[{"_id":"project:2924","_type":"project","abstract":{"sv":"Vårt bidrag till att omsätta målen i Agenda 2030 till verklighet är att fokusera på människor i välfärdssamhället som lever med svår ohälsa, marginaliserade och i fattigdom. I höginkomstländer som Sverige, drabbas kvinnor i hemlöshet av extrema ohälsoklyftor, vilket resulterar i ett förkortat liv. Projektets övergripande mål är att utveckla och implementera interventioner för jämlik vård och hälsa till kvinnor i hemlöshet; i nära samarbete med kvinnor, avnämare från hälso- och sjukvård, sjuksköterskeutbildningar, civilsamhället och Nationellt Centrum för Kvinnofrid.  Projektet omfattar tre områden:  Förhindra stigma och diskriminering inom hälso- och sjukvård: hinder/möjligheter till jämlik vård före och under COVID-19 pandemin; vad som upplevs som god vård;  sjuksköterskors vårdande, kliniska-demografiska variabler, attityder kring hemlöshet, hälsa, våldsutsatthet och hälsolitteracitet; använda en kunskap/utbildningsintervention för sjuksköterskor och sjuksköterskestudenter.  Använda digitalisering för ökad tillgång till hälso- och sjukvård: hinder/möjligheter och attityder till användande av informationsteknologi (IT) i sjukvård, samt användande av eHälsa för att främja jämlik vård till kvinnor i hemlöshet.  Öka kunskapen om genusspecifika skillnader: genom att följa en kohort av personer med beroendeproblematik som lever i hemlöshet och undersöka huruvida män jämfört med kvinnor erhåller vård utifrån nationella riktlinjer vid missbruk samt vård under COVID-19 pandemin. Vidare att utveckla en nationell handlingsplan för kvinnor i hemlöshet som utsatts för våld i nära relationer. Interventionerna avser att (1) öka kunskapen hos sjuksköterskor och sjuksköterskestudenter om jämlik vård till kvinnor i hemlöshet; (2) Utveckla eHälsa för kvinnor i hemlöshet; och (3) utveckla vården till kvinnor i hemlöshet som utsatts för trauma, våld och övergrepp. Projektet fokuserar på mål 3 God hälsa och välbefinnande, mål 5 Jämställdhet och mål 10 Minskad ojämlikhet i Sverige. Projekt id: 2019-01095_VR","en":"Our contribution to implementing Agenda 2030 is focusing health efforts on people in extremely poor health due to marginalization, multi-morbidity, and poverty. Women in homelessness in high-income countries face extreme health inequities, resulting in considerably shortened lives. The goal is to develop and implement healthcare interventions for inclusion health among homeless women in Sweden; in collaboration with the women, stakeholders from healthcare services, nurse education, civil society and the Centre for Knowledge on Men´s Violence against Women. Three work packages form the project:  End stigmatisation and discrimination in healthcare: exploring barriers/facilitators for inclusion health before and during COVID-19 pandemic, caring behaviors in RNs, clinical- and demographic variables, attitudes toward homelessness, health, exposure to violence, health literacy and use of IT; using a knowledge intervention/education for RNs and nursing students. Use digitalization to increase access to healthcare services: to describe the barriers and facilitators of IT; the attitudes towards eHealth to promote inclusion health among women in homelessness. Increase knowledge about gender-specific differences: through a cohort of persons with addiction in homelessness; to investigate if men receive care in line with national guidelines for addiction care as compared to women and in the same cohort explore COVID-19 related care. Further to develop a National Action Plan for Women in Homelessness who have been exposed to violence. The interventions focus on: (1) Increase knowledge about inclusion health for women in homelessness for RNs and nursing students; (2) Develop eHealth for women in homelessness; and (3) Develop and implement a National Action Plan for Care of Homeless Women with Experiences of Abuse, Assault and Trauma. This project targets Goal 3 Good health and wellbeing, 5 Achieving gender equality, and 10 Reducing inequality within Sweden."},"project_id":"2020-00169_Forte","identifier_short":"2020-00169","local_ids":{"esh":["41912"]},"dates":{"start_date":"2021-01-01","end_date":"2023-12-31"},"organizations":[{"funding":[{"_id":93,"id":"202100-5240","sv":"Forte, Forskningsrådet för hälsa, arbetsliv och välfärd","en":"Forte, Swedish Research Council for Health, Working Life and Welfare"},{"_id":2,"id":"202100-5208","sv":"Vetenskapsrådet","en":"Swedish Research Council"}]},{"coordinating":[{"_id":886305,"id":"556688-5280","sv":"Marie Cederschiöld högskola","en":"Marie Cederschiöld University"}]}],"people":[{"project_leaders":[{"_id":"authority-person:12941","orcid":"0000-0001-5104-1281","name":"Mattsson, Elisabet","role":"principal_investigator","affiliation":[{"_id":886305,"id":"556688-5280","sv":"Marie Cederschiöld högskola","en":"Marie Cederschiöld University"}]}]},{"other_personnel":[{"orcid":"0000-0001-5631-3223","name":"Bockgård, Gustav","role":"co_investigator"},{"_id":"authority-person:74533","orcid":"0000-0001-7935-3260","name":"Klarare, Anna","role":"co_investigator","affiliation":[{"_id":886305,"id":"556688-5280","sv":"Marie Cederschiöld högskola","en":"Marie Cederschiöld University"}]},{"_id":"authority-person:101422","orcid":"0000-0001-8701-4226","name":"Westman, Jeanette","role":"co_investigator","affiliation":[{"_id":886305,"id":"556688-5280","sv":"Marie Cederschiöld högskola","en":"Marie Cederschiöld University"}]},{"_id":"authority-person:77291","orcid":"0000-0002-1453-6186","name":"Vamstad, Johan","role":"co_investigator","affiliation":[{"_id":886305,"id":"556688-5280","sv":"Marie Cederschiöld högskola","en":"Marie Cederschiöld University"}]},{"_id":"authority-person:77264","orcid":"0000-0002-2135-2684","name":"Kneck, Åsa","role":"co_investigator","affiliation":[{"_id":886305,"id":"556688-5280","sv":"Marie Cederschiöld högskola","en":"Marie Cederschiöld University"}]},{"orcid":"0000-0002-2610-8998","name":"Salzmann, Martin","role":"co_investigator"},{"orcid":"0000-0003-3691-8326","name":"Rosenblad, Andreas","role":"co_investigator","affiliation":[{"_id":1365,"sv":"Institutionen för medicinska vetenskaper","en":"Department of Medical Sciences","parent":[{"_id":1326,"sv":"Medicinska fakulteten","en":"Faculty of Medicine","parent":[{"_id":1311,"sv":"Medicinska och farmaceutiska vetenskapsområdet","en":"Disciplinary Domain of Medicine and Pharmacy","parent":[{"_id":978,"id":"202100-2932","sv":"Uppsala universitet","en":"Uppsala University"}]}]}]}]},{"name":"Olsson, Malin","role":"co_investigator","affiliation":[{"_id":886305,"id":"556688-5280","sv":"Marie Cederschiöld högskola","en":"Marie Cederschiöld University"}]}]}],"tags":[{"_id":11699,"id":"30399","sv":"Annan hälsovetenskap","en":"Other Health Sciences"}],"titles":{"sv":"Jämlik vård till kvinnor som lever i hemlöshet - utveckling, genomförbarhet och implementering av interventioner","en":"Inclusion health for women in homelessness - development, feasibility and implementation of interventions"},"total_funding":"4700000","type_of_awards":{"sv":"Övrigt","en":"Other"},"publications":[{"id":"diva2:2068709","type":"article-journal","status":"Published","issued":{"date-parts":[[2026]]},"title":"Associations Between Violence and Psychological Distress Among Women Experiencing Homelessness : A Cross-Sectional Study","language":"eng","author":[{"family":"Klarare","given":"Anna","ORCID":"0000-0001-7935-3260","localId":"annkl773","affiliation":[{"id":"890204","name":"Uppsala universitet, CIRCLE – Interventionsforskning inom hälsa och vård"},{"name":"Boston Coll, Connell Sch Nursing, Boston, MA USA"}]},{"family":"Mattsson","given":"Elisabet","ORCID":"0000-0001-5104-1281","localId":"elmat838","affiliation":[{"id":"890204","name":"Uppsala universitet, CIRCLE – Interventionsforskning inom hälsa och vård"},{"name":"Marie Cederschiold Univ, Dept Healthcare Sci, Stockholm, Sweden.;Marie Cederschiold Univ, Dept Hlth Care Sci, Stigbergsgatan 30, S-11628 Stockholm, Sweden"}]},{"family":"Gaber","given":"Sophie Nadia","ORCID":"0000-0001-5804-0433","localId":"sopga474","affiliation":[{"id":"890204","name":"Uppsala universitet, CIRCLE – Interventionsforskning inom hälsa och vård"}]},{"family":"Rapaport","given":"Penny","ORCID":"0000-0003-0479-6950","affiliation":[{"name":"UCL, Fac Brain Sci, Div Psychiat, London, England."}]},{"family":"Rosenblad","given":"Andreas","ORCID":"0000-0003-3691-8326","localId":"ankar957","affiliation":[{"id":"14500","name":"Uppsala universitet, Klinisk diabetologi och metabolism"},{"id":"1431","name":"Uppsala universitet, Statistiska institutionen"},{"name":"Karolinska Inst, Dept Neurobiol Care Sci & Soc, Div Family Med & Primary Care, Stockholm, Sweden"}]}],"abstract":"This study examines the association between violence exposure and psychological distress among women experiencing homelessness (n = 41). Using a cross-sectional survey design, we assessed emotional, physical, and sexual violence perpetrated by both close (e.g., intimate partners, family members) and non-close (e.g., acquaintances, strangers) individuals and their impact on mental well-being. Findings indicate high levels of violence, with greater exposure linked to increased distress. Each form of violence in close relationships was independently associated with distress, highlighting its broad health consequences. Addressing the significant burden of violence among women experiencing homelessness requires both healthcare recognition and structural interventions. Comprehensive, trauma-informed approaches are essential to mitigate the impact of violence on psychological well-being.","DOI":"10.1177/10778012251351935","PMID":"40551676","ScopusId":"2-s2.0-105013331196","NBN":"urn:nbn:se:uu:diva-588887","issue":"9","volume":"32","page":"2597-2617","container-title":"Violence against Women","ISSN":"1552-8448","keyword":"homelessness; psychological distress; trauma-informed care; violence; women","publisher":"Sage Publications","note":"De två första författarna delar förstaförfattarskapet","published":[{"raw":"2026-06-09T16:06:52.295+02:00"}],"created":[{"raw":"2026-06-09T16:06:52.373+02:00"}],"updated":[{"raw":"2026-06-09T16:06:52.295+02:00"}],"URL":"https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-588887"},{"id":"diva2:1977825","type":"article-journal","status":"Published","issued":{"date-parts":[[2026]]},"title":"Associations between violence and psychological distress among women experiencing homelessness : A cross-sectional study","language":"eng","author":[{"family":"Klarare","given":"Anna","ORCID":"0000-0001-7935-3260","affiliation":[{"name":"Boston College, USA; Uppsala University, Sweden"}]},{"family":"Mattsson","given":"Elisabet","ORCID":"0000-0001-5104-1281","localId":"elimat","affiliation":[{"name":"Uppsala University, Sweden"},{"id":"886223","name":"Marie Cederschiöld högskola, Institutionen för vårdvetenskap"}]},{"family":"Gaber","given":"Sophie Nadia","ORCID":"0000-0001-5804-0433","affiliation":[{"name":"Uppsala University, Sweden"}]},{"family":"Rapaport","given":"Penny","ORCID":"0000-0003-0479-6950","affiliation":[{"name":"University College London, UK"}]},{"family":"Rosenblad","given":"Andreas","ORCID":"0000-0003-3691-8326","affiliation":[{"name":"Uppsala University, Sweden; Karolinska Institutet, Sweden"}]}],"abstract":"This study examines the association between violence exposure and psychological distress among women experiencing homelessness (n = 41). Using a cross-sectional survey design, we assessed emotional, physical, and sexual violence perpetrated by both close (e.g., intimate partners, family members) and non-close (e.g., acquaintances, strangers) individuals and their impact on mental well-being. Findings indicate high levels of violence, with greater exposure linked to increased distress. Each form of violence in close relationships was independently associated with distress, highlighting its broad health consequences. Addressing the significant burden of violence among women experiencing homelessness requires both healthcare recognition and structural interventions. Comprehensive, trauma-informed approaches are essential to mitigate the impact of violence on psychological well-being.","DOI":"10.1177/10778012251351935","PMID":"40551676","NBN":"urn:nbn:se:esh:diva-11562","issue":"9","volume":"32","page":"2597-2617","container-title":"Violence against Women","ISSN":"1552-8448","keyword":"Homelessness; Psychological distress; Trauma-informed