• Home
    • About
      • About the Journal
      • Editorial Team
      • Editorial Policies
      • Submissions
    • Contact
    • Content
      • Articles
      • Issue Archive
      • Special Collections
    • Research Integrity
    \

    Log in

    Don't have an account? Register Here
    Log in With ORCiD

    -------------- OR --------------
    You can reset your password here
    Register
    Start Submission

    Reading: Rehabilitation in the home ‐ interplay and conflicts between different parties

    Share:

    Download

    • PDF (EN)
    • XML (EN)
    A- A+
    • View Harvard Citation Style
    • View Vancouver Citation Style
    • View APA Citation Style
     Alt. Display

    Research

    Rehabilitation in the home ‐ interplay and conflicts between different parties

    Authors:

    Rafael Lindqvist ,

    About Rafael

    Rafael Lindquist, is associate professor at the Department of Sociology, Umeå University. He is currently conducting research on inter-organisational co-operation between welfare state agencies in vocational rehabilitation and disability policies.

    X close

    Maare Tamm

    About Maare

    Maare Tamm, PhD, is senior lecturer in psychology at the Department of Health Sciences, Luleå University of Technology. Her research topics are rehabilitation in home-settings, disabled children's social and physical environments and childrens existential.

    X close

    Abstract

    In this article an organisational and professional perspective is combined with a user approach to analyse the difficulties and obstacles that arise when rehabilitation takes place in the home. The reason for this is that organisations appear to play an increasingly important role in the implementation of welfare policies such as care, home help services and rehabilitation in step with decreasing stringency of central government steering. This increased leeway also brings the potential for increased autonomy for the elderly and the disabled in need of rehabilitation. The fact that professional groups belong to different organisations, have various administrative procedures and aims for their activities means that the goals of professional helpers are not always in accord with the needs and wishes of the care receiver. The article highlights a number of collisions and difficulties that occur when rehabilitation is provided in a home‐setting. It is argued that the opportunities of success in rehabilitation in the home lie in the rehabilitation staff respecting and starting out from the care receivers values, preferences, goals and needs. Professionals must increasingly organise their work around the holistic needs of the disabled person rather than around the individual fields of specialists, who are needed to meet these needs.
    How to Cite: Lindqvist, R. and Tamm, M., 1999. Rehabilitation in the home ‐ interplay and conflicts between different parties. Scandinavian Journal of Disability Research, 1(2), pp.44–65. DOI: http://doi.org/10.1080/15017419909510743
    8
    Views
    5
    Citations
      Published on 02 Jul 1999
    Peer Reviewed
     CC BY 4.0

    References

    1. Ahlström , C and Jonssonm , T (1998). . . Att arbeta i någon annans hem ‐ ur arbetsterapeutens synpunkt [Working in sombody else's home ‐ from the viewpoint of the occupational therapist]. , : 10.Boden Univeristy College of Health Sciences (Examensarbete. .  

    2. Arras , J D and Dubler , NN (1994). . . Bringing the hospital home. Ethical and social implications of high‐tech home care. . Hastings Centre Report , 24: : 19.–.  

    3. Beilner , A‐L (1997). . . Professionalization and rehabilitation. The case of Swedish occupational and physical therapists. , (Diss.) Linköping University, Linköping Studies in Arts and Science, No 166. .  

    4. Berg , E (1994). . . Public work in the home of the private individual. , Luleå University of Technology, Research report, Department of Human Work Sciences. .  

    5. Bergman , B (1989). . . Being a physiotherapist. Professional role, utilization of time and vocational strategies. , Umeå University, Dept of Physical Medicine and Rehabilitation. . (diss.).. 

    6. Bowers , B J (1987). . . Intergenerational caregiving: Adult caregivers and their aging parents. . Advanced Nursing Science , 9: : 20.–.  

    7. Bryggman , A , Pettersson , T and Töyrä , C (1998). . . Vårdtagarens, anhörigas och arbetstera‐peuters upplevelser av autonomi vid rehabilitering i hemmet [The experiences of autonomy of care receivers, relatives and occupational therapists in rehabilitation in a home‐setting]. , Boden University College of Health Sciences, (Examensarbete 10 p). .  

    8. Bäckström , G and Tamm , M (1999). . . “[Introducing medical‐technical aids in the home ‐ a qualitative study on ethical conflicts facing the occupational therapist]. ”. In Att införa medicintekniska hjälpmedel i hemmet ‐ en kvalitativ Studie om etiska konflikter för. , Umeå University, Dept of Physical Medicine and Rehabilitation. (Magister‐uppsats). .  

    9. Carpenter , M (1993). . . “The subordination of nurses in health care: towards a social divisions approach. ”. In Gender, work and medicine. Women and the medical division of labour. , Edited by: Riska , E and Wegar , K  . [city: London]: : Sage. .  

    10. Chiou , IL and Burnett , CN (1985). . . A survey of stroke patients and their home therapists. . Physical Therapy , 65: : 901.–.  

