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Search: LAR1:bth > Högskolan Dalarna

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1.
  • Berglund Snodgrass, Lina, 1980-, et al. (author)
  • Organizing cross-sectoral housing provision planning : settings, problems and knowledge
  • 2021
  • In: European Planning Studies. - : Routledge. - 0965-4313 .- 1469-5944. ; 29:5, s. 862-882
  • Journal article (peer-reviewed)abstract
    • In the governance of housing provision, the public sector is considered unable efficiently to manage such problems through the traditional bureaucratic organizations and associated governing tools. Instead, municipalities are expected to engage in collaborative processes across sectors and with external stakeholders, with the overarching objective to deliver more efficient planning outcomes. As the processes are carried out across sectors, it opens up the opportunity to privilege certain sectors’ perspectives and marginalize others. By drawing from Mouffe's agonistic political theories, this article makes an empirical account of the political in organizing cross-sectoral collaborative planning in Swedish municipalities, with the empirical example of developing municipal programmes for housing provision. The article concludes that social service is severely marginalized in what is generally a depoliticized housing provision planning process. Underpinning the collaboration is the conceptualizing of housing provision as primarily a general deficit in constructing housing. Primarily organizing objectivist knowledge, housing provision is constructed as a technical and procedural matter rather than ideological and political. Through such organizing principles, the overarching housing provision problem remains undealt with, e.g. how do we provide housing to ‘all’ our citizens?
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2.
  • Berglund‐snodgrass, Lina, et al. (author)
  • A Healthy City for All? Social Services’ Roles in Collaborative Urban Development
  • 2022
  • In: Urban Planning. - : Cogitatio Press. - 2183-7635. ; 7:4, s. 113-123
  • Journal article (peer-reviewed)abstract
    • There is broad consensus among policymakers about the urgency of developing healthy, inclusive, and socially sustainable cities. In the Swedish context, social services are considered to have knowledge that needs to be integrated into the broader urban development processes in order to accomplish such ends. This article aims to better understand the ways in which social service officials collaborate in urban development processes for developing the social dimensions of healthy cities. We draw from neo‐institutional theories, which set out actors (e.g., social service officials) as acting according to a logic of appropriateness, which means that actors do what they see as appropriate for themselves in a specific type of situation. Based on semi‐structured interviews with social services officials in 10 Swedish municipalities on their experiences of collaboration in the development of housing and living environments for people with psychiatric disabilities, we identified that they act based on (a) a pragmatic rule of conduct through the role of the problem solver, (b) a bureaucratic rule of conduct through the role of the knowledge provider, and (c) activist rule of conduct through the role of the advo-cator. In these roles, they have little authority in the development processes, and are unable to set the agenda for the social dimensions of healthy cities but act as the moral consciousness by looking out for everyone’s right to equal living conditions in urban development. © 2022 by the author(s); licensee Cogitatio (Lisbon, Portugal).
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3.
  • Fjellfeldt, Maria, et al. (author)
  • Fringe or Not Fringe? : Strategies for Localizing Supported Accommodation in a Post‐Deinstitutional Era
  • 2021
  • In: Social Inclusion. - Lisbon, Portugal : Cogitatio Press. - 2183-2803 .- 2183-2803. ; 9:3, s. 201-213
  • Journal article (peer-reviewed)abstract
    • Finding suitable locations for supported accommodations is crucial both for the wellbeing of individuals with psychiatric disabilities (PD) and to achieve the objectives of the mental health care reform in order to create opportunities for social inclusion. This article explores municipal strategies for localizing supported accommodations for people with PD. In a multiple case study, interviews with 20 municipal civil servants from social services and urban planning were conducted. Three strategies were identified and further analyzed with a public location theory approach: (1) re‐use, i.e., using existing facilities for a new purpose, (2) fill‐in, i.e., infilling new purpose‐built facilities in existing neighborhoods, and (3) insert, i.e., inserting new premises or facilities as part of a new development. The article shows that the “re‐use” strategy was employed primarily for pragmatic reasons, but also because re‐using former care facilities was found to cause less conflicts, as residents were supposedly used to neighbors with special needs. When the “fill‐in” and “insert” strategies were employed, new accommodations were more often located on the outskirts of neighborhoods. This was a way to balance potential conflicts between residents in ordinary housing and residents in supported accommodations, but also to meet alleged viewpoints of service users’ need for a quiet and secluded accommodation. Furthermore, ideas associated with social services’ view of social inclusion and urban planning’s notion of “tricky” tenants significantly influenced localization strategies. Finally, this article is also a call for more empirical research on the decision‐making processes, use of strategies (intended or not) and spatial outcomes, when localizing supported accommodation for people with PD and other groups in need of support and service.
