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  • 101.
    Asztalos Morell, Ildikó
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Uppsala University, Mälardalen University.
    Darvishpour, Mehrdad
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    The securitization of asylum seeking in Sweden after 2015 in light of experiences of asylum-seeking girls with roots in Afghanistan2018Ingår i: The migration crises? Criminalization, security and survival / [ed] Dina Siegel, Veronika Nagy, Uppsala: The HAgue:Eleven , 2018, s. 363-388Kapitel i bok, del av antologi (Refereegranskat)
    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.

     

  • 102.
    Asztalos Morell, Ildikó
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Gradskova, Y.
    Södertörn University, Sweden.
    The gendered subject of postsocialism: State-socialist legacies, global challenges and (re)building of tradition2018Ingår i: Gendering Postsocialism: Old Legacies and New Hierarchies, Taylor and Francis , 2018, s. 1-17Kapitel i bok, del av antologi (Övrigt vetenskapligt)
    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.

  • 103.
    Asztalos Morell, Ildikó
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Gradskova, Yulia
    Gendering Postsocialism: Old Legacies New Hierarchies2018Bok (Refereegranskat)
    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?

     

  • 104.
    Asztalos Morell, Ildikó
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    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 resilience2018Ingår i: Local Economy, ISSN 0269-0942, E-ISSN 1470-9325, Vol. 33, nr 2, s. 123-126Artikel i tidskrift (Övrigt vetenskapligt)
  • 105.
    Avelin, Pernilla
    et al.
    Karolinska Institutet, Stockholm, Sweden.
    Gyllenswärd, Göran
    Psychotherapy and Grief Consultant, Stockholm, Sweden.
    Erlandsson, Kerstin
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Rådestad, Ingela
    Sophiahemmet University College, Stockholm, Sweden.
    Adolescents´experiences of having a stillborn half-sibling2014Ingår i: Death Studies, ISSN 0748-1187, E-ISSN 1091-7683, Vol. 38, nr 9, s. 557-562Artikel i tidskrift (Refereegranskat)
    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.

  • 106.
    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
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. 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 study2016Ingår i: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 8, s. 75-81Artikel i tidskrift (Refereegranskat)
    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.

  • 107.
    Ayala, Ana
    et al.
    Karolinska Institutet, Stockholm, Sweden.
    Christensson, Kyllike
    Karolinska Institutet, Stockholm, Sweden.
    Velandia, Marianne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Erlandsson, Kerstin
    Dalarna University, Falun, Sweden.
    Mother’s Experiences and Perceptions of a Continuous Caring Model with Fathers after Caesarean Section: A Qualitative Study2015Ingår i: The Open Women's Health Journal, ISSN 1874-2912, E-ISSN 1874-2912, s. 63-71Artikel i tidskrift (Refereegranskat)
    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.

  • 108.
    Aytar, Osman
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Att se sårbarhet i livet ur ett värdighetsperspektiv:: Mod att våga vara sårbar i livet2018Konferensbidrag (Övrigt vetenskapligt)
  • 109.
    Aytar, Osman
    Mälardalens högskola, Akademin för hälsa, vård och välfärd. Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Country Case Studies on Paramilitary Organizations2013Ingår i: 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, s. 197-220Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 110.
    Aytar, Osman
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Di şertên globalîzma îroyin de Kurd [Kurder under dagens globaliserings villkor]:: Vîzyon, îmkan û astengî [Vision, möjligheter och hinder]2018Konferensbidrag (Övrigt vetenskapligt)
  • 111.
    Aytar, Osman
    Mälardalens högskola, Akademin för hälsa, vård och välfärd. Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Hamidiye Cavalry Regiments: A Historical Overview on a Paramilitary Organization in the Ottoman Empire2013Ingår i: 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, s. 15-38Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 112.
    Aytar, Osman
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Interkulturella möten för integration i praktiken: Utvärdering av verksamheten flyktingguide/språkvän i Eskilstuna kommun och kommunens regionala/nationella samordningsroll2016Rapport (Övrigt vetenskapligt)
    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.

  • 113.
    Aytar, Osman
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Involuntary Marriages From a Human Rights Perspective: Towards an Analytical Framework2018Ingår i: The Journal of Mesopotamian Studies, ISSN 2147-6659, Vol. 3, nr 1, s. 95-120Artikel i tidskrift (Refereegranskat)
    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.

  • 114.
    Aytar, Osman
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    ”Ja, så tänker vi också …”: – Ett programteoretiskt perspektiv på det nationella Lärandeprojektet – Vård på lika villkor2015Ingår i: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 92, nr 2, s. 116-131Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Developing a program theory for a project and evaluate the project based on this program theory has both its merits and limitations. These merits and limitations in turn may be depend on the existing attitude towards a particular program theory. This study is about exploring how different phases and parts of the national learning project Care on equal terms (2011-2014) functioned in relation to the program theory developed in the beginning of the project. The result shows that the program theoretical perspective on the project contributed to a better structuring of the various forms of evaluation, given a broader understanding of the project's components and provided better opportunities to improve monitoring of the project by the research team in collaboration with the project management of the Swedish Association of Local Authorities and Regions (SALAR) and the participating health care units.

