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- Hedegaard, Joel, et al.
(författare)
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Communicative Construction of Native versus Non-Native Swedish Speaking Patients in Consultation Settings
- 2014
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Ingår i: Scandinavian Journal of Public Administration. - 2001-7405. ; 17:4, s. 21-47
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Tidskriftsartikel (refereegranskat)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.
(författare)
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Gendered communicative construction of patients in consultation settings
- 2014
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Ingår i: Women & health. - : Informa UK Limited. - 0363-0242 .- 1541-0331. ; 54:6, s. 513-529
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Tidskriftsartikel (refereegranskat)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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- Kokk, Gary, 1963, et al.
(författare)
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Multi-framing as a tool in top management teams
- 2012
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Ingår i: Tengblad, S. (red.) The Work of Managers: Towards a Practice Theory of Management.. - Oxford : Oxford University Press. - 9780199639724 ; , s. 87-101
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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- Liff, Roy, 1951, et al.
(författare)
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Students' understanding of theory in undergraduate education
- 2014
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Ingår i: Teaching in Higher Education. - : Informa UK Limited. - 1356-2517 .- 1470-1294. ; 19:4, s. 419-431
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Tidskriftsartikel (refereegranskat)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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- Rovio-Johansson, Airi, 1939
(författare)
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An Application of Variation Theory of Learning in Higher Education
- 2013
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Ingår i: Malcolm Tight & Jeroen Huisman (Eds.) Theory and Method in Higher Education Research. International Perspectives on Higher Education Research, Vol. 9. - : Emerald Group Publishing Limited. - 9781781906828 ; , s. 261-279
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Bokkapitel (refereegranskat)abstract
- The purpose of this paper is to investigate students’ qualitatively different ways of understanding the learning object, basic economic relationship in three undergraduate courses in the discipline of accounting. The theoretical framework of variation theory, a general learning theory is applied. The lecturers chose a learning object which is investigated under two different teaching conditions – the traditional lecture model and the variational method. Two student groups were identified as a comparison group and a target group, comparable in various relevant parameters. All students took three required accounting courses. In the comparison group, the lecturers used the traditional lecture model and in the target group the variational model. The results indicated significant differences between the two groups’ examination results in the three courses. Students in the target group performed much better. The conclusions for students’ understanding of the subject, educational implications, contributions, limitations and further research of the study are discussed.
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