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4.
  • Folke, Mia, 1967-, et al. (author)
  • Evaluation of the content of a web tool aimed to identify early markers related to fall risk among middle-aged people
  • 2020
  • In: Health and Technology. - : Springer Science and Business Media Deutschland. - 2190-7188 .- 2190-7196. ; 10:6, s. 1571-1578
  • Journal article (peer-reviewed)abstract
    • Today, the health care sector has no test for early age-related deterioration in physical ability. The aim of this study was to evaluate questionnaires, videos and physical tests whose task will be to identify early markers related to an increased fall risk in middle-aged people. If the person is aware of deficits in physical ability related to fall risk, the person can then use that knowledge to perform relevant training that can strengthen the physical ability related to fall risk. Self-efficacy for balance and strength, physical ability related to fall risk and body composition were measured for 36 middle-aged test participants. This study shows that the tested physical exercises were useful for self-assessment of physical ability. Impairment in physical ability could not be identified solely with measurement of body composition, walking speed, questions, videos that show adjustments that are common in people with impaired balance, or an extended version of the Short version of Activities-specific Balance Confidence scale. This study indicates that a combination of questionnaires, videos and physical exercises can evaluate physical ability and act as a method to identify early markers related to increased fall risk. The questionnaire, videos and physical exercises can be implemented in a web tool that could make persons aware that they have decreased physical ability regarding fall risk or that they needlessly make physical compensations when performing daily activities and thus are missing opportunities to strengthen their physical ability every day.
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5.
  • Fridlund, Bengt, et al. (author)
  • Essentials of Nursing Care in Randomized Controlled Trials of Nurse-Led Interventions in Somatic Care : A Systematic Review
  • 2014
  • In: Open Journal of Nursing. - Irvine : Scientific Research Publishing. - 2162-5336 .- 2162-5344. ; 4:3, s. 181-197
  • Research review (peer-reviewed)abstract
    • Background: Nursing practice has to contribute to evidence pointing out why there is a need for more nurse-designed randomized control trials (RCTs) focusing on evidence-based practice (EBP). How far this EBP has progressed in different health aspects is usually established by systematic reviews of RCTs. Nurse-led RCTs exist but no study has addressed the essentials of nursing care. Aim: The aim was therefore to determine the essentials of nurses’ interventions by means of nurse-led RCTs in somatic care focusing on the stated context, goals, content, strategies as well as the nurse’s role related to effectiveness. Methods: A systematic review was realized according to Cochrane review assumptions to identify, appraise and synthesize all empirical evidence meeting pre-specified eligibility criteria. The PRISMA statement guided the data extraction process (n = 55) from PubMed and CINAHL. Results: Of the RCTs in somatic care, 71% showed a positive effectiveness of nurse-led interventions, of which the nurse had a significant role with regard to being the main responsible in 67% of the studies. Also, 47% of the RCTs presented a theoretical standpoint related to the nurse-led interventions and most prominent were international evidence-based guidelines. Goals were found to have either a patient-centered or a professional-centered ambition. Strategies were based on patient-directed initiatives, nurse-patient-directed initiatives or nurse-directed initiatives, while contents were built upon either a patient-nurse interaction or a nursing management plan. Conclusions: This review underlines the necessity of a holistic view of a person, as nurse-led RCTs comprising a patient-centered ambition, patient-directed initiative and patient-nurse interaction plan showed beneficial nursing care effectiveness, particularly if theory-based. In a nurse-led RCT, a basic theoretical perspective is advantageous as well as to elucidate the role of the nurse in relation to the estimated effects.
