{"id":11334,"date":"2023-04-24T13:36:29","date_gmt":"2023-04-24T11:36:29","guid":{"rendered":"https:\/\/voxvigor.se\/?p=11334"},"modified":"2023-04-24T13:36:29","modified_gmt":"2023-04-24T11:36:29","slug":"bra-eller-daligt-en-brukarrevision-svarar-pa-mer","status":"publish","type":"post","link":"https:\/\/voxvigor.se\/bricks-staging\/bra-eller-daligt-en-brukarrevision-svarar-pa-mer\/","title":{"rendered":"Bra eller d\u00e5ligt? En brukarrevision svarar p\u00e5 mer"},"content":{"rendered":"

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\u201dDet finns en logik i att revisionerna utf\u00f6rs av personer med egen erfarenhet av verksamheten eller liknande verksamhet\u201d, s\u00e4ger Beatrice Ikonen. Hon \u00e4r ansvarig f\u00f6r Brukarrevisionerna som g\u00f6rs av RSMH Utbildning. \u201dOch skapar vi de v\u00e4rden f\u00f6r den enskilda som vi vill skapa?\u201d fr\u00e5gar Beatrice.<\/strong><\/h2>\n

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Brukarrevisioner \u00e4r en av metoderna f\u00f6r \u00f6kat brukarinflytande. Brukarinflytande inneb\u00e4r att den som anv\u00e4nder sig av till exempel en tr\u00e4fflokal ocks\u00e5 ska ha r\u00e4tt till inflytande \u00f6ver den.\u00a0 Och en brukarrevision \u00e4r granskning av en verksamhet som utf\u00f6rs av brukare. Resultatet \u2013 eller revisionen \u2013 \u00e4r en rapport med m\u00e5let att presentera vad som \u00e4r bra eller d\u00e5ligt med verksamheten och vad som kan f\u00f6rb\u00e4ttras.<\/p>\n

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F\u00f6rb\u00e4ttringsm\u00e5let<\/strong><\/h3>\n

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Jens Str\u00f6mvall s\u00e5g en annons d\u00e4r RSMH s\u00f6kte folk till en brukarrevisorsutbildning, tyckte att det verkade intressant och h\u00f6rde av sig till RSMH. \u201dDet var v\u00e4l i en period d\u00e5 jag inte jobbade s\u00e5 mycket\u201d, minns han. Uppdraget har varit lite blandat. Som brukarrevisor reste han en del, gjorde bes\u00f6k p\u00e5 en enhet eller verksamhet. Snappade upp lite av varje, fr\u00e5n hur lokalerna s\u00e5g ut till st\u00e4mningen.
Sedan \u00e5kte revisorerna tillbaka till Stockholm och gjorde en intervjuguide med upp\u00e5t 35 fr\u00e5gor. Reste tillbaka till enheten och gjorde intervjuer med 12\u201316 brukare och sedan tillbaka till Stockholm igen f\u00f6r svarsanalys och rapportskrivning.
\u201dDet viktigaste \u00e4r att vaska fram f\u00f6rb\u00e4ttringsf\u00f6rslag, resultatet ska ju vara konstruktivt f\u00f6r alla inblandade. I vissa fall har jag h\u00f6rt i efterhand att n\u00e5gon f\u00f6rb\u00e4ttring gjorts: p\u00e5 enheten eller f\u00f6r en enskild individ\u201d, ber\u00e4ttar Jens.
Intervjusituationen och rapporten \u00e4r f\u00f6r m\u00e5nga en m\u00f6jlighet att fundera p\u00e5 vad man vill ha av en verksamhet, menar Beatrice Ikonen.
\u201dJust p\u00e5 grund av det faktum att brukarrevisionen \u00e4r en explorativ verksamhet till skillnad fr\u00e5n en brukarunders\u00f6kning \u2013 att man tankar av revisorerna och de intervjuade deras egen analys. Ett bem\u00f6tande \u00e4r inte bara bra eller d\u00e5ligt.”<\/p>\n

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\"Jens<\/p>
Jens Str\u00f6mvall. Foto: Selfie<\/em><\/figcaption><\/figure>\n

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Psykisk oh\u00e4lsa en av meriterna<\/strong><\/h3>\n

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Jens Str\u00f6mvall \u00e4r en person som tycker om n\u00e4r det h\u00e4nder saker.
\u201dJag \u00e4r alltid p\u00e5 v\u00e4g till eller fr\u00e5n n\u00e5gonting tycker om att testa olika jobb. Jag har alltid tyckt att jag har varit harig men jag hoppade till exempel p\u00e5 alla olika jobb jag fick f\u00f6rra \u00e5ret\u201d, ber\u00e4ttar Jens. \u201dOch en kompis fr\u00e5gade om jag skulle resa iv\u00e4g sj\u00e4lv p\u00e5 de d\u00e4r l\u00e5nga resorna \u2013 och det skulle jag ju. S\u00e5 jag kanske inte \u00e4r s\u00e5 harig trots allt.\u201c
Jens \u00e4r numer samordnare f\u00f6r brukarrevisioner och har d\u00e5 \u00e4ven lite koll p\u00e5 teamet, l\u00f6nelistor, kontakt med chefer och uppdragsgivare.
Beatrice Ikonen har arbetat p\u00e5 RSMH Utbildning sedan 2021 och p\u00e5 RSMH sedan 2018. Hon \u00e4r gift och har tv\u00e5 barn, tv\u00e5 mopsar och tv\u00e5 hamstrar. Hon har arbetat med sociala fr\u00e5gor i 25 \u00e5r och kommer fr\u00e5n Sundsvall.
\u201dVi har gjort ett 20-tal brukarrevisioner sammanlagt och fyra sedan jag b\u00f6rjade 2021\u201d, s\u00e4ger Beatrice.
En brukarrevisor \u00e4r allts\u00e5 en person med egen erfarenhet av psykisk oh\u00e4lsa, men kr\u00e4vs det n\u00e5got mer?
\u201dDet \u00e4r v\u00e4ldigt viktigt att kunna ta olika personer, olika personligheter. S\u00e5 att man inte k\u00f6r fast mitt i intervjun. En intervjuperson kanske ber\u00e4ttar sin livshistoria och d\u00e5 m\u00e5ste man kunna ta det\u201d, f\u00f6rtydligar Jens.\u00a0 ”Man m\u00e5ste kunna jobba i grupp och vara lite smidig och flexibel.”
Det g\u00e4ller ocks\u00e5 att brukarrevisorn \u00e4r s\u00e5 pass \u00e5terh\u00e4mtad att hen klara av att g\u00f6ra sitt jobb.
\u201dDen enda meriten kan ju inte vara att man har egen erfarenhet. Det inneb\u00e4r ju mest att man har en st\u00f6rre f\u00f6rf\u00f6rst\u00e5else f\u00f6r verksamheten och f\u00f6r den man intervjuar.\u201d<\/p>\n

