| 1. |
- Knezevic, Zlatana, 1984-
(författare)
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A Cry for Care But not Justice : Embodied Vulnerabilities and the Moral Economy of Child Welfare
- 2020
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Ingår i: Affilia. - : SAGE Publications. - 0886-1099 .- 1552-3020. ; 35:2, s. 231-245
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Tidskriftsartikel (refereegranskat)abstract
- This study explores the pivotal role of the body for political recognition and rights claims in child welfare "moral" interventions. I examine how the bodily figures in child welfare assessments, linking these manifestations to the concept of the moral economy of care. A sample of assessment reports from a Swedish municipality, all addressing violations of children's bodies or integrity, are used as empirical material. I show how the psychosomatically suffering child is being best "heard" as vulnerable. I also argue that such a moral economy of care silences children's accounts of gendered and racial injustices. Furthermore, racialized moral divides are indicated when assessments of different child bodies are considered. A concluding remark points to need for a child welfare moral economy of social justice that responds to structural intersecting injustices in childhoods, including to those of a racialized child welfare and its individualized and symptom-oriented services.
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| 2. |
- Klingberg-Allvin, Marie, et al.
(författare)
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One foot wet and one foot dry : transition into motherhood among married adolescent women in rural Vietnam
- 2008
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Ingår i: Journal of Transcultural Nursing. - : Sage Publications. - 1043-6596 .- 1552-7832. ; 19:4, s. 338-346
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Tidskriftsartikel (refereegranskat)abstract
- This study explores married Vietnamese adolescents' perceptions and experiences related to transition into motherhood and their encounter with health care service. In-depth interviews were conducted with 22 women younger than 20 who were either pregnant or had newly delivered. It emerged from the narratives that young women experienced ambivalence in the transition to motherhood in that they felt too young but also happy to be able to please their husband and the extended family. Patterns were shown indicating that the participants experienced lacking power with regard to decisions in relation to pregnancy, delivery, and contraceptive usage. Feelings of being patronized and ignored in the encounter with health care providers were seen in the narratives. Findings might be used for reproductive health care providers, social workers, and educators in their contact with young mothers to empower them to make their own decisions with regard to marriage, childbearing, and contraception.
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| 3. |
- Eldh, Ann Catrine, et al.
(författare)
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Conditions for patient participation and non-participation in health care
- 2006
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Ingår i: Nursing Ethics. - Malden, USA : SAGE Publications. - 0969-7330 .- 1477-0989. ; 13:5, s. 503-514
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Tidskriftsartikel (refereegranskat)abstract
- This study explored patients' experiences of participation and non-participation in their health care. A questionnaire-based survey method was used. Content analysis showed that conditions for patient participation occurred when information was provided not by using standard procedures but based on individual needs and accompanied by explanations, when the patient was regarded as an individual, when the patient's knowledge was recognized by staff, and when the patient made decisions based on knowledge and needs, or performed self-care. Thus, to provide conditions for true patient participation, professionals need to recognize each patient's unique knowledge and respect the individual's description of his or her situation rather than just inviting the person to participate in decision making.
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| 4. |
- Knezevic, Zlatana, 1984-
(författare)
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Speaking Bodies – Silenced Voices : Child Protection and the Knowledge Culture of ‘Evidencing’
- 2021
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Ingår i: Global Studies of Childhood. - : Sage Publications. - 2043-6106. ; 11:3, s. 252-264
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Tidskriftsartikel (refereegranskat)abstract
- Using the metaphors body and voice and drawing on critical contributions on biopolitics, this article interrogates children’s participation rights in a knowledge culture of ‘evidencing’. With child welfare and protection practice as an empirical example, I analyse written assessment reports from a Swedish child welfare agency, all exemplifying how social workers evidence needs for protection and reasons for removing children from the home. I discuss how ‘evidencing’ equals a knowledge culture of seeing-believing and predicting-believing and the search for visibly damaged bodies and underdeveloped minds. I furthermore problematise how such conceptualisation of evidencing foregrounds children’s ‘speaking’ bodies while silencing their voices. By showing these manifestations of evidencing, this critical contribution discusses some wider epistemic concerns for fields influenced by the knowledge cultures of ‘the evidence-based’.
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| 5. |
- Carlsson, Eva, et al.