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6.
  • Fridlund, Bengt, et al. (author)
  • Essentials of teamcare in randomized controlled trials of multidisciplinary or interdisciplinary interventions in somatic care : A systematic review
  • 2015
  • In: Open Journal of Nursing. - : Scientific Research Publishing. - 2162-5336 .- 2162-5344. ; 5:12, s. 1089-1101
  • Research review (peer-reviewed)abstract
    • Background: Teamcare should, like all patient care, also contribute to evidence-based practice (EBP). Randomized controlled trials (RCTs) focusing on teamcare have been performed but no study has addressed its essentials. How far this EBP has progressed in different health aspects is generally established in systematic reviews of RCTs.Aim: The aim is to determine the essentials of teamcare including the nurse profession in RCTs of multi- or interdisciplinary interventions in somatic care focusing on the stated context, goals, strategies, content as well as effectiveness of quality of care.Methods: A systematic review was performed according to Cochrane review assumptions to identify, appraise and synthesize all empirical evidence meeting pre-specified eligibility criteria. The PRISMA statement guided the data selection process of 27 articles from PubMed and CINAHL.Results: Eighty-five percent of RCTs in somatic care showed a positive effectiveness of teamcare interventions, of which interdisciplinary ones showed a greater effectiveness compared with the multidisciplinary approach (100% vs 76%). Also theory-based RCTs presented higher positive effectiveness (85%) compared with non-theory-based RCTs (79%). The RCTs with positive effectiveness showed greater levels for professional-centered ambition in terms of goals and for team-directed initiatives in terms of strategy, and a significantly higher level for patient-team interaction plans in terms of content was shown.Conclusions: Teamcare RCTs are still grounded in the multidisciplinary approach having a professional-centered ambition while interdisciplinary approaches especially those that are theory-based appear to be essential with regard to positive effectiveness and preferable when person-centered careis applied.
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7.
  • Högström, Ebba, et al. (author)
  • Boende och livsmiljö för personer med psykisk ohälsa : en forskningsrapport om stödinsatser, samarbete över förvaltningsgränser och bostadsförsörjning
  • 2021
  • Reports (other academic/artistic)abstract
    • I denna rapport har vi redovisat den första delen av två i det tvärvetenskapliga forskningsprojektet LEX-projektet. Hållbara livsmiljöer för psykiskt funktionshindrade. Att integrera bostadsplanering och välfärdsservice genom nya kollaborativa praktiker.  Vår utgångspunkt var att ta reda på mer om vad som kännetecknar stödinsatser riktade till människor med psykisk funktionsnedsättning och hur dessa organiseras, samt undersöka tvärsektoriell samverkan i fråga om planering för bostadsförsörjning och inkluderande livsmiljöer. Vårt material visar att målgruppen för boende- och stödinsatser har förändrats. Personer med funktionsnedsättningar till följd långvarig psykossjukdom utgör fortfarande en central grupp, ofta med behov av insatser med hög servicenivå. Målgruppen för insatserna är dock stadd i förändring och detta har i några kommuner medfört en utveckling mot en mer generell