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Hellström Muhli, Ulla, DocentORCID iD iconorcid.org/0000-0002-3870-6426
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Publications (10 of 21) Show all publications
Lundin, A., Berg, L.-E. & Hellström Muhli, U. (2016). Witnessing presence: Swedish care professionals' experiences of supporting resident's well-being processes within the frame of residential care homes (RCH). Journal of Aging Studies, 37, 1-9
Open this publication in new window or tab >>Witnessing presence: Swedish care professionals' experiences of supporting resident's well-being processes within the frame of residential care homes (RCH)
2016 (English)In: Journal of Aging Studies, ISSN 0890-4065, E-ISSN 1879-193X, Vol. 37, p. 1-9Article in journal (Refereed) Published
Abstract [en]

The purpose of this article is to analyse the phenomenon of supportive care for older persons' well-being. The phenomenon is seen from the eldercarers' meaning-making through their lifeworld perspective at a residential care home. Based on primary empirical interview material with twelve professionals in the context of Swedish eldercare, a phenomenological analysis was undertaken. The result shows that the phenomenon of supportive care for older persons' well-being creates certain ambiguities in the professionals' meaning-making. In practice, it balances between the older persons' (from hereon called residents) needs and the conditions of the eldercare organization. The ambiguities (the what) is made up by three constituents: (i) freedom of choice for the older persons vs. institutional constraints, (ii) the residents' need for activation vs. wanting not to be activated, and (iii) the residents' need for routine vs. the eldercarers' not being able to know what the residents need. The conclusions drawn are that this ambiguity has consequences for the eldercarers' choice of handling supportive care for older persons' well-being (the how). They have to navigate between the support for authenticity, dwelling and mobility, and their own presence and time. In performing supportive care for older persons' well-being, the eldercarers have to consider aspects concerning the resident's lifeworld, the social setting of the eldercare ward, and the institutional demands of the organization. The practical implications for supporting well-being in the care of older residents are manifested in the importance of 'the little things', and the eldercarer's ability to give receptive attention, which requires presence.

Place, publisher, year, edition, pages
Elsevier, 2016
Keywords
Supportive care, Well-being, Lived experience, Care professionals, Residential care home
National Category
Other Medical Sciences Social Work Social Psychology
Research subject
Woman, Child and Family (WomFam)
Identifiers
urn:nbn:se:his:diva-12600 (URN)10.1016/j.jaging.2016.01.001 (DOI)000376704700001 ()27131273 (PubMedID)2-s2.0-84960873221 (Scopus ID)
Available from: 2016-06-27 Created: 2016-06-27 Last updated: 2023-10-02Bibliographically approved
Lundin, A., Berg, L.-E. & Muhli, U. H. (2013). Feeling existentially touched - A phenomenological notion of the well-being of elderly living in special housing accommodation from the perspective of care professionals. International Journal of Qualitative Studies on Health and Well-being, 8, Article ID 20587.
Open this publication in new window or tab >>Feeling existentially touched - A phenomenological notion of the well-being of elderly living in special housing accommodation from the perspective of care professionals
2013 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 8, article id 20587Article in journal (Refereed) Published
Abstract [en]

This article presents a phenomenological analysis of interview material, in which 12 care professionals in elderly care reflect on the elderly's well-being within the frame of special housing accommodation. The perspective of the care professionals is of special interest. The findings show that the well-being is characterized as the elderly's feelings of being existentially touched. The well-being is an existential experience of being acknowledged as a human being and is an approach that classifies the elderly's needs as those of having, loving, and being. The meaning of the phenomenon is elucidated by the constituents: (1) to feel the freedom of choice, (2) to feel pleasure, and (3) to feel closeness to someone or something. The findings contribute new understanding of well-being in the elderly care by its existential dimension of the well-being as "just being'' and of doing things in order to experience meaningfulness. Accordingly, the well-being of the elderly as it is seen from the perspective of the care professionals involves both carers' subjectivity and intersubjectivity between the care professional and the elderly. An implication for promoting elderly's well-being is to develop awareness of these existential dimensions.