(författare)
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Multidisciplinary recording and continuity of care for stroke patients with eating difficulties
- 2010
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Ingår i: Journal of Interprofessional Care. - New York, USA : Informa Healthcare. - 1356-1820 .- 1469-9567. ; 24:3, s. 298-310
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Tidskriftsartikel (refereegranskat)abstract
- Eating difficulties after stroke are common and can, in addition to being a risk for serious medical complications, impair functional capability, social life and self-image. Stroke unit care entails systematic multidisciplinary teamwork and continuity of care. The purpose of this study was to describe (i) multidisciplinary stroke care as represented in patient records for patients with eating difficulties, and (ii) the written information that was transferred from hospital to elderly care. Data from 59 patient records were analysed with descriptive statistics and by categorization of phrases. Signs of multidisciplinary collaboration to manage eating problems were scarce in the records. While two notes from physiotherapists were found, nurses contributed with 78% of all notes (n = 358). Screening of swallowing and body weight was documented for most patients, whereas data on nutritional status and eating were largely lacking. The majority of notes represented patients' handling of food in the mouth, swallowing and lack of energy. Care plans were unstructured and few contained steps for managing eating. Discharge summaries held poor information on care related to eating difficulties. The language of all professionals was mostly unspecific. However, notes from speech-language therapists were comprehensive and entailed information on follow-up and patient participation
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| 6. |
- Eldh, Ann Catrine, et al.
(författare)
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The meaning of patient participation for patients and nurses at a nurse-led clinic for chronic heart failure
- 2006
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Ingår i: European Journal of Cardiovascular Nursing. - : Oxford University Press (OUP). - 1474-5151 .- 1873-1953. ; 5:1, s. 45-53
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundThe legislation of many Western countries emphasizes active patient participation. Patients with chronic heart failure (CHF), however, have experienced participation differently from the general interpretation of legal definitions. Education improves uptake of self-management strategies yet knowledge is lacking about support of patients' own resources in CHF. AimTo explore the phenomena of patient participation and non-participation as shown in patient visits to a nurse-led clinic for CHF and as experienced by the patients and nurses. MethodsData triangulation of field notes from participatory observations and texts from narrative interviews with the patients and assigned nurse specialists. Data were analyzed according to the phenomenological hermeneutic tradition. FindingsPatients' experience of participation and non-participation was interpreted as “Being responsible and accepting responsibility” and “Lacking an equal relationship while being controlled”, respectively. Nurses experienced patient participation as “Getting information and security to act” and patient non-participation as “Not accepting”. ConclusionConflicting values of patients and nurses, which were interpreted with respect to participation and non-participation, presumably might influence patient information and education negatively. The issue of participation should be raised as a means of attaining concordance and to facilitate patient participation with education specifically tailored to the individual patient's needs.
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| 7. |
- Florin, Jan, et al.
(författare)
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Patient participation in clinical decision making in nursing : a comparative study of nurses' and patients' perceptions
- 2006
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Ingår i: Journal of Clinical Nursing. - : Wiley. - 0962-1067 .- 1365-2702. ; 15:12, s. 1498-1508
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Tidskriftsartikel (refereegranskat)abstract
- AIM AND OBJECTIVES: The aim of this study was to compare the degree of concordance between patients and Registered Nurses' perceptions of the patients' preferences for participation in clinical decision-making in nursing care. A further aim was to compare patients' experienced participation with their preferred participatory role. BACKGROUND: Patient participation in clinical decision-making is valuable and has an effect on quality of care. However, there is limited knowledge about patient preferences for participation and how nurses perceive their patients' preferences. METHODS: A comparative design was adopted with a convenient sample of 80 nurse-patient dyads. A modified version of the Control Preference Scale was used in conjunction with a questionnaire developed to elicit the experienced participation of the patient. RESULTS: A majority of the Registered Nurses perceived that their patients preferred a higher degree of participation in decision-making than did the patients. Differences in patient preferences were found in relation to age and social status but not to gender. Patients often experienced having a different role than what was initially preferred, e.g. a more passive role concerning needs related to communication, breathing and pain and a more active role related to activity and emotions/roles. CONCLUSIONS: Registered Nurses are not always aware of their patients' perspective and tend to overestimate patients' willingness to assume an active role. Registered Nurses do not successfully involve patients in clinical decision-making in nursing care according to their own perceptions and not even to the patients' more moderate preferences of participation. RELEVANCE TO CLINICAL PRACTICE: A thorough assessment of the individual's preferences for participation in decision-making seems to be the most appropriate approach to ascertain patient's involvement to the preferred level of participation. The categorization of patients as preferring a passive role, collaborative role or active role is seen as valuable information for Registered Nurses to tailor nursing care.
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| 8. |
- Thoroddsen, Asta, et al.
