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  • 101.
    Asenlof, Pemilla
    et al.
    Uppsala Univ, Uppsala, Sweden..
    Igelstrom, Helena
    Uppsala Univ, Uppsala, Sweden..
    Sandborgh, Maria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Fritz, Johanna
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    INTEGRATION OF PHYSIOTHERAPY IN BEHAVIORAL MEDICINE INTERVENTION RESEARCH2018In: International Journal of Behavioral Medicine, ISSN 1070-5503, E-ISSN 1532-7558, Vol. 25, no Suppl 1:1, p. S3-S3Article in journal (Refereed)
  • 102.
    Asenlöf, Pernilla
    et al.
    Department of Public Health and Caring Sciences/Section of Caring Sciences, Uppsala University, Uppsala.
    Denison, Eva
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Lindberg, Per
    Department of Public Health and Caring Sciences/Section of Caring Sciences, Uppsala University, Uppsala.
    Individually tailored treatment targeting activity, motor behavior, and cognition reduces pain-related disability: a randomized controlled trial in patients with musculoskeletal pain.2005In: Journal of Pain, ISSN 1526-5900, E-ISSN 1528-8447, Vol. 6, no 9, p. 588-603Article in journal (Refereed)
    Abstract [en]

    This study compares the outcomes of an individually tailored behavioral medicine intervention (experimental) with physical exercise therapy (control). The experimental intervention was systematically individualized according to each participant's behavioral treatment goals and functional behavioral analyses. One hundred twenty-two patients seeking care at 3 primary health care clinics because of musculoskeletal pain were randomized. Ninety-seven completed the trial. Data were collected at baseline, immediately after treatment, and at a 3-month follow-up. Analyses of data from completers, as well as intention-to-treat analyses, showed that the experimental group experienced lower levels of disability (P = .01), lower maximum pain intensity (P = .02), higher levels of pain control (P = .001), and lower fear of movement (P = .022) as a result of treatment condition. Self-efficacy (P = .0001) and physical performance (P = .0001) increased over time for both groups. Participants in the experimental group generally reported more positive effects after treatment. Treatment fidelity was maintained during the course of the study. Activity can be resumed and pain might be managed by the patients themselves if treatment incorporates the biopsychosocial explanatory model of pain and strategies are tailored according to individual's priorities of everyday life activities and empirically derived determinants of pain-related disability. PERSPECTIVE: This study shows that the biomedical and the psychosocial perspectives of the experiences and consequences of pain complement rather than contradict each other. Primary health care patients with persistent musculoskeletal pain benefit more from a systematic tailoring of treatments according to biopsychosocial factors than from a physically based exercise intervention.

  • 103.
    Ask, Lina Schollin
    et al.
    Karolinska Inst, Stockholm, Sweden.
    Hjern, Anders
    Karolinska Inst, Stockholm, Sweden.
    Lindstrand, Ann
    Karolinska Inst, Stockholm, Sweden.
    Olen, Ola
    Sjögren, Eva
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Blennow, Margareta
    Sachs Children & Youth Hosp, Stockholm, Sweden.
    Ortqvist, Ake
    Karolinska Inst, Stockholm, Sweden.
    Receiving early information and trusting Swedish child health centre nurses increased parents' willingness to vaccinate against rotavirus infections2017In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 106, no 8, p. 1309-1316Article in journal (Refereed)
    Abstract [en]

    Aim: Rotavirus vaccines are effective against severe infections, but have a modest impact on mortality in high-income countries. Parental knowledge and attitudes towards vaccines are crucial for high vaccination coverage. This study aimed to identify why parents refused to let their infant have the vaccination or were unsure. Methods: This cross-sectional study was based on 1,063 questionnaires completed by the parents of newborn children in 2014. Stepwise logistic regression was used to identify the main predictors. Results: Most (81%) parents intended to vaccinate their child against the rotavirus, while 19% were unwilling or uncertain. Parents with less education and children up to five weeks of age were more likely to be unwilling or uncertain about vaccinating their child. Factors associated with a refusal or uncertainty about vaccinating were not having enough information about the vaccine, no intention of accepting other vaccines, paying little heed to the child health nurses' recommendations, thinking that the rotavirus was not a serious illness and not believing that the vaccine provided protection against serious forms of gastroenteritis. Conclusion: Early information, extra information for parents with less education and close positive relationships between parents and child health nurses were important factors in high rotavirus vaccination rates.

  • 104.
    Aslund, C.
    et al.
    Uppsala Univ, Cent Hosp, Clin Res Ctr, S-72189 Vasteras, Sweden..
    Nordquist, N.
    Uppsala Univ, Dept Neurosci, Pharmacol Unit, Uppsala, Sweden..
    Comasco, E.
    Uppsala Univ, Cent Hosp, Clin Res Ctr, S-72189 Vasteras, Sweden.;Uppsala Univ, Dept Neurosci, Pharmacol Unit, Uppsala, Sweden..
    Leppert, J.
    Uppsala Univ, Cent Hosp, Clin Res Ctr, S-72189 Vasteras, Sweden..
    Oreland, L.
    Uppsala Univ, Dept Neurosci, Pharmacol Unit, Uppsala, Sweden..
    Nilsson, Kent W.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Uppsala Univ, Cent Hosp, Clin Res Ctr, S-72189 Vasteras, Sweden..
    Maltreatment, MAOA, and Delinquency: Sex Differences in Gene-Environment Interaction in a Large Population-Based Cohort of Adolescents2011In: Behavior Genetics, ISSN 0001-8244, E-ISSN 1573-3297, Vol. 41, no 2, p. 262-272Article in journal (Refereed)
    Abstract [en]

    The present study investigated a possible interaction between a functional polymorphism in the MAOA gene promoter (MAOA-VNTR) and childhood maltreatment in the prediction of adolescent male and female delinquency. A cohort of 1,825 high school students, 17-18 years old, completed an anonymous questionnaire during class hours which included questions on childhood maltreatment, sexual abuse, and delinquency. Saliva samples were collected for DNA isolation, and analyzed for the MAOA-VNTR polymorphism. Self-reported maltreatment was a strong risk factor for adolescent delinquent behavior. The MAOA genotype also showed a significant main effect when controlled for maltreatment. Boys with a short variant and girls with one or two long variants of the polymorphism showed a higher risk for delinquency when exposed to maltreatment. Our results confirm previous findings of an interaction between the MAOA-VNTR polymorphism and self-reported maltreatment. Results for boys and girls differ according to MAOA-VNTR genotype and direction of phenotypic expression.

  • 105.
    Asp, Margareta
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Begreppet Vila2017In: Vårdvetenskapliga begrepp i teori och praktik / [ed] Wiklund, L & Bergbohm, I, Lund: Studentlitteratur AB, 2017, 2, p. 437-447Chapter in book (Other academic)
  • 106.
    Asp, Margareta
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Begreppsutveckling på livsvärldsfenomenologisk grund2017In: Vårdvetenskapliga begrepp i teori och praktik / [ed] Wiklund Gustin L & Bergbom I, Lund: Studentlitteratur AB, 2017, 2, p. 49-77Chapter in book (Other academic)
  • 107.
    Asp, Margareta
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Editorial, SJCS September 2017 issue: NCCS in the past and for the future2017In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 31, no 3, p. 425-426Article in journal (Other academic)
  • 108.
    Asp, Margareta
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Rest: A Health-Related phenomenon and concept in Caring Science2015In: Global Qualitative Nursing Research, E-ISSN 2333-3936, Vol. 2, article id 2333393615583663Article in journal (Refereed)
    Abstract [en]

    Rest is a health-related phenomenon. Researchers have explored the phenomenon of rest, but further concept development is recommended. The aim of my study was to develop and describe a concept of rest, from interviews with a total of 63 participants about their lived experiences of rest. I performed the developing process in two stages: first with descriptive phenomenology and second with a hermeneutic approach. The concept of rest is comprised of the essences of both rest and “non-rest,” and there is a current movement between these two conditions in peoples’ lives. The essence of rest is being in harmony in motivation, feeling, and action. The essence of non-rest is being in disharmony in motivation, feeling, and action. The essences reveal some meaning constituents. Health care professionals and researchers can use the concept as a frame of reference in health care praxis and in applied research.

