| 1. |
- Tjulin, Åsa, 1976-, et al.
(författare)
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Managers’ learning process during a health-promoting leadership intervention
- 2019
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Ingår i: Health Education. - : Emerald Group Publishing Limited. - 0965-4283 .- 1758-714X. ; 119:5/6, s. 350-365
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Tidskriftsartikel (refereegranskat)abstract
- AbstractPurposeThe increasingly demanding psychosocial working conditions in Swedish public sector workplaces call for implementation of workplace health promotion (WHP) interventions. There is a need to increase first-line public sector managers’ capacities for health-promoting leadership. The purpose of this paper is to investigate first-line managers’ experiences of participating in an intervention aimed at strengthening health-promoting leadership. More precisely, the aim is to study what obstacles and prerequisites the intervention have for their learning processes to become health-promoting managers.Design/methodology/approachA qualitative study in Northern Sweden at workplaces in the county council and municipalities was conducted. The data were gathered through individual interviews with 18 participating first-line managers. Inductive-content analysis was used to analyse the data.FindingsThe results identify time for reflection and collegial discussions about leadership as prerequisites for learning about health-promoting leadership. Managers experienced the intervention as a confirmation of the leadership behaviours already gained. However, the health-promoting leadership intervention was seen as a contradiction, since organisational prerequisites to implement WHP measures were perceived to be lacking. The managers were not involved in the planning of the intervention and questioned why the organisation did not involve them more when the educational activities were created.Originality/valueWhen the organisation understands how and when its managers learn, what they need and want to learn about WHP, and what they already know, tailored participatory interventions can be facilitated that consider the unique prerequisites for the particular organisation.
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| 2. |
- Geidne, Susanna, 1975-, et al.
(författare)
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The implementation process of alcohol policies in eight Swedish football clubs
- 2013
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Ingår i: Health Education. - : Emerald. - 0965-4283 .- 1758-714X. ; 113:3, s. 196-215
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Tidskriftsartikel (refereegranskat)abstract
- Purpose – Alcohol stands in an ambiguous relationship to sports, and there is a common belief that participation in sports prevents alcohol consumption. Although this is not always the case, sports clubs can be important settings for health promoting alcohol policy interventions .The purpose of this paper is to explore the process of implementing alcohol policies in eight football clubs in Sweden and, in particular, how the implementation process is conveyed in the clubs’ alcohol policy projects, the similarities and differences between this case study and Durlak and DuPre's implementation model and the recommendations for successful alcohol policy implementation in relation to the result.Design/methodology/approach – In total, 15 semi-structured interviews on the subject of sports’ club alcohol policies were conducted with project leaders and board members from eight sports clubs. The interviews were analysed using Durlak and DuPre's model of factors affecting implementation processes.Findings – The results show that almost all the factors in Durlak and DuPre's model were comprehensively manifested in the football clubs’ alcohol policy projects, although with slightly different significance and emphases.Practical implications – The results are discussed in relation to recommendations for successful alcohol policy implementation in sports clubs. Recommendations are presented in six areas: an explicit message; fit; internal policy dissemination; alcohol policy as a part of overall policy; support; and actors.Originality/value – Many sports clubs do an excellent job of implementing alcohol policies successfully and it is imperative to incorporate their “good” practices into research and provide assistance to those whose policies and practice are less developed.
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| 3. |
- Korp, Peter, 1966, et al.
(författare)
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Making sense of health in PE : conceptions of health among Swedish physical education teachers
- 2023
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Ingår i: Health Education. - : Emerald Group Publishing Limited. - 0965-4283 .- 1758-714X. ; 123:2, s. 79-92
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Tidskriftsartikel (refereegranskat)abstract
- PurposeOver the last couple of decades, health has become a central part of the subject content in physical education (PE) curricula in many countries. As a result, issues of health have been foregrounded much more clearly in the teaching of PE. The aim of this study was to explore how Swedish PE teachers make sense of health in relation to their teaching practices. This was done through investigating conceptions and theories about health in the teachers' descriptions of their teaching practices.Design/methodology/approachThe data analyzed in this paper were collected through focus group and individual interviews with PE teachers in the grades 7-9 within compulsory schools in Sweden. The data were analyzed using thematic analysis.FindingsFour dominant themes were identified in the data: 1) Health as a healthy attitude, 2) Health as a functional ability, 3) Health as fitness, 4) Health as mental wellbeing. There is a clear impact from healthism and obesity discourses on the teachers' accounts of health, but there is also an impact from holistic views and approaches to health. The authors contend that teachers should be explicit in what they mean by health in relation to what they teach, how they teach and why they teach health in a certain way.Originality/valueThe knowledge produced by this study is crucial since teachers' assumptions regarding health affect the subject content (what), the pedagogies (how), as well as the reasons (why) they teach health and therefore what students learn regarding health.
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| 4. |
- Kostenius, Catrine, et al.