  • 115.
    Aytar, Osman
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Îmkan û astengî ji bo Kurdên diasporayê [Möjligheter och hinder för kurder i diaspora]: Mînaka Kurdên Swêdê [Exemplet Sveriges kurder]2018Konferensbidrag (Övrigt vetenskapligt)
  • 116.
    Aytar, Osman
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Akahavan, Sharareh
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Granath, Marianne
    Sveriges kommuner och landsting.
    Wallin, Hanna
    Sveriges kommuner och landsting.
    Bogg, Lennart
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Tillgren, Per
    Using program theory-driven evaluation in primary care units: An integrated evaluation perspective on a learning project providing equitable care in Sweden2013Konferensbidrag (Refereegranskat)
  • 117.
    Aytar, Osman
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Brunnberg, Elinor
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Mälardalen Research Center, Sweden.
    Empowering Unaccompanied Children in Everyday Life in a New Country: A Resilience Support Centre in Sweden Evaluated from the Perspective of Program Theory2016Ingår i: Revista de Asistenta Sociala, ISSN 1583-0608, Social Work Review, ISSN 1583-0608, Vol. 15, nr 2, s. 35-56Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Unaccompanied asylum-seeking children coming to Sweden are almost all fleeing from violent or threatening situations in their home country and have been sent abroad for their protection. They form a specific growing group of children looked after by local authorities in kinship foster families, network foster families or traditional foster families, as well as in small institutions (HVB-hem) or interim accommodation (Mellanbo) as preparation for independent living. This study explores success factors and impeding factors in a social work intervention for empowering unaccompanied children at a support centre for daily activities in a Swedish municipality from a program-theory perspective. The unaccompanied children in this study are staying in foster families. The data was collected at the centre and with a mixed method design. The results show that unaccompanied children’s relationships with other children improved; they developed their ability to plan and adapt; some of them started to attend regular schools; and traumatic experiences were processed to some extent. All of these can be interpreted as increased empowerment in unaccompanied children’s everyday life. However, there were still significant gaps in participation in clubs and associations and leisure activities, and some children were mentally unwell. Success factors, challenges and risks coexist in a transnational life situation in which most unaccompanied asylum-seeking children continue to interact with their parents and other family members in their home country or another country using modern technology (online parenting).

  • 118.
    Aytar, Osman
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Brunnberg, Elinor
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Social Work in a Center for Unaccompanied Children in Sweden - A Child Rights Perspektive2015Ingår i: Rights of children in the Nordic welfare states: conceptual and empirical enquiries / [ed] Gro Jacobsen, København: NSU Press , 2015Kapitel i bok, del av antologi (Refereegranskat)
    Abstract [en]

    Unaccompanied asylum-seeking children coming to Sweden are almost all fleeing from violent or threatening situations in their home country and have been sent abroad for their protection. They form a specific growing group of children looked after by local authorities in kinship foster families, network foster families or traditional foster families, as well as in institutions (HVB-hem) or interim accommodation (Mellanbo) as preparation for independent living. This research study explores some daytime activities within social work for unaccompanied children at a support centre, Solitario. The centre existed for three years and some of the activities are now included in regular activities by the local authorities supporting unaccompanied children. The methods used in this study were 12 in-depth interviews with children, in-depth interviews with all staff at the centre and systematic longitudinal assessments performed by staff of 17 children attending the centre in 2009 as well as in 2011. The results show that there is a breakdown of the structures and communities that should support the unaccompanied child in the everyday life. There is not good enough cooperation and coproduction in supporting the best of the child in line with United Nations’ Convention on the Rights of the Child (UN CRC). The basic idea of UN CRC is that the child should be seen as an independent subject and actor. Because of their living situation, unaccompanied children are forced to take action and to do so independent of their microsystem – their nuclear family – or with just a trans-national support in web-based microsystem relationships.

  • 119.
    Aytar, Osman
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Att utvärdera med processtänkande för lärande2015Ingår i: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 92, nr 2, s. 162-175Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Change-projects can be evaluated in different ways. One of the ways is to evaluate with process thinking, which means that evaluators are involved in the process from the very beginning. Involvement of evaluators already in the beginning of a project can mean several challenges for both the project itself and the evaluators. This study is about describing and analyzing how and with what results the perspective of process thinking on evaluation of the national learning project Care on equal terms was used. The results indicate, among other things, that it was a good choice to bring in evaluation perspective at the beginning of the project. Process thinking has, among other things, contributed to the activities throughout the project, and played a role in learning from and implementation of the project itself.

  • 120.
    Aytar, Osman
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Tillgren, Per
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Bogg, Lennart
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Akhavan, Sharareh
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Health Care Provider’s Perceptions about and Experiences of Achieving Equitable Health Care: An Evaluation Study2017Ingår i: Quality in Primary Care, ISSN 1479-1072, E-ISSN 1479-1064, Vol. 25, nr 5, s. 289-296Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: In June 2011 the Swedish government signed an agreement with The Swedish Association of Local Authorities and Regions (SALAR), for a three year project to develop and implement “Health care on equal terms.” The project, which involved seven Primary Health Care Units (PHCU) from five county councils in different parts in Sweden, was completed in early 2014. The aim of the project was to develop methods and activities that could promote more equal health care provision in socio-economically disadvantaged areas.

    Aim: To assess and compare health care providers’ experiences of and perceptions about equitable health care at the beginning and end of the national project “Health care on equal terms”.

    Methods: A web survey was sent to all staff at the seven participating Primary Health Care Units (PHCU) at the beginning (2012) and the end (2013) of the project. Data were analyzed with descriptive statistics and the open issues with content analysis.

