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  • 1.
    Ekstrand, Per
    Mälardalen University, School of Health, Care and Social Welfare.
    Att vara eller arbeta som manlig sjuksköterska?2010In: Genusperspektiv på vård och omvårdnad / [ed] Helén Strömberg & Henrik Eriksson, Lund: Studentlitteratur, 2010, 2. utök. uppl., p. 93-110Chapter in book (Other academic)
  • 2.
    Ekstrand, Per
    Mälardalen University, School of Health, Care and Social Welfare.
    Genus- och mångfaldsperspektiv i hälso- och sjukvården2010In: Vårdpedagogiska utmaningar / [ed] Sonia Bentling & Bosse Jonsson, Stockholm: Liber, 2010, p. 156-185Chapter in book (Other academic)
  • 3.
    Ekstrand, Per
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap, Västerås .
    Homosociala relationer bland män i vårdyrken: formandet av yrkesidentitet som sjuksköterska.2004Report (Other academic)
  • 4.
    Ekstrand, Per
    Mälardalen University, Department of Caring and Public Health Sciences.
    Tarzan and Jane in theoretical Jungle - An ethnographic study of different representations of masculinities in Nursing Practice.: Presentation av paper.2004Conference paper (Other (popular science, discussion, etc.))
  • 5.
    Ekstrand, Per
    Uppsala University, Humanistisk-samhällsvetenskapliga vetenskapsområdet, Faculty of Social Sciences, Department of Education.
    "Tarzan och Jane": Hur män som sjuksköterskor formar sin identitet2005Doctoral thesis, monograph (Other academic)
    Abstract [en]

    The study focuses on locally situated interactions between men and women and among men. The main focus is on how men in nursing practice constitute their identities. The aim of the disserta-tion is to understand the meaning of gender, particularly the constitution of masculinities, in the formation of identity for men in nursing.

    Theoretical points of departure were post-structuralist and masculinity theories. Within the theoretical framework, processes of gender should be seen as activities that are relational and integrated in ongoing organisational life, in this case, in the nursing context.

    My methodological approach was qualitative, based on ethnography. Techniques used for data collection were following observations and interviews. I followed seven men in their daily work in two hospital environments, one emergency department and a department in elder care (sheltered housing).

    The gender order was maintained by rewards to medical and technical knowledge and skills. The phenomenon of”gender dizziness” was manifested through interaction and became visible through the men’s practice. Different positions of masculinities co-operated and the physicality of the body was important in performing masculinities. Hegemonic positions of masculinities are maintained and other positions are subordinated. Homosociality creates influence and power in social relations, and it was obvious that the informants in these organisations found ways to keep together, in spite of their different positions in the organisation.

    Some of the informants cross over the border and perform ideals that are not traditional for men in nursing. In the nursing environment these men’s identities show a caring attitude. The stereotype, connected to heteronormative ways of thinking, plays an important role for men in constructing their identities in the nursing context. A central conclusion in this study is that sexuality order put strong pressure on identity formation and the construction of masculinities for men in nursing.

  • 6.
    Ekstrand, Per
    et al.
    Akademin för Hälsa, Vård och Välfärd, Mälardalens högskola.
    Kumpula, Esa
    Om sportens betydelse för manliga relationer i vården2010In: Norma, ISSN 1890-2138, E-ISSN 1890-2146, ISSN 1890-2138, Vol. 5, no 1, p. 60-73Article in journal (Refereed)
  • 7.
    Ekstrand, Per
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Saarnio, Lotta
    Patientens makt och vanmakt i vården2010In: Genusperspektiv på vård och omvårdnad / [ed] Helén Strömberg och Henrik Eriksson, Lund: Studentlitteratur , 2010, 2Chapter in book (Other academic)
  • 8.
    Kumpula, Esa
    et al.
    School of Health Care and Social Welfare, Mälardalens University .
    Ekstrand, Per
    Red Cross University College of Nursing.
    Challenges and Possibilities for Understanding Men's Health in Twenty-First Century Forensic Psychiatric Care2014In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 35, no 8, p. 613-9Article in journal (Refereed)
    Abstract [en]

    Forensic psychiatric care in Sweden constitutes a specific institutional environment in health care in terms of gender and power relationships. This context emphasizes safety and protection in an environment where men constitute a majority of the patients and staff. It involves relationships among men's health, constructions of masculinities, and issues regarding equality between women's and men's caring work. The aim of this theoretical article is to problematize men's health in relation to constructions of masculinities. Our analysis shows how the perception of health is involved in the construction of masculinities and how this plays out in daily interactions between caregivers and patients.