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  • 109.
    Asp, Margareta
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Ekstedt, Mirjam
    KTH, Stockholm, Sweden.
    Trötthet, vila och sömn2014In: Omvårdnadens grunder: Hälsa och ohälsa / [ed] A-K Edberg & H Wijk, Lund: Studentlitteratur AB, 2014, 2:1, p. 363-417Chapter in book (Other academic)
  • 110.
    Asp, Margareta
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Ekstedt, Mirjam
    KTH Royal Institute of Technology.
    Trötthet, vila, sömn2019In: Omvårdnadens grunder: Hälsa och ohälsa / [ed] Edberg A-K & Wijk H, Lund: Studentlitteratur , 2019, 3, p. 377-420Chapter in book (Other (popular science, discussion, etc.))
  • 111.
    Asp, Margareta
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Simonsson, B.
    Reg Vastmanland, Competence Ctr Hlth, Vasteras, Sweden..
    Larm, P.
    Uppsala Univ, Clin Res Ctr, Vasteras, Sweden..
    Molarius, A.
    Reg Vastmanland, Competence Ctr Hlth, Vasteras, Sweden..
    The association between physical activity and obesity differs by physical mobility among elderly2017In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 27Article in journal (Other academic)
  • 112.
    Asp, Margareta
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Simonsson, B.
    Competence Centre for Health, Region Västmanland.
    Peter, Larm
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Molarius, A.
    Competence Centre for Health, Region Västmanland.
    Physical mobility, physical activity, and obesity among elderly: findings from a large population-based Swedish survey2017In: Public Health, ISSN 0033-3506, E-ISSN 1476-5616, Vol. 147, p. 84-91Article in journal (Refereed)
    Abstract [en]

    Objective To examine how physical activity and physical mobility are related to obesity in the elderly. Study design A cross-sectional study of 2558 men and women aged 65 years and older who participated in a population survey in 2012 was conducted in mid-Sweden with an overall response rate of 67%. Methods Obesity (body mass index ≥30 kg/m2) was based on self-reported weight and height, and physical activity and physical mobility on questionnaire data. Chi-squared test and multiple logistic regressions were used as statistical analyses. Results The overall prevalence of obesity was 19% in women and 15% in men and decreased after the age of 75 years. A strong association between both physical activity and obesity, and physical mobility and obesity was found. The odds for obesity were higher for impaired physical mobility (odds ratio [OR] 2.83, 95% confidence interval [CI] 2.14–3.75) than for physical inactivity (OR 1.63, 95% CI 1.28–2.08) when adjusted for gender, age, socio-economic status and fruit and vegetable intake. However, physical activity was associated with obesity only among elderly with physical mobility but not among those with impaired physical mobility. Conclusion It is important to focus on making it easier for elderly with physical mobility to become or stay physically active, whereas elderly with impaired physical mobility have a higher prevalence of obesity irrespective of physical activity.

  • 113.
    Asserstam, Alexandra
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Brännman, Sandra
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    ATT KUNNA ANVÄNDA SIG SJÄLV SOM VERKTYG: Sjuksköterskors erfarenheter av vad som kan bidra till en god vårdrelation med personer diagnostiserade med psykos2021Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Sjuksköterskan ska arbeta för att skapa en god vårdrelation med personer diagnostiserade med psykos. Tidigare forskning visar att en god vårdrelation till sjuksköterskan är nödvändig för personens återhämtning. Det visar även att sjuksköterskans bemötande gentemot personen diagnostiserad med psykos är betydande för skapandet av den goda vårdrelationen. Det framkommer även både utmaningar och möjligheter som påverkar skapandet av en god vårdrelation. Syfte: Att beskriva sjuksköterskors erfarenheter av vad som kan bidra till en god vårdrelation med personer diagnostiserade med psykos. Metod: Totalt tio deltagare intervjuades via semistrukturerade telefonintervjuer, av dessa var fem grundutbildade sjuksköterskor samt fem specialistutbildade sjuksköterskor inom psykiatrisk vård. Intervjuerna analyserades med hjälp av kvalitativ innehållsanalys. Resultat: För att skapa en god vårdrelation förutsätter det att sjuksköterskan kan möta den person hen har framför sig. Resultatet består av två delresultat med ett gemensamt tema, vilket är att kunna använda sig själv som verktyg i mötet för att kunna skapa en god vårdrelation. Slutsats: En god vårdrelation kräver en aktiv och reflekterande sjuksköterska, som besitter intresse att möta personer diagnostiserade med psykos i sitt dagliga arbete. Relationsskapande är en unik process, där sjuksköterskan behöver besitta förmågan att vara anpassningsbar

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  • 114.
    Astvik, Wanja
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Larsson, Robert
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Welander, Jonas
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Arbetsmiljön i tillitsbaserad styrning och ledning - exempel från socialtjänsten2020In: Arbetsmarknad & Arbetsliv, ISSN 1400-9692, E-ISSN 2002-343X, Vol. 26, no 4, p. 25-45Article in journal (Refereed)
    Abstract [sv]

    Studiens syfte är att via fallstudier av socialtjänsten undersöka konkreta ledningspraktiker som kan sägas falla inom ramen för Tillitsdelegationens definition av tillitsbaserad styrning och ledning och som har betydelse för att åstadkomma hållbara arbetsmiljöer i välfärden. Analysen visar att hållbar arbetsmiljö via tillitsbaserad styrning och ledning kan kopplas till organisationens säkerställande av förmåga, integritet och hjälpvillighet. Konkreta ledningspraktiker för säkerställande och hållbar arbetsmiljö var uppdragsdialog, systemperspektiv, integrering av arbetsmiljö och verksamkvalitet samt långsiktig ekonomisk styrning. Genom att ledningen agerar tillitsvärdigt via säkerställande av tillitsvärdigheten hos dem som är satta att utföra arbetet närmast medborgarna, erhålls goda arbetsmiljöer.

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  • 115.
    Astvik, Wanja
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Larsson, Robert
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Welander, Jonas
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Tillit i styrning och ledning för en hållbar arbetsmiljö inom socialtjänsten – en fallstudie av Nyköpings kommun.2018In: Styra och leda med tillit: Forskning och praktik / [ed] Louise Bringselius, Stockholm: Regeringskansliet/Norstedts Juridik , 2018, p. 139-165Chapter in book (Other academic)
    Abstract [sv]

    Kapitlet syftar till att beskriva hur en mer tillitsbaserad styrning och ledning kan gestalta sig inom socialtjänstens verksamheter genom en analys av individ- och familjeomsorgen i Nyköpings kommun. Resultaten visar att grunduppdraget, det vill säga det ansvar som verksamheten förväntas ta gentemot medborgarna utifrån lagstiftningen har stort utrymme i styrningen snarare än mål, som de för tillfället styrande politikerna formulerar. Kvantitativa mått kompletteras med kvalitativa verksamhetsbeskrivningar och kontinuerlig dialog om verksamhetens kvalitet, brister och utvecklingsbehov. Ansvarsavgränsningar som inte gynnar klientens bästa kan motverkas genom hur ekonomistyrningen används. Här framstår det som väsentligt att undvika konkurrens, incitament och repressalier i styrningen som leder till fokus på den egna enhetens ekonomi snarare än verksamhetens kvalitet. Styrning och ledning som söker säkerställa förmåga, integritet och hjälpvillighet hänger intimt samman med arbetsmiljöfrågorna. När organisationen identifierar och åtgärdar reella hinder som försvårar ett professionellt socialt arbete är det tydligt att organisation tar ansvar för både verksamhetskvalitet och arbetsmiljö. Att säkerställa integritet och hjälpvillighet innebär också en konsekvent hållning till principer och värderingar som speglar ett offentligt ämbetsmannaetos. Via öppenhet och dialog i organisationen är det de gemensamma värdena som bidrar till ett gemensamt ansvar för verksamhetens kvalitet och en hållbar arbetsmiljö.