Place, publisher, year, edition, pages
CoAction Publishing, 2013
Keywords
Well-being, phenomenology, elderly care, lifeworld, lived experience, existentially touched
National Category
Nursing
Research subject
Humanities and Social sciences
Identifiers
urn:nbn:se:his:diva-8573 (URN)10.3402/qhw.v8i0.20587 (DOI)000317964600001 ()23601762 (PubMedID)2-s2.0-84878910405 (Scopus ID)
Available from: 2013-10-24 Created: 2013-10-24 Last updated: 2023-10-02Bibliographically approved
Hellström Muhli, U. & Delbene, R. (2012). The ethical dimension of presence in elderly care talk-encounter. In: J.C. Gonçalves (Ed.), Discursive, ethical, and psychological dimensions of Presence in Health Care Communication – implications for professional education. Niteroi: Editora da Universidade Federal Fluminense
Open this publication in new window or tab >>The ethical dimension of presence in elderly care talk-encounter
2012 (English)In: Discursive, ethical, and psychological dimensions of Presence in Health Care Communication – implications for professional education / [ed] J.C. Gonçalves, Niteroi: Editora da Universidade Federal Fluminense , 2012Chapter in book (Refereed)
Place, publisher, year, edition, pages
Niteroi: Editora da Universidade Federal Fluminense, 2012
Keywords
Discourse, health care communication, ethics, presence
National Category
Other Medical Sciences not elsewhere specified
Research subject
Humanities and Social sciences
Identifiers
urn:nbn:se:his:diva-5434 (URN)
Projects
Discourse, health care communication, ethics, presence
Available from: 2012-02-17 Created: 2012-02-17 Last updated: 2021-11-30Bibliographically approved
Hellberg, I., Augustsson, V. & Hellström Muhli, U. (2011). Seniors' experiences of living in special housing accommodation. International Journal of Qualitative Studies on Health and Well-being, 6(1), Article ID 5894.
Open this publication in new window or tab >>Seniors' experiences of living in special housing accommodation
2011 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 6, no 1, article id 5894Article in journal (Refereed) Published
Abstract [en]

This article presents a hermeneutic phenomenological analysis of interview material in which 12 seniors living in Special Housing Accommodation (SHA) facilities reflect on the experience of living in such facilities. Of particular interest in the analysis is living in a SHA as a phenomenon. The finding shows that the phenomenon of lived experience in a SHA seems to be a state of ambiguity regarding one’s existence, which is made up of several constituents (elements of meaning).The analysis contributes to the understanding of how the phenomenon of SHA living is coming into existence as a need, due to an individual’s failing health; however, the SHA is not considered to be a true home. Accordingly, this has consequences to the subject position for the seniors in that they have to navigate between existing and not existing. The seniors learn to cope with living in the SHA by lowering their expectations of life and existence while the SHA provides the prerequisites for their existence. An implication for promoting care is to support the seniors to enable a full existence of life within SHA living.