    Results: In 2013, the percentage of health care providers who reported thinking patients’ ethnicity had no or very little impact on access to care increased, but the proportion of those who reported that they had “no idea” that patients’ gender, age, mental health and physical functioning were significant for access to care was lower in 2013 than in 2012. The results from analysis of the open-ended questions did not show meaningful changes in the respondents’ perceptions of the issues addressed in 2012-2013, but the analysis contributes to a deeper explanation of the answers.

    Conclusion: The main conclusion is that it was possible to implement changes aiming for more equitable care through projects with a focus on learning.

  • 121.
    Azerkan, Fatima
    et al.
    Karolinska Inst, Stockholm, Sweden.
    Widmark, Catarina
    Karolinska Inst, Stockholm, Sweden.
    Sparen, Par
    Karolinska Inst, Stockholm, Sweden.
    Weiderpass, Elisabete
    Karolinska Inst, Stockholm, Sweden.
    Tillgren, Per
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Karolinska Inst, Stockholm, Sweden.
    Faxelid, Elisabeth
    Karolinska Inst, Stockholm, Sweden.
    When Life Got in the Way: How Danish and Norwegian Immigrant Women in Sweden Reason about Cervical Screening and Why They Postpone Attendance2015Ingår i: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 10, nr 7, artikel-id e0107624Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction Danish and Norwegian immigrant women in Sweden have an increased risk of cervical cancer compared to Swedish-born women. In addition, Danish and Norwegian immigrant women follow the national recommendations for attendance at cervical screening to much lesser extent than Swedish-born women. The aim of this study was to explore how Danish and Norwegian immigrant women in Sweden reason about attending cervical screening, focusing on women's perceptions as to why they and their compatriots do not attend. Methods Eight focus group discussions (FGDs) were conducted with Danish and Norwegian immigrant women living in Stockholm. The women were between 26 and 66 years of age at the time of the FGDs, and were aged between <1 and 48 years old when they immigrated to Sweden. A FGD guide was used, which included questions related to cervical screening, and obstacles and motivators to attend cervical screening. The FGDs were tape recorded and transcribed, and the results analysed according to the principles of qualitative content analysis. Results The main theme was "Women have a comprehensive rationale for postponing cervical screening, yet do not view themselves as non-attenders". Investigation of women's rationale for non-attendance after being invited to cervical screening revealed some complex reasons related to immigration itself, including competing needs, organisational and structural factors and differences in mentality, but also reasons stemming from other factors. Postponing attendance at cervical screening was the category that linked all these factors as the reasons to why women did not attend to cervical screening according to the recommendations of the authorities. Conclusions The rationale used to postpone cervical screening, in combination with the fact that women do not consider themselves to be non-attenders, indicates that they have not actively taken a stance against cervical screening, and reveals an opportunity to motivate these women to attend.

  • 122.
    Bamvita, J.M.
    et al.
    University of Montreal, Canada.
    Peter, Larm
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Checknita, D.
    Uppsala University, Sweden.
    Vitaro, F.
    University of Montreal, Canada.
    Tremblay, R.E.
    University College Dublin, Ireland.
    Cote, G.
    University of Quebec, Canada.
    Hodgins, S.
    University of Montreal, Canada.
    Childhood predictors of adult psychopathy scores among males followed from age 6 to 332017Ingår i: Journal of criminal justice, ISSN 0047-2352, E-ISSN 1873-6203, Vol. 53, s. 55-65Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: Psychopathic traits are associated with multiple negative outcomes. The present prospective, longitudinal study identified associations of childhood factors with adult psychopathy scores.

     Methods: 311 men, aged, on average, 33 years, were assessed using the Psychopathy Checklist-Revised (PCL-R). Predictors included neighbourhood deprivation, parents' characteristics, teacher ratings of behaviour at ages 6, 10 and 12, and academic performance at age 12. Hierarchical linear regression models were computed to identify predictors at different ages of PCL-R total and facet scores. 

    Results: Age 33 PCL-R total and facet scores were significantly, and independently, associated with father's and mother's criminality and mother's age at participant's birth when teacher ratings of childhood behaviours and mathematics marks were included in the models. Anxiety was negatively associated with facet 1 scores at age 6. At age 12, 22% of the variance in facet 2 scores was predicted by father's violent convictions, mother's age and criminal charges, and reactive aggression. Facet 3 scores were associated with mother's age (marginally), inattention, and reactive aggression. Facet 4 scores were associated with father's violent criminality, mother's age, conduct probleins, inattention, and reactive aggression. 

    Conclusion: Etiological research and prevention programs should focus on antecedents of psychopathic traits present in early childhood.

  • 123.
    Barrientos, Christian
    et al.
    Norrtälje Hospital, Sweden.
    Holmberg, Mats
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Sörmland County Council, Eskilstuna, Sweden.
    The care of patients assessed as not in need of emergency ambulance care: registered nurses' lived experiences2018Ingår i: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 38, s. 10-14Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: The aim of this study was to describe the care of patients assessed as not in need of emergency ambulance care, from Registered Nurse's lived experiences. Background: Non-emergency patients in need of ambulance care are described as vulnerable and patients in ambulance care have earlier been found to be dependent on the Registered Nurse. However, little is known about the care of non-emergency patients in the ambulance setting, from the perspective of Registered Nurses. Methods: A reflective lifeworld research design was chosen. Five Registered Nurses with experience of ambulance care were individually interviewed. Results: The result reveals the essence of the phenomenon as a desire to provide good care in an on-going struggle between one's own and others' expectations. Three meaning constituents emerged in the description; Being in a struggle between different expectations, Being in a questioned professional role, and Being in lack of support and formal directives. Conclusion: Registered Nurses' care for patients assessed as not in need of emergency ambulance care, is a complex struggle between different expectations. This may be related to the encounter between the nurse's and the patient's lifeworld.