  • 116.
    Astvik, Wanja
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Melin, Marika
    Stockholms Universitet.
    Överlevnadsstrategier i socialt arbete: Hur påverkar copingstsrategier kvalitet och hälsa?2013In: Arbetsmarknad & Arbetsliv, ISSN 1400-9692, E-ISSN 2002-343X, Vol. 19, no 4, p. 61-73Article in journal (Refereed)
    Abstract [sv]

    Förändringarna inom välfärdstjänstesektorn i Sverige har det senaste decenniet varit genomgripande. Rationaliseringar och ett decentraliserat resultat- och kostnadsansvar har i många fall medfört ökade arbetskrav, och socialsekreterares situation framstår som särskilt svår. Ansvaret att hantera obalansen mellan krav och resurser har decentraliserats till den enskilde socialsekreteraren. När resurserna inte matchar de kvalitetskrav som ställs tvingas socialsekreterarna till strategier som antingen äventyrar deras egen hälsa eller kvaliteten i arbetet. 

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  • 117.
    Astvik, Wanja
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Melin, Marika
    Stockholms Universitet, Sweden.
    Allvin, Michael
    Uppsala Universitet, Sweden.
    Survival strategies in social work: A study of how coping strategies affect service quality, professionalism and employee health.2014In: Nordic Social Work Research, ISSN 2156-857X, E-ISSN 2156-8588, Vol. 4, no 1, p. 52-66Article in journal (Refereed)
    Abstract [en]

    The restructuring of human service organisations into more lean organisations has brought increased work demands for many human service professions. Social work stands out as a particularly exposed occupational group, in which high work demands are paired with a large individual responsibility to carry out the job. The objectives of the study were to identify what kind of coping strategies social workers employ to handle the imbalance between demands and resources in work and to investigate how different strategies affect outcomes regarding health, service quality and professional development. 16 individual interviews and four group interviews with another 16 social workers were conducted. The analysis identified five different main types of strategies: Compensatory, Demand-reducing, Disengagement, Voice and Exit. An extensive use of compensatory strategies was connected with negative outcomes in health. Often these compensatory strategies were replaced or combined with different means of reducing the work demands, which in turn influence performance and service quality in a negative way. The results highlight dilemmas the social workers are facing when the responsibility to deal with this imbalance are “decentralised” to the individual social worker. When resources do not match the organisational goals or quality standards, the social workers are forced into strategies that either endanger their own health or threaten the quality of service.

  • 118.
    Astvik, Wanja
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Stockholm University, Sweden.
    Welander, Jonas
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Hellgren, Johnny
    Stockholm University, Sweden.
    A comparative study of how social workers' voice and silence strategies relate to organisational resources, attitudes and well-being at work2021In: Journal of Social Work, ISSN 1468-0173, E-ISSN 1741-296X, Vol. 21, no 2, p. 206-224Article in journal (Refereed)
    Abstract [en]

    This study sets out to investigate the potential differences between social workers using voice- or silence strategies in their experience of organisational resources, attitudes and health, and whether social workers moving between strategies (voice or silence) over time have a different experience of the same outcomes than those who stay with the same strategy group. The participating social workers (n = 1356) responded to two web-based questionnaires over a one-year period. Findings The results show that voice strategies are related to the experience of more positive organisational resources, more positive attitudes (greater job satisfaction and organisational commitment, but lower intention to exit) and more positive health (greater recovery, but less emotional exhaustion and stress symptoms) than those using silence strategies. The results also show that moving from silence to voice is related to the experience of increased organisational resources, more positive attitudes and more positive health at T2, while those moving from voice to silence reported the opposite. Applications The longitudinal approach applied in this study adds empirical evidence of the relationship between voice/silence and work-related attitudes, as well as health and well-being. The close relationship between organisational resources, employee voice behaviour and related individual outcomes regarding attitudes and health imply that Human Resources (HR) management has a lot to gain by developing and securing a voice-friendly and considerate climate in their organisations.

  • 119.
    Astvik, Wanja
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Department of Psychology, Stockholm University.
    Welander, Jonas
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Larsson, Robert
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Reasons for Staying: A Longitudinal Study of Work Conditions Predicting Social Workers’ Willingness to Stay in Their Organisation2020In: British Journal of Social Work, ISSN 0045-3102, E-ISSN 1468-263X, Vol. 50, no 1, p. 1382-1400Article in journal (Refereed)
    Abstract [en]

    Extensive staff turnover within the statutory social services is a serious problem in Sweden and in other European countries. This study examines which work conditions predict social workers’ willingness to stay in their organisation. A web-based questionnaire was used to gather data. The participating social workers responded to two questionnaires over a one-year period. To identify the social workers who wanted to stay and also remained in the organisation, the group ‘Stayers’ (n = 1,368) consisted of social workers who reported low intentions to quit at T1. The group ‘Leavers’ (n = 1,182) were social workers who had actually resigned at T2. The data were analysed using univariate and multivariate logistic regression analyses. The multivariate analysis shows that the work conditions that predicted staying in the organisation were low degrees of conflicting demands and quantitative demands, high degrees of openness and human resource orientation in the organisation and a high degree of perceived service quality. The results are discussed in relation to public management and managerial responsibility to create sustainable work conditions that facilitate the provision of good social services for citizens.

  • 120.
    Asztalos Morell, Ildiko
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Malardalen Univ, Sociol, Vasteras, Sweden.;Uppsala Ctr Russian & Eurasian Studies, Uppsala, Sweden..
    Self-Sacrificing Motherhood Reconciling Traumatic Life Experiences of Hungarian Collectivisation2016In: SOVIET PAST IN THE POST-SOCIALIST PRESENT: METHODOLOGY AND ETHICS IN RUSSIAN, BALTIC AND CENTRAL EUROPEAN ORAL HISTORY AND MEMORY STUDIES, TAYLOR & FRANCIS LTD , 2016, Vol. 14, p. 179-198Conference paper (Refereed)
  • 121.
    Asztalos Morell, Ildikó
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Can Renewable energy contribute to poverty reduction? A case study on Romafa, a Hungarian Leader2015In: Evaluating the European approach to rural development: Grass-roots experienceso f the LEADER Programme / [ed] Leo Granberg, Kjell andersson and Imre Kovách, Burlington: Ashgate, 2015, p. 183-206Chapter in book (Refereed)
  • 122.
    Asztalos Morell, Ildikó
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Collectivization and the transfer of soft capital in two life stories from Hungary2012In: Journal of Depopulation and Rural Development Studies, ISSN 1578-7168, E-ISSN 2340-4655, no 13, p. 125-153Article in journal (Refereed)
    Abstract [en]

    Through the analysis of two life stories of former peasants who had experienced collectivization in the early sixties in Hungary the paper sets focus on personal strategies of handling the trauma of societal transitions. Firstly, with help of social and cultural capital theories the importance of what Bourdieu named the transubstantiation of immaterial assets is explored in the process of adaptation from one system to the other. Secondly, the paper elucidates how these survival strategies constitute key elements of self-representations and which kind of meanings are attached to the collectivization experience in the personal life story. Following Gergen's distinction between the plot and the story, the paper elaborates narrative constructions of the representations of self. Emphasis is placed on how the representations allow the narrator to reinstate self-respect through positioning the self in the traumatic event of collectivization. Realistic and constructivist approaches are combined utilizing life story analysis. The two cases represent gender- and class-specific polarities characterizing diversities of the collectivization experience.

  • 123.
    Asztalos Morell, Ildikó
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Contestations of the Swedish Deportation Regime: Civil Mobilisation for and with Afghan Youth2018In: Refugee Protection and Civil Society in Europe / [ed] Margit Feischmidt, Ludger Pries and Celine Cantat, London: Palgrave Macmillan, 2018, p. 319-351Chapter in book (Refereed)
    Abstract [en]

    Sweden was the country within the EU that received the highest number of unaccompanied asylum-seeking children (UASC) and youth in relation to the country’s population during 2015. Out of the 162,877 asylum-seekers arrived during 2015, half were children and half of the children (35,369) arrived unaccompanied. UASC possess special rights as children during the asylum process. Whereas their asylum grounds are assessed by the Migration Agency, the minors’ everyday whereabouts are under the responsibility of municipalities. Being a minor gives access to preferential treatment and rights compared to adult asylum seekers, both in terms of access to municipal services, such as healthcare, schools, housing, social support, and in terms of considerations of asylum grounds leading to residency in Sweden.

