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Search Results: 1 - 10 of 1911 matches for " Kerstin Nilsson "
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Active and Healthy Ageing at Work—A Qualitative Study with Employees 55 - 63 Years and Their Managers  [PDF]
Kerstin Nilsson
Open Journal of Social Sciences (JSS) , 2017, DOI: 10.4236/jss.2017.57002
Abstract: The proportion of elderly individuals in the population is increasing in most industrial countries. This demographic change increases the need of more people who work until an older age to maintain the welfare in the states. However, it is not clear if older employees are interested to in generally extend the working life to an older age. It is also not stated if managers in organizations are interested of extending their older employees working life. The overall aim of this study was to examine older employees own experience of their work situation and ageing at work. The aim was also to investigate their managers’ attitude to them as older employees. The investigation was conducted by focusing group interviews with employees aged 55 - 63 years, and with their mangers aged 40 - 63 years. The findings stated that the older employees’ consideration for an extend working life seemed to be based on their health and health problems in relation to their work situation; their personal economy; their managers attitude to them as elderly and the possibility to social inclusion at work; and their possibilities for self-crediting activities at work despite their age. The managers seem to have a positive attitude to some of the older employees’ experience knowledge, if that was in the same direction as their own interest. Otherwise the mangers saw the older employees as problem and obsoleted. The managers were also negative to older employees who got health problems which effect the work production negatively. The older workers in this study described managers’ importance to if they want to work in an extended working life. However, the managers seem not to understand their own importance in this and were not interested to keep all elderly in an extended working life.
The Influence of Work Environmental and Motivation Factors on Seniors’ Attitudes to an Extended Working Life or to Retire. A Cross Sectional Study with Employees 55 - 74 Years of Age  [PDF]
Kerstin Nilsson
Open Journal of Social Sciences (JSS) , 2017, DOI: 10.4236/jss.2017.57003
Abstract: Aim: The aim of this study was to investigate difference between whether individuals think they can work, and want to work until 65 years or not. Methods: A cross/sectional study including survey of 1949 employees aged 55 - 74 years. Results: Working environments were the most significant differences between the groups associated to if the respondents think they can work beyond 65 years or not. Motivation factors were the most significant differences between the groups associated with if the respondents want to work beyond 65 years or not. Conclusions: A satisfying work environment is important to whether people think they can work or not. Nevertheless, whether people want to work is depending on whether the employees are satisfied with the factors that promote their motivation for work. If society wants more people to work until an upper age, it is important to improve both work environmental factors and motivation factors in their work situation.
The Transfer of Knowledge between Younger and Older Employees in the Health and Medical Care: An Intervention Study  [PDF]
Emma Nilsson, Kerstin Nilsson
Open Journal of Social Sciences (JSS) , 2017, DOI: 10.4236/jss.2017.57006
Abstract: In the ageing society more old employees need to stay in working life for longer. However, the society also needs to take care of the increased amount of elderly in a more effective and respectful way. To take care of older employees experience knowledge to make the elderly care and the care employees work situation better and self-crediting to go on in an extended working life, new methods and measures are needed to be developed and evaluated. The overall purpose of this article was to evaluate how the participant in the intervention project experienced the project and its methodology. The intervention project followed three different methods: i) through interviews of the participants and the supervisor; ii) through participant observation; and iii) through an evaluation questionnaire to participants after the project was completed. The intervention project did transfer knowledge between different fields, that are, between generations, between different departments and between the municipality and county. The participation was described as not only a place for reflection and knowledge, but also a protected zone where participants could talk about the kind of problems they would ponder over. Several participants felt that it was important to develop and continue the work that the intervention project set in motion. The participants’ experience was made to be visible and their professional competence has been strengthened. They indicated that there had been an exchange of knowledge and between not only the generations but also the different kinds of work. The organisations also seem to have gained from the project by allowing the participants to unload, become more positive, develop more knowledge of experience, increase their propensity for reflection and get a better consensus between the municipality and county. The intervention project seems to have fulfilled the stated purpose and also the expectations of the participants.