    11. Clark , PG (1996). . . Communication between providers and patient: Values, biography and empowerment in clinical practice. . Ageing and Society , 16: : 747.–.  

    12. Collopy , B , Dubler , N and Zuckerman , C (1990). . . The ethics of home care: Autonomy and Accomodation. . Hastings Centre Report, , March/April, 1–16 1990 

    13. Davies , C (1996). . . Gender and the predicament of nursing. , [city: Buckingham]: : Open University Press. .  

    14. Delbanco , T (1992). . . Enriching the doctor‐patient relationship by inviting the patient's perspective. . Annals of Internal Medicine , 116: : 414.–.  

    15. DiMaggio , PJ and Powell , WW (1991). . . “ The iron cage revisited: institutional isomorphism and collective rationality. ”. In The New Institutionalism in Organisational Analysis. , Edited by: Powell , WW and DiMaggio , P  . [city: Chicago]: : The University of Chicago Press. .  

    16. Eliasson , R‐M (1996). . . “[Varieties of care. Concept, everyday life and politics]. ”. In Omsorgens skiftningar. Begreppet, vardagen, Politiken, forskningen. , [city: Lund]: : Studentlitteratur. .  

    17. Eriksson , R and Flinkfeldt , M (1998). . . “[Ethical problems experienced by physiotherapists in rehabilitation in home‐settings]. ”. In Etiska problem hos sjukgymnaster vid rehabilitering i hemmet. , Boden University College of Health Sciences (Examensarbete 10 p.). .  

    18. Etzioni , A (1969). . . The Semi‐Professions and Their Organizations: Teachers, Nurses, Social Workers. , [city: New York]: : Free Press. .  

    19. Freidson , E (1988). . . Profession of Medicine. A Sociology of Applied Knowledge. , [city: Chicago]: : Chicago University Press. .  

    20. Friedland , R and Alford , R (1991). . . “Bringing society back in: Symbols, practices and institutional contradictions. ”. In The New Institutionalism in Organisational Analysis. , Edited by: Powell , WW and DiMaggio , P  . [city: Chicago]: : The University of Chicago Press. .  

    21. FSA (1992). . . Etisk kod för arbetsterapeuter [Ethical code för occupational therapists]. , [city: Nacka]: : Förbundet Sveriges Arbetsterapeuter. .  

    22. Gage , M (1995). . . Re‐engineering of health care: Opportunity or threat for occupational therapists?. . Canadian Journal of Occupational Therapy , 6: : 197.–.  

    23. Gitlin , LN and Burgh , D (1995). . . Issuing assistive devices to older patients in rehabilitation: An exploratory study. . American Journal of Occupational Therapy , 49: : 994.–.  

    24. Hasenfeld , Y and Hasenfeld , Y (1992). . . “The nature of human service organizations. ”. In Human services as complex organizations. , [city: London]: : Sage. .  

    25. Hasselkus , BR (1989). . . The meaning of daily activity in family caregiving for the elderly. . American Journal of Occupational Therapy , 43: : 649.–.  

    26. Helman , CG (1994). . . Culture, health and illness. , 3:d ed , [city: London]: : Butterworth‐Heineman Ltd. .  

    27. Heyman , I (1995). . . “[The emergence of nursing research in Sweden]. ”. In Gänge hatt till... Omvårdnadsforskningens framväxt i Sverige ‐ sjuksköterskors avhandlingar 1974–1997. , [city: Göteborg]: : Daidalos. .  

    28. HSL, Hälso‐ och sjukvårdslagen 1982:763 (). . “(Health and Medical Care Act). ”. In Författningshandbok 1998. , [city: Stockholm]: : Liber AB. .  

    29. Hvinden , B (1994). . . Divided against itself. A study of integration in welfare bureaucracy. , [city: Oslo]: : Scandinavian University Press. .  

    30. Johansson , R (1992). . . “[At the boundaries of bureaucracy]. ”. In Vid byråkratins gränser. , [city: Lund]: : Arkiv. .  

    31. Johansson , S and Lindell , M (1990). . . Etik ställs mot lag vid vård i hemmet. Personalen offrar sina intressen [Ethics against law in care in the home‐setting. Employees sacrificing their interests]. . Läkartidningen , 87: : 2125.–.  

    32. Kielhofner , G (1995). . . A Model of Human Occupations . , 2:d ed , [city: Baltimore]: : William & Wilkins. .  

    33. Lipsky , M (1980). . . Street‐Level Bureaucracy. , [city: New York]: : Russel Sage Foundation. .  

    34. Lundgren , K and Sundqvist , L (1998). . . Vårdtagares upplevelser och erfarenheter av arbetsterapi och annan rehabilitering i hemmet [Care receivers’ experiences of occupational therapy and other rehabilitation in the home‐setting]. , Boden University College of Health Sciences (Examensarbete arbete 10 p). .  

    35. Meyer , JW (1994). . . “Rationalized Environments. ”. In Institutional Environments and Organisations. , Edited by: Scott , R and Meyer , JW  . [city: Thousand Oaks]: : Sage. .  