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Ett hopp och en r\u00f6st<\/strong><\/h3>\n

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Det viktigaste \u00e4r att ge de intervjuade en r\u00f6st tycker Jens. Och klarar att f\u00e5 ner detta i en rapport.
Han menar att den med egenerfarenhet har st\u00f6rre utsikter att inge trygghet hos brukaren. Och st\u00f6rre m\u00f6jlighet att inge hopp; \u201dHen har ocks\u00e5 varit under isen, kanske g\u00e5r det att v\u00e4nda \u00e4ven p\u00e5 min egen situation.”
\u201dMen jag tycker att det blir mer och mer s\u00e5 att man upplever egenerfarenhet som n\u00e5got positivt ute i samh\u00e4llet\u201d, menar Jens. \u201dOch det \u00e4r inte l\u00e4ngre n\u00e5got nytt som beh\u00f6ver f\u00f6rklaras.\u201d
\u201dVi \u00e4r s\u00e5 otroligt styrda av att g\u00f6ra r\u00e4tt ist\u00e4llet f\u00f6r att g\u00f6ra bra\u201d, s\u00e4ger Beatrice n\u00e4r jag fr\u00e5gar varf\u00f6r man ska g\u00f6ra brukarevisioner. \u201dAtt vi som jobbar med brukarrevisioner f\u00e5r komma in och hj\u00e4lpa verksamheterna att g\u00f6ra bra. Det lockar mig.\u201d
\u201dDet \u00e4r klart att personalen skulle kunna g\u00f6ra unders\u00f6kningen, s\u00e4ger Jens. \u201dMen d\u00e5 blir kanske brukarna r\u00e4dda f\u00f6r repressalier; eller att personalen blir arg eller sur.
En brukare \u00e4r ju inte i beroendest\u00e4llning till en brukarrevisor. Jens tror att det i allm\u00e4nhet \u00e4r bra att n\u00e5gon utifr\u00e5n g\u00f6r intervjuerna.\u00a0 Han menar att en brukarrevisor f\u00e5r mer \u00e4rliga och uppriktiga svar \u00e4n om personal skulle g\u00f6ra intervjuerna.
\u201dSpeciellt om Intervjupersonen kommer med kritik, menar Jens.\u00a0 \u201dMen d\u00e5 g\u00e4ller det att vi tar emot kritiken och framf\u00f6r den p\u00e5 ett bra s\u00e4tt.”<\/p>\n

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\"orange<\/p>
En brukarrevisor kan vara som en livboj. Foto: Maria Fornstedt<\/em><\/figcaption><\/figure>\n

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Positiv respons<\/strong> till revisionerna<\/h3>\n

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Jens hoppas att det kommer in fler uppdrag s\u00e5 att de som arbetar med brukarrevisioner kan forts\u00e4tta att g\u00f6ra det. Och Beatrice menar att alla som bedriver st\u00f6d till brukare inom omr\u00e5det psykisk oh\u00e4lsa skulle se brukarrevisionen som ett viktigt verktyg i utvecklingsarbetet av sina verksamheter:
\u201dJag skulle ocks\u00e5 vilja att man st\u00e4llde krav p\u00e5 egenkontroll av verksamheter. Och att brukarrevisioner \u00e4r en del av kravet, n\u00e4r man upphandlar v\u00e5rd- och omsorgsakt\u00f6rer\u201d. Beatrice tror \u00e4nd\u00e5 att m\u00e5nga av best\u00e4llarna har varit f\u00f6rv\u00e5nade \u00f6ver att en brukarrevision \u00e4r en s\u00e5 pass avancerad produkt.
\u201dM\u00e5nga har varit v\u00e4ldigt positiva till revisionerna\u201d, s\u00e4ger Jens. \u201dJag upplever att responsen varit positiv framf\u00f6r allt fr\u00e5n de vi har intervjuat. Men ocks\u00e5 fr\u00e5n enheterna och cheferna.”<\/p>\n

Text och foto:<\/strong> Maria Fornstedt
(Utom foto p\u00e5 Jens Str\u00f6mvall: Selfie)
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Fotnot: RSMH och NSPH har arbetat tillsammans i Stockholm nu med tre-fyra revisioner senaste \u00e5ret. \u00c4ven Verdandi g\u00f6r Brukarrevisioner och d\u00e5 med fokus p\u00e5 beroendev\u00e5rd. Sedan finns Brukarrevisionsbyr\u00e5n i Uppsala. \u00c4ven enskilda akt\u00f6rer har f\u00f6rekommit.<\/strong><\/p>\n

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