(författare)
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Nursing specialty knowledge as expressed by standardized nursing languages
- 2010
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Ingår i: International Journal of Nursing Terminologies and Classifications. - Malden, USA : Wiley-Blackwell. - 1541-5147 .- 2047-3087 .- 2047-3095. ; 21:2, s. 69-79
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: To describe how nursing specialty knowledge is demonstrated in nursing records by use of standardized nursing languages.Methods: A cross-sectional review of nursing records (N = 265) in four specialties.Findings: The most common nursing diagnoses represented basic human needs of patients across specialties. The nursing diagnoses and related interventions represented specific knowledge in each specialty. Sixty-three nursing diagnoses (nine appeared in four specialties) and 168 nursing interventions were used (24 appeared in four specialties).Conclusions: Findings suggest that standardized nursing languages are capable of distinguishing between specialties. Further studies with large data sets are needed to explore the relationships between nursing diagnoses and nursing interventions in order to make explicit the knowledge that nurses use in their nursing practice.Practice implications: Nursing data in clinical practice must be stored and retrievable to support clinical decision making, advance nursing knowledge, and the unique perspective of nursing.
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| 9. |
- Johansson, Madelaine, 1962-, et al.
(författare)
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Vem äger frågan? : Förutsättningar för kommunikation i svenskt miljömålsarbet
- 2005
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Ständiga förändringar i samhället ökar kraven på flexibilitet och nya strategier för att hantera miljöproblematiken och arbetet med att nå en hållbar utveckling.Det kan uppstå problem när samhället ska anpassa sig efter nya strukturer och nyuppkomna behov, exempelvis när det gäller miljöhot. De nya krav som kopplas till hållbar utveckling och dess ekologiska dimensionreser krav på förändrad politisk styrning. I Sverige har det beslutats attmiljöfrågor ska vara övergripande för alla politiska områden. Formulering avplaner och program för ekologisk hållbar utveckling införs därför i olika typerav styrningssystem som bygger på olika sorts logik vilket kan leda till intressekonflikter.Det övergripande målet för svensk miljöpolitik är att till nästa generation lämnaöver ett samhälle där de stora miljöproblemen är lösta och där mänskligpåverkan på miljön är långsiktigt hållbar. År 1999 fastställdes en ny struktur ihållbarhetsarbetet genom framtagandet av 15 nationella miljökvalitetsmål och inovember 2001 antog riksdagen regeringens förslag om delmål och riktlinjer förhur dessa miljömål ska uppnås. Tanken är att miljökvalitetsmålen ska gevägledning för allt miljöarbete inom såväl olika samhällssektorer som på olikanivåer i miljömålsadministrationen. Regionala mål och sektorsmål ska utvecklasmed utgångspunkt i de mål som beslutats av riksdagen. Syftet med studien som ligger till grund för denna rapport var att identifierahinder för kommunikation i miljömålsarbetet och därigenom underlätta överbryggandet av kommunikationsbarriärer i framtida miljöarbete. Vi harstuderat hur aktörer på olika nivåer inom miljömålsadministrationen ser på målstyrning och arbetet med de svenska miljökvalitetsmålen med syfte att synliggöra hur kommunikationen kring miljömålen uppfattas.Vi har särskilt fokuserat på:kommunikation mellan administrativa nivåer, i allmänhet och rörandeuppföljningsarbetet i synnerhethur målstyrning fungerar i praktiken• vad som kan och bör mätas i uppföljningen av miljömålsarbetetmöjligheter till feedback mellan olika aktörer och administrativa nivåer.
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| 10. |
- Knezevic, Zlatana, 1984-
(författare)
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Young and Vaccinated? : Children and Young People’s Perspectives on Covid-19 Vaccinations
- 2022
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Konferensbidrag (populärvet., debatt m.m.)abstract
- The research project is inspired by an ongoing study showing that although children and young people are central subjects to the debates on vaccine-preventable diseases, and constitute the main target of vaccines, young people are largely absent in public debates and research about vaccination-related attitudes and decision-making processes. In the pre-pandemic time, vaccination attitudes were commonly discussed in relation to parents’ views and decision-making processes concerning preventable “child diseases”. Despite the fact that the focus has been on parents, children have been central to arguments and practices, as both positive and negative attitudes toward immunizations may be expressed as care for children. The perspectives of children and young people themselves, particularly in relation to covid-19 vaccinations, are largely unexplored. In this research project, interviews will be conducted with children and young people, from the age of 12, about their views, decision-making processes and resistances in the context of covid-19 vaccinations. Focusing particularly on children and young people in Sweden whose views differ from the views of parents, health professionals or other adults, this project aims to foreground resistances in childhoods and youth in general and expand the notion of resistance in vaccination contexts in particular. Experiences from different Swedish Regional Councils and diverse procedures concerning assessments of age and maturity will be included in order to explore how young people navigate in terrains that requires adult consent and how these procedures enable but also constrain children and young people’s vaccination-related decision-making.
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