  • 124.
    Begum, Shahina
    et al.
    Mälardalens högskola, Akademin för innovation, design och teknik, Inbyggda system.
    Kerstis, Birgitta
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Barua, Shaibal
    Mälardalens högskola, Akademin för innovation, design och teknik, Inbyggda system.
    Westerlund, Hanna
    Camanio Care AB, Sweden.
    Hjortsberg, Cecilia
    Västerås stad, Sweden.
    Food4You: A Personalized System for Adaptive Mealtime Situations for Elderly2017Ingår i: Medicinteknikdagarna 2017 MTD 2017, 2017Konferensbidrag (Refereegranskat)
  • 125.
    Belin, Matts-Åke
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    FROM VISION ZERO TO PRACTICAL REALITY - KNOWLEDGE TO SHARE2016Ingår i: Injury Prevention, ISSN 1353-8047, E-ISSN 1475-5785, Vol. 22, s. A8-A8Artikel i tidskrift (Refereegranskat)
  • 126.
    Belin, Matts-Åke
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Swedish Transport Adm, Trafikverket, Borlänge, Sweden.
    Vision Zero as a new way of thinking2016Ingår i: JOURNAL OF THE AUSTRALASIAN COLLEGE OF ROAD SAFETY, ISSN 1832-9497, Vol. 27, nr 3, s. 60-62Artikel i tidskrift (Övrigt vetenskapligt)
  • 127.
    Belin,, M-Å.
    et al.
    Swedish Transport Administration, Borlänge, Sweden.
    Vedung, Evert
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Meleckidzedeck, K.
    World Health Organization (WHO), Geneva, Switzerland .
    Tingvall, C.
    Swedish Transport Administration, Borlänge, Sweden .
    Carrots, sticks and sermons: State policy tools for influencing adoption and acceptance of new vehicle safety systems2014Ingår i: Driver Acceptance of New Technology: Theory, Measurement and Optimisation, Ashgate, 2014, s. 241-250Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 128.
    Berensson, K.
    et al.
    the Swedish Association of Local Authorities and Regions, Stockholm, Sweden.
    Tillgren, Per
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Health impact assessment (HIA) of political proposals at the local level: successful introduction, but what has happened 15 years later?2017Ingår i: Global Health Promotion, ISSN 1757-9759, E-ISSN 1757-9767, Vol. 24, nr 2, s. 43-51Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Health impact assessments (HIAs) were first introduced in Sweden in the mid-to-late 1990s, with the aim of placing health issues on the political agenda and helping to reduce health inequalities. In the early 2000s, HIAs entered a second phase and the Swedish Parliament adopted a national public health policy. A national survey conducted in 2001 showed that 10/289 municipalities had begun to use HIA and 55/289 had decided to use HIA or had initiated an adoption process. In a 2013 follow-up study based on a strategic sample of municipalities, 9/36 municipalities reported using HIA and/or similar tools. Corresponding figures for the 21 Swedish regions were 10 regions in 2001 and four in 2013. HIA and similar tools (sustainability analyses, child impact assessments, and others) were applied to the same extent as HIA. Fifteen years after implementation began, HIA is still being used. Regions show a clear decrease in the use of HIA. There are several explanations for this development. One is the political context, and other explanations are shifts in which actors are responsible for HIA and for public health at the local/regional levels.

  • 129. Bergman, Stefan
    et al.
    Gerdle, Björn
    Hagberg, Mats
    Jacobsson, Ulf
    Linton, Steven J
    Strender, Lars-Erik
    Stålnacke, Britt-Marie
    Söderlund, Anne
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Långvarig smärta i nacke, skuldror och rygg i Nationella riktlinjer för rörelseorganens sjukdomar 2010 – stöd för styrning och ledning: Preliminär version2010Rapport (Refereegranskat)
  • 130.
    Bergstrom, M.
    et al.
    Linkoping Univ, Dept Social & Welf Studies, Norrkoping, Sweden..
    Sverker, A.
    Linkoping Univ, Dept Social & Welf Studies, Norrkoping, Sweden.;Linkoping Univ, Dept Act & Hlth, Linkoping, Sweden.;Linkoping Univ, Dept Med & Hlth Sci, Linkoping, Sweden.;Linkoping Univ, Dept Rehabil Med, Linkoping, Sweden..
    Ranada, A. Larsson
    Linköping Univ, Sweden..
    Valtersson, E.
    Linköping Univ, Sweden..
    Thyberg, I.
    Linköping Univ, Sweden..
    Östlund, Gunnel
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Björk, M.
    Linköping Univ, Sweden..
    SIGNIFICANT OTHERS AS BOTH BARRIERS AND FACILITATORS FOR PARTICIPATION IN DAILY ACTIVITIES IN PERSONS WITH EARLY RHEUMATOID ARTHRITIS - AN INTERVIEW STUDY WITHIN THE SWEDISH TIRA PROJECT2017Ingår i: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 76, s. 1518-1518Artikel i tidskrift (Övrigt vetenskapligt)
  • 131.
    Bergström, M
    et al.
    Linköpings universitet, Sweden.
    Sverker, Annette
    Linköpings universitet, Sweden.
    Larsson Ranada, Å
    Linköpings universitet, Sweden.
    Valtersson, Eva
    Landstinget i Östergötland, Sweden.
    Thyberg, Ingrid
    Linköpings universitet, Sweden.
    Östlund, Gunnel
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Björk, Mathilda
    Linköpings universitet, Sweden.
    “Significantothers as both barriers and facilitators for participation in daily activitiesin persons with rheumatoid arthritis.”: an interview study within the Swedish TIRA project2017Konferensbidrag (Refereegranskat)
  • 132.
    Bergström, Maria
    et al.
    Linköpings universitet, Sweden.
    Sverker, Annette
    Linköpings universitet, Sweden.
    Larsson Ranada, Åsa
    Linköpings universitet, Sweden.
    Valtersson, Eva
    Östergötlandsregionen, Sweden.
    Thyberg, Ingrid
    Linköpings universitet, Sweden.
    Östlund, Gunnel
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Björk, Matilda
    Linköpings universitet, Sweden.
    Närståendes betydelse för delaktighet i vardagen hos personer med reumatoid artrit2019Ingår i: Best Practice, ISSN 1329-1874Artikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
  • 133. Bernhard-Oettel, Claudia
    et al.
    Bergman, Louise
    Leineweber, Constanze
    Toivanen, Susanna
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Flourish, fight or flight: Health and well-being in self-employment over time-associations with business success2019Konferensbidrag (Refereegranskat)
    Abstract [en]