care; Violence; Women","published":[{"raw":"2026-06-16T09:07:04.993+02:00"}],"created":[{"raw":"2025-06-26T15:29:19.357+02:00"}],"updated":[{"raw":"2026-06-16T09:07:04.993+02:00"}],"URL":"https://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-11562"},{"id":"diva2:1932317","type":"article-journal","status":"Published","issued":{"date-parts":[[2025]]},"title":"Seeking public assistance to escape violence : A study on relocation co-created with women with lived experience of homelessness","language":"eng","author":[{"family":"Vamstad","given":"Johan","ORCID":"0000-0002-1453-6186","localId":"johvam","affiliation":[{"id":"887151","name":"Marie Cederschiöld högskola, Centrum för civilsamhällesforskning"}]},{"family":"Klarare","given":"Anna","ORCID":"0000-0001-7935-3260","localId":"annkla","affiliation":[{"id":"886223","name":"Marie Cederschiöld högskola, Institutionen för vårdvetenskap"},{"name":"Uppsala University, Sweden"}]},{"family":"Agius","given":"Josefine","localId":"josagi","affiliation":[{"id":"886223","name":"Marie Cederschiöld högskola, Institutionen för vårdvetenskap"}]},{"family":"Mattsson","given":"Elisabet","ORCID":"0000-0001-5104-1281","localId":"elimat","affiliation":[{"id":"886223","name":"Marie Cederschiöld högskola, Institutionen för vårdvetenskap"},{"name":"Uppsala University, Sweden"}]}],"abstract":"Why are so few women given public assistance to relocate away from violence? This article will try to answer this question using findings from a study co-created by women with lived experiences and academic researchers. Public assistance for this group is, in Sweden, a right granted by the national Social Services Act, but a significant proportion of women in need of it do not receive it. A survey of local social services reveals a pattern of chance, low priorities, and lack of awareness of this group within the public administration. The pattern is the same for women with children, in spite of their additional legal protection.","DOI":"10.1080/03906701.2025.2450444","NBN":"urn:nbn:se:esh:diva-11260","issue":"1","volume":"35","page":"72-88","container-title":"International Review of Sociology","ISSN":"1469-9273","keyword":"Discretion; Public administration; Relocation; Social services; Violence","published":[{"raw":"2025-06-27T14:57:02.206+02:00"}],"created":[{"raw":"2025-01-29T07:36:06.583+01:00"}],"updated":[{"raw":"2025-09-22T16:37:07.691+02:00"}],"URL":"https://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-11260"},{"id":"diva2:1837315","type":"review","status":"Published","issued":{"date-parts":[[2025]]},"title":"Treatment of trauma-related conditions for people in homelessness : A scoping review","language":"eng","author":[{"family":"Klarare","given":"Anna","ORCID":"0000-0001-7935-3260","localId":"annkla","affiliation":[{"id":"886223","name":"Marie Cederschiöld högskola, Institutionen för vårdvetenskap"},{"name":"Uppsala University, Sweden"}]},{"family":"Ekström","given":"Veronica","ORCID":"0000-0003-2416-0124","localId":"vereks","affiliation":[{"id":"890550","name":"Marie Cederschiöld högskola, Institutionen för socialt arbete"}]},{"family":"Godskesen","given":"Tove","ORCID":"0000-0001-6011-6740","localId":"tovgod","affiliation":[{"name":"Nord University, Norway"},{"id":"886223","name":"Marie Cederschiöld högskola, Institutionen för vårdvetenskap"},{"id":"890550","name":"Marie Cederschiöld högskola, Institutionen för socialt arbete"}]},{"family":"Westman","given":"Jeanette","ORCID":"0000-0001-8701-4226","localId":"jeawes","affiliation":[{"id":"886223","name":"Marie Cederschiöld högskola, Institutionen för vårdvetenskap"}]},{"family":"Mattsson","given":"Elisabet","ORCID":"0000-0001-5104-1281","localId":"elimat","affiliation":[{"name":"Uppsala University, Sweden"},{"id":"886223","name":"Marie Cederschiöld högskola, Institutionen för vårdvetenskap"}]},{"family":"Kneck","given":"Åsa","ORCID":"0000-0002-2135-2684","localId":"asakne","affiliation":[{"id":"886223","name":"Marie Cederschiöld högskola, Institutionen för vårdvetenskap"}]}],"abstract":"People in homelessness face significant health inequities, with tri-morbidity, exposure to violence, substance use- and post-traumatic stress disorder. The aim of this scoping review was to describe treatments for trauma-related conditions for persons in homelessness. Systematic searches were performed in three databases: PubMed, PsycInfo and Scopus, guided by the PRISMA checklist. Nine studies fulfilled the criteria and were included in the review. Results show no randomized studies specifically focusing on treatment of trauma-related conditions for people in homelessness. Studies described interventions or programs that focused on consolidating and developing participants’ own strengths and skills to better navigate life with the challenges of homelessness, trauma, and PTSD. Treatment of trauma-related conditions may have positive effects for people in homelessness, as for others. Multimodal treatments, developing personal strengths and skills for people in homelessness, show potential to decrease trauma symptoms, however, more robust studies are needed for inferences and recommendations. ","DOI":"10.1080/10530789.2024.2310948","NBN":"urn:nbn:se:esh:diva-10708","issue":"1","volume":"34","page":"115-124","container-title":"Journal of social distress and the homeless","ISSN":"1573-658X","keyword":"Homelessness; Scoping review; Therapies; Trauma; Treatment","published":[{"raw":"2025-06-27T14:37:59.388+02:00"}],"created":[{"raw":"2024-02-13T12:14:31.211+01:00"}],"updated":[{"raw":"2025-09-22T16:44:16.873+02:00"}],"URL":"https://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-10708"},{"id":"diva2:1970742","type":"paper-conference","issued":{"date-parts":[[2025]]},"title":"Valuing vulnerability : A collaborative and co-produced approach to developing resilient information systems for and by women with lived experience of homelessness","language":"eng","author":[{"family":"Eriksson Lundström","given":"Jenny","affiliation":[{"name":"Uppsala University, Sweden"}]},{"family":"Gaber","given":"Sophie N.","affiliation":[{"name":"Uppsala University, Sweden"}]},{"family":"Mattsson","given":"Elisabet","ORCID":"0000-0001-5104-1281","localId":"elimat","affiliation":[{"id":"886223","name":"Marie Cederschiöld högskola, Institutionen för vårdvetenskap"}]}],"abstract":"This paper highlights the expertise of marginalised and underserved populations, placing them at the centre of understanding resilient information systems design. We present a collaborative project in which women experiencing homelessness, alongside researchers in information systems and healthcare sciences, co-produce digital health interventions aimed at addressing psychological distress and safety concerns. Homelessness is associated with exclusion, resource deprivation, trauma, and abuse. By learning from these deeply challenging lived experiences, marginalised and underserved communities offer invaluable insights into how information systems should be designed to support users during episodes of violence, trauma, and crisis. Key improvements include system covertness, robustness, responsiveness, timely activation, and personalised privacy settings. This study further provides critical insights into the value of collaborative, co-production-focused design research, illuminating the requirements of resilient information systems that serve a broader user base.","NBN":"urn:nbn:se:esh:diva-11542","event":"European Conference on Information Systems (ECRIS) 2025, Amman, Jordan, June 12-18, 2025","keyword":"Resilient information systems design; Collaborative co-production design research; Women experiencing homelessness; Inclusion health; Digital health intervention addressing psychological distress and safety","note":"We acknowledge the Women's Advisory Board for Inclusion Health for their equal contribution to, and invaluable support of, this research. ","published":[{"raw":"2025-06-25T09:21:00.000+02:00"}],"created":[{"raw":"2025-06-17T08:39:07.005+02:00"}],"updated":[{"raw":"2025-09-22T16:33:40.922+02:00"}],"URL":"https://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-11542"},{"id":"diva2:1970484","type":"paper-conference","issued":{"date-parts":[[2025]]},"title":"Valuing Vulnerability : A collaborative and co-produced approach to developing resilient information systems for and by women with lived experience of homelessness","language":"eng","author":[{"family":"Eriksson Lundström","given":"Jenny","localId":"jeeri174","affiliation":[{"id":"6814","name":"Uppsala universitet, Informationssystem"}]},{"family":"Gaber","given":"Sophie","ORCID":"0000-0001-5804-0433","localId":"sopga474","affiliation":[{"id":"890204","name":"Uppsala universitet, CIRCLE – Interventionsforskning inom hälsa och vård"}]},{"family":"Mattsson","given":"Elisabet","ORCID":"0000-0001-5104-1281","localId":"elmat838","affiliation":[{"id":"890204","name":"Uppsala universitet, CIRCLE – Interventionsforskning inom hälsa och vård"}]}],"abstract":"This paper highlights the expertise of marginalised and underserved populations, placing them at thecentre of understanding resilient information systems design. We present a collaborative project inwhich women experiencing homelessness, alongside researchers in information systems and healthcaresciences, co-produce digital health interventions aimed at addressing psychological distress and safetyconcerns. Homelessness is associated with exclusion, resource deprivation, trauma, and abuse. Bylearning from these deeply challenging lived experiences, marginalised and underserved communitiesoffer invaluable insights into how information systems should be designed to support users duringepisodes of violence, trauma, and crisis. Key improvements include system covertness, robustness,responsiveness, timely activation, and personalised privacy settings. This study further provides criticalinsights into the value of collaborative, co-production-focused design research, illuminating therequirements of resilient information systems that serve a broader user base.","NBN":"urn:nbn:se:uu:diva-560023","number":"ECIS2025-1618","container-title":"ECIS 2025 Proceedings : Co-Creating Value for an Intelligent Future","event":"The European Conference on Information Systems (ECIS) 2025, Amman, Jordan","keyword":"Resilient information systems design; Collaborative co-production design research; Women experiencing homelessness; Inclusion Health; Digital Health Intervention addressing psychological distress and safety","publisher":"AIS","published":[{"raw":"2025-06-16T18:59:00.000+02:00"}],"created":[{"raw":"2025-06-16T18:59:21.622+02:00"}],"updated":[{"raw":"2026-06-17T05:57:25.934+02:00"}],"URL":"https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-560023"},{"id":"diva2:1855297","type":"article-journal","status":"Published","issued":{"date-parts":[[2024]]},"title":"Asking about violence and abuse among patients experiencing homelessness : A focus group study with healthcare professionals","language":"eng","author":[{"family":"Gaber","given":"Sophie Nadia","ORCID":"0000-0001-5804-0433","localId":"sopgab","affiliation":[{"name":"Department of Women’s and Children’s Health, Healthcare Sciences and e-Health, Uppsala University, Uppsala, Sweden"},{"id":"886223","name":"Marie Cederschiöld högskola, Institutionen för vårdvetenskap"}]},{"family":"Rydeman","given":"Ing-Britt","ORCID":"0000-0002-6597-5111","localId":"ingryd","affiliation":[{"id":"886223","name":"Marie Cederschiöld högskola, Institutionen för vårdvetenskap"}]},{"family":"Mattsson","given":"Elisabet","ORCID":"0000-0001-5104-1281","localId":"elimat","affiliation":[{"name":"Department of Women’s and Children’s Health, Healthcare Sciences and e-Health, Uppsala University, Uppsala, Sweden"},{"id":"886223","name":"Marie Cederschiöld högskola, Institutionen för vårdvetenskap"}]},{"family":"Kneck","given":"Åsa","ORCID":"0000-0002-2135-2684","localId":"asakne","affiliation":[{"id":"886223","name":"Marie Cederschiöld högskola, Institutionen för vårdvetenskap"}]}],"abstract":"<b>BACKGROUND:</b> People experiencing homelessness are at increased risk of violence and abuse, however, there is insufficient knowledge about rates of inquiry or readiness of healthcare professionals to address violence and abuse among this population. This study aimed to explore healthcare professionals' experiences and perceptions of asking about violence and abuse among patients experiencing homelessness.<b>METHODS:</b> This study used a qualitative, interpretive, and exploratory design. We performed focus group discussions with healthcare professionals (n = 22) working at an integrative healthcare unit for people experiencing homelessness. Data were analysed using reflexive thematic analysis, following Braun and Clarke's six-phase approach. Findings are reported according to the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist.