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- Hedegaard, Joel, et al.
(author)
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Communicative Construction of Native versus Non-Native Swedish Speaking Patients in Consultation Settings
- 2014
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In: Scandinavian Journal of Public Administration. - 2001-7405. ; 17:4, s. 21-47
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Journal article (peer-reviewed)abstract
- In this paper, we examine patient-centered care through analyzing communicative constructions of patients, on the basis of their native language, in consultations with physicians. Whereas patient-centered care is of current interest in health care, research has not addressed its implications in this dimension. Previous studies indicate that non-native Swedish speaking patients, experience substandard interpersonal treatment far more than native Swedish speaking patients. Our findings show that the non-native Swedish speaking patients presented themselves as participating, whereas the native Swedish speaking patients presented themselves as amenable. The physicians responded in two different ways, argumentatively towards the non-native Swedish speaking patients and acknowledging vis-à-vis the native Swedish speaking patients. When decisions and conclusions were made by the patients and physicians, this resulted in preservation of the status quo in the consultations with the non-native Swedish speaking patients, while the corresponding result with the native Swedish speaking patients was monitoring of their health status. So, whereas the non-native Swedish speaking patients actually were model patient-centered care patients, physicians were more amenable towards the native Swedish speaking patients. We suggest that patient-centered care is desirable, but its practical application must be more thoroughly scrutinized from both a patient and a health care worker perspective.
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- Hedegaard, Joel, et al.
(author)
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Gendered communicative construction of patients in consultation settings
- 2014
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In: Women & health. - : Informa UK Limited. - 0363-0242 .- 1541-0331. ; 54:6, s. 513-529
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Journal article (peer-reviewed)abstract
- This study aimed to explore the communication in consultations between patients and health care staff from a gender perspective. We used 23 tape-recorded consultations between patients with Atrial Fibrillation and 5 nurses and 5 physicians at cardiac outpatient clinics at 6 different hospitals in southern Sweden during autumn 2009 to explore the verbal gendered constructions of patients. Through critical discourse analysis, we revealed that the male patients tended to describe their ailments with performance-oriented statements, whereas the female patients usually used emotional-oriented statements. The staff downplayed the male patients' questions and statements, while they acknowledged concern toward the female patients. Both the patients and the staff made conclusions according to a mutual construction. Male patients were constructed as competent, and female patients as fragile through gender-stereotypical communication. Open-ended statements and questions enabled consultations to be less limited by gender stereotypes.
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- Jönsson, Sten, 1940, et al.
(author)
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Design for redesign: Deliberating strategic action in an industrial net
- 2008
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In: Third International Workshop on Organization Design, Centre for Organizational Renewal and Evolution (CORE), Aarhus School of Business, University of Arhus, 18-20 maj 2008, Aarhus, Danmark.
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Conference paper (peer-reviewed)abstract
- In 2007 a series of press-releases from a component producer in an industrial network announces, that a company was elected ‘preferred/best’ partner by a major customer. A Centre-of-Excellence status is the business objective of that company, a member of a global industrial network. The aim of this article is to explicate how a management team loads a prospect, a scenario plan, with values to sustain it as a guiding principle over a period of five years. The main question is ontological. In a constructivist perspective, defining a prospect seems to be a flexible way to handle the unknown future, and it also means that a joint meaning of the prospect is not defined by the presenter or anyone of the members of the meeting. A window of opportunity is identified during a management team meeting’s discussion but to capture that opportunity, a business competitor has to realise the benefit of the management team’s proposal. The discussion ends by approval of the entire group. The half hour meeting occurred five years ago, was video recorded, observed and transcribed. The analysis of the discussion elucidates acts, negotiations and responses to the suggested prospect as well as various strategies to thwart possible actions of business competitors in the net-work. The management team’s actions taken to design for a redesign of the prospect during the five year period is not known.
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- Kokk, Gary, 1963, et al.
(author)
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On the discursive contruction of action
- 2005
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In: Presenterad vid 18th Scandianvian Academy of Management, 18-20 Augusti 2005, Aarhus, Danmark.. - Aarhus, Danmark.
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Conference paper (peer-reviewed)
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- Liff, Roy, 1951, et al.
(author)
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Students' understanding of theory in undergraduate education
- 2014
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In: Teaching in Higher Education. - : Informa UK Limited. - 1356-2517 .- 1470-1294. ; 19:4, s. 419-431
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Journal article (peer-reviewed)abstract
- This paper investigates undergraduate students' application of theory in their analysis of problems presented in authentic leadership cases. Taking a phenomenographic research approach, the paper identifies two levels at which students understand ‘theory’: Level 1-Theory as knowledge acquired from books; Level 2-Theory as support for problem solutions. Only the students at Level 2 understanding achieved the highest learning outcome described by the Bologna Reforms. This result may be accounted for by the difference in the students' pre-conceived understanding of the events and relationships in the analysed cases. The phenomenographic assumption explains why the authentic cases are problematic. The high relevancy of the learning object – as an authentic case – may reduce the effect of variation, in this case the educational environment that is the mechanism for learning according to variation theory.
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- Liff, Roy, 1951, et al.
(author)
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Systematic and serendipitous discoveries: a shift in sensemaking
- 2015
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In: Journal of Documentation. - 0022-0418. ; 71:6, s. 1250 - 1264
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Journal article (peer-reviewed)abstract
- Purpose This paper aims to enrich our theoretical understanding of the phenomenon of sensemaking where a conceptual shift was provoked by a serendipitous encounter. Design/methodology/approach A theoretical framework consisting of three elements of reflexivity: the cognitive, the social, and the normative, all of which support the study. Semi-structured interviews were conducted in the investigation of a serendipitous Episode that occurred in a larger research project. This Episode took place at a meeting between a social welfare officer and a psychologist in which they discussed the treatment of a psychiatric patient. When the psychologist left the meeting for a brief period, the researchers, unexpectedly, were able to interview the social welfare officer alone. Findings This interview revealed a deviation from the institutionalised patient treatment procedure that was explained to the researchers in earlier interviews. The study shows that shifts in sensemaking are possible when researchers are open to serendipitous encounters. This shift in sensemaking in this Episode was strategic because it concerned the most important element of the actor’s decision making: the cooperation around the patient in making diagnoses and in prescribing treatment. Research limitations/implications It is recommended that researchers use the theoretical framework of reflexivity to test their sensemaking processes as well as remain open to changes in planned, traditional methodological approaches. Originality/value The study applies a post-hoc analysis with reflections on serendipitous events that may guide researchers when they encounter unanticipated events and make anomalous discoveries.
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