    Purpose: Around 9% of the working population in Sweden consists of self-employed business owners, but a considerable amount of them struggle to consolidate or expand their businesses. Among the factors predicting business success the decisive role of long-term health of business owners has been acknowledged only recently, but longitudinal studies testing this assumption are scarce. Based on the conservation of resources theory, good health can be seen as a resource that helps business owners to tackle high workloads and make business succeed.Design: Data from the Swedish Longitudinal Occupational Health Survey is used. Starting in 2012, N= 554 self-employed have answered three or more times in the biannual data collection. Latent growth curve modelling is employed to study general and mental health trajectories and their associations with business survival over time.Results: Preliminary descriptive analyses on biannual changes suggest that roughly one in ten self-employed leaves self-employment at follow-up. Job demands and emotional exhaustion are higher among those who leave compared to those who remain in business. After integrating new data collected in 2018, growth curve analyses are run over the whole longitudinal sample, and associations of health trajectories to business survival will be tested.Limitations: Data is collected with questionnaires, and business success is operationalized as business survival only.

  • 134.
    Bjurling-Sjöberg, P.
    et al.
    Department of Anesthesiology, Mälar Hospital, Eskilstuna, Sweden.
    Engström, Gabriella
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Christine E. Lynn College of Nursing, Florida Atlantic University, Boca Raton, FL, United States.
    Lyckner, S.
    Department of Anesthesiology, Mälar Hospital, Eskilstuna, Sweden.
    Rydlo, Cecilia
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Intensive care nurses' conceptions of a critical pathway in caring for aortic-surgery patients: A phenomenographic study2013Ingår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 29, nr 3, s. 166-173Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of the present study was to identify and describe intensive care nurses' different conceptions of a critical pathway in caring for patients that have undergone aortic-surgery. Individual semi-structured interviews with eight specialist registered nurses at a Swedish intensive care unit were conducted and phenomenographically analysed. Three descriptive categories, with a total of five sub-categories, constituted the outcome-space of how the pathway was conceived of in caring: as a guide open to individual patients needs (clinical judgement governs caring and patient autonomy governs caring), as an instrument to promote patient safety (a source of knowledge, a planning tool and a reference standard) and as a source of support for professional confidence. In accordance with current literature, the nurses in the present study identified a number of advantages in applying the pathway in caring even if they were also conscious that the use of a pathway can give rise to unreflective standardisation. The nurses' conceptions indicate that the pathway prescribed for managing patients who have undergone aortic surgery is supportive and facilitates patient safety without jeopardising respect for the patient's individual care needs. This insight may be used to influence a thoughtful dialogue about the practice of pathways in intensive care.

  • 135.
    Bjurling-Sjöberg, P.
    et al.
    Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden .
    Wadensten, B.
    Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden .
    Pöder, U.
    Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden .
    Nordgren, Lena
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden .
    Jansson, I.
    Institute of Health and Caring Sciences, University of Gothenburg, Gothenburge, Sweden .
    Factors affecting the implementation process of clinical pathways: A mixed method study within the context of Swedish intensive care2015Ingår i: Journal of Evaluation In Clinical Practice, ISSN 1356-1294, E-ISSN 1365-2753, Vol. 21, nr 2, s. 255-261Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Rationale, aims and objectives Clinical pathways (CPs) can improve quality of care on intensive care units (ICUs), but are infrequently utilized and of varying quality. Knowledge regarding factors that facilitate versus hinder successful implementation of CPs is insufficient and a better understanding of the activities and individuals involved is needed. The aim of this study was to explore the implementation process of CPs within the context of ICUs. Methods An exploratory design with a sequential mixed method was used. A CP survey, including all Swedish ICUs, was used to collect quantitative data from ICUs using CPs (n = 15) and interviews with key informants (n = 10) were used to collect qualitative data from the same ICUs. Descriptive statistics and qualitative content analysis were used, and the quantitative and qualitative findings were integrated. Results The CP implementation was conceptualized according to two interplaying themes: a process to realize the usefulness of CPs and create new habits; and a necessity of enthusiasm, support and time. Multiple factors affected the process and those factors were organized in six main categories and 14 subcategories. Conclusions Bottom-up initiatives, interprofessional project groups and small ICUs seem to enhance successful implementation of CPs while inadequate electronic health record systems, insufficient support and time constrains can be barriers. Support regarding the whole implementation process from centralized units at the local hospitals, as well as cooperation between ICUs and national guidance, has the potential to raise the quality of CPs and benefit the progress of CP implementation.

