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Olaison, A., Torres, S. & Forssell, E. (2019). Professional discretion and length of work experience: what findings from focus groups with care managers in elder care suggest. In: Brian Taylor and Andrew Whittaker (Ed.), Professional Judgement and Decision Making in Social Work: Current Issues (pp. 48-62). London: Routledge
Open this publication in new window or tab >>Professional discretion and length of work experience: what findings from focus groups with care managers in elder care suggest
2019 (English)In: Professional Judgement and Decision Making in Social Work: Current Issues / [ed] Brian Taylor and Andrew Whittaker, London: Routledge, 2019, p. 48-62Chapter in book (Refereed)
Abstract [en]

Research has explored how care managers in elder care – who often function as ‘street-level bureaucrats’ – regard professional discretion. The way in which length of work experience affects care managers’ use of professional discretion remains, however, unexplored. This article present findings from 12 focus groups with 60 care managers. By bringing attention to how care managers experience the needs assessment process, this article sheds light on how these ‘street-level bureaucrats’ struggle when they try to balance their clients’ needs against institutional frameworks and local guidelines. Length of work experience seems to play a role in how care managers claim to use professional discretion. Experienced care managers describe how they deviate from the guidelines at times in order to create an increased scope of action in their decision-making process. Those with less time in the profession describe greater difficulties in this respect. Findings suggest that research should explore if length of work experience plays a role in the actual way in which care managers assess needs and make decisions. As such, they contribute to our understanding of how needs assessment processes are navigated by professionals while also pointing towards the nature of professional discretion in gerontological social work.

Place, publisher, year, edition, pages
London: Routledge, 2019
National Category
Social Work
Identifiers
urn:nbn:se:liu:diva-156649 (URN)9780367179700 (ISBN)
Available from: 2019-05-03 Created: 2019-05-03 Last updated: 2019-05-15Bibliographically approved
Cedersund, E., Sverker, A. M. & Olaison, A. (2018). Bridging between social and medical perspectives: Old people´s experiences of a new health care model. . In: : . Paper presented at The 24th Nordic Congress of Gerontology, May 2-4, in Oslo, Norway.
Open this publication in new window or tab >>Bridging between social and medical perspectives: Old people´s experiences of a new health care model. 
2018 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Social Work
Identifiers
urn:nbn:se:liu:diva-153794 (URN)
Conference
The 24th Nordic Congress of Gerontology, May 2-4, in Oslo, Norway
Available from: 2019-01-10 Created: 2019-01-10 Last updated: 2019-01-18Bibliographically approved
Löf (Gillingsjö), J. & Olaison, A. (2018). Care decision-making and older LGBTQ adults in Sweden: Getting past generalities. Paper presented at 71st Annual Scientific Meeting, GSA 2018, The Purposes of Longer Lives. November,14-18. Innovation in Aging, 2(S1), 844-845
Open this publication in new window or tab >>Care decision-making and older LGBTQ adults in Sweden: Getting past generalities
2018 (English)In: Innovation in Aging, ISSN 2399-5300, Vol. 2, no S1, p. 844-845Article in journal, Meeting abstract (Refereed) Published
Abstract [en]

There is mounting evidence that Swedish elder care is unable to adequately address the unique needs of older lesbian, gay, bisexual, transgender and queer (LGBTQ) persons, and that social work research and services do not focus on individual variations within the LGTBQ-group. There are negative consequences for older LGBTQ individuals, including poor service utilization. Significantly, service utilization is associated with improved outcomes across the life course. Based on interviews with 15 participants living at home in Sweden, this qualitative study explores how older Swedish LGBTQ adults assess elder care alternatives for their future. Findings indicate that feeling accepted as individuals is essential, but that this did not necessarily mean being recognized as an LGBTQ individual. Feeling welcome individually transcended the need to be recognized as LGBTQ. Implications for social work include increasing cultural competence for work with diverse older adults, including LGBTQ persons, and advocating for person-centered care.