    However, from 2016, austerity measures were put in place that, combined with an intensified and long-running securitisation of migration management, had serious consequences for these children and youth. Among the most imperative developments, there has been an increased suspicion of UASC’s self-declared age in the asylum process, combined with a medicalisation of age determination. The “writing up” of minors’ age has increased, thereby commonly leading to the rejection of UASC’s asylum claims and a deportation order. Due to a long processing time at the Migration Agency and in the Swedish migration courts, many youths have also turned 18 during their wait for a final case decision.

    In reponse to these developments, protests have been organised and Sweden has seen a growing civil societal engagement on behalf of and together with UASC. This chapter explores civil societal engagement, both by and on behalf of unaccompanied asylum-seeking children (UASC) of Afghan origin in Sweden. It focuses on the period starting after 2015, and proceeds through an analysis of the Facebook site: “Stoppa utvisningarna av afghanska ungdomar!” [Stop the deportation of Afghan youths!] [Stop deportations]. This site, initiated in the fall of 2016 quickly gathered 20,000 supporters, brought together youth from Afghanistan and Swedish civilians engaged in demanding better asylum procedures for asylum-seeking youth from Afghanistan. This paper will focus on the interconnections between civil society mobilisation and UASC mobilisation around the struggles concerning

    1 I am thankful to Anna Lundberg, whose comments and suggestions on relevant theoretical frameworks have greatly contributed to the improvement of this text. I am also thankful to the editors of this book who have contributed with insightful comments to develop this text. Ingrid Eckerman, the initiator of the facebook site “Stoppa utvisningar!” has commented on a version of this text and contributed with valuable additional aspects, which were incorporated into this version, for which I am thankful.

    1

    securitisation, anti-deportation and amnesty2. It will particularly examine how mobilisation based on different types of agencies were mediated through social media.

    To start with the paper sheds light on the emergence of social movements in Sweden. Secondly, it explores how the theoretical frameworks of “pragmatic voluntarism” and “subversive humanitarianism” contribute to problematise pro-refugee movements and how pro-refugee movements could be understood as struggles for reconfiguring hegemonic perceptions of refugees. Thirdly, it discusses the way how narrative analysis contributes to understand of these reconfigurative processes. Finally, following a brief reflection on the origins and activities of the site, the article explores the activities on this site as expressions of positions ranging from “pragmatic voluntarism” to “subversive humanitarianism”. It explores also the kind of alternative subjectivities they offer for UASC, and the kind of space they create between “exclusion” and “inclusion”. 

  • 124.
    Asztalos Morell, Ildikó
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    On the Roma precarious experience facing Pentecostalism2015In: The new social division:: Making and unmaking Precariousness / [ed] Donatella Della Porta, Sakari Hänninen, Martti Siisiäinen & Tiina Silvasti, London: Palgrave Macmillan, 2015, p. 139-158Chapter in book (Refereed)
  • 125.
    Asztalos Morell, Ildikó
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Poverty and Governance: Rural Municipal Strategies Facing Ethnic and Social Marginalisation and Long-Term Unemployment in Hungary2016In: The Uppsala Yearbook of Eurasian Studies / [ed] Kaj Hobér, London: Wildy, Simmonds & Hill Publishing , 2016, 1, p. 183-211Chapter in book (Other academic)
    Abstract [en]

    This paper is to scrutinise the way that public work [közfoglalkoztatás] is adapted and utilised, as a national tool for the reintegration of the long-term unemployed into the world of labour in Hungary in a rural municipality characterised by highly ethnified unemployment. Public work as a workfare strategy to counteract welfare dependency of long-term unemployed was first formulated in 1996. Municipalities became obliged to organise public work from 2000. Meanwhile, it became a central tool for counteracting unemployment from 2009 as part of the “Way to work” [Ùt a munkához] strategy of the Socialist-Liberal coalition. The conservative government renamed this strategy as START, reducing eligibilities attached to it several times between 2011 and 2015.[1] Public work as a strategy to overcome long-term unemployment was subjected to extensive and varied criticism[2] describing public work as a “cul de sac”, rather than leading out of exclusion from the labour market, and was accused of being non-voluntary and having punitive features.[3]Studies indicate that the rate of return to the labour market even decreased in villages utilising extensive public work programmes

  • 126.
    Asztalos Morell, Ildikó
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Self-sacrificing motherhood: Rhetoric and agency in the era of collectivization in two parallel life-stories"2015In: The Soviet Past in the Post-Soviet Present / [ed] Ilic, Melanie and Leinard, D, London: Palgrave Macmillan, 2015, p. 179-198Chapter in book (Refereed)
  • 127.
    Asztalos Morell, Ildikó
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    ‘Solidarity not alms’: Civil rights movements contesting the evictions and denial of social rights from vulnerable European Union citizens in Sweden2018In: Local Economy, ISSN 0269-0942, E-ISSN 1470-9325, Vol. 33, no 2, p. 147-171Article in journal (Refereed)
    Abstract [en]

    The chief aims of the Swedish municipality-based Facebook network SEM, ‘Solidarity with EU migrants’ [Solidaritet med EU migranter!] are to fight for better conditions and humane treatment of migrants primarily from Romania, who came to Sweden in hope of finding work and the ability to provide for their families. The site is to transmit relevant news, actions, organise money collections, political actions and alike. Those volunteers active in the group believe that ‘righteousness and solidarity’ should apply, even those who are in the grip of European Union bureaucracy.1 Using theories of civil movements in the IT age, I elaborate on how the activists on the site respond to the challenges of the criminalisation of vulnerable European Union citizens, by balancing their engagement between the dimensions of ‘pragmatic voluntarism’ versus ‘subversive humanitarianism’. Furthermore, I explore how the site counteracts hegemonic master narratives on Roma as both idle and victims, who need to be saved from begging, by providing alternative narratives of subjectivities and identities to the Roma men and women they work with and for, seeing them as agents struggling to improve the lives of their families.

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  • 128.
    Asztalos Morell, Ildikó
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Uppsala University, Sweden.
    The agency of Roma women’s NGO in marginalised rural municipalities in Hungary2018In: Gendering Postsocialism: Old Legacies and New Hierarchies, Taylor and Francis , 2018, p. 121-137Chapter in book (Refereed)
    Abstract [en]

    In the postsocialist period, Roma women have been recurrently politicised as undeserving mothers, giving birth to too many children and abusing the generous state-financed childcare support system (Durst, 2001; Asztalos Morell, 2017). Less common is to portray Roma women’s agency and resistance towards such allegations. One such example is the protest action by 369 Roma women from two villages who pressed charges against the mayor in one of the neighbouring villages for defamation. The mayor stated at a municipal meeting: In villages where the majority of inhabitants are Roma … women consume by intention such medicine, that leads to the birth of crazy [bolond] children, in order to get entitlement to double family benefits … I have checked, and it is true that a pregnant woman hit her stomach with a rubber hammer in order to give birth to handicapped child. (Origo, 2009) Similar conflicts indicate the sensitivity of local community cohesion and highlight the broken trust between municipal administrations and the local Roma communities. Such cleavages have intensified in the context of the crises of the postsocialist socio-economic transition that have left peripheral rural communities in a state of continuous decline. © 2018 selection and editorial matter, Yulia Gradskova and Ildikó Asztalos Morell; individual chapters, the contributors.

  • 129.
    Asztalos Morell, Ildikó
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Swedish Univ Agr Sci, Dept Urban & Rural Dev, Umea, Sweden..
    The Role of Public Private Partnership in the Governance of Racialised Poverty in a Marginalised Rural Municipality in Hungary2019In: Sociologia Ruralis, ISSN 0038-0199, E-ISSN 1467-9523, Vol. 59, no 3, p. 494-516Article in journal (Refereed)
    Abstract [en]

    This article explores the local governance of poverty alleviation in a marginalised Hungarian rural community, with over 50 per cent Roma inhabitants, most of whom were either unemployed or participated in public work projects. Kisbalog is among those marginalised rural communities which are characterised by increasing social polarisation and ethnic cleavages as a result of selective outmigration and a municipal leadership which negotiates access to public work along racialised notions of deservingness. Hungary follows the EU concept of public private partnerships for local governance. This article unravels the room for manoeuvre for NGOs working for poverty alleviation in the context of the racialised narratives of a paternalistic local welfare state. Utilising Young's notions of social justice it explores the complicit nature of recognitional, associative and distributional justice in order to understand the interplay in partnerships between public and private agencies. From among three types of strategies, coercive, isolated and deliberative, the last one has the potential to bring about transformative changes.