  • 136.
    Björk, M.
    et al.
    Linköping Univ, Sweden..
    Thyberg, I.
    Linköping Univ, Sweden..
    Valtersson, E.
    Linköping Univ, Sweden..
    Östlund, Gunnel
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Stenstrom, B.
    Linköping Univ, Sweden..
    Sverker, A.
    Linköping Univ, Sweden..
    DISABILITY IN THE FEET RELATED TO PARTICIPATION IN DAILY LIFE IN PATIENTS WITH EARLY RA - AN INTERVIEW STUDY IN THE SWEDISH TIRA PROJECT2017Ingår i: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 76, s. 112-112Artikel i tidskrift (Övrigt vetenskapligt)
  • 137.
    Björk, M.
    et al.
    Linköping University, Linköping, Sweden.
    Thyberg, I.
    Linköping University, Linköping, Sweden.
    Valtersson, E.
    Linköping University, Linköping, Sweden.
    Östlund, Gunnel
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Stenström, B.
    Linköping University, Linköping, Sweden.
    Sverker, A.
    Linköping University, Linköping, Sweden.
    Foot Barriers in Patients With Early Rheumatoid Arthritis: An Interview Study Among Swedish Women and Men2018Ingår i: Arthritis care & research, ISSN 2151-464X, E-ISSN 2151-4658, Vol. 70, nr 9, s. 1348-1354Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: Foot impairments are related to reduced mobility and participation restrictions in daily activities in patients with established rheumatoid arthritis (RA). The new biologic medications are effective and reduce disease activity, but not disability to the same extent. Foot impairments are assumed to be related to participation restrictions also in patients with early RA, diagnosed after the introduction of biologic medications. Knowledge of foot impairments needs to be explored further after the introduction of biologic disease-modifying antirheumatic drugs (bDMARDs). The aim of this study was to explore the patients’ perspective of foot impairments related to early RA. Methods: The sample included 59 patients (ages 20–63 years) who were interviewed about participation dilemmas in daily life using the critical incident technique. The interviews were audio-recorded and transcribed. Data related to foot impairments were extracted and analyzed thematically. A research partner validated the analysis. Results: Patients with early RA described a variety of participation restrictions related to foot impairments: foot hindrances in domestic life, foot impairments influencing work, leisure activities restricted by one's feet, struggling to be mobile, and foot impairments as an early sign of rheumatic disease. Conclusion: There is a need to focus on foot impairments related to early RA, and for health care professionals to understand these signs. A suggestion for future research is to conduct a longitudinal followup of foot impairment related to medication, disease activity, and disability in patients diagnosed after the introduction of bDMARDs. 

  • 138.
    Björk, Matilda
    et al.
    Linköpings universitet, Sweden.
    Valtersson, Eva
    Region Östergötland, Sweden.
    Thyberg, Ingrid
    Linköpings universitet, Sweden.
    Stenström, Birgitta
    Reumatikerförbundet, Stockholm, Sweden.
    Sverker, Annette
    Region Östergötland, Sweden.
    Östlund, Gunnel
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Funktionshinder i foten och begränsad delaktighet i vardagen vid tidig RA2018Ingår i: Best Practice, ISSN 1329-1874, Vol. 35, nr 10, s. 14-19Artikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
  • 139.
    Björkman, Berit
    et al.
    Jönköping university.
    Björk, Maria
    Jönköping university.
    Almqvist, Lena
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Huus, Karina
    Jönköping university.
    Patterns of support to adolescents related to disability, family situation, harassment and economy2019Ingår i: Child Care Health and Development, ISSN 0305-1862, E-ISSN 1365-2214, Vol. 45, s. 644-653Artikel i tidskrift (Refereegranskat)
  • 140.
    Björkman, Carolina
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Att möta genus: En diskursanalys av hur genus framställs i det offentliga rummet2017Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Studien vill belysa hur genusstrukturer är inbäddade i reklam och marknadsföring i det offentliga rummet i den centrala staden. Syftet är att synliggöra hur genus skapas i reklam och skyltning i Sverige 2016, vilka semiotiska resurser som används och därmed synliggöra de sociala förväntningar som finns kring ett visst kön. För att göra detta används en diskursanalys av framförallt bild, men även text, för att identifiera vilka konstruktioner som görs. Huvudfokus är att belysa vilka framställningar som förstärker ett visst genus och att strukturera upp på vilka sätt de liknar eller skiljer sig från varandra. Studien utgår ifrån ett socialkonstruktionistiskt perspektiv och har ett fokus på språkets konstruerande och socialiserande verkan. Genom att relatera studien till tidigare forskningsresultat kan genuskonstruktionens förändring jämföras och synliggöras. Resultatet visar att kvinnor och män framställs på alltmer lika sätt och att könsnormativa överskridanden förekommer, men att genus på vissa plan fortfarande framställs på olika sätt beroende på kön. Studien visar att det både sker reproduktioner och förändringar i förhållande till traditionella framställningar av kön, vilket bland annat visas genom kroppen, dess positionering och rörelser, men även förmedlas genom uttryck av allvarlighet, upptagenhet och intimitet.

