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  • 1.
    Backåberg, Sofia
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Brunt, David
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Rask, Mikael
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Gummesson, Christina
    Lund University.
    Let me see, reflect and try again: a hermeneutical study on the process of movement learning facilitated by a video-supported interactive learning model (VILMA)Manuscript (preprint) (Other academic)
  • 2.
    Backåberg, Sofia
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Gummesson, Christina
    Lund University.
    Brunt, David
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Rask, Mikael
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Is that really my movement?: Students’ experiences of a video-supported interactive learning model for movement awareness2015In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 10, article id 28474Article in journal (Refereed)
    Abstract [en]

    Health care staff and students have a great risk of developing musculoskeletal symptoms. One cause of this is heavy load-related work activities such as manual handling, in which the quality of individual work technique may play a major role. Preventive interventions and well-defined educational strategies to support movement awareness and long-lasting movement changes need to be developed. The aim of the present study was to explore nursing students’ experiences of a newly developed interactive learning model for movement awareness. The learning model, which is based on a life-world perspective with focus on inter-personal interaction, has been used with eleven undergraduate students from the second and final year. Each student participated in three individual video-sessions with a facilitator. Two individual interviews were carried out with each student during the learning process and one interview 12-18 months after the last session. The interviews were audio-recorded and transcribed verbatim and a phenomenological hermeneutic method inspired by Paul Ricoeur and described by Lindseth & Norberg was used to interpret the interviews and diary notes. The interpretation resulted in three key themes and nine sub-themes. The key themes were; Obtaining better preconditions for bodily awareness, Experiencing changes in one’s own movement and Experiencing challenges in the learning process. The interactive learning model entails a powerful and challenging experience that develops movement awareness. The experience of meaningfulness and usefulness emerges increasingly and alternates with a feeling of discomfort. The learning model may contribute to the body of knowledge of well-defined educational strategies in movement awareness and learning in for example preventive interventions and ergonomic education. It may also be valuable in other practical learning situations where movement awareness is required.

  • 3.
    Backåberg, Sofia
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Rask, Mikael
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Brunt, David
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Gummesson, Christina
    Lund University.
    Impact of musculoskeletal symptoms on general physical activity during nursing education.2014In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 14, no 4, p. 385-390Article in journal (Refereed)
    Abstract [en]

    Nursing education should prepare students for a lifelong professional career including managing clinical physical demands. Musculoskeletal symptoms, such as bodily pain, have been reported among nurses and nursing students but less is known about the impact of symptoms in daily activities. The aim was to explore the prevalence of self-reported musculoskeletal symptoms and their impact on general physical activity among nursing students. This cross-sectional study was based on a questionnaire to all undergraduate nursing students at one university. The prevalence of symptoms and physical impact during past 3 and 12 months was calculated for each study year. Odds ratio was analysed with logistic regression. Of 348 students 224 responded, 84% women, mean age 24.6 years (range 20-46). Of those 143 (64%) reporting symptoms during the past 12 months, 91 (64%) reported impact on physical activities. Most commonly reported were everyday activities such as transportations and prolonged sitting. The odds ratio for reporting symptoms was 1.8 for year 2 (95% CI: 0.9-3.5), and 4.7 for year 3 (95% CI: 2.1-10.7). The prevalence of musculoskeletal symptoms was high among nursing students and higher the final study year and not only resulted in discomfort but had an impact on the students' general physical activities.

  • 4.
    Backåberg, Sofia
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Rask, Mikael
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Gummesson, Christina
    Lund University.
    Brunt, David
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Video-based feedback combined with reflective enquiry: An interactive model for movement awareness among nursing students2015In: Nordic Journal of Digital Literacy, ISSN 1891-943X, E-ISSN 1891-943X, Vol. 10, no 4, p. 246-264Article in journal (Refereed)
    Abstract [en]

    The aim of this study is to describe an interactive model developed for movement awareness in a practical learning situation and to explore the use of video-based digital feedback and reflective enquiry in this model among nursing students. Sixteen students participated in individual interactive video sessions with a facilitator, who encouraged the students to reflect upon their own movements. Qualitative analysis showed that movement patterns were visualized, and that movement awareness and self-analysis were gradually developed. Encountering one’s own movement and reflecting on one’s own experiences appear to support motivation for movement changes.

  • 5. Baig, Margaretha
    et al.
    Nilsson, Johanna
    Peterson, Kristina
    Brunt, David
    Växjö University, Faculty of Humanities and Social Sciences, School of Health Sciences and Social Work.
    Kostnadsfritt eller avgiftsbelagt boendestöd för personer med psykiska funktionshinder2007Report (Other academic)
    Abstract [sv]

    Föreliggande rapport omfattar tre delstudier:

    - En kartläggning via enkätstudie av hur många kommuner i landet som tar ut en avgift för boendestöd

    - En intervjustudie med ett antal kommuner ang. deras ställningsstagande kring avgifter för boendestöd

    - En studie om kostnader och intäkter gällande avgifter för boendestöd

    Resultatet visade att en klar majoritet av de undersökta kommunerna inte tar ut någon avgift för boendestöd i vare sig ordinärt boende eller bostäder med särskild service. I studien om intäkter och kostnader för hanteringen av avgiftssystemet finns det en tendens för både större kostnader och därmed negativa vinster i kommuner med ett mindre antal individer som betalar en avgift för sitt boendestöd.

    Intervjuerna med kommuner om deras ställningstagande visade att det finns ett antal argument för att ta ut avgifter och ett antal argument för motsatsen. Dessa argument redovisas och rapporten med en rekommendation att inte avgiftsbelägga boendestöd för personer med psykiska funktionshinder

    Rapporten är nr 22 (av 24st) i Boendeprojektet som är ett riktat projekt inom ramen för kansliet för Nationell psykiatrisamordning. Projektmedel beviljades av Socialstyrelsen år 2005 för ett uppdrag inom satsningen på psykiatri och socialt stöd och omsorg för personer med psykisk sjukdom och/eller psykiska funktionshinder. Projektet har letts av David Brunt, Institutionen för vårdvetenskap och socialt arbete, Växjö universitet.