National Category
Social Work
Identifiers
urn:nbn:se:liu:diva-153247 (URN)10.1093/geroni/igy023.3148 (DOI)
Conference
71st Annual Scientific Meeting, GSA 2018, The Purposes of Longer Lives. November,14-18
Available from: 2018-12-05 Created: 2018-12-05 Last updated: 2019-02-19Bibliographically approved
Olaison, A. & Nilsson, E. (2018). Communicative practices of Swedish couples living with dementia: Becoming oriented toward an uncertain future. Paper presented at 71st Annual Scientific Meeting, GSA-Gerontological Society of America, The Purposes of Longer Lives.. Innovation in Aging, 2(S1), 843-844
Open this publication in new window or tab >>Communicative practices of Swedish couples living with dementia: Becoming oriented toward an uncertain future
2018 (English)In: Innovation in Aging, ISSN 2399-5300, Vol. 2, no S1, p. 843-844Article in journal, Meeting abstract (Refereed) Published
Abstract [en]

Dementia affects both the present and future of individuals receiving the diagnosis, and of the individuals with whom they have relationships. However, little is known about how couples jointly talk about their future with dementia, and how they adapt to it as a couple and as individuals. Based on conversational analysis of video-recorded interactions among 15 couples living with dementia in Sweden, study findings show that either or both spouses can actively request knowledge about the progress of dementia, but that spouses without dementia express more uncertainty about the future. Further, either or both spouses alternate between epistemic stances of knowing and unknowing, ascribe these stances to one another, and display similar or oppositional stances. The findings suggest a need for developing communicative practices for couples to jointly talk about dementia, and findings ways for practitioners to provide emotional support to these couples.

 

National Category
Social Work
Identifiers
urn:nbn:se:liu:diva-153602 (URN)
Conference
71st Annual Scientific Meeting, GSA-Gerontological Society of America, The Purposes of Longer Lives.
Available from: 2018-12-28 Created: 2018-12-28 Last updated: 2019-01-29Bibliographically approved
Olaison, A., Torres, S. & Forssell, E. (2018). Dokumentationens roll i biståndshandläggning: Hur blir äldre som är i behov av hjälp och stöd klienter i den offentliga äldreomsorgen.. In: : . Paper presented at FORTE Nätverket för socialvetenskaplig äldreforskning, October 16-17, at Uppsala University, Uppsala, Sweden)..
Open this publication in new window or tab >>Dokumentationens roll i biståndshandläggning: Hur blir äldre som är i behov av hjälp och stöd klienter i den offentliga äldreomsorgen.
2018 (Swedish)Conference paper, Oral presentation only (Other academic)
National Category
Social Work
Identifiers
urn:nbn:se:liu:diva-153793 (URN)
Conference
FORTE Nätverket för socialvetenskaplig äldreforskning, October 16-17, at Uppsala University, Uppsala, Sweden).
Available from: 2019-01-10 Created: 2019-01-10 Last updated: 2019-01-18Bibliographically approved
Löf (Gillingsjö), J., Michailakis, D. & Olaison, A. (2018). HBTQ-äldre i den politiska debatten (1ed.). In: Magnus Dahlstedt (Ed.), Gränsöverskridande Socialt arbete: Kritiska perspektiv (pp. 41-61). Malmö: Gleerups Utbildning AB
Open this publication in new window or tab >>HBTQ-äldre i den politiska debatten
2018 (Swedish)In: Gränsöverskridande Socialt arbete: Kritiska perspektiv / [ed] Magnus Dahlstedt, Malmö: Gleerups Utbildning AB, 2018, 1, p. 41-61Chapter in book (Other academic)
Place, publisher, year, edition, pages
Malmö: Gleerups Utbildning AB, 2018 Edition: 1
National Category
Social Work
Identifiers
urn:nbn:se:liu:diva-151279 (URN)9789151100586 (ISBN)
Available from: 2018-09-14 Created: 2018-09-14 Last updated: 2019-02-19Bibliographically approved
Löf (Gillingsjö), J. & Olaison, A. (2018). ‘I don’t want to go back into the closet just because I need care’ [‘Jag vill inte gå tillbaka i garderoben bara för att jag behöver vård’]: recognition of older LGBTQ adults in relation to future care needs [Erkännande av äldre HBTQ personer i relation till framtida omsorgsbehov]. European Journal of Social Work
Open this publication in new window or tab >>‘I don’t want to go back into the closet just because I need care’ [‘Jag vill inte gå tillbaka i garderoben bara för att jag behöver vård’]: recognition of older LGBTQ adults in relation to future care needs [Erkännande av äldre HBTQ personer i relation till framtida omsorgsbehov]
2018 (English)In: European Journal of Social Work, ISSN 1369-1457, E-ISSN 1468-2664Article in journal (Refereed) Epub ahead of print
Abstract [en]