<b>RESULTS:</b> The overarching theme of the analysis is that addressing violence and abuse is at risk of \"falling through the cracks\". The theme is supported by three sub-themes: Hesitance to address violence and abuse, The complex dynamics of violence and abuse in homelessness, and Challenges in addressing violence and abuse amidst competing priorities and collaborative efforts. The normalisation of violence and abuse within the context of homelessness perpetuates a \"cycle\" where the severity and urgency of addressing violence and abuse are overlooked or minimised, hindering effective interventions. Moreover, healthcare professionals themselves may inadvertently contribute to this normalisation. The hesitance expressed by healthcare professionals in addressing the issue further reinforces the prevailing belief that violence and abuse are inherent aspects of homelessness. This normalisation within the healthcare system adds another layer of complexity to addressing these issues effectively.<b>CONCLUSIONS:</b> The findings underscore the need for targeted interventions and coordinated efforts that not only address the immediate physical needs of people experiencing homelessness but also challenge and reshape the normalised perceptions surrounding violence and abuse. By prioritising awareness, education, and supportive interventions, we can begin to \"break the cycle\" and provide a safer environment where violence and abuse are not accepted or overlooked.","DOI":"10.1186/s12913-024-10914-3","PMID":"38671423","NBN":"urn:nbn:se:esh:diva-10791","volume":"24","number":"531","container-title":"BMC Health Services Research","ISSN":"1472-6963","keyword":"Abuse; Delivery of health care; Health service research; Health services accessibility; Homeless persons; Qualitative methods; Violence","published":[{"raw":"2024-04-30T11:37:02.616+02:00"}],"created":[{"raw":"2024-04-30T11:37:02.692+02:00"}],"updated":[{"raw":"2025-09-22T16:43:15.416+02:00"}],"URL":"https://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-10791"},{"id":"diva2:1829363","type":"article-journal","status":"Published","issued":{"date-parts":[[2024]]},"title":"Collaborative Interpretation of Researcher-Generated Photo-Elicitation Findings : Insights From Women With Lived Experience of Homelessness","language":"eng","author":[{"family":"Bockgård","given":"Gustav","affiliation":[{"name":"Department of Scandinavian Languages, Uppsala University, Uppsala"}]},{"family":"Mattsson","given":"Elisabet","ORCID":"0000-0001-5104-1281","localId":"elimat","affiliation":[{"id":"886223","name":"Marie Cederschiöld högskola, Institutionen för vårdvetenskap"},{"name":"Department of Women’s and Children’s Health, Healthcare Sciences and e-Health, Uppsala University, Uppsala"}]},{"family":"von Essen","given":"Louise","affiliation":[{"name":"Department of Women’s and Children’s Health, Healthcare Sciences and e-Health, Uppsala University, Uppsala"}]},{"family":"Klarare","given":"Anna","ORCID":"0000-0001-7935-3260","localId":"annkla","affiliation":[{"id":"886224","name":"Marie Cederschiöld högskola, Palliativt forskningscentrum, PFC"},{"name":"Department of Women’s and Children’s Health, Healthcare Sciences and e-Health, Uppsala University, Uppsala"}]}],"abstract":"Interviews with individuals experiencing homelessness can be challenging for various reasons, including mental and physical health issues, substance use, and negative experiences with authority figures. Researchers have used photos to facilitate communication and empower participants during data collection. We analyzed data from a previous study to explore the use of researcher-generated photos during interviews about health with 13 women experiencing homelessness. Conversation analysis revealed clear patterns regarding the use of the photos during the interviews. The photos were referred to 118 times over the total interview length, 6 hours and 23 minutes, with the interviewer making 62% of the referrals and the women accounting for 38%. Fifty-nine percent of the referrals occurred within the first 5 minutes of the interviews. The women used the photos to trigger associations and emotions, to describe photo content, or in a minor role during the interview. Interpretations from an advisory board of six women with lived experiences of homelessness suggested that the photos did not engage participants as intended, highlighting the importance of considering participants’ perspectives when designing photo-elicitation methods. The feedback also provided valuable insights into interview locations and incentives in research that may have influenced the women’s willingness to use the photos. This study emphasizes the importance of understanding the complexity of choosing researcher-generated photos in interviews with underserved, hard-to-reach populations.","DOI":"10.1177/10497323231224330","PMID":"38235734","NBN":"urn:nbn:se:esh:diva-10629","issue":"7","volume":"34","page":"676-690","container-title":"Qualitative Health Research","ISSN":"1552-7557","keyword":"Homelessness; Photo-elicitation; Researcher-generated photos; Women; Qualitative","published":[{"raw":"2024-01-18T18:53:00.000+01:00"}],"created":[{"raw":"2024-01-18T18:53:20.334+01:00"}],"updated":[{"raw":"2025-09-22T16:45:07.786+02:00"}],"URL":"https://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-10629"},{"id":"diva2:1915339","type":"article-journal","status":"Published","issued":{"date-parts":[[2024]]},"title":"Excess mortality among people in homelessness with substance use disorders : a Swedish cohort study","language":"eng","author":[{"family":"Gaber","given":"Sophie Nadia","ORCID":"0000-0001-5804-0433","localId":"sopga474","affiliation":[{"id":"885357","name":"Uppsala universitet, Hälsovetenskap och e-hälsa"},{"name":"Marie Cederschiöld Högskola, Dept Healthcare Sci, Campus Ersta, S-10061 Stockholm, Sweden; UCL, Fac Brain Sci, Div Psychiat, London, England"}]},{"family":"Franck","given":"Johan","ORCID":"0000-0002-4355-1967","affiliation":[{"name":"Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden."}]},{"family":"Widing","given":"Härje","affiliation":[{"name":"Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden."}]},{"family":"Hällgren","given":"Jonas","affiliation":[{"name":"Acad Primary Hlth Care Ctr, Stockholm, Sweden."}]},{"family":"Mattsson","given":"Elisabet","ORCID":"0000-0001-5104-1281","localId":"elmat838","affiliation":[{"id":"885357","name":"Uppsala universitet, Hälsovetenskap och e-hälsa"},{"name":"Marie Cederschiöld Högskola, Dept Healthcare Sci, Campus Ersta, S-10061 Stockholm, Sweden"}]},{"family":"Westman","given":"Jeanette","ORCID":"0000-0001-8701-4226","affiliation":[{"name":"Marie Cederschiold Högskola, Dept Healthcare Sci, Campus Ersta, S-10061 Stockholm, Sweden.;Acad Primary Hlth Care Ctr, Stockholm, Sweden.;Karolinska Inst, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden."}]}],"abstract":"<b>Background</b> People in homelessness have an increased risk of substance use disorders (SUDs) and poor health outcomes. This cohort study aimed to investigate the association between homelessness and mortality in people with SUDs, adjusting for age, sex, narcotic use, intravenous drug use and inpatient care for SUDs.<b>Methods</b> Data from the Swedish National Addiction Care Quality Register in the Stockholm region were used to analyse mortality risk in people with SUDs (n=8397), including 637 in homelessness, 1135 in precarious housing and 6625 in stable housing, at baseline. HRs and CIs were calculated using Cox regression.<b>Results</b> Mortality was increased for people in homelessness (HR 2.30; 95% CI 1.70 to 3.12) and precarious housing (HR 1.23; 95% CI 0.86 to 1.75) compared with those in stable housing. The association between homelessness and mortality decreased (HR 1.27; 95% CI 0.91 to 1.78) after adjusting for narcotic use (HR 1.28; 95% CI 1.00 to 1.63), intravenous drug use (HR 1.98; 95% CI 1.52 to 2.58) and inpatient care for SUDs (HR 1.96; 95% CI 1.57 to 2.45). Standardised mortality ratios (SMRs) showed that mortality among people in homelessness with SUDs was 13.6 times higher than the general population (SMR=13.6; 95% CI 10.2 to 17.9), and 3.7 times higher in people in stable housing with SUDs (SMR=3.7; 95% CI 3.2 to 4.1).<b>Conclusion</b> Homelessness increased mortality, but the risk decreased after adjusting for narcotic use, intravenous drug use and inpatient care for SUDs. Interventions are needed to reduce excess mortality among people in homelessness with SUDs.","DOI":"10.1136/jech-2023-220989","PMID":"38772698","NBN":"urn:nbn:se:uu:diva-543554","issue":"8","volume":"78","page":"473-478","container-title":"Journal of Epidemiology and Community Health","ISSN":"1470-2738","keyword":"substance abuse; epidemiology; homeless persons; mortality","publisher":"BMJ Publishing Group Ltd","published":[{"raw":"2024-11-22T10:56:42.682+01:00"}],"created":[{"raw":"2024-11-22T10:56:42.760+01:00"}],"updated":[{"raw":"2025-02-20T20:18:00.815+01:00"}],"URL":"https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-543554"},{"id":"diva2:1842496","type":"article-journal","status":"Published","issued":{"date-parts":[[2024]]},"title":"Health literacy and its association with mental and spiritual well-being among women experiencing homelessness","language":"eng","author":[{"family":"Karlsson Rosenblad","given":"Andreas","ORCID":"0000-0003-3691-8326","affiliation":[{"name":"Department of Statistics, Uppsala University; Department of Statistics, Uppsala University, Akademiska sjukhuset; Department of Neurobiology, Care Sciences and Society, Division of Family Medicine and Primary Care, Karolinska Institutet"}]},{"family":"Klarare","given":"Anna","ORCID":"0000-0001-7935-3260","localId":"annkla","affiliation":[{"name":"Department of Women’s and Children’s Health, Healthcare Services and e-Health, Uppsala University, Akademiska sjukhuset"},{"id":"886224","name":"Marie Cederschiöld högskola, Palliativt forskningscentrum, PFC"}]},{"family":"Rapaport","given":"Penny","ORCID":"0000-0003-0479-6950","affiliation":[{"name":"Division of Psychiatry, Faculty of Brain Sciences, University College London, UK"}]},{"family":"Mattsson","given":"Elisabet","ORCID":"0000-0001-5104-1281","localId":"elimat","affiliation":[{"name":"Department of Women’s and Children’s Health, Healthcare Services and e-Health, Uppsala University, Akademiska sjukhuset"},{"id":"886223","name":"Marie Cederschiöld högskola, Institutionen för vårdvetenskap"}]},{"family":"Gaber","given":"Sophie Nadia","ORCID":"0000-0001-5804-0433","localId":"sopgab","affiliation":[{"name":"Department of Women’s and Children’s Health, Healthcare Services and e-Health, Uppsala University, Akademiska sjukhuset"},{"id":"886223","name":"Marie Cederschiöld högskola, Institutionen för vårdvetenskap"}]}],"abstract":"Low health literacy (HL) has been linked to low self-rated health, reduced efficacy of behaviour change, and challenges in preventing, treating, or managing health conditions. People experiencing homelessness are at risk of poor HL; however, few studies have investigated HL in relation to mental and spiritual well-being among people experiencing homelessness in general, or women experiencing homelessness specifically. This cross-sectional study of 46 women experiencing homelessness in Stockholm, Sweden, recruited during the period October 2019–December 2020, aimed to examine how HL was associated with mental and spiritual well-being among women experiencing homelessness. Participants answered questions about socio-demographic characteristics (age, length of homelessness, education) and digital technology (mobile phone/the Internet) use, in addition to Swedish language versions of three questionnaires administered through structured, face-to-face interviews: the Communicative and Critical Health Literacy Scale, the General Health Questionnaire 12 and the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being. Data were analysed using linear regression, which revealed statistically significant associations between HL and mental well-being (p = .009), and between HL and spiritual well-being (p = .022). However, neither socio-demographic characteristics nor digital technology use were significantly associated with HL. In conclusion, promoting HL may improve mental and spiritual well-being in this vulnerable population. An advisory board of women with lived experiences of homelessness (n = 5) supported the interpretation of the findings and emphasised the need to consider HL in relation to basic needs such as ‘housing first’. Moreover, health information and services should be accessible to people with different degrees of HL.","DOI":"10.1093/heapro/daae019","NBN":"urn:nbn:se:esh:diva-10734","issue":"2","volume":"39","container-title":"Health Promotion International","ISSN":"1460-2245","keyword":"Health literacy; Homelessness; Psychological distress; Spirituality; Psychological well-being; Women’s health","publisher":"Oxford University Press","note":"<b>In collaboration with</b>: Women Advisory Board for Inclusion Health.","published":[{"raw":"2024-03-05T10:56:00.000+01:00"}],"created":[{"raw":"2024-03-05T10:56:20.076+01:00"}],"updated":[{"raw":"2025-09-22T16:43:54.771+02:00"}],"URL":"https://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-10734"},{"id":"diva2:1859536","type":"article-journal","status":"Published","issued":{"date-parts":[[2024]]},"title":"Social rights in relation to digitalization, mobile phone, and internet use - experiences of women in homelessness : a qualitative study","language":"eng","author":[{"family":"Klarare","given":"Anna","ORCID":"0000-0001-7935-3260","localId":"annkl773","affiliation":[{"name":"Marie Cederschiold Univ, Dept Healthcare Sci, Stockholm, Sweden."