  • 6.
    Brolin, Rosita
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Brunt, David
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Rask, Mikael
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Syrén, Susanne
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Sandgren, Anna
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Mastering everyday life in ordinary housing for people with psychiatric disabilities2016In: The Grounded Theory Review, ISSN 1556-1542, E-ISSN 1556-1550, Vol. 15, no 1, p. 10-25Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to develop a classic grounded theory about people who have psychiatric disabilities and live in ordinary housing with housing support. Interviews and observations during the interviews were analyzed, and secondary analyses of data from previous studies were performed. The impossible mission in everyday life emerged as the main concern and mastering everyday life as the pattern of behavior through which they deal with this concern. Mastering everyday life can be seen as a process, which involves identifying, organizing, tackling, challenging and boosting. Before the process is started, avoiding is used to deal with the main concern. The community support worker, providing housing support, constitutes an important facilitator during the process, and the continuity of housing support is a prerequisite for the process to succeed. If the process mastering everyday life is interrupted by, for example, changes in housing support, the strategy of avoiding is used.

  • 7.
    Brolin, Rosita
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Brunt, David
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Rask, Mikael
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Syrén, Susanne
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Sandgren, Anna
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Striving for meaning: Life in supported housing for people with psychiatric disabilities2016In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 11, article id 31249Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to develop a grounded theory about people with psychiatric disabilities, living in supported housing. Interviews as well as observations during the interviews were analyzed together with secondary analyses of quantitative and qualitative material from previous studies. Being deprived of self-determination emerged as the main concern for residents in supported housing and striving for meaning emerged as the pattern of behavior through which this group resolves their main concern. Striving for meaning involves living in the present, striving for self-determination, strengthening self-esteem, emotional processing and resting from the present. The strategies facilitate each other and are used singly, together simultaneously, or alternately. If they are successful, a meaning in the present is perceived. If all the strategies fail repeatedly, escaping from the present is used in order to deal with being deprived of self-determination. The implications of the findings suggest prioritizing a reduction of the institutional nature of the social and physical environment, and to support the residents' self-determination.

  • 8.
    Brolin, Rosita
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Rask, Mikael
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Syrén, Susanne
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Baigi, Amir
    University of Gothenburg, Sweden.
    Brunt, David
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Satisfaction with housing and housing support for people with psychiatric disabilities2015In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 36, no 1, p. 21-28Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to investigate the degree of satisfaction with housing and housing support for people with psychiatric disabilities in Sweden. A total of 370 residents, in supported housing and in ordinary housing with housing support, completed a new questionnaire and reported a high degree of overall satisfaction, but many of them wanted to move somewhere else. Differences were found between the two different types of housing concerning satisfaction with housing support, social life and available choices. Security and privacy, as well as other's influence on the choice of residential area and dwelling proved to be important predictors for satisfaction.

  • 9.
    Brolin, Rosita
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Rask, Mikael
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Syrén, Susanne
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Brunt, David
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Validity and reliability of a Swedish questionnaire for assessing satisfaction with housing and housing support for persons with psychiatric disabilities2013In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 34, no 10, p. 731-738Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to investigate the reliability and validity of a questionnaire for studying satisfaction with housing and housing support for people with psychiatric disabilities. Most items were gathered from English language questionnaires. These were translated and adapted to a Swedish context and items concerning housing support were added. Two studies were conducted. The first, a test-retest reliability analysis, was performed in a pilot study with 53 participants; in the second study, which had 370 participants, a five factor solution with good internal consistency emerged. Further development of the questionnaire is discussed.

  • 10.
    Brolin, Rosita
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Syrén, Susanne
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Rask, Mikael
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Sandgren, Anna
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Brunt, David
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Residents' perceptions of the most positive and negative aspects of the housing situation for people with psychiatric disabilities2018In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 32, no 2, p. 603-611Article in journal (Refereed)
    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.

  • 11.
    Brunt, David
    Växjö University, Faculty of Humanities and Social Sciences, School of Health Sciences and Social Work.
    Behovsbedömning av personer med psykiska funktionshinder - finns det skillnader i behov av hjälp och stöd mellan olika undergrupper?2008Report (Other academic)
    Abstract [sv]

    Författarens inventeringsresa i början av Boendeprojektet gav vid handen att den övergripande målgruppen personer med psykiska funktionshinder hade blivit mer heterogen än vad som var fallet i samband med Psykiatrireformen för drygt tio år sedan. Man påtalade att personer med autismspektrumstörningar alternativt Aspergers syndrom förekom ganska ofta bland ansökningar om bistånd. I några av kommunerna pratade man i termer av en ny grupp av individer som ansökte om framförallt boendestöd och som den psykiatriska vården inte ansåg vara i behov av vård. Denna grupp var bl a ofta yngre än majoriteten i den ursprungsgrupp som Psykiatrireformen hade syftat till. Dessutom talade man om att dessa individer inte hade vårdats särskilt länge och inte var så hospitaliserade på det sätt som ursprungsgruppen hade varit, samt att en del av dessa nya även hade ett självskadebeteende som man inte var van vid att hantera. Man kunde numera möjligen skönja undergrupper: 1. de nya yngre, 2. de med neuropsykiatriska funktionshinder samt 3. ursprungsgruppen.

    Studiens övergripande syfte har varit att:

    a) undersöka om man kan tala om undergrupper i detta sammanhang samt

    b) om det kan vara av nytta för de inblandade parterna, främst boendestödjare och de boende, att uppmärksamma eventuella skillnader i behov av hjälp och stöd mellan dessa undergrupper.

    Specifikt har syftet varit att undersöka skillnader i de behov som kommer till uttryck vid en ansökan om bostad med särskild service, alternativt boendestöd i den egna bostaden för de tre ovan nämnda undergrupperna.

    Resultatet visade skillnader i behovsprofilen mellan ”ursprungsgruppen” och personer med neuropsykiatriska funktionshinder samt mellan ”ursprungsgruppen” och den ”nya gruppen”. Det kan således ses som värdefullt att uppmärksamma skillnader i behov av hjälp och stöd för de olika undergrupperna.

    Rapporten är nr 3 (av 24st) i Boendeprojektet som är ett riktat projekt inom ramen för kansliet för Nationell psykiatrisamordning. Projektmedel beviljades av Socialstyrelsen år 2005 för ett uppdrag inom satsningen på psykiatri och socialt stöd och omsorg för personer med psykisk sjukdom och/eller psykiska funktionshinder. Projektet har letts av David Brunt, Institutionen för vårdvetenskap och socialt arbete, Växjö universitet.