There is increasing awareness in research about the social service needs of older LGBTQ adults. However, there are few studies that deal with differences in this community regarding elder care services. As a rule, transgender individuals are not included in these studies. This study focuses on how older Swedish LGBTQ adults reason about openness in an elder care context concerning their future needs for services and adopts Nancy Fraser’s theoretical framework of recognition. The material consists of fifteen semi-structured interviews with older LGBTQ adults. The results indicate that the main concern for older LGBTQ individuals is being accepted for their preferred sexual orientation and/or gender identity in elder care. However, there were differences regarding that concern in this LGBTQ group. There were also a variety of approaches in the group as to preferences for equal versus special treatment with respect to their LGBTQ identity. In addition, there were differences as to whether they prefer to live in LGBTQ housing or not. The findings contribute to existing knowledge by highlighting the diverse views on elder care services in both this group of interviewees and its subgroups. These findings emphasise the importance of the social work practice recognising different preferences and having an accepting approach. The results can further provide guidance on how to design elder care services for older LGBTQ adults.

Abstract [sv]

Inom forskningen finns idag en ökad medvetenhet om HBTQ-äldres behov av äldreomsorgsinsatser. Få studier har hittills belyst skillnader inom gruppen gällande önskemål av framtida insatser från äldreomsorgen. I dessa studier är transpersoner ofta inte inkluderade. Föreliggande studie fokuserar på hur svenska äldre HBTQ-personer ser på öppenhet i ett framtida äldreomsorgsammanhang samt hur detta relaterar till önskningar om behov av insatser. Studien utgår från Nancy Frasers teoretiska resonemang om erkännande. Materialet består av femton semi-strukturerade intervjuer med HBTQ-äldre. Resultaten visar att de flesta äldre HBTQ-personerna vill bli accepterade för den egna sexuella läggningen och könsidentiteten/könsuttrycket i ett framtida äldreomsorgssammanhang. Hur denna önskan ser ut skilde sig dock åt inom HBTQ-gruppen. Det fanns också olika uppfattningar om man huvudsakligen föredrar likabehandling eller om man istället vill att särskild hänsyn ska tas till den egna HBTQ-identiteten. Även inställning till huruvida man föredrar att bo på ett HBTQ-boende eller inte delade gruppen av intervjuade. Resultaten bidrar till existerande forskning om äldre HBTQ-personer genom att synliggöra de skillnader som finns inom gruppen gällande inställning till att använda framtida äldreomsorgsinsatser. Vidare påvisar resultaten vikten av att det sociala arbetet har ett öppet och erkännande förhållningssätt för olika preferenser. Resultaten kan vidare bidra till vägledning kring hur man utformar äldreomsorgsinsatser för HBTQ-äldre.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2018
Keywords
LGBTQ, older adults, elder care, gender/sexuality, social work, HBTQ, äldre personer, äldreomsorg, genus/sexualitet, socialt arbete
National Category
Social Work
Identifiers
urn:nbn:se:liu:diva-152769 (URN)10.1080/13691457.2018.1534087 (DOI)2-s2.0-85055582088 (Scopus ID)
Available from: 2018-11-20 Created: 2018-11-20 Last updated: 2019-02-19Bibliographically approved
Olaison, A., Torres, S. & Forssell, E. (2018). Professional discretion and length of workexperience: what findings from focus groups withcare managers in elder care suggest. Journal of Social Work Practice, 32(2), 153-167
Open this publication in new window or tab >>Professional discretion and length of workexperience: what findings from focus groups withcare managers in elder care suggest
2018 (English)In: Journal of Social Work Practice, ISSN 0265-0533, E-ISSN 1465-3885, Vol. 32, no 2, p. 153-167Article in journal (Refereed) Published
Abstract [en]