Swedish social insurance officers' experiences of difficulties in assessing applications for disability pensions – an interview study
Berit Ydreborg, Kerstin Ekberg, Kerstin Nilsson
BMC Public Health , 2007, DOI: 10.1186/1471-2458-7-128
Abstract: Qualitative methodology was employed and a total of ten social insurance officers representing different experiences and ages were chosen. Open-ended interviews were performed with the ten social insurance officers. Data was analysed with inductive content analysis.Three themes could be identified as problematic in the social insurance officers' descriptions of dealing with the applications in order to reach a decision on whether the issue qualified applicants for a disability pension or not: 1. Clients are heterogeneous. 2. Ineffective and time consuming waiting for medical certificates impede the decision process. 3. Perspectives on the issue of work capacity differed among different stakeholders. The backgrounds of the clients differ considerably, leading to variation in the quality and content of applications. Social insurance officers had to make rapid decisions within a limited time frame, based on limited information, mainly on the basis of medical certificates that were often insufficient to judge work capacity. The role as coordinating actor with other stakeholders in the welfare system was perceived as frustrating, since different stakeholders have different goals and demands. The social insurance officers experience lack of control over the decision process, as regulations and other stakeholders restrict their work.A picture emerges of difficulties due to disharmonized systems, stakeholder-bound goals causing some clients to fall between two stools, or leading to unnecessary waiting times, which may limit the clients' ability to take an active part in a constructive process. Increased communication with physicians about how to elaborate the medical certificates might improve the quality of certificates and thereby reduce the clients waiting time.The task of the social insurance offices in Sweden is to administer the social insurance system and ensure that people receive the benefits and allowances to which they are entitled [1,2]. In this study we focus o
Captured voices in cancer: experiences from networking between individuals with experiential and professional knowledge
Christina Carlsson, Kerstin Segesten, Mef Nilbert, Kerstin Nilsson
BMC Health Services Research , 2007, DOI: 10.1186/1472-6963-7-23
Abstract: Open-ended interviews were carried out with 16 individuals; 6 PACP members and 10 HCPs, and after transcription the texts were analysed by inductive content analysis.Four voices, which represent various experiences from networking, were identified; the hesitant voice, the enlightened voice, the liberated voice, and the representative voice. The hesitant voice reflects uncertainty experienced when the participants were exposed to different views and opinions within the network. The enlightened voice reflects new points of view and gain of knowledge. The liberated voice signifies trust, balance, and confidence related to individual experiences and responsibilities being viewed in a broader perspective. The representative voice is derived from the transformation of experiences and responsibilities through insight, understanding, and new perspectives.Networking between representatives for PACPs and HCPs may help the participants manage uncertainty, strengthen the patient's perspective and provide new views on common issues. The different voices identified in this study demonstrate that both PACP members and HCPs distanced themselves from their individual experiences in order to be perceived as unselfish and knowledgeable within the network. Although the climate was characterized by trustfulness, the members' unique positions need to be defined in order to obtain an optimal balance between the groups and prevent members' patient experiences of losing their character by learning to much from the HCPs. Increased understanding of the hesitant, the enlightened, the liberated, and the representative voices, and awareness of experiential versus professional knowledge of cancer may facilitate and probably improve future networking efforts.Individuals with cancer enter the health care system as users bringing their life stories, based on personal experiences, including those from disease or illness [1]. Increasing demands are being made for health-care to become user-oriented wi
Supporter or obstructer; experiences from contact person activities among Swedish women with breast cancer
Christina Carlsson, Mef Nilbert, Kerstin Nilsson
BMC Health Services Research , 2005, DOI: 10.1186/1472-6963-5-9