  • 141.
    Blomberg, Helena
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Nurses' blogs as part of a political process - Professional identity as a rhetorical resource for negotiating responsibility and blame2016Ingår i: Discourse, Context & Media, ISSN 2211-6958, E-ISSN 2211-6966, Vol. 13, s. 82-88Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The working conditions of nurses in the Swedish healthcare system are often debated in the news media, where the various stakeholders' (nurses, union, politicians and healthcare managers) versions of events are laid out. By using social media, nurses can participate in the debate and in a political process by drawing on narrative elements as responses to politicians' and healthcare managers' neglect of the nurses' situations. This article reports on a study of 50 topic driven blogs written by nurses from 2013 to 2015 and published on the website of a union magazine for healthcare professionals. Departing from a discursive narrative approach, the aim of the study is to analyse how the nurses narrate their working conditions and what they convey. The study shows that the bloggers create a we-ness by constructing and displaying their professional identity, illustrating unfair working conditions, conveying criticism and negotiating responsibility and blame. Addressing other nurses, the bloggers presume that others in the profession experience similar things in their workplaces and thereby encourage them to take action and make the injustices known. In order to gain credibility for the reported events and the relations, rhetorical resources such as factual accounts, categories, pronouns and a media discourse are used. The media discourse that is (re)produced in the blogs and elsewhere may result in nurses being trapped in their way of talking about their working situation, normalising it and having difficulty finding solutions.

  • 142.
    Blomberg, Helena
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    “We’re not magicians!” On the use of rhetorical resources in Swedish news media narratives portraying the social services and social workers2019Ingår i: Qualitative Social Work, ISSN 1473-3250, E-ISSN 1741-3117, Vol. 18, nr 2, s. 229-246Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This article focuses on how the Swedish news media depicts the functioning of the social services and the situation of social workers. The empirical material consists of 586 articles published online during the years 2010–2015. A discursive approach makes up the theoretical and methodological framework. The aims of the article are to identify and categorise media narratives about social services and social workers, how they are portrayed, what is conveyed and how the stakeholders’ (politicians, managers and social workers) negotiate the question of responsibility for the situation in the social services. The study identifies and categorises seven different types of media narrative. In these narratives, social workers are portrayed in various ways, such as unwilling to stay in the profession, concerned, hardworking, etc. Reports on the crisis in the social services tend to dominate, e.g. how the social services fail to follow-up cases of child abuse, social workers’ heavy workload and that legal security cannot be guaranteed. Stakeholders, faced with reported criticism, maintain credibility by taking some responsibility and/or displacing liability by using various rhetorical resources. The media produces a public image of the lack of responsibility for solving the problematic situation. In this respect, the take-action-narratives are central to the debate, which argues for joint action to be taken to find solutions. Although the media is a powerful and scrutinising tool, it also needs to report on the improvements that have been made in order to give a more balanced picture of the social services.

  • 143.
    Blomberg, Helena
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Båtefalk, Lars
    Högskolan Dalarna, Sweden.
    Stier, Jonas
    Högskolan Dalarna, Sweden.
    Extremistisk ideologi i den retoriska kampen om sanningen: fallet Nordiska motståndsrörelsen på sociala medier och i lokalpress2018Rapport (Övrigt vetenskapligt)
  • 144.
    Blomberg, Helena
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Börjesson, Mats
    Stockholms universitet, avd för Barn och ungdomsvetenskap; Sweden.
    The chronological I: The use of time as a rhetorical resource when doing identity in bullying narratives2013Ingår i: Narrative Inquiry, ISSN 1387-6740, E-ISSN 1569-9935, Vol. 23, nr 2, s. 245-261Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of the article is to problematise and discuss the usefulness of the chronological I as a new analytical approach for studying the doing of identity in storytelling. The chronological I can be both a rhetorical resource for narrators and a new analytical tool for studying the process of doing identity. The article suggests that the chronological I adds a new analytical dimension to different types of narrative analysis. The article takes its point of departure in the understanding of the narrator as using time as a rhetorical resource for telling or doing identity in ongoing interactions. In this discursive narrative approach, narratives are viewed as socially situated actions in a context in which the narrator has to relate to culturally accepted agreements about responsibility and agency. The data for this article is based on interviews with twelve individuals exposed to workplace bullying. As this topic is sensitive, there is a need for narrators to manage their accountability when asked to account for their agency or non agency in the reported events.