  • 12.
    Brunt, David
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Boende2014In: Att leva med psykisk funktionsnedsättning: livssituation och effektiva vård- och stödinsats / [ed] David Brunt och Lars Hansson, Lund: Studentlitteratur, 2014, 2, p. 99-116Chapter in book (Other academic)
  • 13.
    Brunt, David
    Växjö University, Faculty of Humanities and Social Sciences, School of Health Sciences and Social Work.
    Boende2005In: Att leva med psykiska funktionshinder / [ed] David Brunt, Lars Hansson, Lund: Studentlitteratur , 2005, p. 85-102Chapter in book (Other academic)
  • 14.
    Brunt, David
    Växjö University, Faculty of Humanities and Social Sciences, School of Health Sciences and Social Work.
    Boende- och boendestödsverksamhet för personer med psykiska funktionshinder : kännetecknen och erfarenheter2009In: Psykiatri för baspersonal: Kunskap för en evidensbaserad praktik / [ed] Ingemar Ljungqvist, Håkan Jenner, Stockholm: Gothia , 2009, p. 143-160Chapter in book (Other academic)
  • 15.
    Brunt, David
    Växjö University, Faculty of Humanities and Social Sciences, School of Health Sciences and Social Work.
    Effektstudien Hur effektiva är kollektiva boendeformer och boendestöd för personer med psykiska funktionshinder: Redovisning av första mättillfället2009Report (Other academic)
    Abstract [sv]

    Rapporten utgör en redovisning från det första mättillfället i effektstudien. Syftet har varit att undersöka livssituation och effektiviteten av boende- och boendestödsinsatser för personer med psykiska funktionshinder samt att testa om den använda modellen kan ge värdefull information om effektiviteten av dessa insatser.

    Deltagarna är boende i ordinärt boende (27st), boende i kommunala bostäder med särskild service (46st) samt boende i privata boendeformer (48st).

    Studien har berört följande aspekter: Stabiliteten i boendet, kostnaderna, servicegraden, tillfredsställelse med boendet, fysisk och psykosocial miljö, tillfredsställelsen med personal, tillfredsställelsen med psykosocial funktion och hälsa, utnyttjande av vård och stöd, behov av stöd, livskvalitet, självkänsla samt sociala relationer.

    Denna rapport är nr 9 i en serie rapporter från Boendeprojektet som är ett riktat projekt inom ramen för kansliet för Nationell psykiatrisamordning. Projektmedel beviljades av Socialstyrelsen år 2005 för ett uppdrag inom satsningen på psykiatri och socialt stöd och omsorg för personer med psykisk sjukdom och/eller psykiska funktionshinder. Projektet har letts av David Brunt, Institutionen för vårdvetenskap och socialt arbete, Växjö universitet.

     

     

  • 16.
    Brunt, David
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Socialt nätverk2014In: Att leva med psykisk funktionsnedsättning: livssituation och effektiva vård- och stödinsatser / [ed] David Brunt och Lars Hansson, Lund: Studentlitteratur, 2014, 2, p. 171-188Chapter in book (Other academic)
  • 17.
    Brunt, David
    Växjö University, Faculty of Humanities and Social Sciences, School of Health Sciences and Social Work.
    Socialt nätverk2005In: Att leva med psykiska funktionshinder - livssituation och effektiva vård- och stöd insatser / [ed] David Brunt, Lars Hansson, Lund: Studentlitteratur , 2005, p. 157-172Chapter in book (Other academic)
  • 18.
    Brunt, David
    Växjö University, Faculty of Humanities and Social Sciences, School of Health Sciences and Social Work.
    The ward atmosphere of single-sex wards in a maximum-security forensic psychiatric hospital in Sweden2008In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 29, no 3, p. 221-241Article in journal (Refereed)
    Abstract [en]

    This exploratory study aims to investigate the ward atmosphere of single-sex wards in a forensic psychiatric context in the light of Moos’ conceptualization of the treatment setting.

    The wards for female patients bore similarities to Relationship-Oriented and Insight-Oriented programmes and had a generally positive ward atmosphere. On the other hand the wards for male patients did not resemble any treatment programme and had a more mixed diagnosis profile than those for female patients. Comparisons of the two types of wards are made and implications of the findings in terms of the overriding principle of normalization are discussed.

  • 19.
    Brunt, David
    Växjö University, Faculty of Humanities and Social Sciences, School of Health Sciences and Social Work.
    Utbildning i boendepedagogik för boendestödjare: Ett utbildningskoncept riktat till små och glesbygdskommuner2007Report (Other academic)
    Abstract [sv]

    Syftet med denna studie var att testa ett utbildningskoncept främst riktat till boendestödjare i små och glesbygdskommuner. Den pedagogiska modellen byggde på erfarenhetsutbyte, stimulerande studiematerial och en cirkelledare med handledarliknande uppgifter. Försöket har genomförts i tre konstellationer av små kommuner (Dalsland, Närke och Småland) samt en grupp medelstora kommuner från en storstadsregion (Stockholms län).

    Resultatet redovisas i form av den utvärderingen som gjordes med deltagarna, cirkelledarna samt verksamhetsansvariga. Den pedagogiska modellen med erfarenhetsutbyte som bas fungerade väldigt väl i samtliga kommungrupperna. Innehållet i studiematerialet passade de mindre kommunerna bra medan det ansågs vara på för låg nivå av deltagarna m fl från de medelstora kommunerna. Ett intryck är att utbildningen inte har gett ny kunskap utan har fördjupat kunskaperna hos deltagarna och ökat deras förståelse. Utbildningen kan kort sammanfattas som en låg-budget, innehållsrik fortbildningsinsats som lämpar sig mycket väl för boendestödjare i små och glesbygdskommuner. Den pedagogiska modellen fungerade väl även i de medelstora kommunerna, varför cirkelledaren där som hade använt en del eget studiematerial, har ombetts att bidra med förslag på fördjupningsteman. Dessa kan ses som ett innehåll i en eventuell etapp två, om man vill fortsätta utbildningen. Ett annat alternativ är att dessa kan fungera som studiematerial på en annan nivå för boendestödjare vilka redan har höjt sin kom-petensnivå genom tidigare fortbildningsinsatser.

    Det är också viktigt att ställa erfarenheterna av den pedagogiska modellen och studiematerialets innehåll i relation till planerna på kompetensförstärkningar för baspersonalen som arbetar med personer med psykiska funktionshinder (presenterad av Socialstyrelsen, november 2007). De mycket positiva upplevelserna av erfarenhetsutbyte som pedagogisk modell hos deltagarna från mindre kommuner bör tas med i planeringsarbetet för ovan nämnda kompe-tensförstärkningar.