},{"id":"885357","name":"Uppsala universitet, Hälsovetenskap och e-hälsa"}]},{"family":"Vamstad","given":"J.","affiliation":[{"name":"Marie Cederschiold Univ, Ctr Civil Soc Res, Stockholm, Sweden."}]},{"family":"Mattsson","given":"Elisabet","ORCID":"0000-0001-5104-1281","localId":"elmat838","affiliation":[{"name":"Marie Cederschiold Univ, Dept Healthcare Sci, Stockholm, Sweden."},{"id":"885357","name":"Uppsala universitet, Hälsovetenskap och e-hälsa"}]},{"family":"Kneck","given":"A.","affiliation":[{"name":"Marie Cederschiold Univ, Dept Healthcare Sci, Stockholm, Sweden."}]},{"family":"Salzmann-Erikson","given":"M.","affiliation":[{"name":"Univ Gävle, Fac Hlth & Occupat Studies, Dept Caring Sci, Gävle, Sweden."}]}],"abstract":"Given the fact that women in homelessness face considerable health inequities, the question of how digitalization can be understood in relation to social rights and right to health surfaces. The objective of this qualitative interview study was to explore the use of mobile phones and internet for women experiencing homelessness. Women (n = 26) shared experiences of healthcare access by using a mobile phone or internet. Data were analyzed using NVivo software. The results are presented in two themes: Conditions and circumstances of having a mobile phone; and Structural and intrapersonal challenges affecting social rights. The results show that digitalization actively influenced everyday life for women experiencing homelessness. Whether women wanted it to or not, digitalization presents a line of demarcation for participation and inclusion or exclusion, in health- and social-care services.","DOI":"10.1080/09581596.2024.2342334","NBN":"urn:nbn:se:uu:diva-528217","issue":"1","volume":"34","page":"1-16","container-title":"Critical Public Health","ISSN":"1469-3682","keyword":"Digitalization; health inequalities; marginalization; socio-economic","publisher":"Routledge","note":"Corresponding author: A. Klarare","published":[{"raw":"2024-05-22T08:55:28.008+02:00"}],"created":[{"raw":"2024-05-22T08:55:28.073+02:00"}],"updated":[{"raw":"2024-05-22T08:55:28.008+02:00"}],"URL":"https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-528217"},{"id":"diva2:1857188","type":"article-journal","status":"Published","issued":{"date-parts":[[2024]]},"title":"Social rights in relation to digitalization, mobile phone, and internet use – experiences of women in homelessness : A qualitative study","language":"eng","author":[{"family":"Klarare","given":"Anna","ORCID":"0000-0001-7935-3260","localId":"annkla","affiliation":[{"name":"Department of Women’s and Children’s Health, Healthcare Sciences and e-Health, Uppsala University, Uppsala, Sweden"},{"id":"886224","name":"Marie Cederschiöld högskola, Palliativt forskningscentrum, PFC"}]},{"family":"Vamstad","given":"Johan","ORCID":"0000-0002-1453-6186","localId":"johvam","affiliation":[{"id":"887151","name":"Marie Cederschiöld högskola, Centrum för civilsamhällesforskning"}]},{"family":"Mattsson","given":"Elisabet","ORCID":"0000-0001-5104-1281","localId":"elimat","affiliation":[{"name":"Department of Women’s and Children’s Health, Healthcare Sciences and e-Health, Uppsala University, Uppsala, Sweden"},{"id":"886223","name":"Marie Cederschiöld högskola, Institutionen för vårdvetenskap"}]},{"family":"Kneck","given":"Åsa","ORCID":"0000-0002-2135-2684","localId":"asakne","affiliation":[{"id":"886223","name":"Marie Cederschiöld högskola, Institutionen för vårdvetenskap"}]},{"family":"Salzmann-Erikson","given":"Martin","ORCID":"0000-0002-2610-8998","affiliation":[{"name":"Faculty of Health and Occupational Studies, Department of Caring Sciences, University of Gävle, Gävle, Sweden"}]}],"abstract":"Given the fact that women in homelessness face considerable health inequities, the question of how digitalization can be understood in relation to social rights and right to health surfaces. The objective of this qualitative interview study was to explore the use of mobile phones and internet for women experiencing homelessness. Women (n = 26) shared experiences of healthcare access by using a mobile phone or internet. Data were analyzed using NVivo software. The results are presented in two themes: <i>Conditions and circumstances of <b>having </b>a mobile phone</i>; and <i>Structural and intrapersonal challenges <b>affecting </b>social rights</i>. The results show that digitalization actively influenced everyday life for women experiencing homelessness. Whether women wanted it to or not, digitalization presents a line of demarcation for participation and inclusion or exclusion, in health- and social-care services.","DOI":"10.1080/09581596.2024.2342334","NBN":"urn:nbn:se:esh:diva-10801","issue":"1","volume":"34","page":"1-16","container-title":"Critical Public Health","ISSN":"1469-3682","keyword":"Digitalization; Health inequalities; Marginalization; Socio-economic","publisher":"Informa UK Limited","published":[{"raw":"2024-05-13T08:54:00.000+02:00"}],"created":[{"raw":"2024-05-13T08:54:45.862+02:00"}],"updated":[{"raw":"2025-09-22T16:43:02.247+02:00"}],"URL":"https://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-10801"},{"id":"diva2:1829421","type":"article-journal","status":"Published","issued":{"date-parts":[[2024]]},"title":"When the wounds heal but the soul bleeds : A lived experience narrative","language":"eng","author":[{"family":"Anonymous","affiliation":[{"id":"886223","name":"Marie Cederschiöld högskola, Institutionen för vårdvetenskap"}]}],"abstract":"What is known on the subject?<ul><li>This paper acknowledges the profound and lasting impact of childhood abuse on substance use and homelessness.</li></ul>What this paper adds to existing knowledge?<ul><li>It underscores the inherent value and humanity of every individual, regardless of their struggles.</li><li>That a comprehensive approach to mental health care, encompassing medication, therapy and a secure environment, is imperative.</li></ul>What are the implications for mental health nursing?<ul><li>Early intervention and recognising individuals who suffer in silence are paramount. Mental health nurses must have the courage to ask uncomfortable questions and truly hear the unspoken words.</li><li>Mental health nurses should never underestimate the power of simply being present with someone during their darkest moments. This simple act can wield significant influence.</li></ul>","DOI":"10.1111/jpm.13022","PMID":"38234235","NBN":"urn:nbn:se:esh:diva-10630","issue":"5","volume":"31","page":"701-704","container-title":"Journal of Psychiatric and Mental Health Nursing","ISSN":"1365-2850","keyword":"Addiction; Adult survivors of abuse; Child abuse; Mental health","published":[{"raw":"2024-01-19T08:34:00.000+01:00"}],"created":[{"raw":"2024-01-19T08:34:16.745+01:00"}],"updated":[{"raw":"2025-09-22T16:45:06.545+02:00"}],"URL":"https://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-10630"},{"id":"diva2:1640908","type":"article-journal","status":"Published","issued":{"date-parts":[[2023]]},"title":"A comparison of perceptions of caring behaviours among women in homelessness, Registered Nurses and nursing students","language":"eng","author":[{"family":"Gaber","given":"Sophie","ORCID":"0000-0001-5804-0433","localId":"sopgab","affiliation":[{"name":"Uppsala universitet"},{"id":"877105","name":"Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap"}]},{"family":"Klarare","given":"Anna","ORCID":"0000-0001-7935-3260","localId":"annkla","affiliation":[{"name":"Uppsala universitet"},{"id":"877105","name":"Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap"}]},{"family":"Mattsson","given":"Elisabet","ORCID":"0000-0001-5104-1281","localId":"elimat","affiliation":[{"name":"Uppsala universitet"},{"id":"877105","name":"Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap"}]},{"family":"Karlsson Rosenblad","given":"Andreas","affiliation":[{"name":"Uppsala universitet"}]}],"abstract":"<b>BACKGROUND:</b> The population of women in homelessness in Europe is increasing and women in homelessness experience multiple healthcare needs. However, there is insufficient understanding about how perceptions of caring behaviours compare between women in homelessness as patients and nurses in their clinical practice.<b>AIM:</b> This study aimed to investigate perceptions of caring behaviours among women in homelessness, Registered Nurses and nursing students.<b>METHODS:</b> A cross-sectional design was used with convenience sampling to recruit groups of women in homelessness (n = 37), Registered Nurses (n = 92) and nursing students (n = 142) in Stockholm, Sweden. Between August 2019 and December 2020, data were collected through face-to-face interviews or online, using the Caring Behaviours Inventory-24 instrument. Data were analysed using descriptive statistics and group-comparing hypothesis tests.<b>RESULTS:</b> Overall, women in homelessness' perceptions of caring behaviours were significantly lower than nursing students (p &lt; 0.001), who in turn scored significantly lower than Registered Nurses (p &lt; 0.001). The Knowledge and Skill domain had the highest score, and the Connectedness domain had the lowest score in all three groups. The ranking of the individual items according to score varied between the groups. However, all three groups had the highest score for the Knowing how to give shots, IVs, etc., item and the lowest score for the Helping the patient to grow item.<b>CONCLUSION:</b> Healthcare providers and nurse educators should consider incongruences and congruences in caring behaviours to better prepare Registered Nurses and nursing students to contribute to increased health equity, and more targeted clinical practice for women in homelessness.","DOI":"10.1111/scs.13071","PMID":"35187681","NBN":"urn:nbn:se:esh:diva-9426","issue":"4","volume":"37","page":"959-969","container-title":"Scandinavian Journal of Caring Sciences","ISSN":"1471-6712","keyword":"Caring behaviours; Homelessness; Nurse-patient relations; Nursing students; Registered nurses; Women","publisher":"Wiley-Blackwell","published":[{"raw":"2022-02-28T10:17:00.000+01:00"}],"created":[{"raw":"2022-02-28T10:17:48.812+01:00"}],"updated":[{"raw":"2025-09-22T16:59:11.257+02:00"}],"URL":"https://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-9426"},{"id":"diva2:1838258","type":"paper-conference","issued":{"date-parts":[[2023]]},"title":"Fungerande, behovsstyrd och resursstärkande samverkan : Avgörande för att den våldsutsatta kvinnan i hemlöshet ska kunna erbjudas traumavård","language":"swe","author":[{"family":"Kneck","given":"Åsa","ORCID":"0000-0002-2135-2684","localId":"asakne","affiliation":[{"id":"886223","name":"Marie Cederschiöld högskola, Institutionen för vårdvetenskap"}]}],"abstract":"Det övergripande syftet för projektet är att öka möjligheten för våldsutsatta kvinnor i hemlöshet att kunna erbjudas traumavård vilket förutsätter att våldet identifieras och fungerande samverkan inom och mellan ett antal välfärdsinstitutioner. För kvinnor är våld både en orsak till, och en konsekvens av hemlöshet, där kvinnan sällan erbjuds traumavård och behandling pga. drogmissbruk, samsjuklighet och avsaknad av stabila levnadsförhållanden. Att kvinnan lämnas ensam att hantera sina trauman bidrar till psykisk och fysisk ohälsa, ökad droganvändning och begränsade