  • 130.
    Asztalos Morell, Ildikó
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Utmaningar och möjligheter för digitaliserat arbete och organisering – delstudie 6: Arbetsvillkor, kunskapsöverföring och innovation2017Report (Other academic)
    Abstract [sv]

    En av utgångspunkterna för denna studie är att teknik förändrar arbetets villkor, samtidigt som tekniken i sig är inte deterministisk. Sättet varpå teknik implementeras bygger på social organisering. Arbetets sociala villkor är drivande för utvecklingen av tekniken såväl som för hur tekniken utnyttjas. Denna studie undersökte olika samband mellan teknologisk utveckling och hur utnyttjandet och utvecklingen av teknik organiseras inom ett metall­industriföretag. För det första undersöktes styrning, handlingsutrymme, innovation och kunskapsöverföring (delstudie 6 inom DAO-projektet). Vidare undersöktes även förändrade kunskapskrav, flexibilitet, kompetensförsörjning och mångfald (delstudie 7 inom DAO projektet). Digitalisering av styrning (IT) och auto­matisering av maskiner (OT) är två aspekter av teknologiska förändringar som driver utvecklingen framåt. Genom att särskilja fem olika sätt för hur dessa förändringar kan sammankopplas har jag kunnat särskilja hur arbetets villkor har förändrats.

    • När det gäller traditionell teknologi, alltså utan IT och OT, besitter operatörerna unika kunskaper som är svåra att standardisera. Utvecklingen av OT sker genom att dessa kunskaper överförs till standardiserade enheter. Operatörernas roll omvandlas till övervakning av maskiner som körs av OT-system.
    • Då IT-styrning kopplas till produktionen påläggs ansvar på operatörerna att följa dessa IT-system och därigenom anpassa den egna produktionens styrning. Man hämtar order från IT-system och återkopplar till systemet när man har arbetat färdigt en order. IT-systemet dokumenterar tidsåtgången och samlar information om produktionen från det som operatörerna förväntas mata in.
    • Då IT kopplas till OT förväntas det att misstag som uppstår p.g.a. den ”mänskliga faktorn” fasas ut. Operatörernas roll förvandlas återigen; de övervakar då både OT-opererade maskiner och IT-system som styr produktionen. Samtidigt förväntas operatörer kunna förstå hur deras fysiska maskiner fungerar för rutinmässigt underhåll och körning då IT ”krånglar”. Därmed blir operatörernas roll mindre fysiskt belastande, men också mer komplex som följd av över­vakningen av maskiner.
    • Då komplexa produktionsprocesser byggs ihop blir operatörers arbete mer direkt kopplat till andra operatörers arbeten. Teamsamverkan och stöd från med­arbetarna ökar i betydelse.
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  • 131.
    Asztalos Morell, Ildikó
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Utmaningar och möjligheter för digitaliserat arbete och organisering – delstudie 7: Digitalisering och förändrade kunskapskrav, flexibilitet, kompetensförsörjning och mångfald2017Report (Other academic)
    Abstract [sv]

    En av utgångspunkterna för denna studie var att teknik förändrar arbetets villkor, samtidigt som teknik i sig är inte deterministisk. Sättet teknik implementeras bygger på social organisering. Arbetets sociala villkor är drivande för utveckling av tekniken likväl för hur tekniken utnyttjas. Denna studie undersökte olika samband mellan teknologiska utveckling och hur utnyttjandet och utvecklingen av teknik organiseras inom ett metallindustriföretag. För de ena undersöktes styrning, handlingsutrymme, innovation och kunskapsöverföring (del 1) för de andra undersöktes förändrad kunskapskrav, flexibilitet, kompetensförsörjning och mångfald (del 2). Digitalisering av styrningen (IT) och automatisering av maskiner (OT) är två aspekter av teknologiska förändringar som driver utvecklingen framåt.

     

    Kompetens och kunskapskraven för operatörerna har förändrats med digitalisering och automatisering. Paradoxalt arbetsuppgifter både utarmas (tyst kunskap av operatörer standardiseras och utförs av OT styrd teknologi) och blir komplexare (man inte bara övervakar maskiner och IT som styr dem, men behöver även kunna ingripa fysiskt i vissa arbetsmoment eller i fall av ”strul”). Då teknologin är sammanbyggd i löpande band krävs större ansvar för teamet. Är det strul på ett ställe i produktionskedjan, påverkas alla andra.

     

    Operatörsyrken inom metallindustrin ansågs vara typiskt ”manliga” yrken, något som man associerar med tunga lyft och hårda arbetsvillkor. Manlighetsidealen är också kopplade till kontroll över teknik, i motsatts till kvinnlighetsidealen, som är kopplad till omsorg, något som återspeglas i typiska kvinnliga yrken inom omsorg och administration.  Det finns föreställningar digitalisering och automatisering förändrar arbetets innehåll och genom det öppnar för ny organisering av arbete bortom denna könsstereotypiska uppdelning. Vi kan konstatera att digitalisering och automatisering har gjort traditionellt fysisk arbete, så som operatörsyrken inom metallindustri mindre fysiskt krävande. Krav på IT kunnande har ökat, något som tidigare har varit associerad med kvinnliga yrken. Samtidigt digitaliseringen har det lett till att traditionellt kvinnliga yrken, som har använt digital teknologi i uppföljningen av produktionen, har rationaliserats bort. Den nya teknologin har potential att öppna upp för nya sociala mönster, där genusstereotypa åtskillnader kunde lösas upp. Trotts denna öppning verkar att könstereotypa tankesätt finns kvar och könssammansättningen av operatörsyrken domineras fortfarande av män. Studien undersöker bland annat, hur sociala föreställningar om mångfald men även förändrad konkurrens and rekryteringsstrategier bidrar till att förändringsprocessen går sakta, trotts företagets uttalade policy för diversifiering.

     

    Företagets kompetensförsörjningsstrategi förändrades i följd av den ekonomiska krisen och i relation till förändrade efterfrågan på och sammansättningen av arbetskraften. Ökad intern och extern flexibilisering har varit en respons som tillämpas i flera sammanhang.

     

    För det ena, företaget övergick från högkonjunkturens ”öppna porten till samhället” modell där Arbetsförmedlingen och Konvux var viktiga partners för att rekrytera och utbilda efterfrågad arbetskraft till en ny modell i rekrytering. Som följd av ekonomiska krisen rekryteras i nuläget nya operatörer huvudsakligen genom bemanningsföretag. Rekryteringen sker till instegsjobb att täcka tillfälliga fluktuationer p.g.a. sjukdom.