    Delrapporten är nr 18 (av 24st) i Boendeprojektet som är ett riktat projekt inom ramen för kansliet för Nationell psykiatrisamordning. Projektmedel beviljades av Socialstyrelsen år 2005 för ett uppdrag inom satsningen på psykiatri och socialt stöd och omsorg för personer med psykisk sjukdom och/eller psykiska funktionshinder. Projektet har letts av David Brunt, Institutionen för vårdvetenskap och socialt arbete, Växjö universitet.

  • 20.
    Brunt, David
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Äldres psykiska hälsa2010In: Omsorg och mångfald / [ed] Stina Johansson, Malmö: Gleerups Utbildning AB, 2010, p. 26-43Chapter in book (Other academic)
  • 21.
    Brunt, David
    et al.
    Växjö University, Faculty of Humanities and Social Sciences, School of Health Sciences and Social Work.
    Bengtsson-Tops, Anita
    Växjö University, Faculty of Humanities and Social Sciences, School of Health Sciences and Social Work.
    Rask, Mikael
    Växjö University, Faculty of Humanities and Social Sciences, School of Health Sciences and Social Work.
    The structure of Antonovsky's sense of coherence in patients with schizophrenia and its relationship to psychopathology2005In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 19, no 3, p. 280-287Article in journal (Refereed)
    Abstract [en]

    The main aim of the study was to investigate whether the three hypothesized subscales of Antonovsky's sense of coherence (SOC) scale: comprehensibility, meaningfulness and manageability, can be found when measuring SOC in a sample of patients with schizophrenia living in the community. A further aim was to study the relationship between SOC and psychopathology. The concept of SOC has been proposed to explain successful coping with life stressors. A total of 120 patients completed the SOC scale and the Brief Psychiatric Rating Scale (BPRS) was used to assess the psychopathology of the patients. The SOC scale was analysed by means of a factor analysis with a varimax rotation and the Spearman rank correlation test was used to test for associations between subscales, factors and psychiatric symptoms. A four-factor model presented the best solution and explained 48% of the total variation in SOC. The first factor, which included 12-items of the SOC scale, turned out to be the most salient factor explaining 29% of the total variation. All factors displayed some overlapping between items. Affective symptoms were negatively related to all the three subscales and the four factors of SOC, while positive symptoms were similarly related to two of the subscales and two of the factors while negative symptoms were not associated with any of the factors or subscales. The findings in this study corroborate those in studies with other patient groups and indicate that the theoretical framework of SOC should not be adopted uncritically. Furthermore, the use of the three subscales in the SOC scale in studies of patients with a severe mental illness is questioned and a further investigation of the relationship between SOC and psychopathology is proposed.

  • 22. Brunt, David
    et al.
    Hansson, Lars
    A comparison of the psychosocial environment of two types of residences for persons with severe mental illness: small congregate community residences and psychiatric inpatient settings2002In: International Journal of Social Psychiatry, ISSN 0020-7640, E-ISSN 1741-2854, Vol. 48, p. 243-252Article in journal (Refereed)
  • 23.
    Brunt, David
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Centre for Evidence-based Psychosocial Interventions for people with severe mental illness CEPI, Sweden.
    Hansson, Lars
    Lund University, Sweden ; Centre for Evidence-based Psychosocial Interventions for people with severe mental illness CEPI, Sweden.
    Att leva med psykisk funktionsnedsättning: livssituation och effektiva vård- och stödinsatser2014 (ed. 2)Book (Other academic)
    Abstract [sv]

    Den psykiatriska vården och det offentliga stödsystemet för personer med psykisk funktionsnedsättning är i dag huvudsakligen ett samhälls­baserat servicesystem med tyngdpunkt i öppna vårdformer. Det finns emellertid uppenbara brister i systemets förmåga att möta vård- och stödbehovet hos dessa personer,liksom det finns övergripande brister i deras livssituation i samhället som helhet. Trots omfattande reformer kännetecknas fortfarande situationen för personer med psykiska funktionshinder i många avseenden av diskriminering och andra former av stigmatisering samt ekonomisk, social och politisk marginalisering och maktlöshet. Upplevelser av bristande medinflytande och kontroll över den egna vård- och stödsituationen påverkar dem också negativt.

    Trots svårigheter att implementera evidensbaserade och effektiva insatser samt starka vetenskapliga belägg för att de reformer som genomdrivits i syfte att förbättra livssituationen i många avseenden inte har nått målen, finns det ändå anledning till optimism. Det här är den andra reviderade upplagan av boken, och här redovisas rehabiliteringsinsatser och andra interventioner som visar att det finns effektiva sätt att förändra situationen.

    Att leva med psykisk funktionsnedsättning vänder sig till studerande inom sociala eller vårdinriktade högskoleutbildningar,men också till personer inom vård- och stödverksamheter som i arbetet möter personer med psykiska funktionsnedsättningar.

  • 24.
    Brunt, David
    et al.
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Hansson, Lars
    Att leva med psykiska funktionsshinder: livssituation och effektive vård- och stödinsatser2005Collection (editor) (Other academic)
  • 25. Brunt, David
    et al.
    Hansson, Lars
    Characteristics of the social environment of small group homes for individuals with severe mental illness2002In: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 56, p. 39-46Article in journal (Refereed)
  • 26. Brunt, David
    et al.
    Hansson, Lars
    Comparison of user assessed needs for care between psychiatric inpatients and supported community residents2002In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 16, p. 406-413Article in journal (Refereed)
  • 27. Brunt, David
    et al.
    Hansson, Lars
    The quality of life of persons with severe mental illness across housing settings2004In: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 58, p. 293-298Article in journal (Refereed)
  • 28. Brunt, David
    et al.
    Hansson, lars
    The social networks of persons with severe mental illness in inpatient settings and supported community settings2002In: Journal of Mental Health, ISSN 0963-8237, E-ISSN 1360-0567, Vol. 11, no 6, p. 611-621Article in journal (Refereed)
  • 29.
    Brunt, David
    et al.
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Rask, Mikael
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    A suggested revision of the Community Oriented Program Environmental Scale (COPES) for measuring the psychosocial environment of supported housing facilities for persons with psychiatric disabilities.2012In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 33, no 1, p. 24-31Article in journal (Refereed)
    Abstract [en]

    The aim of the present study is to address issues of construct validity and reliability of a revised short version of the COPES instrument to measure the psychosocial environment of supported housing facilities for persons with psychiatric disabilities. The results revealed that the division into subscales is not sufficiently reliable for use in measuring the psychosocial environment, although the three higher order dimensions can possibly be used for the descriptive and comparative purposes. A factor analysis based on the revised short version generated new factor solutions, differing from the COPES subscales, but with sufficient psychometric properties.