möjligheter att ta sig ur hemlösheten. Fungerande samverkan mellan och inom socialtjänsten – samt med hälso-och sjukvården är avgörande för att kvinnas komplexa behov ska tillgodoses och för att våldet inte ska förbises eller normaliseras.Strukturella, organisatoriska och individuella hinder för samverkan utmanar en fungerande samordning där kvinnas möjlighet och förmåga att vara delaktig och beslutskompetent är begränsad. Krav på hälsosjukvård och socialtjänstpersonal att skapa förutsättningar för delaktig är omfattande men svåruppnåeliga. Kvinnor i hemlöshet har länge betraktats som passiva, beroendet av andras agerande, stöd och omsorg dära utonomi, värdighet eller integritet är hotad. Utan att förbise denna utsatthet behöver kvinnan även ses som aktiv, kompetenta och ansvarstagande med möjlighet att påverka sin situation. Planerat projekt har en explorativ och samskapande design där våldsutsatta kvinnor i hemlöshet och olika personalkategorier medverkar i forskningsprocessen. Data utgörs främst av kvalitativt material. Ingående studier belyser både professions- och brukar/patientperspektiv och rör identifiering av våldsutsatthet, samspel och handlingsutrymme vid samordnad individuell plan samt utveckling av intervention för ökad samverkan.","NBN":"urn:nbn:se:esh:diva-10720","event":"NaPSa, Nationell paper-konferens i socialt arbete, Södertörns högskola, Stockholm, 22-23 mars 2023.","published":[{"raw":"2024-02-15T16:15:00.000+01:00"}],"created":[{"raw":"2024-02-15T16:15:50.213+01:00"}],"updated":[{"raw":"2025-09-22T16:44:05.662+02:00"}],"URL":"https://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-10720"},{"id":"diva2:1752592","type":"article-newspaper","status":"Published","issued":{"date-parts":[[2023]]},"title":"Kvinnor far illa inom ramen för samhällets institutioner","language":"swe","author":[{"family":"Mattsson","given":"Elisabet","ORCID":"0000-0001-5104-1281","localId":"elimat","affiliation":[{"id":"886223","name":"Marie Cederschiöld högskola, Institutionen för vårdvetenskap"}]},{"family":"Klarare","given":"Anna","ORCID":"0000-0001-7935-3260","localId":"annkla","affiliation":[{"id":"886224","name":"Marie Cederschiöld högskola, Palliativt forskningscentrum, PFC"}]}],"contributor":[{"family":"NNNN, fyra kvinnor med skyddade personuppgifter","role":[{"marcCode":"ctb","name":"Contributor"}],"affiliation":[]}],"abstract":"Vårdprogram, journalsystem och arbetsrutiner bör ändras för att öka säkerheten för kvinnor med skyddade personuppgifter. ","NBN":"urn:nbn:se:esh:diva-10172","issue":"2023-04-14","number-of-pages":"1","container-title":"Dagens arena","publisher-place":"Stockholm","published":[{"raw":"2023-04-24T09:35:00.000+02:00"}],"created":[{"raw":"2023-04-24T09:35:56.125+02:00"}],"updated":[{"raw":"2025-09-22T16:50:33.776+02:00"}],"URL":"https://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-10172"},{"id":"diva2:1749026","type":"article-journal","status":"Published","issued":{"date-parts":[[2023]]},"title":"Orimliga krav på den som är sjuk och hemlös att ensam försöka navigera i ett svårtolkat strukturellt system : Erfarenheter hos personer i hemlöshet kring samverkan av vård- och omsorgsinsatser","language":"swe","author":[{"family":"Stobin","given":"Rosanna","affiliation":[]},{"family":"Björling","given":"Anders","affiliation":[]},{"family":"Kneck","given":"Åsa","ORCID":"0000-0002-2135-2684","localId":"asakne","affiliation":[{"id":"886223","name":"Marie Cederschiöld högskola, Institutionen för vårdvetenskap"}]}],"abstract":"Personer som lever i hemlöshet är sjukare, både fysiskt och psykiskt och har kortare livslängd än genomsnittsbefolkningen, ändå söker denna patientgrupp vård i mindre utsträckning än andra. Ofta har personen komplexa behov som kräver insatser från hälso-sjukvården samt socialtjänsten. Problem med ohälsa till följd av missbruk, trauma, våldsutsatthet i kombination med avsaknad av fast bostad gör personer i hemlöshet särskilt sårbara och samverkan mellan olika aktörer avgörande för att säkerställa adekvata åtgärder.","NBN":"urn:nbn:se:esh:diva-10138","issue":"1","page":"28-29","container-title":"Vårdmagasinet Hälsa : medlemstidning för distriktssköterskor","ISSN":"2003-1165","publisher-place":"Sigtuna","publisher":"Distriktssköterskeföreningen i Sverige","published":[{"raw":"2023-04-05T11:18:00.000+02:00"}],"created":[{"raw":"2023-04-05T11:18:36.804+02:00"}],"updated":[{"raw":"2025-09-22T16:50:58.227+02:00"}],"URL":"https://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-10138"},{"id":"diva2:1769495","type":"article-newspaper","status":"Published","issued":{"date-parts":[[2023]]},"title":"Vilket stöd våldsutsatta får blir ett lotteri : Ge kommuner ett särskilt bostadsförsörjningskrav för våldsutsatta","language":"swe","author":[{"family":"Agius","given":"Josefine","localId":"josagi","affiliation":[{"id":"886223","name":"Marie Cederschiöld högskola, Institutionen för vårdvetenskap"}]},{"family":"Klarare","given":"Anna","ORCID":"0000-0001-7935-3260","localId":"annkla","affiliation":[{"id":"886224","name":"Marie Cederschiöld högskola, Palliativt forskningscentrum, PFC"}]},{"family":"Mattsson","given":"Elisabet","ORCID":"0000-0001-5104-1281","localId":"elimat","affiliation":[{"id":"886223","name":"Marie Cederschiöld högskola, Institutionen för vårdvetenskap"}]},{"family":"Vamstad","given":"Johan","ORCID":"0000-0002-1453-6186","localId":"johvam","affiliation":[{"id":"887151","name":"Marie Cederschiöld högskola, Centrum för civilsamhällesforskning"}]},{"family":"Eriksson Lundström","given":"Jenny","affiliation":[{"name":"Uppsala universitet"}]},{"family":"Vahlman","given":"Sanna","affiliation":[{"name":"Ersta möjlighet, Stockholm"}]}],"abstract":"Inrätta en nationell handlingsplan som säkerställer skydd, stöd och stadigvarande boende för våldsutsatta oavsett kommun, föreslår forskare i ett projekt om kvinnor i hemlöshet.","NBN":"urn:nbn:se:esh:diva-10310","number":"2023-06-08","container-title":"Dagens Samhälle","published":[{"raw":"2023-06-17T10:22:19.456+02:00"}],"created":[{"raw":"2023-06-17T10:22:19.543+02:00"}],"updated":[{"raw":"2025-09-22T16:49:06.722+02:00"}],"URL":"https://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-10310"},{"id":"diva2:1725617","type":"article-journal","status":"Published","issued":{"date-parts":[[2023]]},"title":"Voices of women in homelessness during the outbreak of the COVID-19 pandemic : A co-created qualitative study","language":"eng","author":[{"family":"Mattsson","given":"Elisabet","ORCID":"0000-0001-5104-1281","localId":"elimat","affiliation":[{"name":"Uppsala universitet"},{"id":"886223","name":"Marie Cederschiöld högskola, Institutionen för vårdvetenskap"}]},{"family":"Lindblad","given":"Marléne","affiliation":[{"name":"Röda Korsets Högskola"}]},{"family":"Kneck","given":"Åsa","ORCID":"0000-0002-2135-2684","localId":"asakne","affiliation":[{"id":"886223","name":"Marie Cederschiöld högskola, Institutionen för vårdvetenskap"}]},{"family":"Salzmann-Eriksson","given":"Martin","affiliation":[{"name":"Högskolan i Gävle"}]},{"family":"Klarare","given":"Anna","ORCID":"0000-0001-7935-3260","localId":"annkla","affiliation":[{"id":"886223","name":"Marie Cederschiöld högskola, Institutionen för vårdvetenskap"},{"name":"Uppsala universitet"}]}],"abstract":"<b>BACKGROUND:</b> Women in homelessness face extreme health- and social inequities. It could be postulated that during societal crises, they become even more vulnerable. Thus, the aim was to explore experiences related to the COVID-19 pandemic among women in homelessness.<b>METHODS:</b> Ten interviews were conducted with women in homelessness, in Stockholm, Sweden, using researcher-driven photo elicitation. The data analysis was guided by the DEPICT model for collaborative data analysis and a qualitative content analysis was performed. A collaborative reference group of women with lived experience of homelessness contributed to the research process through designing the data collection, performing the data analysis, and providing feedback during report writing.<b>RESULTS:</b> For women in homelessness, the COVID-19 pandemic was adding insult to injury, as it significantly affected everyday life and permeated most aspects of existence, leading to diminished interactions with others and reduced societal support. Thus, in an already dire situation, the virus amplified health- and social issues to another level. The women strived to find their balance on the shifting sands of guidelines and restrictions due to the pandemic. Adhering to the new social distancing rules and guidelines in line with the rest of society, was simply impossible when experiencing homelessness. However, for some women the pandemic was nothing but a storm in a teacup. The harsh reality continued irrespectively, living one day at a time and prioritizing provision for basic human needs.<b>CONCLUSIONS:</b> The COVID-19 pandemic and homelessness can be viewed as two intersecting crises. However, the women's aggregated experiences were greater than the sum of experiencing homelessness and meeting the threat of the virus. Gender, exposure to violence, poverty, social isolation, and substance use were additional factors that further marginalized the women during the pandemic. To rebuild a better and more sustainable post-pandemic future for all, global commitment to ending homelessness is crucial. In addition, addressing social determinants of health must be the number one health intervention.","DOI":"10.1186/s12905-023-02157-x","PMID":"36627642","NBN":"urn:nbn:se:esh:diva-10001","issue":"11","volume":"23","container-title":"BMC Women's Health","ISSN":"1472-6874","keyword":"COVID-19 pandemic; Homelessness; Inclusion health; Public involvement; Qualitative; Women","publisher":"Springer","note":"<b>In collaboration with</b>: Women Advisory Board for Inclusion Health. Ersta Möjlighet, Stockholm, Sweden.","published":[{"raw":"2023-01-11T13:03:00.000+01:00"}],"created":[{"raw":"2023-01-11T13:03:34.844+01:00"}],"updated":[{"raw":"2025-09-22T16:52:33.356+02:00"}],"URL":"https://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-10001"},{"id":"diva2:1685438","type":"article-journal","status":"Published","issued":{"date-parts":[[2022]]},"title":"Reflections on health among women in homelessness : A qualitative study","language":"eng","author":[{"family":"Kneck","given":"Åsa","ORCID":"0000-0002-2135-2684","localId":"asakne","affiliation":[{"id":"886223","name":"Marie Cederschiöld högskola, Institutionen för vårdvetenskap"}]},{"family":"Klarare","given":"Anna","ORCID":"0000-0001-7935-3260","localId":"annkla","affiliation":[{"id":"886223","name":"Marie Cederschiöld högskola, Institutionen för vårdvetenskap"},{"name":"Uppsala universitet"}]},{"family":"Mattsson","given":"Elisabet","ORCID":"0000-0001-5104-1281","localId":"elimat","affiliation":[{"id":"886223","name":"Marie Cederschiöld högskola, Institutionen för vårdvetenskap"},{"name":"Uppsala universitet"}]},{"family":"Salzmann‐Erikson","given":"Martin","affiliation":[{"name":"Högskolan i Gävle"}]}],"abstract":"<b>Introduction</b>: Mental health issues are common among women in homelessness, alongside undertreated chronic physical conditions leading to serious and unnecessary complications. Even though homelessness and risks of impaired health have been researched, broader perspectives of health are absent.<b>Aim</b>: To describe reflections on health among women with experiences of homelessness.<b>Method</b>: We conducted thirteen interviews with women in homelessness using researcher-driven photo elicitation. Together with an advisory board of women with lived experience of homelessness, researchers were guided by the DEPICT model for collaborative data analysis and performed a thematic analysis.<b>Findings</b>: Women with experiences of homelessness emphasized three main resources for achieving health and well-being: feelings of having a home, being involved in authentic relationships and experiences of preserved dignity.