     

    För det andra tillämpas flexibilisering internt. Operatörerna bör lära sig flertal moment i sitt flöde som möjliggör interna omplaceringar. Sådan flexibilitet är även en respons till förändringar i teknologin. Digitaliserad och automatiserad teknologi verkar vara mer känslig till produktionsstopp p.g.a. teknologiskt problem som kan ursaka oplanerade 

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  • 132.
    Asztalos Morell, Ildikó
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Voicing Roma Women: Intersectional Marginalities and Social Entrepreneurship of a Roma Women's NGO in Hungary2015In: Institutionalizing Gender Equality: Historical and global Perspectives / [ed] Yulia Gradskova and Sara Sanders, London: Lexington Books, 2015, p. 149-173Chapter in book (Refereed)
  • 133.
    Asztalos Morell, Ildikó
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Workfare with a human face?: Innovative utiliziation of public work in rural municipalities in Hungary2014In: Metszetek, ISSN 2063-6415, Vol. 3, no 4Article in journal (Refereed)
  • 134.
    Asztalos Morell, Ildikó
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Uppsala University, Mälardalen University.
    Darvishpour, Mehrdad
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    The securitization of asylum seeking in Sweden after 2015 in light of experiences of asylum-seeking girls with roots in Afghanistan2018In: The migration crises? Criminalization, security and survival / [ed] Dina Siegel, Veronika Nagy, Uppsala: The HAgue:Eleven , 2018, p. 363-388Chapter in book (Refereed)
    Abstract [en]

    This chapter aims to shed light from a gender perspective on the issue of security for asylum seeking adolescent girls in context of increased securitisation of the asylum-seeking process following the migration vogue of 2015. Half of those 163,000 asylum-seeking people who arrived to Sweden in 2015 were children, and half of them were unaccompanied asylum-seeking children (UASC), a majority being boys from Afghanistan. As a response Sweden has reversed its open asylum regime to the minimum EU standard in 2016, including restrictive attitude towards granting residency for UASC. This article explores how the securitization radically changed the preconditions for the establishment of asylum-seeking adolescent girls. Beyond the review of previous research and new data sources it also explores the issue through the analyses of the life stories of two girls of Afghan origin. One of them arrived with her parents through family affiliation with her brother who had previously received asylum as an UASC. The other girl arrived as an UASC in 2015. The narrative analysis provides a voice to two girls and their experiences, and is to complement the research on post 2015 securitisation with focus on gender based vulnerabilities of adolescent girls.

     

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  • 135.
    Asztalos Morell, Ildikó
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Department of Urban and Rural Development, Swedish University of Agricultural Sciences (SLU), Uppsala, 75007, Sweden.
    De, S.
    College of Nursing, Bharati Vidyapeeth Deemed University (BVDU), Pune, 411043, India.
    Mahadalkar, P.
    College of Nursing, Bharati Vidyapeeth Deemed University (BVDU), Pune, 411043, India.
    Johansson, Carl
    Mälardalen University, School of Health, Care and Social Welfare.
    Gustafsson, Lena-Karin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Silence or voice?: Agency freedom among elderly women living in extended families in urban India2020In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 17, no 23, p. 1-18, article id 8779Article in journal (Refereed)
    Abstract [en]

    The preferential form of living for the elderly in India is within the extended family. India is undergoing rapid economic development, an increase in mobility, and changes in gender norms due to an increase in women’s labour force participation, which places challenges on traditional intergenerational relationships. Ageing and the well-being of the elderly is a rising concern, especially considering that their proportion of the population is expected to grow rapidly in coming decades. There is a lack of universal state provision for the elderly’s basic needs, which is especially profound for elderly women, since most do not have an independent income. This leaves the elderly dependent upon the benevolence of their adult children’s families or other relatives. This paper explores, with help of narrative analysis and critical contributions from capability theory, elderly women’s agency freedoms and how this can be contextualised with their varying capability sets. With help of Spivak’s notion of the silent subaltern, the paper anchors elderly women’s abilities to voice to their agency freedom. The master narrative of the silent supportive wife and side-lined mother-in-law as well as three counter-narratives explore alternative agencies taken by elderly women.

  • 136.
    Asztalos Morell, Ildikó
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Gradskova, Y.
    Södertörn University, Sweden.
    The gendered subject of postsocialism: State-socialist legacies, global challenges and (re)building of tradition2018In: Gendering Postsocialism: Old Legacies and New Hierarchies, Taylor and Francis , 2018, p. 1-17Chapter in book (Refereed)
    Abstract [en]

    When the Berlin Wall fell in November 1989 and when, two years later, the Soviet Union crumbled and was divided into 15 independent states, the huge space formerly called the Communist Bloc or the countries of state socialism seemed to disappear forever, and an unprecedented process of change began. This process was just as unique from a historical perspective as the earlier attempts to build communism and/or state socialism. The changes had different speeds and directions, and while some states embraced the process of democratisation in order to “return to Europe”, others were experimenting with the ideals of a strong authoritarian state, religion, and a “return to tradition” to build a new society.

  • 137.
    Asztalos Morell, Ildikó
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Gradskova, Yulia
    Gendering Postsocialism: Old Legacies New Hierarchies2018Book (Refereed)
    Abstract [en]

    When the Berlin Wall fell in November 1989 and when, two years later, the Soviet Union crumbled and was divided into 15 independent states, the huge space formerly called the Communist Bloc or the countries of state socialism seemed to disappear forever, and an unprecedented process of change began. This process was just as unique from a historical perspective as the earlier attempts to build communism and/or state socialism. The changes had different speeds and directions, and while some states embraced the process of democratisation in order to “return to Europe”, others were experimenting with the ideals of a strong authoritarian state, religion, and a “return to tradition” to build a new society.

     

    Now, however, nearly 30 years later, the different countries of this huge geographical space often continue to be addressed according to their common past, or as countries still in a state of transition or transformation from their previous condition – as postsocialist. In some cases the communist past seems to have been totally overcome, and these countries are recognized as European and democratic states with well-functioning market economies (as in the case of many countries that have joined the European Union). However, their position in the formerly socialist space can suddenly be remembered in exceptional circumstances, like during the refugee crisis of 2015 (Dalakoglou, 2016). In other cases, the changes do not seem to be thorough due to the emergence of authoritarian regimes and corruption. Thus, the states that have experienced slower changes are more frequently referred to through their past as “formerly” or “post” socialist.

     

    In deference to these temporal interpretations, following Madina Tlostanova, we approach postsocialism not only in temporal terms, but also in spatial terms – as a space populated by millions of people whose experience is “underconceptualized” in the analysis of globalisation (Tlostanova, 2017, pp. 1-3). In choosing to analyse postsocialism as a “critical standpoint” in order to avoid the essencialisation of the region (Stella, 2015, p.133), we consider it important to explore gendered changes focusing on institutions, discourses, memories, identities, and fantasies that in one way or another connect to this postsocialist condition.

     

     Although taking place in varied shapes and degrees, the dismantlement of state socialism and the emergence of “capitalism” in the former state socialist countries led to radical shifts in their economies as well as in the welfare state’s involvement in social citizenship. Gender relations were a key arena for the moulding of state-socialist citizenship where institutions, guarding women’s reproductive rights as well as their work opportunities, were raised to create the ideal socialist citizen. Gender norms and gender relations have also been a prime field for forming the postsocialist citizen. While we assume that the bondage between economic regimes and gender norms is not deterministic (Asztalos Morell, 1999), the contributions to this book further explore the connectivity between gender and economy without assuming reductionist causality or restricting the sphere of gender norms to the sphere of economic importance.

     

    Thus, the main aim of this book is to explore changing gendered norms and expectations in relation to the postsocialist transformation in Eastern Europe and Eurasia. We explore how the gendered legacies of state socialism are entangled with the geopolitical re-orientation of the region and the simultaneity of socio-economic, political, and cultural changes in this geographical space. How are gender expectations shaped in the conflict between impulses towards more gender equality versus the re-naturalisation/re-traditionalisation of gender norms, and how are the new gender norms entangled with the neoliberal economic demands, precarities, “multifaceted injustice” (Suchland, 2015, p. 188), new forms of socio-economic differentiation, and insecurities?How can the analysis of gender norms and expectations in the space of former state socialism contribute to a study of global developments in gender relationships?

     

  • 138.
    Asztalos Morell, Ildikó
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Greenfields, Margaret
    Buckinghamshire New Univ, High Wycombe, Bucks, England..
    Smith, David M.
    Anglia Ruskin Univ, Cambridge, England..
    Governing underprivileged Roma migrations within the EU: Receiving country responses and Roma resilience2018In: Local Economy, ISSN 0269-0942, E-ISSN 1470-9325, Vol. 33, no 2, p. 123-126Article in journal (Other academic)
  • 139.
    Augustsson, Hanna
    et al.
    Karolinska Institutet, Sweden.
    Ingvarsson, Sara
    Karolinska Institutet, Sweden.
    Nilsen, Per
    Linköping University, Linköping, Sweden.
    von Thiele Schwarz, Ulrica
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Karolinska Institutet, Sweden.
    Muli, Irene
    Center for Epidemiology and Community Medicine (CES), Stockholm Region, SE 171 29, Stockholm, Sweden..
    Dervish, Jessica
    Center for Epidemiology and Community Medicine (CES), Stockholm Region, SE 171 29, Stockholm, Sweden..
    Hasson, Henna
    Center for Epidemiology and Community Medicine (CES), Stockholm Region, SE 171 29, Stockholm, Sweden..
    Determinants for the use and de-implementation of low-value care in health care: a scoping review.2021In: Implementation Science Communications, E-ISSN 2662-2211, Vol. 2, no 1, article id 13Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: A considerable proportion of interventions provided to patients lack evidence of their effectiveness. This implies that patients may receive ineffective, unnecessary or even harmful care. However, despite some empirical studies in the field, there has been no synthesis of determinants impacting the use of low-value care (LVC) and the process of de-implementing LVC.