Abstract: Audio-taped narratives from 8 women were analysed using Reissman's monitoring and Gee's analysis structure.Three themes appeared: 1. Shared experiences give new perspectives on having cancer, 2. Feelings of isolation are a part of the identity of the illness and 3. Relations with others enable self-help. However, the relationship with the CP is sensitive to timing, correct information and understanding.CPs act as sounding boards and should optimally have capacity for listening, gives support and act as partner in this conversation. On the other hand, CPs should be aware that their presence and limited general medical knowledge could at times disturb the patient's psychological recovery and strengthen feelings of isolation. Thus, PABCPs must be careful in selecting CPs and offer relevant educational activities related to the themes identified herein.Proximity to individuals and society in order to reach out and provide optimal support is basic for patient associations for cancer patients (PACPs) [1,2]. Swedish patient associations for breast cancer patients (PABCPs) offer breast cancer patients' unlimited meetings with a breast cancer survivor, a contact person (CP). The present study focuses on women with breast cancer and their experiences from having a CP. In Sweden, an association consists of a number of individuals who work together in an organised form towards a common vision [3]. The Scandinavian concept of an 'association' is different from that in Western Europe and the U.S.[4,5]; in Scandinavia the collective rather than the individual aspect is emphasized with focus on social activities, educational workshops, and support groups [6,7]. However, also individual activities exist within the associations and the CP activities in Swedish PABCPs constitute an example hereof. This activity is inspired by the Reach to Recovery Program (RtoRP), a world-wide rehabilitation program initiated in the U.S. in 1952 and was later established also in Europe. RtoRP is based
Nursing students motivation toward their studies – a survey study
Kerstin EL Nilsson, Margareta Warrén Stomberg
BMC Nursing , 2008, DOI: 10.1186/1472-6955-7-6
Abstract: A questionnaire asking for scoring motivation and what influenced the degree of motivation was distributed to students enrolled in a nursing programme. 315 students who studied at different semesters participated. Analyzes were made by statistical calculation and content analysis.The mean motivation score over all semesters was 6.3 (ranked between 0–10) and differed significantly during the semesters with a tendency to lower score during the 5th semester. Students (73/315) with motivation score <4 reported explanations such as negative opinion about the organisation of the programme, attitude towards the studies, life situation and degree of difficulty/demand on studies. Students (234/315) with motivation score >6 reported positive opinions to becoming a nurse (125/234), organization of the programme and attitude to the studies. The mean score value for the motivation ranking differed significantly between male (5.8) and female (6.8) students.Conclusions to be drawn are that nursing students mainly grade their motivation positive distributed different throughout their entire education. The main motivation factor was becoming a nurse. This study result highlights the need of understanding the students' situation and their need of tutorial support.The nursing students' motivation towards their studies is a question of energy, such as processes starting, sustaining and directing their study behavior. This paper focuses on Swedish nursing students' own assessment of their motivation towards their studies during their three year academic education. Notable is that the students' interest and commitment vary during their education. It is therefore interesting to systematically study the students' own experience of how motivated they felt.Motivation can be seen either as an intrinsic or an extrinsic factor. Enjoying learning for its own sake or positive feedback on learning outcomes are examples of intrinsic motivation. Accordingly there is a built-in pleasure for the activ
Night nursing – staff's working experiences
Kerstin Nilsson, Ann-Mari Campbell, Ewa Andersson
BMC Nursing , 2008, DOI: 10.1186/1472-6955-7-13
Abstract: The design of the study is qualitative and descriptive. Interviews were conducted with 10 registered and 10 enrolled nurses working as night staff at a Swedish University Hospital. The interview guide was thematic and concerned the content of their tasks, as well as the working conditions that constitute night nursing. In addition, the interviews were transcribed verbatim and analyzed using content analysis.The night duties have to be performed under difficult conditions that include working silently in dimmed lighting, and making decisions when fatigue threatens. According to the night staff, its main goals are to provide the patients with rest and simultaneously ensure qualified care. Furthermore, the night nursing staff must prepare the ward for the daytime activities.The most important point is the team work, which developed between the registered and enrolled nurses and how necessary this team work is when working at night. In order for nurses working at night to be fully appreciated, the communication between day and night staff in health care organizations needs to be developed. Furthermore, it is important to give the night staff opportunities to use its whole field of competence.In the main, intrinsic value is not attached to night work which tends to make night nursing invisible. Night work is apprehended as separated from day work and night work sometimes seems to be less valuable [1]. Night nursing is described as being controlled by plans made in the daytime and staffed with fewer nurses on the wards [2,3]. Therefore, this study focuses on how the two occupational groups working at the hospital wards at night in Sweden, registered nurses (RNs) and enrolled nurses (ENs), experience their work at night.All professionals in Swedish health care organizations are responsible for their own actions. The general rule is that the one who performs health care tasks shall have necessary competence in order to guarantee good and secure health care [4]. RNs are prin