  • 9.
    Kumpula, Esa
    et al.
    School of Health, Care and Social Welfare, Mälardalens University, Västerås.
    Ekstrand, Per
    Director of Nursing Program, Head of Division, School of Health, Care and Social Welfare, Mälardalens University, Västerås.
    Doing things together: male caregivers’ experiences of giving care to patients in forensic psychiatric care2013In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 20, no 1, p. 64-70Article in journal (Refereed)
    Abstract [en]

    Studies into work carried out by male caregivers in a care environment in which male patients and male caregivers constitute a majority are lacking. The purpose of this study was to illuminate the experiences of male caregivers in providing care for patients in forensic psychiatric care. The study has a qualitative design and data were constituted by interviews with six male caregivers at a clinic of forensic psychiatry in a town in central Sweden. The method of analysis chosen was latent content analysis. The results consist of four themes: Activities as a component of care, Social training as the basis of care, Feelings of powerlessness and Seeing the complete person. The experience that comes out most distinctly in the descriptions given by caregivers involves performing activities together with the patients. The activities had different significances and these contribute to creating a more secure care relationship, in which the boundaries between personnel and patients become less clear. Physical activities contribute to recreating the patient's health. Social training appears as a component of the care in which the significance of rules and routines in the operations was integrated. Feelings of powerlessness arise when the caregivers do not experience that the care given on the ward contributes to recreating health for the patients. Seeing the complete person behind the crime constitutes the themes that can be said to summarize the meaning of the work carried out by male caregivers.

  • 10. Kumpula, Esa
    et al.
    Ekstrand, Per
    Red Cross University College of Nursing.
    Maktordningar som utmaningar i omvårdnaden för patienter inom psykiatrisk vård2014In: Vårdande vid psykisk ohälsa: på avancerad nivå / [ed] Lena Wiklund Gustin, Studentlitteratur AB, 2014, 2, p. 289-306Chapter in book (Other academic)
  • 11.
    Kumpula, Esa
    et al.
    Department of Psychiatry, Forensic Psychiatric Hospital, Sala.
    Ekstrand, Per
    School of Health, Care and Social Welfare, Mälardalens University, Västerås.
    Men and Masculinities in Forensic Psyciatric Care: An interview Study Concerning Male Nurses Experiences of Working with Male Caregivers and Male Patients2009In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, ISSN 0161-2840, Vol. 30, no 9, p. 538-546Article in journal (Refereed)
    Abstract [en]

    Forensic psychiatric care is largely populated by men—as patients, caregivers, and nurses. Previous research has not focused on the meaning of gender in this context. The aim of this study is to analyse male nurses’ experiences of working with male caregivers and attending to male patients in forensic psychiatric care. Data were collected through interviews with sixmale nurses. The results consist of five themes. Protection and defence are key aspects of care and male caregivers gain status and authority through their physical strength. This could hamper caring and provide male caregivers with a superior position in the department.

  • 12.
    Kumpula, Esa
    et al.
    Mälardalens University.
    Gustafsson, Lena-Karin
    Mälardalens University.
    Ekstrand, Per
    The Swedish Red Cross University College, Department of Health Sciences.
    Nursing Staff Talk: Resource or Obstacle for Forensic Psychiatric Patient Care?2019In: Journal of Forensic Nursing, ISSN 1939-3938, E-ISSN 1556-3693, Vol. 15, no 1, p. 52-59Article in journal (Refereed)
    Abstract [en]