Place, publisher, year, edition, pages
CoAction Publishing, 2011
Keywords
Seniors, lifeworld, lived experience, residential living, ambiguity of existence
National Category
Medical and Health Sciences Gerontology, specialising in Medical and Health Sciences
Research subject
Medical sciences
Identifiers
urn:nbn:se:his:diva-5149 (URN)10.3402/qhw.v6i1.5894 (DOI)000288910000004 ()21412446 (PubMedID)2-s2.0-84874997881 (Scopus ID)
Available from: 2011-06-28 Created: 2011-06-28 Last updated: 2023-03-13Bibliographically approved
Hellström Muhli, U. (2010). Accounts of Pain Experience in a Swedish Elderly Care Context. Communication & Medicine: An Interdisciplinary Journal of Healthcare, Ethics and Society, 7(1), 56-64
Open this publication in new window or tab >>Accounts of Pain Experience in a Swedish Elderly Care Context
2010 (English)In: Communication & Medicine: An Interdisciplinary Journal of Healthcare, Ethics and Society, ISSN 1612-1783, E-ISSN 1613-3625, Vol. 7, no 1, p. 56-64Article in journal (Refereed) Published
Place, publisher, year, edition, pages
London: Equinox Publishing, 2010
National Category
Gerontology, specialising in Medical and Health Sciences
Research subject
Humanities and Social sciences
Identifiers
urn:nbn:se:his:diva-5431 (URN)
Available from: 2012-02-17 Created: 2012-02-17 Last updated: 2023-08-25Bibliographically approved
Hellström Muhli, U. (2010). Accounts of pain experience in an elderly care context. Communication & Medicine: An Interdisciplinary Journal of Healthcare, Ethics and Society, 7(1), 55-64
Open this publication in new window or tab >>Accounts of pain experience in an elderly care context
2010 (English)In: Communication & Medicine: An Interdisciplinary Journal of Healthcare, Ethics and Society, ISSN 1612-1783, E-ISSN 1613-3625, Vol. 7, no 1, p. 55-64Article in journal (Refereed) Published
Abstract [en]

This article aims to show how a discourse and communication based approach in the context of the care of the elderly provides a basis for reflecting on pain. Based on six hours of data from talk encounters between care professionals and elderly clients, an activity analysis of institutional settings and categorization of interactional discourse was undertaken. The focus  was:  (a)  how  elderly  people  initiated  painful accounts, and (b) how the professionals oriented to such  accounts.  It  is  found  that  pain-talks  are  governed by the institutional practice of different phases: framing; mapping troubles and symptoms; clients’ self  presentations;  counseling,  and  concluding.  This phase structure exemplifies knowledge of communicative  activities  and  is  part  of  practical  knowledge which  the  party,  or  at  least  the  professional,  is  expected to become acquainted with. A thematic interactional map of critical moments related to pain as (a) social death and hope, and (b) presentation of self as  past  and  self  as  present  emerges.  The  caring  aspect is to support hope and to change the focus from social death to life and recovering. In foregrounding health, it is important for the elderly people to affirm their identity of themselves as being good and honest persons.

Place, publisher, year, edition, pages
Equinox Publishing, 2010
National Category
Medical and Health Sciences
Research subject
Medical sciences
Identifiers
urn:nbn:se:his:diva-4525 (URN)10.1558/cam.v7i1.55 (DOI)21462857 (PubMedID)2-s2.0-78049381988 (Scopus ID)
Available from: 2011-01-03 Created: 2011-01-03 Last updated: 2023-08-25Bibliographically approved
Hellström Muhli, U. (2010). Accounts of professional and institutional tension in the context of Swedish elderly care.. Journal of Aging Studies, 24(1), 47-56
Open this publication in new window or tab >>Accounts of professional and institutional tension in the context of Swedish elderly care.
2010 (English)In: Journal of Aging Studies, ISSN 0890-4065, Vol. 24, no 1, p. 47-56Article in journal (Refereed) Published
Abstract [en]

This article describes need assessment dialogues, the circumstances surrounding care, and the provision of residential care and in-home support for the elderly in Sweden, as seen from a communicative perspective. The purpose was to systematically describe and analyse the accounts of welfare officers concerning elderly care. The research questions were: How is the internal care context perceived and constituted through discourse? How do welfare officers manage the daily demands, expectations, tasks, and dilemmas in the encounter with the individual citizen? What significance do the welfare officers give their work and their professional tasks?Eleven interviews with welfare officers from elderly and handicapped care organisation of three municipalities were held, and a discursive analysis was made from the collected data. Four characteristic discursive phenomena in the welfare officers' accounts were observed: (I) the rights of the elderly, (II) living at home, (III) good relations, and (IV) the complaisance. The study shows that the dialogues with elderly contain communicative dilemmas and mixed loyalties. The welfare officers navigate between different perspectives and double approaches. She/he uses the navigating as a strategy and proficiency in their work. However, these proficiencies remain largely unnoticed and unreflected as techniques, strategies, or tools for attaining favourable care.