  • 30.
    Brunt, David
    et al.
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Rask, Mikael
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Patient and staff perceptions of the ward atmosphere in a Swedish maximum-security forensic psychiatric hospital2005In: Journal of Forensic Psychiatry & Psychology, ISSN 1478-9949, E-ISSN 1478-9957, Vol. 16, no 2, p. 263-276Article in journal (Refereed)
    Abstract [en]

    The main aim of the study was to describe and compare the patient and staff perceptions of the ward atmosphere of a maximum-security forensic psychiatric hospital in southern Sweden. The main instrument used, the Ward Atmosphere Scale (WAS), was administered to both patients and staff on the eight wards of the hospital, where there was a total of 82 beds. The hospital has a regional responsibility for maximum-security forensic psychiatric care in southern Sweden. Forty-eight per cent of the patients and 82% of the staff consented to participate in the study. The results of the study showed that the patients rated intermediate levels of all the 10 subscales of WAS with the lowest mean scores for Autonomy and Involvement and the highest mean scores for Programme Clarity and Order and Organization. The staff, however, rated a low level of Staff Control and high levels of Programme Clarity, Practical Orientation and Support. The staff and patient perceptions differed on eight of the 10 WAS subscales with only Personal Problem Orientation and Anger and Aggression being rated at similar levels. The results are considered in the light of the limited available literature in the field. Furthermore, the differences between the perceptions of the two groups as well as the clinical implications of these differences are discussed.

  • 31.
    Brunt, David
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Rask, Mikael
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Validation of the Verbal and Social Interaction questionnaire: carers' focus in the carer–resident relationship in supported housing facilities for persons with psychiatric disabilities (VSI-SH)2013In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 20, no 3, p. 279-285Article in journal (Refereed)
    Abstract [en]

    A questionnaire to measure the verbal and social interactions between carers and residents in supported housing facilities for persons with psychiatric disabilities has been developed. It is an adaptation of a questionnaire originally used in a forensic psychiatric setting. The aim of the present study was thus to investigate the construct validity and the reliability of this new version of the Verbal and Social Interactions questionnaire for use in supported housing facilities (VSI-SH). Two hundred and twenty-three carers from municipal and privately run housing facilities completed the questionnaire. A factor analysis was performed, which resulted in six factors. The number of items was reduced from the original 47 to 30 in order to minimize factorial complexity and multiple loadings. The reliability was tested with Cronbach's alpha and good internal consistency for the questionnaire and five of the six factors was found. The resulting six factors and the items were compared to the conceptual model and four of the six factors corresponded well with the categories in this original theoretical model. The questionnaire can be a useful contribution to the study of interactions between carers and residents in supported housing facilities for persons with psychiatric disabilities.

  • 32.
    Brunt, David
    et al.
    Växjö University, Faculty of Humanities and Social Sciences, School of Health Sciences and Social Work.
    Rask, Mikael
    Växjö University, Faculty of Humanities and Social Sciences, School of Health Sciences and Social Work.
    Ward Atmosphere – the Scarlet Pimpernel of psychiatric settings?2007In: Issues in Mental Health Nursing, Vol. 28, no 6, p. 639-656Article in journal (Refereed)
    Abstract [en]

    Patients and staff in a forensic psychiatric setting were requested to name three distinguishing characteristics of the ward atmosphere. The manifest content analysis of the responses revealed the following categories: interpersonal relations and pre-conditions for interpersonal relations, organization, staff, treatment, daily activities, physical environment and feeling good and secure. The patients appeared to have a peripheral role as contributors to the ward atmosphere in the views of the respondents. The easily administered single question format provided valuable information about that intangible element of psychiatric settings – the ward atmosphere.

  • 33.
    Brunt, David
    et al.
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Tibblin, Lena
    Supported housing and housing support for the psychiatrically disabled - Background, population, policies, practices and current challenges2011In: Aotearoa New Zealand Social Work Review, ISSN 1178-5527, Vol. 23, no 1, p. 54-65Article in journal (Refereed)
    Abstract [en]

    This article presents an overview of the development of supported housing and housing support for the psychiatrically disabled in Sweden as well as a short r sum of the major policies, reforms and agencies that have influenced this development, in particular the Mental Health Care reform of 1995 and the National Agency for the Co-ordination of Psychiatric Services. Characteristics of the residents and residences are described. The specific role of the care assessment officer in the light of three case examples is discussed and the current challenges facing the providers of housing and support for the psychiatrically disabled in Sweden are presented.

  • 34.
    Einberg, Eva-Lena
    et al.
    Halmstad University.
    Kadrija, Ibadete
    Halmstad University.
    Brunt, David
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Nygren, Jens N.
    Halmstad University.
    Svedberg, Petra
    Halmstad University.
    Psychometric evaluation of a Swedish version of Minneapolis-Manchester quality of life-youth form and adolescent form2013In: Health and Quality of Life Outcomes, ISSN 1477-7525, E-ISSN 1477-7525, Vol. 11, article id 79Article in journal (Refereed)
    Abstract [en]

    Background: It has become important to measure long-term effects and quality of life in survivors of childhood cancer. The Minneapolis- Manchester Quality of Life (MMQL) instrument has been proven to better capture the quality of life (QoL) perspective of health than other instruments. The instrument has age appropriate versions and is therefore favourable for longitudinal studies of QoL of children surviving from cancer. The aim of this study was to evaluate the psychometric properties of the Swedish version of MMQL-Youth Form and the Adolescent Form focusing on: 1) face and content validity 2) the internal consistency and 3) the test-retest reliability. Methods: The sample consisted of 950 pupils (11-16 years old) from 7 schools in the western Sweden who completed the questionnaire. For the test-retest evaluation 230 respondents completed the questionnaire two weeks later. Results: Face and content validity was supported and internal consistency was found to be acceptable for the total scale for both the MMQL-Youth Form (8-12 years of age) and the Adolescent Form (13-20 years of age). Test-retest reliability for the MMQL-Youth Form was moderate for 50% of the items and good for the remaining. For the MMQL-Adolescent Form the test-retest showed moderate or good agreement for 80% of the items and fair for 20%. Conclusions: The result indicated that the Swedish version of the MMQL-Youth Form and Adolescent Form was valid and reliable in a sample of healthy children in a Swedish context. It is recommended to test the instrument among diverse samples of children such as survivors of childhood cancer in order to validate its usefulness in research and clinical settings.