organisation för stödinsatserna utan specialistfunktioner. Boendeinsatser beslutade i enlighet med SoL dominerar men en blandning av förhållningssätt kan ses, från enskilda undantag där LSS tillämpas till en kommun där alla beslut om bostad med särskild service tas enligt LSS. När det gäller verksamhetstyperna för stödinsatser dominerar det traditionella gruppboendet och boendestödet. Vissa menar att gruppboendet som typ kommer på sikt att försvinna, och bland verksamhetsansvariga finns det en samsyn att fältet i stort är på väg mot en inriktning att arbeta i riktning mot ökad självständighet och autonomi för brukarna inom verksamheterna. Hur socialtjänst och samhällsbyggnadsförvaltningar arbetar tillsammans med frågor som berör målgruppen skiljer sig åt mellan kommunerna. Arbetet organiseras ibland i nätverk, ibland handlar det om koordinering, i vissa fall samarbete eller samverkan vilket gör att den gemensamma spelplanen ser tämligen olika ut. I en del kommuner finns det fora för kontinuerligt gemensamt arbete, i andra anses det inte behövas alls. Hur möten mellan de båda förvaltningarna organiseras, på vems initiativ och ansvar hanteras på olika sätt. Det är en komplex bild som träder fram där frågor förs fram i olika instanser och på olika nivåer inom den egna förvaltningen såväl som mellan förvaltningarna.  När det gäller det kommunala bostadsförsörjningsansvaret är arbetet med att ta fram bostadsförsörjningsprogrammet en viktig del. Tjänstepersoner från olika förvaltningar engageras på olika sätt i detta arbete, från samordning och koordinering till långsiktiga strategiska samarbeten. Olika typer av roller utvecklas, som initiativtagare, informationsgivare, expert eller språkrör med olika handlingsutrymmen.Socialtjänstens erfarenhetsbaserade kunskap om rådande situation för olika grupper tas inte alltid i bruk. Att frågan är politisk känslig och hellre förs fram som en bred målsättning om ’bostad för alla’ utan tydligare konkretisering framträder i materialet.  De kommunala strategierna kring lokalisering av bostäder med särskild service handlar om omvandling av befintliga lokaler, bygga nya boenden i redan uppbyggda bostadsområden samt planering för nya boenden i stadsutvecklingsprocesser. Det övergripande mönstret för lokaliseringen av boenden är i bostadsområden men i utkanten, en kompromiss mellan socialförvaltningens idéer om social inkludering och samhällsbyggnadsförvaltningarnas tankar om integritet. Brukarnas möjligheter att skaffa sig positiva grannkontakter kan dock försvåras av sådana perifera lokaliseringar. Vad en inkluderande, ‘god’, livsmiljö skulle kunna vara för personer med psykisk funktionsnedsättning visar sig vara en ny frågeställning för våra informanter. Flera informanter från socialtjänsten inte tidigare funderat över hur boenden och sysselsättning förhåller sig till varandra geografiskt och på vilket sätt det påverkar upplevelser av livsmiljön. Att frågan om inkluderande livsmiljöer för vår målgrupp skulle kunna ses som en del i den bredare samhällsplaneringen var inte självklart för samhällsplanerarna. Det framkom också att det är svårare för kommunen att ställa krav på de som bygger boenden med särskild service och andra liknande omsorgsboenden än när det gäller kommunhus, bibliotek eller simhallar, något som avspeglas i lokalisering och arkitektonisk kvalitet. 
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8.