<b>Implication for practice</b>: Healthcare needs to integrate the perceived resources for health and well-being when caring for women in homelessness. It is imperative since women will return to the healthcare setting only if they feel safe and secure, and only if dignity is preserved or restored. The results promote utilization of an integrative nursing approach; understanding that the health of women in homelessness is inseparable from their environment and social determinants for health, such as housing and social integration.","DOI":"10.1111/jpm.12859","PMID":"35861352","NBN":"urn:nbn:se:esh:diva-9683","issue":"5","volume":"29","page":"709-720","container-title":"Journal of Psychiatric and Mental Health Nursing","ISSN":"1365-2850","keyword":"Health; Health equity; Homeless persons; Photo-elicitation; Women’s health","note":"<b>In collaboration with</b>: Women Advisory Board for Inclusion Health. Ersta Möjlighet, Stockholm, Sweden.","published":[{"raw":"2022-08-02T17:32:00.000+02:00"}],"created":[{"raw":"2022-08-02T17:32:36.178+02:00"}],"updated":[{"raw":"2025-09-22T16:56:17.379+02:00"}],"URL":"https://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-9683"},{"id":"diva2:1702078","type":"article-journal","status":"Published","issued":{"date-parts":[[2022]]},"title":"Social rights and street-level services for women in homelessness : A qualitative study","language":"eng","author":[{"family":"Vamstad","given":"Johan","ORCID":"0000-0002-1453-6186","localId":"johvam","affiliation":[{"id":"887151","name":"Marie Cederschiöld högskola, Centrum för civilsamhällesforskning"}]},{"family":"Mattsson","given":"Elisabet","ORCID":"0000-0001-5104-1281","localId":"elimat","affiliation":[{"id":"886223","name":"Marie Cederschiöld högskola, Institutionen för vårdvetenskap"},{"name":"Uppsala universitet"}]},{"family":"Klarare","given":"Anna","ORCID":"0000-0001-7935-3260","localId":"annkla","affiliation":[{"id":"886223","name":"Marie Cederschiöld högskola, Institutionen för vårdvetenskap"},{"name":"Uppsala universitet"}]}],"abstract":"Women in homelessness are among the most marginalized citizens in the modern welfare state and they are thus living indicators of the reach of social rights to basic welfare. In this article, qualitative interviews with women in homelessness in Sweden are used to illustrate the ways in which women in this group are denied their social rights and why. A theoretical understanding based is that social rights are essential for the realization of civil and political rights, but also that they are a first stepping-stone on a path to a more ordered and dignified life for these women. The analysis highlights several ways in which rights are unrealized, including both individual and institutional factors. We conclude that outreach activities and specialized health care services are two important tools for ensuring basic social rights that a fuller citizenship can be built on.","DOI":"10.1080/2156857x.2022.2132529","NBN":"urn:nbn:se:esh:diva-9819","issue":"4","volume":"14","page":"559-571","container-title":"Nordic Social Work Research","ISSN":"2156-8588","keyword":"Homelessness; Social rights; Welfare state; Gender","published":[{"raw":"2022-10-10T09:06:00.000+02:00"}],"created":[{"raw":"2022-10-10T09:06:05.532+02:00"}],"updated":[{"raw":"2025-09-22T16:54:38.960+02:00"}],"URL":"https://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-9819"},{"id":"diva2:1651299","type":"article-journal","status":"Published","issued":{"date-parts":[[2022]]},"title":"”Stabil vardag måste ses som en del av traumabehandling”","language":"swe","author":[{"family":"Agius","given":"Josefine","localId":"josagi","affiliation":[{"id":"886223","name":"Marie Cederschiöld högskola, Institutionen för vårdvetenskap"}]},{"family":"Mattsson","given":"Elisabet","ORCID":"0000-0001-5104-1281","localId":"elimat","affiliation":[{"id":"886223","name":"Marie Cederschiöld högskola, Institutionen för vårdvetenskap"}]},{"family":"Woman Advisory Board","affiliation":[]}],"abstract":"För kvinnor utan fast bostad är det omöjligt att få traumabehandling, eftersom en stabil vardag är ett krav, skriver Josefine Agius, Elisabet Mattsson och Woman Advisory Board.","NBN":"urn:nbn:se:esh:diva-9463","issue":"2022-04-07","container-title":"Dagens medicin","ISSN":"1104-7488","published":[{"raw":"2022-04-11T15:10:00.000+02:00"}],"created":[{"raw":"2022-04-11T15:10:36.835+02:00"}],"updated":[{"raw":"2025-09-22T16:58:49.975+02:00"}],"URL":"https://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-9463"},{"id":"diva2:1658376","type":"article-journal","status":"Published","issued":{"date-parts":[[2022]]},"title":"The relationship between attitudes to homelessness and perceptions of caring behaviours : A cross-sectional study among women experiencing homelessness, nurses and nursing students","language":"eng","author":[{"family":"Gaber","given":"Sophie","ORCID":"0000-0001-5804-0433","localId":"sopgab","affiliation":[{"id":"886223","name":"Marie Cederschiöld högskola, Institutionen för vårdvetenskap"},{"name":"Uppsala universitet"}]},{"family":"Rosenblad","given":"Andreas Karlsson","affiliation":[{"name":"Uppsala universitet; Karolinska institutet"}]},{"family":"Mattsson","given":"Elisabet","ORCID":"0000-0001-5104-1281","localId":"elimat","affiliation":[{"id":"886223","name":"Marie Cederschiöld högskola, Institutionen för vårdvetenskap"},{"name":"Uppsala universitet"}]},{"family":"Klarare","given":"Anna","ORCID":"0000-0001-7935-3260","localId":"annkla","affiliation":[{"id":"886223","name":"Marie Cederschiöld högskola, Institutionen för vårdvetenskap"},{"name":"Uppsala universitet"}]}],"abstract":"<b>BACKGROUND:</b> Women experiencing homelessness have complex and multifaceted healthcare needs and yet they are an underserved population across healthcare services. Nurses are trained to perform an integral role in the provision of equitable healthcare and their attitudes towards homelessness may therefore influence the care that women experiencing homelessness receive. This study aimed to examine correlations between attitudes towards homelessness and caring behaviours, and to test if these correlations differed between the groups of women experiencing homelessness, registered nurses, and nursing students.<b>METHODS:</b> A cross-sectional design using convenience sampling was used to recruit women experiencing homelessness (n = 37), registered nurses (n = 90), and nursing students (n = 138) in Stockholm, Sweden between August 2019 and December 2020. The participants answered two questionnaires: the Attitudes Toward Homelessness Inventory and the Caring Behaviours Inventory-24. Correlations between ordinal variables were calculated using Spearman's rank correlation ρ. Tests of equality between two independent correlations were performed using a Z-test applied to Fisher's z-transformed correlations. An advisory board of women with lived experience of homelessness supported the interpretation of the results.<b>RESULTS:</b> Weak, negative correlations were identified between the Attitudes Toward Homelessness Inventory and Caring Behaviours Inventory-24. The Attitudes Toward Homelessness Inventory mean total scores (SD) were 4.1 (0.6), 4.2 (0.6), 4.1 (0.5) points for the women experiencing homelessness, registered nurse, and nursing student groups, respectively, with the corresponding scores for the Caring Behaviours Inventory-24 being 4.1 (1.1), 5.2 (0.5), 4.8 (0.7) points, respectively.<b>CONCLUSIONS:</b> To promote equitable health for women experiencing homelessness, healthcare providers and nurse educators should consider the role of stigmatising attitudes in relation to caring behaviours.","DOI":"10.1186/s12905-022-01744-8","PMID":"35546674","NBN":"urn:nbn:se:esh:diva-9536","issue":"1","volume":"22","number":"159","container-title":"BMC Women's Health","ISSN":"1472-6874","keyword":"Attitudes; Caring behaviours; Homelessness; Nurse-patient relations; Nursing students; Registered nurses; Women","published":[{"raw":"2022-05-16T12:23:00.000+02:00"}],"created":[{"raw":"2022-05-16T12:23:50.787+02:00"}],"updated":[{"raw":"2025-09-22T16:57:55.194+02:00"}],"URL":"https://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-9536"},{"id":"diva2:1714455","type":"article-journal","status":"Published","issued":{"date-parts":[[2022]]},"title":"Trygg kan ingen vara : Elever som lever med skyddade personuppgifter","language":"swe","author":[{"family":"Agius","given":"Josefine","localId":"josagi","affiliation":[{"id":"886223","name":"Marie Cederschiöld högskola, Institutionen för vårdvetenskap"}]},{"family":"Klarare","given":"Anna","ORCID":"0000-0001-7935-3260","localId":"annkla","affiliation":[{"id":"886223","name":"Marie Cederschiöld högskola, Institutionen för vårdvetenskap"}]},{"family":"Mattsson","given":"Elisabet","ORCID":"0000-0001-5104-1281","localId":"elimat","affiliation":[{"id":"886223","name":"Marie Cederschiöld högskola, Institutionen för vårdvetenskap"}]}],"abstract":"I Sverige lever över 10 000 barn med skyddade personuppgifter på grund av hot och våld. För barn och ungdomar som tvingas leva gömda kan skolan vara en tillflyktsort i en annars kaotisk värld.","NBN":"urn:nbn:se:esh:diva-9932","issue":"4","page":"16-21","container-title":"Skolhälsan","ISSN":"0284-284X","publisher":"Riksföreningen för skolsköterskor","published":[{"raw":"2022-11-29T14:58:00.000+01:00"}],"created":[{"raw":"2022-11-29T14:58:47.628+01:00"}],"updated":[{"raw":"2025-09-22T16:53:03.842+02:00"}],"URL":"https://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-9932"},{"id":"diva2:1541480","type":"article-journal","status":"Published","issued":{"date-parts":[[2021]]},"title":"Att ta del av en människas berättelser : En metodkritisk diskussion av forskningsintervjuer med kvinnor som lever i hemlöshet","language":"swe","author":[{"family":"Bockgård","given":"Gustav","affiliation":[{"name":"Uppsala universitet"}]},{"family":"Olsson","given":"Malin","localId":"malols","affiliation":[{"id":"877105","name":"Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap"}]}],"abstract":"I denna studie analyserar och diskuterar vi intervjuer som genomförts med kvinnor som lever i eller har tidigare erfarenhet av hemlöshet. Det handlar om semistrukturerade intervjuer med en kvalitativ ansats som genomfördes under hösten 2019 av två forskare inom ramen för ett större vårdvetenskapligt projekt med syftet att kartlägga hemlösa kvinnors vårdsituation och hälsolitteracitet. Projektet antas i förlängningen kunna bidra till en minskning av stigmatiseringen och diskrimineringen av denna grupp i samhället i stort och särskilt inom vården. För att kunna uppnå syftet har forskarna valt att utforma intervjuerna på ett sådant sätt att de ska bli rika på berättelser om undersökningsdeltagarnas egna erfarenheter av att söka vård samt om hur de använder (eller inte har möjlighet att använda) mobiltelefoner, datorer etc. i vårdrelaterade sammanhang. Man har också velat få reda på hur undersökningsdeltagarna skulle önska att vården skulle se ut om de själva fick bestämma. Vi som har skrivit föreliggande artikel ingår inte i detta projekt. Däremot har vi av ursprungsforskarna själva, strax efter att intervjuerna var klara, blivit ombedda att kritiskt granska och utvärdera dem, på det sätt som vi själva finner bäst. Vi har härvidlag strävat efter att arbeta materialnära och ganska förutsättningslöst, men centralt för vår granskning har varit dels ursprungsforskarnas val att genomföra tämligen formella intervjuer, dels intervjutekniken. Vad sägs? Hur sägs det? När sägs det? Vad sägs inte? Hur fungerar samspelet mellan samtalets bägge parter? Vad hade med fördel kunnat göras annorlunda, om man hade velat få till ett bättre samspel samt kanske ett rikare och samtalsämnesmässigt relevantare material att beforska? För att på detaljnivå kunna avgöra vad som sker i interaktionen mellan intervjuaren och den intervjuade (undersökningsdeltagaren) använder vi oss av den etnometodologiskt influerade samtalsanalysen: conversation analysis (CA). Vårt primära mål är att avtäcka återkommande interaktionsmönster som är relevanta vid en utvärdering av insamlingsmetoden och intervjutekniken, och som bör kunna vara intressanta att ta del av för andra forskare som avser att i forskningssyfte själva intervjua i något avseende utsatta, marginaliserade eller diskriminerade grupper av människor. Vår studie bidrar även till den samlade samtalsanalytiska kunskapen om hur interaktion i (forsknings)intervjuer kan gå till. För att kunna genomföra en utvärderande bedömning av intervjuarnas agerande lutar vi oss även mot den vårdvetenskapliga livsvärldsteorin. Denna teori går enligt vår mening utmärkt att kombinera med CA. Båda teorierna har viktiga rötter i fenomenologin och bygger på vissa socialkonstruktivistiska grundantaganden. Teorierna har en likartad syn på fenomen såsom vardagskunskap och interaktion, samt på forskning om människors beteende och erfarenheter som en närmast med nödvändighet (inter)subjektiv och tolkande verksamhet. Vi vill emellertid även framhålla vår undersökning i egenskap av en interaktionell studie av ett specifikt empiriskt material, där en enskild intervju står i förgrunden. Att presentera (en analys av) detta material för forskarsamhället uppfattar