| 1. |
- Böling, Susanna, et al.
(author)
-
No ordinary consultation : a qualitative inquiry of hospital palliative care consultation services
- 2020
-
In: Journal of Health Organization and Management. - : Emerald Group Publishing Limited. - 1477-7266. ; 34:6, s. 621-638
-
Journal article (peer-reviewed)abstract
- Purpose – Considering the great need for palliative care in hospitals, it is essential for hospital staff to havepalliative care knowledge. Palliative consultations have been shown to have positive effects on in-hospital care.However, barriers to contact with and uptake of palliative consultation advice are reported, posing a need forfurther knowledge about the process of palliative consultations. The purpose of this study therefore was toexamine how palliative consultations in hospitals are practised, as perceived by consultants and health careprofessionals on receiving wards.Design/methodology/approach – Focus groups with palliative care consultation services, health carepersonnel from receiving wards and managers of consultation services. Interpretive description and constantcomparative method guided the analysis.No ordinaryconsultationThe authors would like to thank participating colleagues for sharing their knowledge and experiencesabout palliative consultations.Ethics approval and consent to participate: The project received ethical approval from the SwedishEthical Review Authority, No. 809–16. Informed consent preceded participation for all of the participants.Consent for publication: Not applicable.Availability of data and material: The datasets generated and analysed during the current study are notpublicly available due to the inclusion of potentially sensitive individual data about health status. Theethical approval includes a statement that the data will be kept in a private repository but are availablefromthe corresponding author on reasonable request.Funding: Sahlgrenska Academy at the University of Gothenburg.Authors' contributions: JO, HB and JB planned the study. All authors conducted focus group €interviews. Analysis and interpretation of focus group data was performed by SB with support from JO, €HB and JB. SB wrote the first draft of the manuscript, JO, HB and JB commented on the manuscript and €contributed to the final version. The final manuscript was read and approved by all authors.Competing interests: The authors declare that they have no competing interests.The current issue and full text archive of this journal is available on Emerald Insight at:https://www.emerald.com/insight/1477-7266.htmReceived 14 April 2020Revised 24 June 2020Accepted 2 July 2020Journal of Health Organization andManagement© Emerald Publishing Limited1477-7266DOI 10.1108/JHOM-04-2020-0130Findings – Variations were seen in several aspects of practice, including approach to practice and representedprofessions. The palliative consultants were perceived to contribute by creating space for palliative care,adding palliative knowledge and approach, enhancing cooperation and creating opportunity to amelioratetransition. Based on a perception of carrying valuable perspectives and knowledge, a number of consultationservices utilised proactive practices that took the initiative in relation to the receiving wards.Originality/value – A lack of policy and divergent views on how to conceptualise palliative care appeared tobe associated with variations in consultation practices, tentative approaches and a bottom-up drivendevelopment. This study adds knowledge, implying theoretical transferability as to how palliative careconsultations can be practised, which is useful when designing and starting new consultation services.
|
|
| 3. |
- Tillmar, Malin, et al.
(author)
-
Women's rural businesses : for economic viability or gender equality? – a database study from the Swedish context
- 2022
-
In: International Journal of Gender and Entrepreneurship. - : Emerald Group Publishing Limited. - 1756-6266 .- 1756-6274. ; 14:3, s. 323-351
-
Journal article (peer-reviewed)abstract
- Purpose The purpose of this paper is to explore and discuss to what extent and why women's entrepreneurship contributes to rural economic viability and gender equality in an advanced welfare state. Design/methodology/approach The authors use detailed register data to explore men's and women's rural businesses in the most common industries for rural women entrepreneurs in the Swedish welfare state. Based on a literature review, the authors develop hypotheses and analyse how family, business and industry factors influence earnings. Findings Women's rural entrepreneurship is important for rural viability, as women's businesses provide a wide range of services necessary for life in rural areas. Although women's rural businesses are not significantly smaller than those of men, women's income is lower and more sensitive to business and industry variables. Marriage has positive effects for the earnings of men but negative effects for the earnings of women. The authors argue that the results are contingent on the gendering of entrepreneurship and industries, as well as on the local rural gender contracts. For these reasons, the importance of women entrepreneurs for rural viability is not reflected in their own incomes. Hence, women's rural entrepreneurship does not result in (economic) gender equality. Originality/value Entrepreneurship scholars rarely explore women's rural entrepreneurship, and particularly not in the Global North or Western welfare states. Therefore, this empirical study from Sweden provides novel information on how the gender order on the business, industry and family levels influences the income of men and women entrepreneurs differently.
|
|