Research has explored how care managers in elder care – who often function as ‘street-level bureaucrats’ – regard professional discretion. The way in which length of work experience affects care managers’use of professional discretion remains, however, unexplored. This article present findings from 12 focus groups with 60 care managers. By bringing attention to how care managers experience the needs assessment process, this article sheds light on how these ‘street-level bureaucrats’ struggle when they try to balance their clients’ needs against institutional frameworks and local guidelines. Length of work experience seems to play a role in how care managers claim to use professional discretion. Experienced care managers describe how they deviate from the guidelines at times in order to create an increased scope of action in their decision-making process. Those with less time in the profession describe greater difficulties in this respect. Findings suggest that research should explore if length of work experience plays a role in the actual way in which care managers assess needs and make decisions. As such, they contribute to our understanding of how needs assessment processes are navigated by professionals while also pointing towards the nature of professional discretion in gerontological social work.

Place, publisher, year, edition, pages
Routledge, 2018
Keywords
Social work, care manager, street-level bureaucrat, elder care, needs assessment practice, work experience, decision-making, professional discretion
National Category
Social Work
Identifiers
urn:nbn:se:liu:diva-147656 (URN)10.1080/02650533.2018.1438995 (DOI)000431742900005 ()
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, Dnr:2010-0666
Note

Funding agencies: Swedish Council for Working Life and Social Research [2010-0666]

Available from: 2018-05-03 Created: 2018-05-03 Last updated: 2018-06-18Bibliographically approved
Nilsson, E. & Olaison, A. (2017). What is yet to come?: Couples living with dementia orienting themselves towards an uncertain future. Qualitative Social Work
Open this publication in new window or tab >>What is yet to come?: Couples living with dementia orienting themselves towards an uncertain future
2017 (English)In: Qualitative Social Work, ISSN 1473-3250, E-ISSN 1741-3117Article in journal (Refereed) Epub ahead of print
Abstract [en]

Dementia is a chronic illness that not only has substantial effects on the life as well as future for the individuals diagnosed, but also affects those with whom these individuals have relationships. This has implications that need to be addressed by professional practice, not least since social work research has shown that the support available for couples managing dementia is insufficient. There are few studies today of how couples jointly talk about their future with dementia and how they adapt to it as a couple and as individuals. Therefore, this article explores how couples in which one of the spouses has a diagnosis of dementia jointly talk about an uncertain future with dementia. The study benefits from using the conversation analytic method when studying video-recorded interactions among 15 couples living with dementia. The results show that either or both spouses can actively request knowledge about the progression of dementia, but at the same time, the spouses without dementia express awareness of the uncertainty that is connected to a future with dementia. Moreover, either or both spouses may also express contentment with “not knowing.” In all examples, one or several of the participants alternate between taking epistemic stances of knowing and unknowing as well as ascribing stances to others, and spouses can display similar or oppositional stances. The findings suggest a need for developing communicative practice for couples to jointly talk about dementia, as well as a need for social workers to find ways of providing emotional support.

Place, publisher, year, edition, pages
Sage Publications, 2017
Keywords
Conversation analysis, couplehood, dementia, future, social work practice
National Category
Other Social Sciences
Identifiers
urn:nbn:se:liu:diva-145719 (URN)10.1177/1473325017743104 (DOI)
Available from: 2018-03-19 Created: 2018-03-19 Last updated: 2018-04-27Bibliographically approved
Olaison, A., Torres, S. & Forssell, E. (2016). Categorization in documentation practices: the role that gender and background can play in the clientization of older people within social work case files.. In: : . Paper presented at 6th European Conference for Social Work Research, Lisbon, Portugal, 30 March - 1 April 2016.
Open this publication in new window or tab >>Categorization in documentation practices: the role that gender and background can play in the clientization of older people within social work case files.
2016 (English)Conference paper, Oral presentation with published abstract (Other academic)
National Category
Social Work
Identifiers
urn:nbn:se:liu:diva-126758 (URN)
Conference
6th European Conference for Social Work Research, Lisbon, Portugal, 30 March - 1 April 2016
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare
Available from: 2016-04-04 Created: 2016-04-04 Last updated: 2016-04-20Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-9293-4932

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