vi som viktigt i sig, bl.a. ur ett socialt hållbarhetsperspektiv, oberoende av vilka forskningsmetodiska slutsatser man väljer att dra. Hemlösa personer, och inte minst kvinnor, lever ofta på samhällets skuggsida – relativt maktlösa, förbisedda av politiker, medier etc. och med begränsade möjligheter att få komma till tals i offentligheten. Marginalisering av dessa människor sker även inom vetenskapliga verksamheter: hemlösa personer agerar ytterst sällan som vare sig forskare eller undersökningsdeltagare. Att delta i ett forskningsprojekt – och där få beskriva sina levnadsvillkor, tankar och åsikter med egna ord – kan vara ett sätt att vara delaktig i samhällsutvecklingen.","NBN":"urn:nbn:se:esh:diva-8725","volume":"5","page":"69-92","container-title":"Språk och interaktion","ISSN":"2242-2285","keyword":"CA; Livsvärldsteori; Intervjuer","publisher-place":"Helsingfors","published":[{"raw":"2021-03-26T09:13:00.000+01:00"}],"created":[{"raw":"2021-04-01T09:33:37.283+02:00"}],"updated":[{"raw":"2025-09-22T17:07:27.631+02:00"}],"URL":"https://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-8725"},{"id":"diva2:1520694","type":"article-journal","status":"Published","issued":{"date-parts":[[2021]]},"title":"Caring Behaviors Inventory-24 : Translation, cross-cultural adaptation and psychometric testing for use in a Swedish context","language":"eng","author":[{"family":"Klarare","given":"Anna","ORCID":"0000-0001-7935-3260","localId":"annkla","affiliation":[{"id":"877105","name":"Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap"},{"name":"Uppsala universitet"}]},{"family":"Söderlund","given":"Mona","ORCID":"0000-0002-4169-2061","localId":"monsod","affiliation":[{"id":"877105","name":"Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap"}]},{"family":"Wikman","given":"Anna","affiliation":[{"name":"Uppsala universitet"}]},{"family":"McGreevy","given":"Jenny","affiliation":[{"name":"Region Sörmland; Centre for Clinical Research Sörmland"}]},{"family":"Mattsson","given":"Elisabet","ORCID":"0000-0001-5104-1281","localId":"elimat","affiliation":[{"name":"Uppsala universitet"},{"id":"877105","name":"Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap"}]},{"family":"Rosenblad","given":"Andreas","affiliation":[{"name":"Uppsala universitet"}]}],"abstract":"<b>Background:</b> Patients’ health and wellbeing are promoted when nurses successfully conceptualize caring in clinical practice. Measuring caring behaviors can advance knowledge about caring and has potential to improve caring practices and the outcomes of care. The Caring Behaviors Inventory-24 (CBI-24) is an empirical instrument for measuring caring, developed to determine perceptions of caring among patients and nurses. Since the instrument was not available in Swedish, the aim of this study was therefore to translate into Swedish and cross-culturally adapt CBI-24 for a Swedish healthcare context, and to psychometrically analyze the Swedish version of CBI-24.<b>Methods:</b> The study used a traditional forward and back translation process in six stages: (1) two simultaneous translations by bilingual experts; (2) expert review committee synthesis; (3) blind back translation; (4) expert review committee deliberations; (5) pre-testing with cognitive interviews, and (6) psychometric evaluations. <b>Results:</b> The translation process was systematically conducted and entailed discussions regarding semantic, idiomatic, experiential and conceptual equivalence. The cognitive interviews generated thoughts and reflections, which resulted in adjusting three items of the CBI-24 SWE. For psychometric analyses, 234 persons answered the questionnaire. Results indicated acceptable overall model fit in the χ2-value for the confirmatory factor analysis, while for the heuristic goodness-of-fit indices, the comparative fit index (CFI) and the standardized mean square residual (SMSR) indicated good model fits, and the root mean square error approximation (RMSEA) indicated an acceptable fit. <b>Conclusions:</b> CBI-24 SWE has been shown to be a psychometrically acceptable instrument for use in Swedish research contexts. Further studies regarding the clinical usefulness of the instrument may be in order. In particular, CBI-24 SWE should be evaluated among nurses in rural areas.","DOI":"10.1186/s12960-020-00540-5","PMID":"33472634","NBN":"urn:nbn:se:esh:diva-8583","issue":"1","volume":"19","number":"11","container-title":"Human Resources for Health","ISSN":"1478-4491","keyword":"Caring; Nursing; Translation; Cross-cultural adaptation; Psychometric testing","published":[{"raw":"2021-01-21T11:36:00.000+01:00"}],"created":[{"raw":"2021-01-21T11:36:02.138+01:00"}],"updated":[{"raw":"2025-09-22T17:08:59.042+02:00"}],"URL":"https://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-8583"},{"id":"diva2:1624836","type":"article-newspaper","status":"Published","issued":{"date-parts":[[2021]]},"title":"Ge alla med skyddad identitet tillgång till vård","language":"swe","author":[{"family":"Karlsson","given":"Hanna","localId":"hankarn","affiliation":[{"id":"877105","name":"Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap"}]},{"family":"Vamstad","given":"Johan","ORCID":"0000-0002-1453-6186","localId":"johvam","affiliation":[{"id":"881830","name":"Ersta Sköndal Bräcke högskola, Centrum för civilsamhällesforskning"}]}],"abstract":"DN DEBATT 27/12.Forskarna Hanna Karlsson och Johan Vamstad: Inför nationella riktlinjer till landets regioner.Antalet personer som lever med skyddad identitet har nästan ­fördubblats på tio år. Men denna växande grupp får inte tillgång till ­sjukvård på samma sätt som andra eftersom deras identitet inte alltid skyddas i vården.","NBN":"urn:nbn:se:esh:diva-9336","issue":"2021-12-27","container-title":"Dagens nyheter","published":[{"raw":"2022-01-05T09:16:00.000+01:00"}],"created":[{"raw":"2022-01-05T09:16:49.137+01:00"}],"updated":[{"raw":"2025-09-22T17:00:17.882+02:00"}],"URL":"https://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-9336"},{"id":"diva2:1532603","type":"article-newspaper","status":"Published","issued":{"date-parts":[[2021]]},"title":"Låt berörda vara del i forskning","language":"swe","author":[{"family":"Karlsson","given":"Hanna","affiliation":[{"id":"877105","name":"Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap"}]},{"family":"Klarare","given":"Anna","ORCID":"0000-0001-7935-3260","localId":"annkla","affiliation":[{"id":"877106","name":"Ersta Sköndal Bräcke högskola, Palliativt forskningscentrum, PFC"}]},{"family":"Mattsson","given":"Elisabet","ORCID":"0000-0001-5104-1281","localId":"elimat","affiliation":[{"id":"877105","name":"Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap"}]},{"family":"Vamstad","given":"Johan","ORCID":"0000-0002-1453-6186","localId":"johvam","affiliation":[{"id":"881830","name":"Ersta Sköndal Bräcke högskola, Centrum för civilsamhällesforskning"}]}],"abstract":"DEBATT: Att forskare och personer som berörs av forskningen arbetar gemensamt kan stärka möjligheten att lösa samhällsproblem och ge bättre kunskap. Det märker vi i vårt arbete med hemlösa kvinnor, skriver forskargruppen Jämlik vård för kvinnor i hemlöshet.","NBN":"urn:nbn:se:esh:diva-8648","issue":"2021-02-28","container-title":"Dagens Arena","publisher-place":"Stockholm","publisher":"Arenagruppen","published":[{"raw":"2021-03-02T12:11:00.000+01:00"}],"created":[{"raw":"2021-03-02T12:11:20.657+01:00"}],"updated":[{"raw":"2025-09-22T17:08:10.107+02:00"}],"URL":"https://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-8648"},{"id":"diva2:1539498","type":"article-journal","status":"Published","issued":{"date-parts":[[2021]]},"title":"Låt våra hemlösa få bo på de tomma hotellen","language":"swe","author":[{"family":"Karlsson","given":"Elsa","affiliation":[{"id":"877102","name":"Ersta Sköndal Bräcke högskola, Institutionen för socialvetenskap"}]},{"family":"Klarare","given":"Anna","ORCID":"0000-0001-7935-3260","localId":"annkla","affiliation":[{"id":"877106","name":"Ersta Sköndal Bräcke högskola, Palliativt forskningscentrum, PFC"}]},{"family":"Mattsson","given":"Elisabet","ORCID":"0000-0001-5104-1281","localId":"elimat","affiliation":[{"id":"877105","name":"Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap"}]}],"contributor":[{"family":"Vamstad","given":"Johan","ORCID":"0000-0002-1453-6186","localId":"johvam","affiliation":[{"id":"881830","name":"Ersta Sköndal Bräcke högskola, Centrum för civilsamhällesforskning"}]}],"abstract":"DEBATT. Covid-19 pandemin är en kris som påverkar samhällen i hela världen. Det är en utmanande tid för alla, men för socialt utsatta grupper, så som personer i hemlöshet, blir situationen ännu mer ohållbar.","NBN":"urn:nbn:se:esh:diva-8703","issue":"2021-03-21","container-title":"Aftonbladet","ISSN":"1403-9656","keyword":"Covid-19 pandemin; Hemlöshet; Sverige","published":[{"raw":"2021-03-24T13:06:00.000+01:00"}],"created":[{"raw":"2021-03-24T13:06:22.077+01:00"}],"updated":[{"raw":"2025-09-22T17:07:40.130+02:00"}],"URL":"https://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-8703"},{"id":"diva2:1554032","type":"article-journal","status":"Published","issued":{"date-parts":[[2021]]},"title":"“Stripped of dignity” - Women in homelessness and their perspectives of healthcare services : A qualitative study","language":"eng","author":[{"family":"Kneck","given":"Åsa","ORCID":"0000-0002-2135-2684","localId":"asakne","affiliation":[{"id":"877105","name":"Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap"}]},{"family":"Mattsson","given":"Elisabet","ORCID":"0000-0001-5104-1281","localId":"elimat","affiliation":[{"name":"Uppsala universitet"},{"id":"877105","name":"Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap"}]},{"family":"Salzmann-Erikson","given":"Martin","affiliation":[{"name":"Högskolan i Gävle"}]},{"family":"Klarare","given":"Anna","ORCID":"0000-0001-7935-3260","localId":"annkla","affiliation":[{"id":"877105","name":"Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap"},{"name":"Uppsala universitet"}]}],"abstract":"<b>Background:</b> A much more substantial European evidence base on the accessibility of healthcare services among women experiencing homelessness across healthcare systems in Europe is warranted.<b>Objective:</b> To give voice to women with experiences of homelessness, and to explore their perspectives of healthcare services in an EU country with universal healthcare.<b>Design:</b> The study is part of a research program striving to promote equal healthcare through co-production with women in homelessness. An advisory board of women with lived experience of homelessness was established and a qualitative, interpretive and exploratory design was employed.<b>Participants:</b> 26 women with experience of homelessness were interviewed. Their median age was 46 years (range 42) and 70% were roofless/houseless.<b>Methods:</b> Data were analyzed with content analysis. Co-production and joint analyses were conducted by researchers and three women with experience of homelessness, using the DEPICT model for collaborative analysis.<b> Results:</b> The analysis resulted in one overall theme: Visiting healthcare from the outskirts of society, comprising three sub-themes: Demand for a life in order - Exclusion in action; Unwell, unsafe and a woman - Multifaceted needs challenge healthcare; and Abuse versus humanity – power of healthcare encounters to raise or reduce. Women's experiences of care encounters were disparate, with prevalent control, mistrust and stigma, yet healthcare professionals that demonstrated respect for the woman's human dignity was described both as life-altering and lifesaving.