Place, publisher, year, edition, pages
Elsevier Inc., 2010
Keywords
Accounts, Elderly care, Welfare officer, Communicative activity types
National Category
Medical and Health Sciences
Research subject
Medical sciences
Identifiers
urn:nbn:se:his:diva-3458 (URN)10.1016/j.jaging.2008.06.001 (DOI)000272599300006 ()2-s2.0-70350707617 (Scopus ID)
Available from: 2009-10-20 Created: 2009-10-20 Last updated: 2021-11-30Bibliographically approved
Berggren, E., Sidenvall, B. & Hellström Muhli, U. (2010). Identity construction and meaning-making after subarachnoid haemorrhage. British Journal of Neuroscience Nursing, 6(2), 86-93
Open this publication in new window or tab >>Identity construction and meaning-making after subarachnoid haemorrhage
2010 (English)In: British Journal of Neuroscience Nursing, ISSN 1747-0307, E-ISSN 2052-2800, Vol. 6, no 2, p. 86-93Article in journal (Refereed) Published
Abstract [en]

Aim: The aim was to analyse people's accounts of subarachnoid haemorrhage (SAH) and to describe how they initiate and create meaning for the onset and events surrounding the SAH.

Background: Being struck by a SAH is a dramatic event, often followed by unconsciousness. There is therefore a special need for a patient to try to create some kind of meaning for the event during recovery and afterwards.

Method: Nine interviews were carried out in home settings and discourse analysis was used to interpret the data.

Findings: People stricken by SAH seem to be able to judge from memory for when they were becoming ill. Critical events related to SAH were existential threats and existential insights; and time as 'waiting' and time as 'structuring meaning'. The reconstruction of the illness event may be interpreted as an identity-creating process.

Conclusion: The reconstruction of the illness is a tool that can be used by nurses and other health professionals to understand a patient's self-positioning and identity-construction.

Place, publisher, year, edition, pages
MA Healthcare Ltd., 2010
Keywords
Subarachnoid haemorrhage, Illness narratives, Pain, Memory, Meaning-making, Identity construction
National Category
Nursing Neurology
Research subject
Medical sciences
Identifiers
urn:nbn:se:his:diva-4155 (URN)10.12968/bjnn.2010.6.2.86 (DOI)
Available from: 2010-06-16 Created: 2010-06-16 Last updated: 2023-11-09Bibliographically approved
Niggol, I. & Hellström Muhli, U. (2010). Policy och praxis i särskilt boende och omsorg för äldre personer med utvecklingsstörning - kommunala chefers framställningar. Skaraborgs Kommunalförbund FoU
Open this publication in new window or tab >>Policy och praxis i särskilt boende och omsorg för äldre personer med utvecklingsstörning - kommunala chefers framställningar
2010 (Swedish)Report (Other academic)
Abstract [sv]

Äldre personer med utvecklingsstörning (ÄMU) är en ökande befolkningsgrupp till följd av förbättrad hälsovård och livsvillkor. Därmed får de ett ökat omvårdnads och boendebehov som äldrebefolkningen i övrigt. Kommunerna står därför inför en ny situation. Frågan är om ÄMU ska bo kvar i sin invanda miljö eller flytta till särskilt boende inom äldreomsorgen, eller finns det andra alternativ som tillgodoser ÄMU:s specifika behov. Syftet var att analysera och beskriva hur åtta socialchefer framställer boendeinsatser, omvårdnad och omsorg för ÄMU. En kommunikativ ansats har använts och diskursanalys (DA) i analysarbetet. Data samlades genom intervjuer. Socialchefernas framställningar om ÄMU och deras behov av särskilt boendestöd resovisas som: (i) diskursiv enighet, (ii) diskursiv oenighet och (iii) diskursiv dominans. Utmärkande drag i dessa är: 1) omsorgen om funktionshindrade och äldreomsorgen representerar olika omsorgskulturer som bör fogas samman, 2) cheferna tycks föredra omsorger om funktionshindrade som modell för äldreomsorgen, 3) kunskaper saknas i organisationen om ÄMU:s specifika behov, 4) diskursen om ÄMU och boendestöd är ett diskursivt problemområde i tiden, 5) är ännu på planeringsstadiet som en kommunikativ praktik, snarare än en materiell sådan. Dessa diskursiva drag utgör studiens kunskapsbidrag och kan användas för utvecklingen av boendestöd och omsorg/omvårdnad för ÄMU.