  • 35.
    Eklund, Mona
    et al.
    Lund University.
    Argentzell, Elisabeth
    Lund University.
    Bejerholm, Ulrika
    Lund University.
    Tjörnstrand, Carina
    Lund University.
    Brunt, David
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Wellbeing, activity and housing satisfaction - comparing residents with psychiatric disabilities in supported housing and ordinary housing with support2017In: BMC Psychiatry, ISSN 1471-244X, E-ISSN 1471-244X, Vol. 17, article id 315Article in journal (Refereed)
    Abstract [en]

    Background: The home is imperative for the possibilities for meaningful everyday activities among people with psychiatric disabilities. Knowledge of whether such possibilities vary with type of housing and housing support might reveal areas for improved support. We aimed to compare people with psychiatric disabilities living in supported housing (SH) and ordinary housing with support (OHS) regarding perceived well-being, engaging and satisfying everyday activities, and perceived meaning of activity in one's accommodation. The importance of these factors and socio-demographics for satisfaction with housing was also explored. Methods: This naturalistic cross-sectional study was conducted in municipalities and city districts (n = 21) in Sweden, and 155 SH residents and 111 OHS residents participated in an interview that included both self-reports and interviewer ratings. T-test and linear regression analysis were used. Results: The SH group expressed more psychological problems, but better health, quality of life and personal recovery compared to the OHS residents. The latter were rated as having less symptom severity, and higher levels of functioning and activity engagement. Both groups rated themselves as under-occupied in the domains of work, leisure, home management and self-care, but the SH residents less so regarding home management and self-care chores. Although the groups reported similar levels of activity, the SH group were more satisfied with everyday activities and rated their housing higher on possibilities for social interaction and personal development. The groups did not differ on access to activity in their homes. The participants generally reported sufficient access to activity, social interaction and personal development, but those who wanted more personal development in the OHS group outnumbered those who stated they received enough. Higher scores on satisfaction with daily occupations, access to organization and information, wanting more social interaction, and personal recovery predicted high satisfaction with housing in the regression model. Conclusion: The fact that health, quality of life and recovery were rated higher by the SH group, despite lower interviewer-ratings on symptoms and level of functioning, might partly be explained by better access to social interaction and personal development in the SH context. This should be acknowledged when planning the support to people who receive OHS.

  • 36.
    Eklund, Mona
    et al.
    Lund University.
    Brunt, David
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    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)2017In: Evaluation & the Health Professions, ISSN 0163-2787, E-ISSN 1552-3918Article in journal (Refereed)
    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.

  • 37.
    Elmqvist, Carina
    et al.
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Brunt, David
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Fridlund, Bengt
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Ekebergh, Margaretha
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Being first on the scene of an accident - experiences of 'doing' prehospital emergency care2010In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 24, no 2, p. 266-273Article in journal (Refereed)
    Abstract [en]

    Prehospital emergency care includes the care and treatment of patients prior to them reaching hospital. This is generally a field for the ambulance services, but in many cases firemen or police can be the ones to provide the first responses. The aim of this study was to describe and understand experiences of being the first responder on the scene of an accident, as described by policemen, firemen and ambulance staff. A lifeworld perspective was used in four different traumatic situations from southern Sweden. The data consisted of 13 unstructured interviews with first responders. The phenomenological analysis showed that experiences of being the first responder on the scene of an accident is expectations of doing a systematic course of action, dressed in the role of a hero, and at the same time being genuine in an interpersonal encounter. This entails a continuous movement between ‘being’ and ‘doing’. It is not a question of either – or, instead everything is to be understood in relation to each other at the same time. Five constituents further described the variations of the phenomenon; a feeling of security in the uncertainty, a distanced closeness to the injured person, one moment in an eternity, cross-border cooperation within distinct borders and a need to make the implicit explicit. This finding highlights the importance of using policemen and firemen in doing life support measures while waiting for the ambulance staff, and would in turn increase the importance of the relationship between the different professionals on the scene of an accident.

  • 38.
    Holst, Hanna
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Hörberg, Ulrica
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Brunt, David
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Ozolins, Lise-Lotte
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Learning to care in changing times2017In: 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 (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.

  • 39.
    Holst, Hanna
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Ozolins, Lise-Lotte
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Brunt, David
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Hörberg, Ulrica
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    The experiences of supporting learning in pairs of nursing students in clinical practice2017In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 26, no September, p. 6-11Article in journal (Refereed)
    Abstract [en]

    The purpose of this study is to describe how supervisors experience supporting nursing students' learning in pairs on a Developing and Learning Care Unit in Sweden. The present study has been carried out with a Reflective Lifeworld Research (RLR) approach founded on phenomenology. A total of 25 lifeworld interviews were conducted with supervisors who had supervised pairs of students. The findings reveal how supervisors support students' learning in pairs through a reflective approach creating learning space in the encounter with patients, students and supervisors. Supervisors experience a movement that resembles balancing between providing support in learning together and individual learning. The findings also highlight the challenge in supporting both the pairs of students and being present in the reality of caring. In conclusion, the learning space has the potential of creating a relative level of independency in the interaction between pairs of students and their supervisor when the supervisor strives towards a reflective approach.

  • 40.
    Holst, Hanna
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Ozolins, Lise-Lotte
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Brunt, David
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Hörberg, Ulrica
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    The learning space: interpersonal interactions between nursing students, patients, and supervisors at developing and learning care units2017In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 12, no 1, article id 1368337Article in journal (Refereed)
    Abstract [en]

    Purpose: Previous research shows that the learning space is significant for students’ learning in pairs in clinical practice but does not explain the meaning of the phenomenon. The aim of this study is thus to explain and understand the learning space that occurs in the interaction between the patients, the pairs of nursing students, and the supervisors on a developing and learning care unit in Sweden. 

    Method: The study has been carried out with a Reflective Lifeworld Research (RLR) approach founded on hermeneutics. A total of 39 informants, consisting of 16 patients, five pairs of students (10 students), and 13 supervisors, were observed and interviewed. 

    Results: The results reveal that an interpersonal linkage between the patients, the students, and the supervisors is created within the learning space. A learning space, based on respect towards each other, creates the prerequisite for beneficial and supportive interactions that contribute to a deeper relationship. 

    Conclusion: The phenomenon is complex due to its expandable nature and due to the fact that the learning space cannot be isolated from the surrounding environment. In order to exploit the potential of the learning space it is of importance to understand and consider the learning space as a whole.

