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Care work an diffusion of innovation in Danish elder care 护理工作是丹麦老年人护理创新的扩散
Pub Date : 2017-07-17 DOI: 10.7577/NJSR.2213
Luise Li Langergaard
This article explores the interplay between different types of knowledge and rationality in care work through a case study of a nursing home innovation project in a Danish municipality. The aim is to understand the implications for innovation processes and dissemination within the context of elder care. Care work, in some sense, relies on relational and contextual knowledge which may lead to challenges when innovation and best practices are to be diffused across organizations. This is especially true since diffusion often relies on codification of practices and knowledge. Caring rationality is essential to how technologies and methods are practiced in the care situation, and thus also essential for best practices and how they are disseminated. However, other types of codified and explicit rationality are equally important. The article concludes that there are several types of knowledge in play in care work practices and innovation, and it indicates that communities of practice could be key to understanding how to share and learn from best practices across organizations.
本文通过对丹麦某市养老院创新项目的案例研究,探讨了护理工作中不同类型的知识与理性之间的相互作用。目的是了解在老年人护理的背景下对创新过程和传播的影响。在某种意义上,护理工作依赖于关系和背景知识,当创新和最佳实践在组织中传播时,这些知识可能会导致挑战。这一点尤其正确,因为传播往往依赖于实践和知识的编纂。护理合理性对于技术和方法如何在护理情况下实施至关重要,因此对于最佳实践及其传播方式也至关重要。然而,其他类型的成文理性和明确理性同样重要。文章的结论是,有几种类型的知识在护理工作实践和创新中发挥作用,它表明实践社区可能是理解如何跨组织分享和学习最佳实践的关键。
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引用次数: 2
Earlier hospital discharge: a challenge for Norwegian municipalities 提前出院:挪威市政当局面临的挑战
Pub Date : 2017-07-07 DOI: 10.7577/NJSR.2204
Heidi Gautun, A. Syse
Aim: In order to improve patient outcomes and minimize health care costs, many Western countries are attempting to reduce the length of stay in hospitals by transferring responsibilities from specialist care to primary care. In Norway, the Coordination Reform was implemented in 2012 to enhance this development. As a result, the number of patients discharged to the municipal health care services has increased significantly. We investigate the extent to which nurses in nursing homes and home care services feel equipped to provide adequate care for patients discharged from hospitals after the reform.Data: Altogether, 1,938 nurses representing around 80% of Norwegian municipalities assessed their experiences of this reform.Results: An increase in the number of poorly functioning patients discharged to the municipality services was reported. Regardless of place of work, concerns were raised about limited resources in terms of personnel, equipment and competence, as well as an increase in hospital readmission rates. Negative reports on care provision for recently discharged patients came most frequently from nurses in municipalities which generally had low incomes, diverted limited resources to the health care sector and relied heavily on home-based care.Conclusion: Insufficient transfer of resources to the home care services may have hampered the ability to fulfil the Coordination Reform’s intentions of providing safe care to patients in their own homes as an alternative to prolonged hospital stays. Due to a marked increase in reported hospital readmissions, it is not obvious that shorter lengths of stays have reduced overall health care costs.
目的:为了改善病人的治疗效果并尽量减少医疗费用,许多西方国家正试图通过将责任从专科护理转移到初级保健来缩短住院时间。挪威于2012年实施了协调改革,以促进这一发展。因此,到市保健服务机构就医的病人人数大大增加。我们调查了养老院和家庭护理服务的护士在改革后为出院患者提供足够护理的程度。数据:共有1,938名护士评估了他们在这项改革中的经验,代表了挪威约80%的城市。结果:据报道,功能不佳的患者出院到市政服务机构的人数有所增加。无论工作地点如何,人们都对人员、设备和能力方面的资源有限以及再入院率上升表示关切。关于为最近出院的病人提供护理的负面报告最常来自城市的护士,这些城市通常收入较低,将有限的资源转移到保健部门,严重依赖家庭护理。结论:向家庭护理服务转移的资源不足可能妨碍了实现协调改革意图的能力,即为患者在自己家中提供安全护理,以替代长期住院。由于报告的再入院人数显著增加,住院时间的缩短是否降低了总体医疗保健费用并不明显。
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引用次数: 45
‘I dare’: experiences of young adults at risk participating in a one-year inclusive-theatre project in Norway “我敢”:挪威一项为期一年的包容性戏剧项目中有风险的年轻人的经历
Pub Date : 2017-01-07 DOI: 10.15845/njsr.v7i0.873
Ellen Andvig, J. K. Hummelvoll
Introduction: In Norway one of three young people drop out of high school. For young people to be on the outside of education or work may develop feelings of isolation and lack of control, resulting in alienation from both authority and community that may further marginalize them. Some develop mental-health problems. Aim: The aim of this study was to describe and interpret the experiences of young persons neither in school nor working who participated in a one-year inclusive-theatre project. The research questions were as follows: How do the participants describe their experiences with inclusive theatre related to self-image? How does participating in inclusive theatre affect their social belonging and participation?  Method: Three multi-stage focus-group interviews with participants were carried out. The data material was analysed with thematic content analysis. Findings: The main theme was ‘a changed self-image’ and four sub-themes emerged: ‘increased self-confidence’, ‘increased ability to cope’, ‘responsibility’, and ‘connectedness to others and society’. Conclusion: Through increased self-esteem, the participants explored opportunities to form their own development and to find a way to pursue their goals as part of society. They dared to meet the challenges which had provided them with good experiences and a more meaningful life. They went through a social process of empowerment where there was the recognition, promotion, and strengthening of their ability to satisfy their own needs, involving a mobilization of the necessary resources in order to feel in control of their own lives. They began to believe in a future with education, work, and friends.