(författare)
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Gamification of health education : Schoolchildren’s participation in the development of a serious game to promote health and learning
- 2018
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Ingår i: Health Education. - : Emerald Group Publishing Limited. - 0965-4283 .- 1758-714X. ; 118:4, s. 354-368
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Tidskriftsartikel (refereegranskat)abstract
- PurposeThe use of modern technology has many challenges and risks. However, by collaborating with schoolchildren, ideas to effectively promote health and learning in school can be identified. This study aimed to examine how a participatory approach can deepen the understanding of how schoolchildren relate to and use gamification as a tool to promote physical activity and learning.Design/methodology/approachInspired by the concept and process of empowerment and child participation, the methodological focus of this study was on consulting schoolchildren. During a 2-month period, 18 schoolchildren (10–12-years-old) participated in workshops to create game ideas that would motivate them to be physically active and learn in school.FindingsThe phenomenological analysis resulted in one main theme, ‘Playing games for fun to be the best I can be’. This consisted of four themes with two sub-themes each. The findings offer insights on how to increase physical activity and health education opportunities using serious games in school.Originality/valueThe knowledge gained provides gamification concepts and combinations of different technological applications to increase health and learning, as well as motivational aspects suggested by the schoolchildren. The findings are discussed with health promotion and health education in mind.
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| 5. |
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| 6. |
- Geidne, Susanna, 1975-, et al.
(författare)
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Working with or against the stores? : A non-governmental organization working with alcohol purchase attempts
- 2009
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Ingår i: Health Education. - Southampton : Emerald Group Publishing Limited. - 0965-4283 .- 1758-714X. ; 109:3, s. 259-278
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Tidskriftsartikel (refereegranskat)abstract
- Purpose – The purpose of this paper is to describe and analyse the implementation by a non-governmental organization (NGO) of an intervention with two different strategies – one employing confrontational approaches, the other cooperative ones – aiming to reduce the rate of successful purchase attempts (PAs) of medium-strength beer in Sweden.Design/methodology/approach – The Swedish Youth Temperance Movement (UNF) has been responsible for the development and implementation of the intervention, and a research team at Örebro University for the evaluation. The outcome analysis is based on 1,475 PA from 25 Swedish cities during 2003-2006. Annual reports, discussions and telephone interviews have been used to understand the intervention process.Findings – In 40 per cent of all registered PAs, beer is sold to minors. In the eight cities using a structured strategy, there is a significant decrease from 2003 to 2006 (44-27 per cent; p<0.001). The confrontation method, compared to no model, is more than four times (OR?=?3.8; CI 2.0-7.0) more likely to yield a positive result. Compared to the cooperation method, it is even more likely to yield a positive result (OR?=?4.7; CI 2.1-10.7).Practical implications – Working with a structured strategy gives significantly better results than working without one. The confrontation method is more successful than the cooperation method. Developing a preventive strategy takes time, cooperation perhaps requiring even more time to succeed than confrontation. The result reveals the importance of building local networks in the municipalities.Originality/value – The advocacy for Swedish alcohol policy by the young members of UNF and participatory research is a unique combination. Purpose – The purpose of this paper is to describe and analyse the implementation by a non-governmental organization (NGO) of an intervention with two different strategies – one employing confrontational approaches, the other cooperative ones – aiming to reduce the rate of successful purchase attempts (PAs) of medium-strength beer in Sweden. Design/methodology/approach – The Swedish Youth Temperance Movement (UNF) has been responsible for the development and implementation of the intervention, and a research team at Örebro University for the evaluation. The outcome analysis is based on 1,475 PA from 25 Swedish cities during 2003-2006. Annual reports, discussions and telephone interviews have been used to understand the intervention process. Findings – In 40 per cent of all registered PAs, beer is sold to minors. In the eight cities using a structured strategy, there is a significant decrease from 2003 to 2006 (44-27 per cent; p =0.001).The confrontation method, compared to no model, is more than four times (OR= 3.8; CI 2.0-7.0) more likely to yield a positive result. Compared to the cooperation method, it is even more likely to yield a positive result (OR =4.7; CI 2.1-10.7). Practical implications – Working with a structured strategy gives significantly better results thanworking without one. The confrontation method is more successful than the cooperation method.- Developing a preventive strategy takes time, cooperation perhaps requiring even more time to succeed than confrontation. The result reveals the importance of building local networks in the municipalities. Originality/value – The advocacy for Swedish alcohol policy by the young members of UNF and participatory research is a unique combination.
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| 7. |
- Kostenius, Catrine, 1962-, et al.
