. (2017). Quality in community-based day center services for people with psychiatric disabilities from the attendees' perspective. European psychiatry, 41, S790-S790
Open this publication in new window or tab >>Quality in community-based day center services for people with psychiatric disabilities from the attendees' perspective
2017 (English)In: European psychiatry, ISSN 0924-9338, E-ISSN 1778-3585, Vol. 41, p. S790-S790Article in journal, Meeting abstract (Other academic) Published
Place, publisher, year, edition, pages
Elsevier, 2017
National Category
Psychiatry Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-67109 (URN)10.1016/j.eurpsy.2017.01.1512 (DOI)000404952600576 ()
Available from: 2017-07-28 Created: 2017-07-28 Last updated: 2017-07-28Bibliographically approved
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Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-3164-8681

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