<b>Conclusions: </b>Women in homelessness live on the outskirts of society and have multiple experiences of exclusion and loss of dignity within healthcare services. The multifaceted care needs challenge healthcare, leading to women feeling alienated, invisible, disconnected and worthless. We urge registered nurses to take actions for inclusion health, i.e. focusing health efforts of people experiencing extreme health inequities. We can lead the way by speaking up and confronting discriminating behaviors, protecting and restoring human dignity in caring relationships, and framing healthcare services for all citizens.","DOI":"10.1016/j.ijnurstu.2021.103974","PMID":"34087526","NBN":"urn:nbn:se:esh:diva-8822","volume":"120","number":"103974","container-title":"International Journal of Nursing Studies","ISSN":"1873-491X","keyword":"Co-production; Health inequity; Homelessness; Human rights; Inclusion; Health; Nursing; Women","note":"<b>In collaboration with:</b> Women Advisory Board for Inclusion Health. Ersta Möjlighet, Stockholm, Sweden.","published":[{"raw":"2021-05-11T15:21:00.000+02:00"}],"created":[{"raw":"2021-05-11T15:21:07.672+02:00"}],"updated":[{"raw":"2025-09-22T17:06:05.396+02:00"}],"URL":"https://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-8822"},{"id":"diva2:1507475","type":"article-journal","status":"Published","issued":{"date-parts":[[2021]]},"title":"Translation, Cross-Cultural Adaptation, and Psychometric Analysis of the Attitudes Towards Homelessness Inventory for Use in Sweden","language":"eng","author":[{"family":"Klarare","given":"Anna","ORCID":"0000-0001-7935-3260","localId":"annkla","affiliation":[{"id":"877105","name":"Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap"},{"name":"Uppsala universitet"}]},{"family":"Wikman","given":"Anna","ORCID":"0000-0003-0937-0887","affiliation":[{"name":"Uppsala universitet"}]},{"family":"Söderlund","given":"Mona","ORCID":"0000-0002-4169-2061","localId":"monsod","affiliation":[{"id":"877105","name":"Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap"}]},{"family":"McGreevy","given":"Jenny","affiliation":[{"name":"Region Sörmland"}]},{"family":"Mattsson","given":"Elisabet","ORCID":"0000-0001-5104-1281","localId":"elimat","affiliation":[{"name":"Uppsala universitet"},{"id":"877105","name":"Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap"}]},{"family":"Rosenblad","given":"Andreas","affiliation":[{"name":"Uppsala universitet"}]}],"abstract":"<b>BACKGROUND:</b> Homelessness is an increasing problem worldwide, and the origins of homelessness in high-income countries are multifaceted. Due to stigma and discrimination, persons in homelessness delay seeking health care, resulting in avoidable illness and death. The Attitudes Towards Homelessness Inventory (ATHI) was developed to cover multiple dimensions of attitudes toward persons in homelessness and to detect changes in multiple segments of populations. It has, however, not previously been translated to Swedish.<b>AIMS:</b> The aim of the present study was to translate, cross-culturally adapt, and psychometrically test the ATHI for use in a Swedish healthcare context.<b>METHODS:</b> The project used a traditional forward- and back-translation process in six stages: (1) two simultaneous translations by bilingual experts; (2) expert review committee synthesis; (3) blind back-translation; (4) expert review committee deliberations; (5) pre-testing with cognitive interviews including registered nurses (n = 5), nursing students (n = 5), and women in homelessness (n = 5); and (6) psychometric evaluations. The final ATHI questionnaire was answered by 228 registered nurses and nursing students in the year 2019.<b>RESULTS:</b> The translation process was systematically conducted and entailed discussions regarding semantic, idiomatic, experiential, and conceptual equivalence. Confirmatory factor analysis was used to examine if the collected data fitted the hypothesized four-factor structure of the ATHI. Overall, it was found that the model had an acceptable fit and that the Swedish version of ATHI may be used in a Swedish healthcare context.<b>LINKING EVIDENCE TO ACTION:</b> The ATHI has been shown to be a psychometrically acceptable research instrument for use in a Swedish healthcare context. The systematic and rigorous process applied in this study, including experts with diverse competencies in translation proceedings and testing, improved the reliability and validity of the final Swedish version of the ATHI. The instrument may be used to investigate attitudes toward women in homelessness among nursing students and RNs in Sweden.","DOI":"10.1111/wvn.12477","PMID":"33280243","NBN":"urn:nbn:se:esh:diva-8522","issue":"1","volume":"18","page":"42-49","container-title":"Worldviews on Evidence-Based Nursing","ISSN":"1741-6787","keyword":"Attitudes; Confirmatory factor analysis; Cross-cultural adaptation; Health care; Homelessness; Psychometric testing; Registered nurses; Translation","published":[{"raw":"2020-12-07T18:14:00.000+01:00"}],"created":[{"raw":"2020-12-07T18:14:12.899+01:00"}],"updated":[{"raw":"2025-09-22T17:09:37.939+02:00"}],"URL":"https://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-8522"},{"id":"diva2:1686756","type":"paper-conference","issued":{"date-parts":[[2021]]},"title":"Våld som en del av vardagen i livet som hemlös : Hur får vi patienter att vilja prata om våldsutsatthet?","language":"swe","author":[{"family":"Kneck","given":"Åsa","ORCID":"0000-0002-2135-2684","localId":"asakne","affiliation":[{"id":"877105","name":"Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap"}]},{"family":"Ahlstedt","given":"Annika","affiliation":[{"name":"Capio Vård för hemlösa Pelarbacken, Stockholm"}]},{"family":"Essemyr","given":"Klara","affiliation":[{"name":"Capio Vård för hemlösa Pelarbacken, Stockholm"}]}],"abstract":"På Capio Vård för hemlösa öppenvård Pelarbacken och heldygnsvård pågår ett projekt med syfte att utveckla en vårdmodell för personer i hemlöshet som blivit våldsutsatta. Fokus är att identifiera, slussa/samordna samt erbjuda initiala samtal och behandlingsåtgärder. Projektet följs av en forskargrupp på Ersta Sköndal Bräcke högskola.Preliminära resultat från det initiala skedet att identifiera patienter genom att systematiskt fråga alla patienter som besöker Pelarbacken om våldsutsatthet visar på flera utmaningar vilka de flesta även beskrivits för andra vårdkontexter. Här kan nämnas en osäkerhet hos personalen kring hur man frågar och ramar in samtal om våld samt svårigheter med integreringen av nya rutiner i verksamheten. Det framkom också att våldet var så normaliserat att patienter inte själva uppfattar att de blivit våldsutsatta trots att de sökte för skador till följd av våld. Vidare har antalet patienter som önskat kuratorkontakt varit betydligt längre än förväntat. Skriftlig information till patienter i form av broschyrer samt att vårdpersonal informerat i väntrum har kompletterats med visuella metoder i form av bilder i syftet att stimulera reflektion och dialog kring våld.  Processen att identifiera val av bilder har genomförts i samverkan mellan en kvinna på skyddat boende, vårdpersonal på Pelarbacken och forskare.I processen att erbjuda initiala samtal och behandlingsåtgärder har ett underlag för samtal utarbetats där anpassningar har gjorts för att tillmötesgå behov och förutsättningar hos målgruppen.Konferenspresentationen kommer innehålla exempel på bildmaterial och underlag för samtal.","NBN":"urn:nbn:se:esh:diva-9615","event":"Nationell konferens med fokus på arbetssätt och metoder inom socialt arbete med våld mot barn och vuxna i nära relationer, Stockholm, 4 oktober 2021.","note":"Konferensen arrangeras av forskningsprogrammet Sivin-Barn vid Ersta Sköndal Bräcke Högskola.","published":[{"raw":"2022-08-11T10:54:00.000+02:00"}],"created":[{"raw":"2022-08-11T10:54:15.943+02:00"}],"updated":[{"raw":"2025-09-22T16:55:56.557+02:00"}],"URL":"https://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-9615"},{"id":"diva2:1610103","type":"article-journal","status":"Published","issued":{"date-parts":[[2021]]},"title":"Öka kunskapen i vården kring skyddad identitet","language":"swe","author":[{"family":"Mattsson","given":"Elisabet","ORCID":"0000-0001-5104-1281","localId":"elimat","affiliation":[{"id":"877105","name":"Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap"}]},{"family":"Agius","given":"Josefine","localId":"josagi","affiliation":[{"id":"877105","name":"Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap"}]}],"abstract":"Våldsutsatta kvinnor med skyddad identitet möter svårigheter då de söker vård, skriver Elisabet Mattsson och Josefine Agius vid Ersta Sköndal Bräcke högskola.","NBN":"urn:nbn:se:esh:diva-9244","issue":"2021-11-10","container-title":"Dagens medicin","ISSN":"1104-7488","published":[{"raw":"2021-11-10T10:07:00.000+01:00"}],"created":[{"raw":"2021-11-10T10:07:36.493+01:00"}],"updated":[{"raw":"2025-09-22T17:01:38.056+02:00"}],"URL":"https://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-9244"},{"id":"diva2:1532771","type":"speech","issued":{"date-parts":[[2020]]},"title":"Hur kan hemlösa kvinnor få samma vård som andra i samhället?","language":"swe","author":[{"family":"Mattsson","given":"Elisabet","ORCID":"0000-0001-5104-1281","localId":"elimat","affiliation":[{"id":"877105","name":"Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap"}]}],"abstract":"I denna podd träffar du Elisabet Mattsson som är professor i vårdvetenskap. Det är det ämne som är huvudområdet för utbildning inom sjuksköterskeprogrammet. Elisabet forskar just nu om hur kvinnor som lever i hemlöshet kan få vård på samma vilkor som andra svenska medborgare.Kvinnor som lever i hemlöshet dör oftare av möjliga behandlingsbara sjukdomar än kvinnor i allmänhet, även i höginkomstländer som Sverige. Vård på lika villkor är ett projekt där man fokuserar på hälsoinsatser för människor med dålig hälsa på grund av social utsatthet, fattigdom och med multisjukdomar.","NBN":"urn:nbn:se:esh:diva-8655","publisher-place":"Stockholm","publisher":"Ersta Sköndal Bräcke högskola","note":"Professorsinstallationsföreläsning : I samtal med professor Oscar Ekberg beskriver professor Elisabet Mattsson sin forskning och tankar om sitt ämne.","published":[{"raw":"2021-03-02T16:03:00.000+01:00"}],"created":[{"raw":"2021-03-02T16:03:59.355+01:00"}],"updated":[{"raw":"2025-09-22T17:08:04.650+02:00"}],"URL":"https://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-8655"},{"id":"diva2:1351870","type":"review","status":"Published","issued":{"date-parts":[[2019]]},"title":"Homeless persons' experiences of health- and social care : A systematic integrative review","language":"eng","author":[{"family":"Omerov","given":"Pernilla","ORCID":"0000-0003-1835-1960","localId":"perome","affiliation":[{"id":"877105","name":"Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap"}]},{"family":"Gransjön Craftman","given":"Åsa","affiliation":[{"name":"Sophiahemmet högskola"}]},{"family":"Mattsson","given":"Elisabet","ORCID":"0000-0001-5104-1281","localId":"elimat","affiliation":[{"name":"Uppsala universitet"},{"id":"877105","name":"Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap"}]},{"family":"Klarare","given":"Anna","ORCID":"0000-0001-7935-3260","localId":"annkla","affiliation":[{"name":"Uppsala universitet"},{"id":"877105","name":"Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap"}]}],"abstract":"Homelessness is associated with high risks of morbidity and premature death. Many interventions aimed to improve physical and mental health exist, but do not reach the population of persons experiencing homelessness. Despite the widely reported unmet healthcare needs, more information about the barriers and facilitators that affect access to care for persons experiencing homelessness is needed. A systematic integrative review was performed to explore experiences and needs of health- and social care for persons experiencing homelessness. The following databases were searched: AMED, ASSIA, Academic Search Complete, CINAHL, Cochrane library, Nursing and Allied Database, PsycInfo, PubMed, Scopus and Web of Science Core Collection. Twenty-two studies met the inclusion criteria of empirical studies with adult persons experiencing homelessness, English language, and published 2008-2018. Fifty percent of the studies were of qualitative and quantitative design, respectively. Most studies (73%) were conducted in the United States (n=11) and Canada (n=5). The analysis resulted in three themes Unmet basic human needs, Interpersonal dimensions of access to care, and Structural and organizational aspects to meet needs. The findings highlight that persons in homelessness often must prioritize provision for basic human needs, such as finding shelter and food, over getting health- and social care. Bureaucracy and rigid opening hours, as well as discrimination and stigma, hinder these persons' access to health- and social care.","DOI":"10.1111/hsc.12857","PMID":"31524327","NBN":"urn:nbn:se:esh:diva-7796","issue":"1","volume":"28","page":"1-11","container-title":"Health & Social Care in the Community","ISSN":"1365-2524","keyword":"Healthcare; Homelessness; Needs and experiences of care; Social care; Systematic review","published":[{"raw":"2019-09-17T09:24:00.000+02:00"}],"created":[{"raw":"2019-09-17T09:24:25.463+02:00"}],"updated":[{"raw":"2025-09-22T17:18:50.038+02:00"}],"URL":"https://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-7796"}],"links":[{"type":"pid","link":"https://mchs.diva-portal.org/smash/api/project/swecris/project:2924"}]}]