    36. Murphy , R (1987). . . The body silent. , [city: New York]: : W.W. Norton. .  

    37. Reiser , S (1993). . . The era of the patient. . Journal of the Medical Association , 269: : 1012.–.  

    38. Sahlin‐Andersson , K and Sundin , E (1997). . . “Kvinnoyrken i omvandling. Om ändrade gränser och relationer i sjukvården [Female occupations in transition. On transformed boundaries and relations in health care]. ”. In ed SOU 1997:83 Om makt och kön [ On power and gender. , [city: Stockholm], [state: Fritzes]: : Swedish public investigations]. .  

    39. Scott , R (1991). . . “Unpacking institutional arguments. ”. In The New Institutionalism in Organisational Analysis. , Edited by: Powell , WW and DiMaggio , P  . [city: Chicago]: : Chicago University Press. .  

    40. Scott , R (1992). . . Organizations: Rational, natural and open systems . , 3:d ed , [city: Thousands Oaks]: : Sage. .  

    41. Scott , R (1995). . . Institutions and Organisations. , [city: Thousand Oakes]: : Sage. .  

    42. Sim , J (1985). . . Physiotherapy: a professional profile. . Physiotherapy Practice , 1: : 14.–.  

    43. SoL. Socialtjänstlagen (). . [Social Services Act] 1980:620. Författningshandbok 1998. , [city: Stockholm]: : Liber AB. .  

    44. SoS (1993:10) (). . Rehabilitering inom hälso‐ och sjukvården [Rehabilitation in health care]. , [city: Stockholm]: : Socialstyrelsen [National Swedish board of Health and Welfare]. .  

    45. SOU 1997:154 (). . “[The patient is right. Swedish public investigations]. ”. In Patienten har rätt. , [city: Stockholm]: : Fritzes. .  

    46. Strauss , A , Fargerhaughm , S , Suczek , B and Wiener , C (1985). . . The social organisation of medical work. , [city: Chicago]: : Chicago University Press. .  

    47. Tamm , M (1996). . . Ethical Dilemmas encountered by community‐based occupational therapists in home care settings. . Scandinavian Journal of Occupational Therapy , 3: : 180.–.  

    48. Tamm , M (1999). . . What does a home mean and when does it cease to be a home? Home as a setting for rehabilitation and care. . Disability and Rehabilitation , 21: : 49.–.  

    49. Tamm , M (1999a). . . Relatives as a help or a hindrance ‐ a grounded theory study seen from the perspective of the occupational therapist. . Scandinavian Journal of Occupational Therapy , 6: : 36.–.  

    50. Watson , PG (1987). . . Family participation in the rehabilitation process: The rehabilitators’ perspective. . Rehabilitation Nursing , 12: : 2. 

    51. Wærness , K (1984). . . The rationality of caring. . Economic and Industrial Democracy , 5: : 185.–.  

    52. Yerxa , EJ (1994). . . In search of good ideas for occupational therapy. . Scandinavian Journal of Occupational Therapy , 1: : 7.–.  

    Lindqvist, R. and Tamm, M., 1999. Rehabilitation in the home ‐ interplay and conflicts between different parties. Scandinavian Journal of Disability Research, 1(2), pp.44–65. DOI: http://doi.org/10.1080/15017419909510743

    Lindqvist R, Tamm M. Rehabilitation in the home ‐ interplay and conflicts between different parties. Scandinavian Journal of Disability Research. 1999;1(2):44–65. DOI: http://doi.org/10.1080/15017419909510743

    Lindqvist, R., & Tamm, M. (1999). Rehabilitation in the home ‐ interplay and conflicts between different parties. Scandinavian Journal of Disability Research, 1(2), 44–65. DOI: http://doi.org/10.1080/15017419909510743

    Lindqvist R and Tamm M, ‘Rehabilitation in the Home ‐ Interplay and Conflicts Between Different Parties’ (1999) 1 Scandinavian Journal of Disability Research 44 DOI: http://doi.org/10.1080/15017419909510743

    Lindqvist, Rafael, and Maare Tamm. 1999. “Rehabilitation in the Home ‐ Interplay and Conflicts Between Different Parties”. Scandinavian Journal of Disability Research 1 (2): 44–65. DOI: http://doi.org/10.1080/15017419909510743

    Lindqvist, Rafael, and Maare Tamm. “Rehabilitation in the Home ‐ Interplay and Conflicts Between Different Parties”. Scandinavian Journal of Disability Research 1, no. 2 (1999): 44–65. DOI: http://doi.org/10.1080/15017419909510743

    Lindqvist, R.and M. Tamm. “Rehabilitation in the Home ‐ Interplay and Conflicts Between Different Parties”. Scandinavian Journal of Disability Research, vol. 1, no. 2, 1999, pp. 44–65. DOI: http://doi.org/10.1080/15017419909510743

    Jump to Discussions
    comments powered by Disqus
    • E-ISSN: 1745-3011
    • Published by Stockholm University Press
    • Terms and Conditions
    • Privacy Policy