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- Almers, Ellen, 1961-, et al.
(författare)
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Why forest gardening for children? Swedish forest gardeneducators' ideas, purposes, and experiences
- 2018
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Ingår i: The Journal of Environmental Education. - : Taylor & Francis. - 0095-8964 .- 1940-1892. ; 49:3, s. 242-259
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Tidskriftsartikel (refereegranskat)abstract
- Utilizing forest gardens as urban settings for outdoor environmental education in Sweden is a new practice. These forest gardens combine qualities of a forest, e.g., multi-layered polyculture vegetation, with those of a school garden, such as accessibility and food production. The study explores both the perceived qualities of forest gardens in comparison to other outdoor settings and forest garden educators’ ideas, purposes, and experiences of activities in a three-year forest gardening project with primary school children. The data were collected through interviews and observations and analyzed qualitatively. Four reported ideas were to give children opportunities to: feel a sense of belonging to a whole; experience self-regulation and systemic dependence; experience that they can co-create with non-human organisms; and imagine possible transformation of places. Four pedagogical forest garden features are discussed.
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| 2. |
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| 3. |
- Andersson Bäck, Monica, 1969, et al.
(författare)
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Identity work of successful primary care managers and competing institutional logics
- 2017
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Ingår i: EGOS 2017, Copenhagen.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- AbsThis paper rests on bourgeoning research that has awakened a strong interest among organizational scholars, considering self-reflexive identity work linked to the processes of revealing, effectuating, and reflecting change of institutional logic. We combine two strands of theories, the one related to institutional logics perspective with theory of identity work. Based on a qualitative case study and against the background of change in Swedish primary healthcare, we aimed to explore institutionalization processes related to micro-social interactions of five primary care managers, who were handling a multiplicity of institutional logics – competing, co-existing and complementing – while working their identity in relation to significant actors. The findings showed mechanisms of change, and as a result new constellations of logics. The constellations varied however from primary care center to center, and from manager to manager, visualizing individual variation in influencing institutional logics as well as being influenced. The findings demonstrated managers’ identity work as a process in which the managers strive to work managerial ideas, self-perceptions, and experiences, as well as expectations and views held by significant others.
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| 4. |
- Andersson Bäck, Monica, et al.
(författare)
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Medical manager hybrids for handling institutional complexity and change in primary care
- 2017
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Konferensbidrag (refereegranskat)abstract
- Introduction: This article deals with hybrid persons combining medical professionalism and management for handling institutional complexity and change in primary care. Primary care and identity are in transition in many western countries, in Sweden emphasized by the 2007 reform for patient choice and competition. Research has shown that embedded hybrid actors, familiar and socialized in a field and to its logics, tend to be influential for handling complexity and change. Yet hydrids and their enactment in primary care is an underexplored area.Aim: The aim is to contribute to our understanding of hybrid persons and how they are combining medical professionalism and management in primary care, while managing complexity and change.Material and methods: In a case study of six successful primary healthcare centers, public and private, covering 56 interviews and observations with various professions, two medical managers ‘hybrids’ showed to be particularly interesting. These were analyzed in-depth, including analysis of staff’s and colleagues’ experiences and contrasted by other managers and hybrids. For the analysis we draw on institutional logic perspective (Thornton, Occasion & Lounsbury 2012) in order to capture preconditions as well as enactment of such change agents.Results/conclusions: The hydrids contributed to innovation, creativity and learning in their primary care centres. At their workplace, coherence and a good ambience coexisted with feelings of high work pace and lacking role clarity among the multidisciplinary staff. Categorized in line with McGivern and colleagues(2015) term as ‘willing hybrids’, the persons studied revealed high ambitions to challenge existing institutional order giving professionalism new forms, while seeking to innovate practices and division of work among healthcare staff in primary care. By doing so the hybrids integrated professionalism and managerialism and were influential in reframing problems and solutions, which aligned several logics at play. However several obstacles related to professional as well as bureaucratic issues appeared along the way.
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| 6. |
- Areskoug Josefsson, Kristina, 1973-, et al.
(författare)
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Ethics and sexual health : Exploration of the ethical code of conduct for physiotherapists concerning sexual health in clinical practice
- 2019
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Ingår i: Physiotherapy Theory and Practice. - : Taylor & Francis. - 0959-3985 .- 1532-5040. ; 35:11, s. 1015-1026
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Tidskriftsartikel (refereegranskat)abstract
- Physiotherapists have an important role in sexual health, but there are specific ethical considerations regarding sexuality and the practice of physiotherapy which require serious consideration. This article aims to illustrate how the professional ethical code of physiotherapy can serve as a tool for ethical clinical reasoning regarding sexual health in clinical physiotherapy practice. We analyse the ethical codes for physical therapy, in relation to a definition of sexual health and the declaration of sexual rights. The analysis outlines several ethical considerations crucial in dealing with sexual health, while also acknowledging the critical role of cultural context in any ethical analysis. We conclude that physiotherapists need to practise ethical reasoning and that the ethical code of physiotherapy can act as a point of departure for reflection on thought-provoking ethical dilemmas to improve the practice of physiotherapy and support clients’ overall health.
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| 7. |
- Areskoug Josefsson, Kristina, 1973-, et al.
(författare)
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Trust and self-efficacy as enablers and products of co-production in health and welfare services
- 2021
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Ingår i: Processual perspectives on the co-production turn in public sector organizations. - Hershey, PA : IGI Global. - 9781799849759 - 9781799858850 - 9781799849766 ; , s. 42-58
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Bokkapitel (refereegranskat)abstract
- Health and welfare services are facing major challenges, including impaired efficiency in meeting the complex needs of users. To face these challenges, there is a need to develop new ways of working, such as co-production. It is a challenge to enable and enhance inclusive co-productive processes, but trust and self-efficacy are key concepts for success. Trust and self-efficacy can be considered as both enablers and products of co-production and are thus important to acknowledge together with contextual factors and to act upon at all organizational levels, starting with individual patients and users.