    Although forensic psychiatric care is located at the intersection of health care and the Swedish legal system, nursing research has not yet evaluated how language is context bound or its consequences for understanding patient care. The aim of this study was to explore how nursing staff talk about patient care in Swedish forensic psychiatric care and the implications for the care given to patients. The theoretical framework is based on social constructionism and sheds light on how language use can be understood as a social action. Twelve interviews were conducted with nursing staff working in forensic psychiatric settings. The questions focused on patient care in relation to activities, security, relationships with patients, and rules and routines. The results show that nursing staff assignments are encouraging them to use various interpretative repertoires to make meaning about their practice. The three interpretative repertoires were "taking responsibility for correcting patients' behavior," "justifying patient care as contradictory practice," and "patients as unpredictable." However, although forensic psychiatric care emphasizes both security and care, nursing staff's use of these interpretative repertoires provided multiple interpretations that lead to contradictory ways of understanding patient care. These findings show that talk itself can be understood as problematic in various situations. A possible implication for clinical forensic nursing practice might be that the nurse-patient relationship does not support patients' best interests. For example, when language endows the patient with certain characteristics, this talk is justified and given meaning by its context and thus has an influence on a patient's individual need for care.

  • 13.
    Pollak, Charlotte
    et al.
    Stockholm County Council.
    Palmstierna, Tom
    Kald, Magnus
    Linköping University.
    Ekstrand, Per
    The Swedish Red Cross University College, Department of Health Sciences.
    It Had Only Been a Matter of Time Before I Had Relapsed Into Crime: Aspects of Care and Personal Recovery in Forensic Mental Health2018In: Journal of Forensic Nursing, ISSN 1939-3938, E-ISSN 1556-3693, Vol. 14, no 4, p. 230-237Article in journal (Refereed)
    Abstract [en]

    INTRODUCTION: Forensic psychiatry has the dual task of focusing on the prevention of reoffending as well as maintaining psychiatric rehabilitation. No previous studies addressing the patients' own views on reducing their risk of serious reoffending were found.

    AIM: This study describes forensic psychiatric inpatients' own views on what aspects of care and personal recovery are important in reducing their risk of serious reoffending.

    METHODS: A structured qualitative approach was used. Data were collected from semistructured interviews and analyzed with a systematic qualitative content analysis.

    RESULTS: The results highlight aspects of care and personal recovery. Four themes emerged: "time: opportunity for change," "trust: creating a context with meaningful relations," "hope: to reach a future goal," and "toolbox: tools needed for recovery."

    DISCUSSION: The themes present with a continuum. At one end, there are patients who appreciated possibilities to participate actively in care and treatment. At the other end, patients felt they had no use for their care. Interestingly, although patients in our study were asked for their opinion on how they could reduce their dangerousness, all themes fit into established personal recovery processes found in general psychiatric populations. The theme "time: opportunity for change" seems to have an overarching importance.

    IMPLICATIONS FOR PRACTICE: By understanding the specific content along these themes, relevant to the individual patient, carers may be able to better support their personal recovery journey. Because time spent as inpatients in forensic psychiatry is an overarching issue, carers need to be persistent over time.

  • 14.
    Saarnio, Lotta
    et al.
    Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Huddinge.
    Arman, Maria
    Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Huddinge.
    Ekstrand, Per
    School of Health, Care and Social Welfare, Mälardalens University.
    Power relations in patient′s experiences of suffering during treatment for cancer2012In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 68, no 2, p. 271-279Article in journal (Refereed)
    Abstract [en]

    Aim. This paper is a report of how patients who have cancer experience suffering in the context of power relations. Background. Many studies in Sweden and in other countries have detected inequality in healthcare use and resources, including unseen influences that can be connected to gender and distribution of resources. Few studies have examined how multiple relations of power - such as gender, ethnicity, age and education - influence how people with cancer experience suffering during treatment. Method. A hermeneutic design was used. Qualitative interviews were conducted with 12 women and 14 men receiving treatment for a variety of cancer diagnoses. The data collection was done at two hospitals in Sweden during 2008-2009. The interpretation of data was based on two theoretical perspectives - suffering and intersectionality. Results. The results highlight patients suffering where two or more positions of power relations interacted with each other. Three main themes were identified: the complexity of control, the vulnerable effects of body changes, and the internal battle of survival. Conclusion. A vulnerable social situation for people with cancer concretely increased their suffering. Social inequalities, seemingly linked to social hierarchy, increased the suffering of people with cancer. For example, women with cancer with a low education belonging to an ethnic minority suffered more than highly educated patients belonging to the ethnic majority.

1 - 14 of 14
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