    AIM: The aim was to identify determinants influencing the use of LVC, as well as determinants for de-implementation of LVC practices in health care.

    METHODS: A scoping review was performed based on the framework by Arksey and O'Malley. We searched four scientific databases, conducted snowball searches of relevant articles and hand searched the journal Implementation Science for peer-reviewed journal articles in English. Articles were included if they were empirical studies reporting on determinants for the use of LVC or de-implementation of LVC. The abstract review and the full-text review were conducted in duplicate and conflicting decisions were discussed until consensus was reached. Data were charted using a piloted data charting form and the determinants were inductively coded and categorised in an iterative process conducted by the project group.

    RESULTS: In total, 101 citations were included in the review. Of these, 92 reported on determinants for the use of LVC and nine on determinants for de-implementation. The studies were conducted in a range of health care settings and investigated a variety of LVC practices with LVC medication prescriptions, imaging and screening procedures being the most common. The identified determinants for the use of LVC as well as for de-implementation of LVC practices broadly concerned: patients, professionals, outer context, inner context, process and evidence and LVC practice. The results were discussed in relation to the Consolidated Framework for Implementation Research.

    CONCLUSION: The identified determinants largely overlap with existing implementation frameworks, although patient expectations and professionals' fear of malpractice appear to be more prominent determinants for the use and de-implementation of LVC. Thus, existing implementation determinant frameworks may require adaptation to be transferable to de-implementation. Strategies to reduce the use of LVC should specifically consider determinants for the use and de-implementation of LVC.

    REGISTRATION: The review has not been registered.

  • 140.
    Avelin, Pernilla
    et al.
    Karolinska Institutet, Stockholm, Sweden.
    Gyllenswärd, Göran
    Psychotherapy and Grief Consultant, Stockholm, Sweden.
    Erlandsson, Kerstin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Rådestad, Ingela
    Sophiahemmet University College, Stockholm, Sweden.
    Adolescents´experiences of having a stillborn half-sibling2014In: Death Studies, ISSN 0748-1187, E-ISSN 1091-7683, Vol. 38, no 9, p. 557-562Article in journal (Refereed)
    Abstract [en]

    Although there is an increasing interest in siblings' experiences of loss and grief there is limited knowledge of adolescent's own perspectives, especially in a unique situation as after stillbirth in a reconstituted family. The authors interviewed 13 bereaved adolescents. They were sad that their family was not the same and expressed feelings of being inside family grief, yet outside, because they did not have full access in their reconstituted family. An implication of present findings is that it is important to include all the members of the family in the grieving process, even half-siblings of the deceased child.

  • 141.
    Ayala, Ana
    et al.
    Karolinska Inst, Dept Womens & Childrens Hlth, Div Reprod Hlth, Stockholm, Sweden.;Minist Hlth Santiago, Santiago, Chile..
    Christensson, Kyllike
    Karolinska Inst, Dept Womens & Childrens Hlth, Div Reprod Hlth, Stockholm, Sweden..
    Christensson, Eva
    Karolinska Inst, Dept Physiol & Pharmacol, Stockholm, Sweden..
    Cavada, Gabriel
    Univ Chile, Sch Publ Hlth, Fac Med, Santiago, Chile..
    Erlandsson, Kerstin
    Karolinska Inst, Dept Womens & Childrens Hlth, Div Reprod Hlth, Stockholm, Sweden.;Dalarna Univ, Sch Educ Hlth & Social Sci, Falun, Sweden..
    Velandia, Marianne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Newborn infants who received skin-to-skin contact with fathers after Caesarean sections showed stable physiological patterns2021In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 5, p. 1461-1467Article in journal (Refereed)
    Abstract [en]

    Aim Separating infants and their parents after a Caesarean section is still the routine care worldwide. This study investigated three caregiving models on the wakefulness and physiological parameters of full-term infants after an elective Caesarean section. Methods Newborn infants born in a Chilean public hospital in 2009-12 were randomised to three groups: cot, fathers' arms or skin-to-skin contact with their father. They were assessed at 15-minute intervals, from 45 to 120 minutes after the Caesarean section. Their physiological parameters were measured, and their wakefulness was assessed using the Neonatal Behavioural Assessment Scale. Results We studied 95 infant (53% girls) born at a mean gestational age of 38.9 +/- 0.9 weeks. Heart rates were significantly higher in the skin-to-skin than cot or fathers' arms groups and showed greater stability over time. Wakefulness was initially higher in the skin-to-skin group, but there were no significant differences by the end of the observation. There were no differences between the groups in peripheral oxygen saturation. Skin-to-skin contact had no negative impact on the infants. Conclusion The skin-to-skin group showed some advantages over the cot and fathers' arms groups when it came to establishing stable physiological parameters and wakefulness. This approach should be supported during mother-infant separation.

  • 142.
    Ayala, Ana
    et al.
    Karolinska Inst, Div Reprod Hlth, Dept Womens & Childrens Hlth, Stockholm, Sweden.;Minist Hlth Santiago, Women Natl Program, Santiago, Chile..
    Christensson, Kyllike
    Karolinska Inst, Div Reprod Hlth, Dept Womens & Childrens Hlth, Stockholm, Sweden..
    Velandia, Marianne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Malardalen Univ, Sch Hlth Care & Social Welf HVV, Vasteras, Sweden..
    Erlandsson, Kerstin
    Karolinska Inst, Div Reprod Hlth, Dept Womens & Childrens Hlth, Stockholm, Sweden.;Dalarna Univ, Sch Educ Hlth & Social Studies, Falun, Sweden..
    Fathers' care of the newborn infant after caesarean section in Chile: A qualitative study2016In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 8, p. 75-81Article in journal (Refereed)
    Abstract [en]

    Background: In Chilean hospitals the current model of care after caesarean section is to separate newborn infants from both parents. The care of newborn infants and the parents' experience immediately after caesarean section requires further exploration. Aim: To describe fathers' experiences and perceptions of being the primary caregiver to their newborn infant during the first 90 minutes after caesarean section in a public general maternity hospital setting in Santiago de Chile. Method: The questionnaire was one part of a larger research programme named: "Caregiving Models after Elective Caesarean Section Parents' perceptions and effects on infants' wellbeing". Four open ended questions were used to gather written text on the experiences and perceptions of 95 fathers who were the primary caregiver to their newborn infant. Ethical approval was obtained from the Ethics Committee, Scientific Assessment Metropolitan Health Service South East. Systematic text condensation according to Malterud's description was used for analysis of the written text. Findings: Two themes were identified: "understanding the first moment of life" and "shared responsibility for future family life" with each theme divided into six categories. Conclusion: This study concludes by arguing that in situations where the mother is unavailable or unable to provide basic care, the father should be supported to care for the newborn infant. Clinical implications: Parents should be made aware of the benefits of this caring model especially when mother and baby have been separated after birth.

  • 143.
    Ayala, Ana
    et al.
    Karolinska Institutet, Stockholm, Sweden.
    Christensson, Kyllike
    Karolinska Institutet, Stockholm, Sweden.
    Velandia, Marianne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Erlandsson, Kerstin
    Dalarna University, Falun, Sweden.
    Mother’s Experiences and Perceptions of a Continuous Caring Model with Fathers after Caesarean Section: A Qualitative Study2015In: The Open Women's Health Journal, E-ISSN 1874-2912, p. 63-71Article in journal (Refereed)
    Abstract [en]

    Background: In Chile, mothers and newborns are separated after caesarean sections. The caesarean section rate in Chile is approximately 40%. Once separated, newborns will miss out on the benefits of early contact unless a suitable model of early newborn contact after caesarean section is initiated.