  • Högström, Ebba (author)
  • Framtidsverkstad : 21-22 oktober 2022
  • 2022
  • Other publication (pop. science, debate, etc.)abstract
    • BAKGRUND  Denna folder är framtagen inom det fyra-åriga tvärvetenskapliga forskningsprojektet LEX-projektet. Hållbara livsmiljöer för psykiskt funktionshindrade. Att integrera bostadsplanering och välfärdsservice genom nya kollaborativa praktiker. Projektet startade startade 2019 och finansieras med medel från de två statliga forskningsråden Formas och Forte. Vi som jobbar i LEX är forskare inom fysisk planering, byggd miljö och socialt arbete från fyra olika lärosäten i Sverige - Blekinge tekniska högskola, Högskolan Dalarna, Sveriges Lantbruksuniversitet SLU samt Umeå universitet. Till projektet hör även en referensgrupp med företrädare från Boverket, Socialstyrelsen, Sveriges Kommuner och Regioner (SKR) och Nationell Samverkan för Psykisk Hälsa (NSPH) samt forskare från Karolinska Institutet (KI) och Kungliga tekniska högskolan (KTH).En framtidsverkstad är en metod som syftar till att förändra genom att kartlägga och diskutera hur en situtation ser ut idag, vad problemet är med den, hur det skulle kunna vara på ett annat sätt, dvs vad krävs för att nå detta andra sätt samt hur ansvaret för att genomföra förändringen bör fördelas.Den här framtidsverkstadens bestod av en stadsvandring och en workshop med tjänstepersoner från olika förvaltningar från Umeå kommun  De bilder och citat som presenteras i denna folder hade vi med som inspel till den första dagens stadsvandring. Dessa är framarbetade genom metoden PhotoVoice tillsammans med tolv personer med egen erfarenhet av psykiskohälsa, psykiatri och socialtjänst i tre grupper från tre olika städer. Deltagarna förmedlade erfarenheter av sin livsmiljö genom att fotografera olika platser och berätta om dem. Under den andra dagen träffades framtidsverkstadens deltagare föratt genomföra en workshop kring problem och möjligheter kringboende och livsmiljö för personer med psykisk ohälsa. Även samverkansfrågoroch stödinsatser behandlas.
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9.
  • Högström, Ebba, et al. (author)
  • The Challenges of Social Infrastructure for Urban Planning
  • 2022
  • In: Urban Planning. - : Cogitatio. - 2183-7635. ; 7:4, s. 377-380
  • Journal article (peer-reviewed)abstract
    • This editorial addresses social infrastructure in relation to urban planning and localisation, drawing together the themes in this thematic issue on “Localizing Social Infrastructures: Welfare, Equity, and Community.” Having contextualised social infrastructure, we present each of the 12 contributions by theme: (a) the social consequences of the localisation of social infrastructure for individuals, (b) the preconditions for localising social infrastructure in the urban landscape, and (c) the social consequences for the long-term social sustainability of the wider community. We conclude with the openings for future research, such as the need to continue researching localisation (for example, the ways localisations of social infrastructure support, maintain, or hinder inclusion and community-building, and which benefits would come out of using localisation as a strategic planning tool); second, funding (the funding of non-commercial social infrastructure and who would take on the responsibility); and third, situated knowledge (the knowledge needed by planners, architects, social service officials, decision makers, and the like to address and safeguard the importance of social infrastructure in urban development and regeneration processes).
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10.
  • Ifinedo, Princely, et al. (author)
  • Relationships among ERP post-implementation success constructs : An analysis at the organizational level
  • 2010
  • In: Computers in human behavior. - : Elsevier BV. - 0747-5632 .- 1873-7692. ; 26:5, s. 1136-1148
  • Journal article (peer-reviewed)abstract
    • Abstract: Enterprise resource planning (ERP) systems implementation success factors have been widely researched, however, few have investigated ERP post-implementation success in organizational contexts. The paucity of research Into ERP system success evaluations partly motivates this research To that end, the objective of this study is twofold First, it primarily investigates the relationships among six constructs or dimensions in a respecified ERP system success measurement model, which was developed from prior relevant frameworks. Second, this research adds to the body of knowledge in the information system (IS) success evaluation domain, especially with its focus on ERP packages The extended ERP system success model was tested using data collected in a cross-sectional field survey of 109 firms in two European countries Structural equation modeling (SEM) was used to test six relevant hypotheses. The SEM results showed that five out of the six hypotheses have significant, positive associations. Namely, the constructs of System Quality, Service Quality, Individual Impact, Workgroup Impact, and Organizational Impact have strong relevance in ERP success conceptualization, whereas Information Quality does not, at least, in the context of our data. The pertinence of the study's findings for IS success evaluation as well as its implications for practice and research are discussed.
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