  • 145.
    Blomberg, Helena
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Karlsson, Marie
    Uppsala Universitet, Sweden.
    Advice-seeking-narratives among parents concerning school bullying – the use of narratives in mediated interaction between advice-seeker and advice-givers online.2018Konferensbidrag (Övrigt vetenskapligt)
  • 146.
    Blomberg, Helena
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Stier, Jonas
    Högskolan Dalarna, Sweden.
    Att vara kommunikativt låst: Professionellas berättande om (vanskliga) vårdrelationer2016Ingår i: Socialvetenskaplig tidskrift, ISSN 1104-1420, Vol. 23, nr 1, s. 59-76Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of the article is to shed light on the social dynamic that characterizes communicative breakdowns. As a first stage, this has been explored through individual and group interviews with 34 healthcare professionals about situations where they claim there has been a communication breakdown. Based on the professionals’ testimonies, the research question was: how do professionals illustrate their experiences of communicative breakdowns? In terms of theory, the study draws upon an integrated approach to language and social interaction dynamics – for example how actors mediate positions and roles, but also present, negotiate and determine the course of action in patient cases. Findings show: (1) different degrees of severity in communicative breakdowns, and (2) that the professionals have developed and use both explicit and implicit strategies to handle ”delicate relationships” in this kind of interactions.

  • 147.
    Blomberg, Helena
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Malardalen Univ, Sociol, Sch Hlth Care & Welf, Vasteras, Sweden..
    Stier, Jonas
    Dalarna Univ, Intercultural Studies, Falun, Sweden..
    Flashback as a Rhetorical Online Battleground: Debating the (Dis)guise of the Nordic Resistance Movement2019Ingår i: SOCIAL MEDIA + SOCIETY, ISSN 2056-3051, Vol. 5, nr 1, artikel-id 2056305118823336Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The right-wing Swedish Nordic Resistance Movement (NRM) is increasingly active on social media. Using discursive psychology, this text explores the rhetorical organization of text and rhetorical resources used on the Swedish online forum Flashback. The aim is to reveal and problematize truth claims about NRM made by antagonists and protagonists. Questions are (1) how and what do NRM antagonists and protagonists convey in Flashback posts about NRM, and its ideology and members? (2) how do NRM antagonists and protagonists make truth claims about NRM in Flashback posts? The empirical material consisting of 1546 Flashback posts analyzed to identify typical discussions on "NMR's true nature"; accomplished social actions stemming from the posts. Findings show that the Flashback thread can be understood as being a rhetorical battle that concerns the "truth" about NRM, where a variety of rhetorical resources are used to render statements credibility and those involved legitimacy.

  • 148.
    Blomberg, Helena
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Stier, Jonas
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Havererade vårdkontakter: De professionellas vittnesmål om vanskliga vårdrelationer; hur de kan förstås, hanteras och förebyggas2014Rapport (Övrigt vetenskapligt)
  • 149.
    Blomberg, Helena
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Stier, Jonas
    Mälardalens högskola, Akademin för ekonomi, samhälle och teknik. Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Lanseringen och etableringen av ett socialt problem: En analys av debatten om ledarkulturen inom svensk landslagsgymnastik i Dagens Nyheter 2012–20132015Ingår i: Sociologisk forskning, ISSN 0038-0342, Vol. 52, nr 1, s. 61-79Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The launching and establishment of a social problem: An analysis of the debate on Swedish national level gymnastics in Dagens Nyheter 2012-2013

    In 2012 Sweden’s largest daily newspaper, Dagens Nyheter, published a number of articles on the state of affairs in Swedish national level gymnastics. In these articles, ex-gymnasts, coaches, parents and physicians stepped forward and testified about recurrent wrongdoings and abuse against young (particularly) female gymnasts. In response to the criticism, the accused coaches and representatives of the Swedish Gymnastics Federation downsized or dismissed the criticism as inaccurate. This being said, and using discursive psychology and a qualitative design, this article sheds light upon this debate – by viewing it as a struggle between a hegemonic discourse of ”the goodness” of sports, on the one hand, a number of unfavorable and negative testimonies of the state of affairs in Swedish national level gymnastics on the other. More concretely, this struggle has been analyzed with regard to the discursive and rhetoric resources the involved parties’ used to pursue their claims about the state of affairs in Swedish national level gymnastics and the impact these resources had for their credibility and legitimacy. Questions were: Who is entitled ”to spell out” their view on the state of affairs within Swedish national level gymnastics? What is mediated and how? How are descriptions and accounts about reality constructed as credible and factual? It is concluded that social problems are launched via co-production; in this process, the gymnastics community, the research community, single individuals, and the media – were co-actors. 

  • 150.
    Blomberg, Helena
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Stier, Jonas
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Metaphorical expression used in Swedish news media narratives to portray the shortage of nurses and their working conditions2016Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 72, nr 2, s. 382-395Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: The aim of the study is to uncover and reveal how nurses as a profession and their working conditions are dramatized and portrayed inSwedish media narratives about the shortage of nurses. Background: The media is an arena where stakeholders can air their views of the healthcare sector in general and the situation for nurses in particular. The focus in this study is the debate in Sweden on the shortage of nurses. Design: Qualitative discursive study. Method: A discourse analysis of media narratives about nurses and their working conditions published in several Swedish newspapers from 2009-2014. 1779 articles were included in the study. A selection (113 articles) of these articles was further analysed using a qualitative discursive psychological approach. Findings: Nurses are portrayed as being good, concerned about and critical of healthcare managers and politicians for not taking action. The accused actors justify their actions by partially accepting or displacing responsibility. The shortage of nurses is framed as a social problem - a threat to patients' safety. Seven different types of metaphorical expression frame the problem as inevitable, beyond control, abstract, an individual and collegial problem and nurses as replaceable. In addition, nurses and patients are dehumanized and no-one is held responsible. Conclusions: This study analyses the role of the media in emphasizing the seriousness or obscurity of the problem and possible solutions to it. Alternative narratives are needed to re-frame the nursing shortage and to find sustainable solutions. 

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