Place, publisher, year, edition, pages
Skaraborgs Kommunalförbund FoU, 2010. p. 34
Keywords
Äldreboende, Gruppboende, Diskursanalys, Utvecklingsstörning, Socialchefer, Äldre
National Category
Medical and Health Sciences
Research subject
Medical sciences
Identifiers
urn:nbn:se:his:diva-4939 (URN)
Available from: 2011-06-01 Created: 2011-06-01 Last updated: 2021-11-30Bibliographically approved
Hellström Muhli, U. (2009). Pain-Talk: The Perspective of User Participator. In: Proceedings of the Seventh Interdisciplinary Conference on Communication, Medicine & Ethics: COMET 2009. Paper presented at 7th Interdisciplinary Conference on Communication, Medicine & Ethics (COMET 2009), Cardiff (pp. 114-120). Colloquia
Open this publication in new window or tab >>Pain-Talk: The Perspective of User Participator
2009 (English)In: Proceedings of the Seventh Interdisciplinary Conference on Communication, Medicine & Ethics: COMET 2009, Colloquia , 2009, p. 114-120Conference paper, Published paper (Refereed)
Abstract [en]

Background It is increasingly recognized that analysis of 'ordinary' language use and social interaction can contribute to our understanding of how individuals express and experience pain, as well as reveal ways in which human suffering is managed. However, there are few studies with a communicative approach to pain which focus on elderly clients. The purpose of this study is to describe language use with regard to accounts of pain experience in a Swedish context of elderly care.Method Based on six hours of recorded, transcribed and translated data from care encounters, an activity analysis of institutional settings as well as categorization of interactional discourse was made. There was a twofold focus: how elderly people initiate painful accounts, and how the professionals orient to such accounts. Attention is drawn to how both parties oriented primarily to the task of information exchange, and how they accomplished credibility by attending to aspects of role-relations and face-work and by shifting between institutional, professional and life-world frames in subtle, but different, ways. Findings It was found that the pain-talk encounters were a communicative activity (type), governed by the phases of: Framing, Mapping troubles and symptoms, Viz. clients, Self presentations, Counseling, and Concluding. A thematic interactional map of critical moment related to pain as social death and hope, and presentation of self as past and self as present, was achieved. Interpretation It is suggested that the caring aspect of professional skills is to support hope and to change focus from social death to life and recovering. It is also suggests that experience of pain in old age can be characterized as not only pathological but also as social and relational. This knowledge contributes to better understanding of pain and pain-related phenomena in old age, which might be useful in nursing.

Place, publisher, year, edition, pages
Colloquia, 2009
Series
Communication & Medicine, ISSN 1613-3625
National Category
Medical and Health Sciences
Research subject
Medical sciences
Identifiers
urn:nbn:se:his:diva-3282 (URN)
Conference
7th Interdisciplinary Conference on Communication, Medicine & Ethics (COMET 2009), Cardiff
Available from: 2010-04-12 Created: 2009-07-09 Last updated: 2021-11-30Bibliographically approved
Projects
Network: Talk, Text and Tools (3T), Scandinavian Interdisciplinary Health Communication Research [2013-00007_Forte]; Uppsala University
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-3870-6426

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