  • 41.
    Hörberg, Ulrica
    et al.
    Växjö University, Faculty of Humanities and Social Sciences, School of Health Sciences and Social Work.
    Brunt, David
    Växjö University, Faculty of Humanities and Social Sciences, School of Health Sciences and Social Work.
    Axelsson, Åsa
    Clients’ perceptions of client-nurse relationships in local authority psychiatric services:: A qualitative study.2004In: International Journal of Mental Health Nursing, ISSN 1445-8330, E-ISSN 1447-0349, Vol. 13, no 1, p. 9-17Article in journal (Refereed)
    Abstract [en]

    The Mental Health Care reform in Sweden aimed, among other things, to improve the possibilities for persons with mental illnesses to experience companionship and participation in society. The aim of the study was to describe how persons suffering from mental illness perceive their relationships with nursing staff in local authority psychiatric services. Data were collected through semi-structured recorded interviews with 17 strategically chosen clients. A qualitative approach inspired by phenomenography was used to analyse the data. The analysis resulted in four main categories and 13 subcategories. The main categories were: security, companionship, confirmation and development.

  • 42. Johansson, Maria
    et al.
    Brunt, David
    Växjö University, Faculty of Humanities and Social Sciences, School of Health Sciences and Social Work.
    Fysisk miljö i bostäder med särskild service för personer med psykiska funktionshinder: En pilotstudie2008Report (Other academic)
    Abstract [sv]

    Studien genomfördes i syfte att utveckla en metod för att på en detaljerad nivå beskriva den fysiska miljön i särskilda boenden för personer med psykiska funktionshinder. Ett ytterligare syfte var att med hjälp av metoden jämföra den fysiska miljön i boenden som är ändamålsenligt byggda för den aktuella gruppen med boenden som finns i icke-ändamålsenligt byggda lokaler. Teoretiskt utgår studien från ett multi-platsperspektiv, vilket innebär att en miljö betraktas bestå av ett antal sammanhängande funktionella enheter. Tre analysenheter studerades: privat lägenhet/rum, gemensam innemiljö och utemiljö. En första hypotes var att de ändamålsenligt byggda boendena skulle ha en fysisk miljö som var mer främjande för brukarna än de icke-ändamålsenligt byggda boendena.

    Det här projektet visar att den fysiska miljön i särskilda boenden kan studeras på ett systematiskt sätt med miljöpsykologiska metoder. Detta innebär att arkitekter, projektörer, personal och brukare på en detaljerad nivå kan få kunskap om hur den fysiska miljön bör utformas för att på bästa sätt stödja den enskilda individen. Resultaten av experternas miljöinventering och visuella beskrivningar visade entydigt på att den fysiska miljön i alla tre analysenheter hade fler stödjande kvaliteter och visuellt upplevdes som trivsammare i de ändamålsenligt byggda boendena än i boenden som inrättats i lokaler som ursprungligen byggts för andra ändamål. Däremot framkom inte de motsvarande skillnaderna i brukarnas upplevelse av miljöerna som vi förväntat. Detta resultat kan delvis vara ett generellt uttryck för att den här gruppen av brukare ofta är nöjda med att överhuvudtaget ha ett eget boende och delvis för att människor i allmänhet utvecklar affektion för de miljöer som man brukar vistas i.

    Rapporten är nr 11 (av 24st) i Boendeprojektet som är ett riktat projekt inom ramen för kansliet för Nationell psykiatrisamordning. Projektmedel beviljades av Socialstyrelsen år 2005 för ett uppdrag inom satsningen på psykiatri och socialt stöd och omsorg för personer med psykisk sjukdom och/eller psykiska funktionshinder. Projektet har letts av David Brunt, Institutionen för vårdvetenskap och socialt arbete, Växjö universitet

  • 43.
    Johansson, Maria
    et al.
    Lunds universitet.
    Brunt, David
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    The Physical Environment of Purpose-Built and Non-Purpose Built Supported Housing for Persons with Psychiatric Disabilities in Sweden.2012In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 33, no 4, p. 223-235Article in journal (Refereed)
    Abstract [en]

    The primary aim of the present study was to investigate if methods derived from environmental psychology can be used to study the qualities of the physical environment of supported housing facilities for persons with psychiatric disabilities. Three units of analysis were selected: the private area, the common indoor area, and the outdoor area. Expert assessments of 110 features of the physical environment in these units and semantic environmental description of the visual experience of them consistently showed that purpose-built supported housing facilities  had more physical features important for high quality residential environments than the non-purpose-built supp orted housing facilities. The employed methods were thus seen to be able to describe and discriminate between qualities in the physical environment of supported housing facilities. Suggestions for the development of tools for the assessment of the physical environment in supported housing are made.

  • 44.
    Jormfeldt, H
    et al.
    Högskolan i Halmstad.
    Brunt, David
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Rask, Mikael
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Bengtsson, A
    Högskolan i Halmstad.
    Svedberg, P
    Högskolan i Halmstad.
    Staff's Experiences of a Person-Centered Health Education Group Intervention for People with a Persistent Mental Illness2013In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 34, no 7, p. 488-496Article in journal (Refereed)
    Abstract [en]

    Patient education in mental health care is a conventional intervention to increase patients' knowledge about their illness and treatment. A provider-centered focus in patient education may put patients in a passive role, which can counteract their processes of recovery. There is an increasing emphasis on recovery-oriented practice, an approach that is aligned with the service user perspective, but little is known about healthcare staffs’ perspective on person-centered mental health care. A qualitative approach was used to describe staffs’ experiences of being group leaders in a person-centered health education intervention in municipal services for persons with a persistent mental illness. The analysis of staff experiences revealed three core categories: implications of division of responsibility between local authorities, awareness of facilitating factors of growth and the meaning of dialogue, forming the theme “Preconditions for person-centered care”. Further research is required to explore larger economic, political and social structures as a backdrop to person-centered mental health care, from the perspective of service users, families, health professionals and society at large.