    Aim: To describe mothers experiences and perceptions of a continuous parental model of newborn care after caesarean section during mother-infant separation.

    Methods: A questionnaire with 4 open ended questions to gather data on the experiences and perceptions of 95 mothers in the obstetric service of Sótero Del Rio Hospital in Chile between 2009 and 2012. Data were analyzed using qualitative content analysis.

    Results: One theme family friendly practice after caesarean section and four categories. Mothers described the benefits of this model of caring. The fathers presence was important to mother and baby. Mothers were reassured that the baby was not left alone with staff. It was important for the mothers to see that the father could love the baby as much as the mother. This model of care helped create ties between the father and newborn during the period of mother-infant separation and later with the mother.

    Conclusions: Family friendly practice after caesarean section was an important health care intervention for the whole family. This model could be stratified in the Chilean context in the case of complicated births and all caesarean sections.

    Clinical Implications: In the Chilean context, there is the potential to increase the number of parents who get to hold their baby immediately after birth and for as long as they like. When the mother and infant are separated after birth, parents can be informed about the benefits of this caring model. Further research using randomized control trials may support biological advantages.

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  • 144.
    Aytar, Osman
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Att se sårbarhet i livet ur ett värdighetsperspektiv:: Mod att våga vara sårbar i livet2018Conference paper (Other academic)
  • 145.
    Aytar, Osman
    Mälardalen University, School of Health, Care and Social Welfare. Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Country Case Studies on Paramilitary Organizations2013In: From Past to Present a Paramilitary Organization in Turkey: Village Guard System / [ed] Şemsa Özar, Nesrin Uçarlar, & Osman Aytar, Diyarbakir: Diyarbakir Institute for Political and Social Research , 2013, p. 197-220Chapter in book (Other academic)
  • 146.
    Aytar, Osman
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Di şertên globalîzma îroyin de Kurd [Kurder under dagens globaliserings villkor]:: Vîzyon, îmkan û astengî [Vision, möjligheter och hinder]2018Conference paper (Other academic)
  • 147.
    Aytar, Osman
    Mälardalen University, School of Health, Care and Social Welfare. Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Hamidiye Cavalry Regiments: A Historical Overview on a Paramilitary Organization in the Ottoman Empire2013In: From Past to Present a Paramilitary Organization in Turkey: Village Guard System / [ed] Şemsa Özar, Nesrin Uçarlar, & Osman Aytar, Diyarbakir: Diyarbakir Institute for Political and Social Research , 2013, 1, p. 15-38Chapter in book (Other academic)
  • 148.
    Aytar, Osman
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Hur är interkulturell myndighetsutövning om våldsutsatta barn och unga möjlig?: En kunskapsöversikt och praktiska implikationer2020Report (Other academic)
    Abstract [sv]

    Bakgrund och syfte: Under hösten 2015 startades tre delprojekt under benämningen ”KÖP-projekt – KunskapsÖversikter för Praktiker” av Mälardalens kompetenscentrum för hälsa och välfärd (MKHV) med uppföljningar under 2017 och 2018. Detta paper handlar om delprojektet med koppling till Individ- och familjeomsorg (IFO) inom socialtjänsten. Personer med utländsk bakgrund utgör en betydande del av IFO:s nästan alla verksamhetsområden, främst inom ekonomiskt bistånd, dygnsvård för barn och unga och bland hemlösa. Syftet med denna kunskapsöversikt var att göra en genomgång av forskning om myndighetsutövning inom området barn och unga med utländsk bakgrund som utsätts för psykiskt och fysiskt våld inom familjen. Fokusområden för kunskapsöversikten är följande: Utrednings- och bedömningsmetoder, samverkansmetoder och tjänstemännens hantering av maktbefogenheter.

    Metod och material: Kunskapsöversikten är i linje med det som kallas ”scoping study” som handlar om en ”snabb översyn” över ämnesområdet. Huvudfokus ligger på referee-granskade artiklar i relevanta internationella och nationella databaser, men även andra forskningsrapporter och publikationer som har relevans för ämnet har tagits med som komplement till vetenskapliga artiklar.

    Resultat och analys: Resultatet visar att det inte finns specifika bedömningsinstrument, utredningsmetoder eller samverkansmetoder enbart för våldsutsatta barn och unga med utländsk bakgrund, men det finns instrument och metoder som används i utredningar där även barn och unga med utländsk bakgrund ingår.

    Slutsatser och implikationer: Eftersom det inte finns specifika bedömningsinstrument, utredningsmetoder eller samverkansmetoder om myndighetsutövning inom området barn och unga med utländsk bakgrund som utsätts för psykiskt och fysiskt våld inom familjen kan tillgängliga instrument och metoder användas genom lämplig kompatibilitet och överförbarhet.

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  • 149.
    Aytar, Osman
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Interkulturella möten för integration i praktiken: Utvärdering av verksamheten flyktingguide/språkvän i Eskilstuna kommun och kommunens regionala/nationella samordningsroll2016Report (Other academic)
    Abstract [sv]

    Syftet med utvärderingen var att identifiera styrkor och svagheter för Eskilstunamodellen för flyktingguide/språkvän i förhållande till verksamhetsmålen på lokal, regional och nationell nivå under 2013-2015. Kvalitativa intervjuer har genomförts med nyanlända och deras språkvänner och med ett urval av projektmedarbetare i Eskilstuna, i Södermanland och i andra kommuner i olika regioner. En observation har genomförts vid en gruppmatchning och tillgängliga dokument från lokal, regional och national nivå har analyserats. I resultat- och diskussionsavsnitten presenteras resultat, reflektioner och slutsatser i form av rekommendationer för hur verksamheter på de tre nivåerna kan utvecklas. Några centrala slutsatser från utvärderingen är:

    * Resultaten visar generellt att verksamhetsmålen på lokal, regional och nationell nivå är uppfyllda.

    * Av de styrkor som har kommit fram i resultaten kan ett visst antal framgångsrika erfarenheter och praktiker lyftas fram.

    * Av de svagheter som kommit fram i resultaten kan nya utvecklings-, förbättrings- och      förändringsarbeten identifieras i förhållande till respektive verksamhets förutsättningar och behov.

    * Av de formella och praktiska benämningar såsom flyktingguide/språkvän, språkvän,      kulturvän, etablerade-oetablerade, volontärer eller liknande, vilka förekommer i olika verksamheter, framgår att det behövs en översyn över benämningar som passar bättre till respektive verksamhets form och innehåll.

    * Av genomgång av befintliga dokument och intervjuresultat framgår att det behövs mer sammanhängande utvärderingsperspektiv i synnerhet i relativt stora verksamheter.

    * Resultaten visar också på behovet av en systematisk dokumentation när förändringsarbeten genomförs.

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    Utvärdering av flyktingguide/språkvän
  • 150.
    Aytar, Osman
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Involuntary Marriages From a Human Rights Perspective: Towards an Analytical Framework2018In: The Journal of Mesopotamian Studies, ISSN 2147-6659, Vol. 3, no 1, p. 95-120Article in journal (Refereed)
    Abstract [en]

    The aim of this article is to develop an analytical framework for understanding involuntary marriages from a human rights perspective based on the United Nations’ human rights conventions and the European Convention for the Protection of Human Rights and Fundamental Freedoms. The empirical material used as a basis for an analytical framework consists of 16 thematic open-ended interviews with Kurds in Sweden. A total of eight of the 16 respondents were below 18 years of age when they married. The results from these interviews show that the majority of interviewees’ marriages are arranged. The results also show that the reasons behind these marriages and the consequences of them are complex and go beyond being mere expressions of gender roles. In addition to the fathers who typically have greater influence than the mothers do, there are differences in power and influence among women as well, such as mothers’ power over daughters and step-mothers’ power over step-daughters. Therefore, there is a need for new and wider perspectives on involuntary marriages, and the analytical framework developed in this article is a part of such a purpose.

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