Behaviour of reindeer as an indicator of an adaptation to feeding
Anna Nilsson,Harri Norberg,Ingrid Redbo,Kerstin Olsson
Rangifer , 2004,
Abstract: : We assessed behaviour of reindeer affected by nutritional deprivation and how they adapted to various feeding strategies. The activity pattern of 61 penned eight month old female reindeer calves was observed during 20 of a total of 42 experimental days in winter 1997. The dominant activities were lying, ruminating, intake of feed and water, and standing. Few recordings of agonistic behaviour or snow intake occured. Restricted feed intake, half the ad lib. ration of a lichen-based diet, affected the eating behaviour of the reindeer, and more animals were standing and fewer lying compared to reindeer fed ad lib. Lack of energy in the diet correlated with animals lying curled up (lying with the muzzle close to the hind legs). This behaviour could be a useful complement to other measurements and registrations when studying adaptations to various feeding regimens. in Swedish/Sammanfattning: Syftet med studien var att unders ka om, och i s fall hur renars beteende p verkades av otillr ckligt n ringsintag och vid anpassning till olika utfodringsstrategier. Aktivitetsm nstret hos 61 inh gnade tta m nader gamla honrenkalvar studerades under 20 av totalt 42 f rs ksdagar. De vanligaste beteendekategorierna genom hela f rs ket var ligga, idissla, intag av foder och vatten samt st passivt. Endast ett f tal observationer av aggressivt beteende och sn tande registrerades. En begr nsad giva dvs. halva m ngden av fodergivan vid fri tillg ng av en lavbaserad diet p verkade djuren tbeteende. Dessutom observerades fler djur st passivt medan f rre l g j mf rt med kontrollgruppen. Under f rsta fasen av utfodring efter restriktionsperioden l g fler djur l g ihoprullade (med mulen t tt intill bakbenet) j mf rt med kontrollgruppen, vilket tolkades som ett tecken p energibrist. Beteendestudierna visade sig vara ett v rdefullt komplement till vriga m tningar och provtagningar vid studier av renars anpassning till olika utfodringsregimer.
Mortality in GOLD stages of COPD and its dependence on symptoms of chronic bronchitis
Marie Ekberg-Aronsson, Kerstin Pehrsson, Jan-?ke Nilsson, Peter M Nilsson, Claes-G?ran L?fdahl
Respiratory Research , 2005, DOI: 10.1186/1465-9921-6-98
Abstract: Between 1974 and 1992, a total of 22 044 middle-aged individuals participated in a health screening, which included a spirometry as well as recording of respiratory symptoms and smoking habits. Individuals with comorbidity at baseline (diabetes, stroke, cancer, angina pectoris, or heart infarction) were excluded from the analyses. Hazard ratios (HR 95% CI) of total mortality were analyzed in GOLD stages 0–4 with individuals with normal lung function and without symptoms of chronic bronchitis as a reference group. HR:s in smoking individuals with symptoms of chronic bronchitis within the stages 1–4 were calculated with individuals with the same GOLD stage but without symptoms of chronic bronchitis as reference.The number of deaths was 3674 for men and 832 for women based on 352 324 and 150 050 person-years respectively. The proportion of smokers among men was 50% and among women 40%. Self reported comorbidity was present in 4.6% of the men and 6.6% of the women. Among smoking men, Stage 0 was associated with an increased mortality risk, HR; 1.65 (1.32–2.08), of similar magnitude as in stage 2, HR; 1.41 (1.31–1.70). The hazard ratio in stage 0 was significantly higher than in stage 1 HR; 1.13 (0.98–1.29). Among male smokers with stage 1; HR: 2.04 (1.34–3.11), and among female smokers with stage 2 disease; HR: 3.16 (1.38–7.23), increased HR:s were found in individuals with symptoms of chronic bronchitis as compared to those without symptoms of chronic bronchitis.Symptoms fulfilling the definition of chronic bronchitis were associated with an increased mortality risk among male smokers with normal pulmonary function (stage 0) and also with an increased risk of death among smoking individuals with mild to moderate COPD (stage 1 and 2).Chronic obstructive pulmonary disease (COPD) is a major cause of increased morbidity and mortality [1]. The Global Initiative for Chronic Obstructive Lung Diseases (GOLD) guidelines were published in 2001 [2], and revised in 2004 [3] with t
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