(författare)
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Open letters about health dialogues reveal school staff and students’ expectations of school health promotion leadership
- 2022
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Ingår i: Health Education. - : Emerald Group Publishing Limited. - 0965-4283 .- 1758-714X. ; 122:3, s. 318-334
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: This study explores to what extent health promotion policy in practice and leadership engagement is reflected in school actors’ experiences of health dialogues (HDs) and their ideas about promoting health and learning in schools. Design/methodology/approach: The 93 participants consisted of 44 school nurses, 37 students in grades 4, 7 or the first year of high school and 12 teachers, who shared their experiences with HDs by writing open letters. Findings: The qualitative content analysis resulted in four themes: Putting health on the agenda, Finding a common goal, Walking side by side and Pointing out a healthy direction. The participants’ expectations of school health promotion leadership are revealed in suggestions on how the HDs can fulfill both the educational assignment and promote student health. Practical implications: Based on the findings, we argue that for successful school health promotion leaders need to acknowledge the field of tension where leadership has to take place, anchor health promotion policy and administer “a Sandwich approach†– a top-down and bottom-up leadership simultaneously that facilitates school-based health promotion. Originality/value: When different school actors (school nurses, teachers and students) are given a voice, a collective picture of HDs can emerge and help develop health promotion practices.
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| 8. |
- Kostenius, Catrine
(författare)
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Student-driven health promotion activities
- 2013
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Ingår i: Health Education. - 0965-4283 .- 1758-714X. ; 113:5, s. 407-419
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Tidskriftsartikel (refereegranskat)abstract
- Purpose - The aim was to examine how students experienced creating, leading and praticipating in student-driven health promoting activities in cooperation with their teacher. Design/methodology/approach - Inspired by the PAAR method (participatory appreciative action research) 19 Swedish students, ages 10-11 participated in health promotion work in the classroom through creating, leading, participating in and evaluating their own and their peers’ health promoting activities.Findings - The analysis of the student’s health promoting activities resulted in three themes; (i) the friendly touch (ii) the outdoor run for fun (iii) the sounds of well-being, including health promotion tools such as music, massage, physical activity and the outdoors.Originality/value - The comprehensive understanding of how students experienced creating, leading and participating in student-driven health promoting activities in cooperation with their teacher, revealed three key points; i) When students were asked to choose health promoting activities, they were not only in line with existing research but were able to reflect on how to develop praxis, ii) Students are competent to lead health promoting activities with the support of their teacher and participating in health promoting activities lead by their peers, iii) The group assignment in this study offer one example of implementing health promoting activities in school to increase health literacy
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| 9. |
- Kostenius, Catrine, et al.
(författare)
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The power of appreciation : promoting schoolchildren’s health literacy
- 2016
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Ingår i: Health Education. - : Emerald Group Publishing Limited. - 0965-4283 .- 1758-714X. ; 116:6, s. 611-626
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Tidskriftsartikel (refereegranskat)abstract
- PurposeThe purpose of this paper is to explore Swedish children’s positive experiences of health and well-being, and their thoughts on how health literacy can be promoted.Design/methodology/approachTotally, 121 schoolchildren between the ages of 10 and 14 from three schools in two municipalities in the northern part of Sweden shared their lived experiences through individual written reflections.FindingsThe phenomenological analysis resulted in one theme, appreciation as fuel for health and well-being, and four sub-themes: feeling a sense of belonging; being cared for by others; being respected and listened to; and feeling valued and confirmed. The understanding of the schoolchildren’s experiences of health and well-being and their thoughts on how health literacy can be promoted revealed that appreciation in different forms is the key dimension of their experiences of health and well-being.Practical implicationsThe findings of this study point to the necessity of promoting health education that includes reflection and action-awareness of one’s own and others’ health as well as the competence to know how and when to improve their health. Such health education can contribute to the development of health literacy in young people, an essential skill for the twenty-first century.Originality/valueThis study’s originality is that the authors added the concepts of appreciative inquiry and student voice to the study of health literacy with children.
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| 10. |
- Manninen, Katri, et al.
(författare)
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Authenticity in learning : nursing students' experiences at a clinical education ward
- 2013
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Ingår i: Health Education. - : Emerald Group Publishing Limited. - 0965-4283 .- 1758-714X. ; 113:2, s. 132-143
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: This study aims to explore and understand first year nursing students' experiences of learning at a clinical education ward.Design/methodology/approach: The setting is a clinical education ward for nursing students at a department of infectious diseases. A qualitative study was carried out exploring students' encounters with patients, supervisors, students and other health care professionals. A total of 19 students were interviewed. Data were analyzed using qualitative content analysis investigating both the manifest and the latent content.Findings: The most important components in students' learning are mutual relationships and a sense of belongingness. A mutual relationship between the students and the patients is created and becomes the basis of students' learning. Belongingness means the students' experience of being for real a part of the team taking care of the patients.Research limitations/implications: The study, while linked to a particular teaching hospital, offers insights of more general nature by linking the findings to a theory of transformative learning.Originality/value: This study adds a deeper understanding of students' perspectives of significant characteristics to take into account when organizing clinical practice in health care education. Being entrusted and supported by a team of supervisors to take care of patients at a clinical education ward early in the education program provides an experience of internal and external authenticity. The students learn from, with and through the patients, which contributes to meaningful learning, understanding nursing, and professional development.
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