  • 45. Jormfeldt, H
    et al.
    Rask, Mikael
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Brunt, David
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Bengtsson, Agneta
    Svedberg, Petra
    Experiences of a person-centred health education group intervention: A qualitative study among people with a persistent mental illness2012In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 33, no 4, p. 209-216Article in journal (Refereed)
    Abstract [en]

    The main focus of psychoeducative interventions for people with persistent mental illnesses have been on the reduction of noncompliance by providing information about symptoms of disease and its treatment. Social support and supporting group contexts have been described as essential for transforming personal strategies into action and the achievement of personal goals. A qualitative descriptive approach was used in order to explore experiences of a person-centered health education group intervention among persons with a persistent mental illness. The sample consisted of 13 persons with a persistent mental illness who had participated in the group intervention between the autumn 2008 and the autumn 2009. Participants expressed experiences of health processes in terms of stimulating content, development towards personal growth and group context with equality, when participating in the intervention. The findings of the actual study support further investigation on the topic of health promotion approaches emphasizing individual preferences throughout the process of psychoeducation. Further research regarding individual preferences and participation in decision-making processes related to issues of compliance among persons with a persistent mental illness are suggested.

  • 46. Kristofferzon, Marja-Leena
    et al.
    Johansson, Ingela
    Brännström, Margareta
    Arnhall, Eva
    Baigi, Amir
    Brunt, David
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Fridlund, Bengt
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Nilsson, Ulrica
    Persson, Sylvi
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Rask, Mikael
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Wieslander, Inger
    Ivarsson, Bodil
    SAMMI-study group,
    Evaluation of a Swedish version of the Watts Sexual Function Questionnaire (WSFQ) in persons with heart disease: A pilot study2010In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 9, no 3, p. 168-174Article in journal (Refereed)
    Abstract [en]

    Background: 

    As part of preparation for a Swedish multicentre study, exploring sexual and married life in patients with myocardial infarction and their partners, a Swedish validated instrument was required. 

    Aims:

    The aim of this pilot study was to evaluate the validity and reliability of a Swedish version of the Watts Sexual Function Questionnaire (WSFQ) among persons with a heart disease.

    Methods:

    A convenience sample of 79 persons (47 men and 32 women) living with a heart disease was recruited from the members of the National Association of Heart and Lung Patients. They completed a Swedish version of the WSFQ on two occasions.

     Results:

    Two separate factor analyses each revealed a two-factor structure on both occasions: “Sexual appetite” and “Sexual expectations ”with gender-neutral questions and “Sexual sensitiveness” and “Sexual ability” with gender-specific questions. Cronbach's alpha coefficients ranged from 0.48 to 0.86 and test – retest values for all but one question exceeded 0.70.

    Conclusions:

    The Swedish version of the WSFQ showed good validity and stability and acceptable internal homogeneity. Extended evaluations of the questionnaire are recommended.

      

     

  • 47.
    Lundqvist, L. O.
    et al.
    Örebro University.
    Rask, Mikael
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Brunt, David
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Schröder, Agneta
    Örebro University.
    Quality in community-based day center services for people with psychiatric disabilities from the attendees' perspective2017In: European psychiatry, ISSN 0924-9338, E-ISSN 1778-3585, Vol. 41, p. S790-S790Article in journal (Other academic)
  • 48.
    Lundqvist, Lars-Olov
    et al.
    Örebro University.
    Ivarsson, Ann-Britt
    Örebro University.
    Brunt, David
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Rask, Mikael
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Schröder, Agneta
    Örebro University.
    Quality of community-based day centre services for people with psychiatric disabilities: psychometric properties of the Quality in Psychiatric Care - Daily Activities (QPC-DA)2016In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 23, no 2, p. 91-96Article in journal (Refereed)
    Abstract [en]

    Background/aims The aim of the present study was to test the psychometric properties and dimensionality of the instrument Quality in Psychiatric Care - Daily Activities (QPC-DA) and to briefly describe the day centre attendees' perception of the quality at community-based day centre services. Methods A sample of 218 attendees from 14 community-based day centre services in seven municipalities in Sweden participated in the study. Results Confirmatory factor analysis revealed that the QPC-DA consists of six dimensions and has a factor structure that to a large extent corresponds to that found in other studies of quality in psychiatric care settings, such as inpatient, outpatient, forensic inpatient, and housing support for people with psychiatric disabilities. The internal consistency of the factors was satisfactory and thus the QPC-DA showed adequate psychometric properties. The attendees' ratings of quality of community-based day centre services were generally high. The highest rating was for the encounter dimension and the lowest for the participation and the secluded environment dimensions, indicating areas for improvement. Conclusion/significance The QPC-DA includes important aspects of the attendees' assessment of quality of community-based day centre services and offers a simple and inexpensive way to evaluate quality from their perspective.

  • 49.
    Lundqvist, Lars-Olov
    et al.
    Örebro University.
    Ivarsson, Ann-Britt
    Örebro University.
    Rask, Mikael
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Brunt, David
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Schröder, Agneta
    Örebro University ; Norwegian University of Science and Technology, Norway.
    The attendees' view of quality in community-based day centre services for people with psychiatric disabilities.2018In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 25, no 3, p. 162-171Article in journal (Refereed)
    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.

  • 50.
    Lundqvist, Lars-Olov
    et al.
    Örebro University.
    Rask, Mikael
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Brunt, David
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Ivarsson, Ann-Britt
    Örebro University.
    Schröder, Agneta
    Örebro University.
    Measuring quality in community based housing support: the QPC-H instrument2016In: International Journal of Health Care Quality Assurance, ISSN 0952-6862, E-ISSN 1758-6542, Vol. 29, no 3, p. 267-275Article in journal (Refereed)
    Abstract [en]

    Purpose – The purpose of this paper is to test the psychometric properties and dimensionality of the instrument Quality in Psychiatric Care-Housing (QPC-H) and briefly describe the residents’ perception of quality of housing support. Design/methodology/approach – A sample of 174 residents from 22 housing support services in nine Swedish municipalities participated in the study. Confirmatory factor analysis (CFA) revealed that the QPC-H consisted of six dimensions and had a factor structure largely corresponding to that found among other instruments in the Quality in Psychiatric Care (QPC) family of instruments. Findings – CFA revealed that the QPC-H consisted of six dimensions and had a factor structure largely corresponding to that found among other instruments in the QPC family of instruments. The internal consistency of the factors was acceptable except in the case of secure and secluded environment, probably due to few numbers of items. With this exception, the QPC-H shows adequate psychometric properties. Social implications – The residents’ ratings of quality of housing service were generally high; the highest rating was for secluded environment and the lowest for participation. This dimension would thus seem to indicate an important area for improvement. Originality/value – The QPC-H includes important aspects of residents’ assessment of quality of housing service and offers a simple and inexpensive way to evaluate housing support services from the residents’ perspective. © 2016, © Emerald Group Publishing Limited.

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