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| 8. |
- Areskoug Josefsson, Kristina, 1973-, et al.
(författare)
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Workers' experiences of healthy work environment indicators at well-functioning primary care units in Sweden: a qualitative study
- 2018
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Ingår i: Scandinavian Journal of Primary Health Care. - : Informa UK Limited. - 0281-3432 .- 1502-7724. ; 36:4, s. 406-414
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Tidskriftsartikel (refereegranskat)abstract
- Objective: Staff experiences of healthy work environment (HWE) indicators at primary care units can assist in understanding why some primary care units function better than others. The aim of the study was to create increased understanding of how workers experienced HWE indicators at well-functioning primary care units. Design: Fifty in-depth interviews with staff at six primary care units in Sweden were analysed with deductive content analysis, revisiting a systematic review of HWE indicators. Results: The study presents additional perspectives on staff experiences of HWE indicators at well-functioning primary care units. The included primary care units (PCU) shared a similar pattern of work environment indicators, with unique solutions and strategies to meet shared challenges. Staff at the included PCUs were encouraged to work to create and sustain a HWE, but each domain (indicator) also provided challenges that the staff and organisation needed to meet. The results suggest that useful approaches for a healthy work environment could be to address issues of organisational virtuousness, employee commitment and joy at work. Conclusions: Both managers and staff are encouraged to actively work not only to create and sustain an HWE but also to promote organisational virtuousness, employee commitment, joy at work and to increase the performance at work, which is of benefit to staff, patients and society.
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| 9. |
- Askerlund, Per, et al.
(författare)
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The Nordic forest garden : An educational opportunity for learning about ecological and emotional relationships between organisms
- 2014
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Ingår i: Education for sustainable development.
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Konferensbidrag (refereegranskat)abstract
- Ecosystem services as a perspective on ecological processes is highlighted in the new curriculum for Biology in years 4-9 in Sweden. The ecosystem service-approach implies an anthropocentric perspective in education and an unidirectional view on the purpose and value of other organisms than humans. This study is part of a larger project exploring an educational situation in which 27 seven to eight year-olds participate in creating mini-projects in a forest garden in order to strengthen ecosystem services such as pollination. A forest garden is an edible polyculture landscape with different layers of vegetation. The forest garden is designed to maximise the yield of useful plants while minimizing the input of energy and resources, human labor included (Crawford, 2009). While planning for and establishing a forest garden there is a need to adapt to specific local conditions. The ground must be prepared in a way that makes best use of the solar energy and waterflow through the area and the plants should be placed so that they promote each another. This demands reflection and knowledge about relationships between different kinds of plants but also about relationships between plants and animals. The aim of this substudy is to describe how the children perceive their own relationships to other organisms, as well as how they perceive the relationships between different other organisms. This is investigated in focus group interviews with seven to eight year-olds. Also field notes, video recordings and photos from the children's visits in the forest garden have been collected. The videos and photos have been used for stimulated re-call (Stough, 2001) in a second focus group interview. The data will be analyzed qualitatively (Patton, 2002). In addition to providing insights about the children's perceptions, the project will give examples of how a Nordic forest garden can be used in an educational context. Preliminary findings show cognitive/emotional/moral/ themes describing how children perceive relationships between organisms.
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| 10. |
- Avby, Gunilla, 1965-, et al.
(författare)
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A reform as a lever for innovation and professionalism?
- 2017
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Konferensbidrag (refereegranskat)abstract
- Introduction: Consistently with international trends, managerial reforms and incentive systems in Sweden have been introduced to achieve quality improvement and increased efficiency in welfare services. Evidence suggests that targeted financial micro-incentives can stimulate change in certain areas of care, but they do not result in more radical change, such as service transformations or innovation.Aim: In this study we explore how organizational performance are changing within the context of a patient choice reform in primary healthcare.Material and Methods: This qualitative study is based on 48 semi-structured interviews with various professions (managers, physicians, nurses, physical- and occupational therapists, care administrators, and nurse assistants) at five PHCCs, conducted as part of a study designed to explore financial incentives and motivation in PHC in Sweden. The PHCCs were purposively selected to ensure the inclusion of both public and private facilities. All centers had a longstanding reputation for good leadership and high quality care. Results: The findings show how professional fields and traits were dissolving and changing, triggering the emergence of innovative solutions in practice. Through ongoing negotiations of professional boundaries new practices unfolded and professionalism increasingly was achieved through contextual conditions. The expanding and changing of professional boundaries as shown in the study are implied to stimulate innovative processes. Thus, the main findings suggest that innovative practices developed as a relationship between contextual conditions and professionalism. E.g. nurses and physical therapists remitted patients directly to the hospital, multiprofessional teams for patient groups with joint needs handled patients that previous needed hospital care, and nurse assistants became responsible for summing patients with minor hypertension for blood pressure controls and consultations.Conclusions: The reform seemed to act as a lever for innovation and professionalism under certain conditions. How work is organized and managed is a contextual factor that not only affects work circumstances, but also provides conditions for innovation and professionalism. Impartial to governments’ ambitions to improve their responsiveness to the needs of citizens by altering market rules, new provider models may be of little assistance in achieving the desired effect on health sector reform outcomes if suitable contextual conditions are missing.
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