简介:在挪威,三分之一的年轻人从高中辍学。对于处于教育或工作之外的年轻人来说,可能会产生孤立和缺乏控制的感觉,导致与当局和社区的疏远,这可能会进一步使他们边缘化。有些人会出现心理健康问题。目的:本研究的目的是描述和解释参加为期一年的包容性戏剧项目的既不在学校也不在工作的年轻人的经历。研究问题如下:参与者如何描述与自我形象相关的包容性戏剧体验?参与包容性戏剧如何影响他们的社会归属和参与?方法:对参与者进行三次多阶段焦点小组访谈。对数据资料进行专题内容分析。调查结果:调查的主题是“改变自我形象”,还出现了四个副主题:“增强自信”、“增强应对能力”、“责任”和“与他人和社会的联系”。结论:通过增强自尊,参与者探索了形成自我发展的机会,并找到了作为社会一部分追求自己目标的方法。他们敢于迎接挑战,这些挑战为他们提供了良好的经验和更有意义的生活。他们经历了一个赋予权力的社会过程,在这个过程中,他们满足自己需要的能力得到了承认、促进和加强,包括调动必要的资源,以便感觉能够控制自己的生活。他们开始相信未来会有教育、工作和朋友。
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引用次数: 1
The power of enthusiasm in collaborative innovation: a case study of the power of individual action in the establishment of a local medical centre in Norway 合作创新中的热情力量:挪威建立地方医疗中心中个人行动力量的案例研究
Pub Date : 2016-11-17 DOI: 10.15845/NJSR.V7I0.911
Siv Magnussen
The aim of this article is to address a much-neglected aspect of collaborative innovational analysis: the power of individual action in the conversion of innovative ideas to local practice. The theoretical framework for the empirical analysis comes from the existing literature on power, collaborative innovation, and public-sector entrepreneurs. On the basis of an in-depth single-case study, this article highlights how one enthusiastic person can acquire a power base that is strong enough to realize her innovational efforts. Overall, this article emphasizes that collaborative innovation can create opportunities for single individuals who have the will and the energy required to innovate. Moreover, it illustrates that the power of such enthusiastic individuals is an important driving force in innovational processes.
本文的目的是解决协作创新分析中一个经常被忽视的方面:将创新思想转化为当地实践的个人行动的力量。实证分析的理论框架来自于现有的关于权力、协同创新和公共部门企业家的文献。在深入的个案研究的基础上,本文强调了一个充满热情的人如何获得足够强大的权力基础来实现她的创新努力。总之,本文强调协作创新可以为有创新意愿和精力的个体创造机会。此外,它说明了这种热情的个人的力量是创新过程中的重要驱动力。
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引用次数: 3
Depicted welfare-recipient stereotypes in Norway and Denmark: a photo-elicitation study 描绘福利接受者在挪威和丹麦的刻板印象:一项图片启发研究
Pub Date : 2016-11-10 DOI: 10.15845/NJSR.V7I0.866
Sofie Dencker-Larsen, K. Lundberg
Welfare recipients are continuously subjected to media debates and governmental campaigns drawing on images and symbols encouraging improved work ethic and individual responsibility. Only few studies, however, have analysed how welfare recipients as ‘othered’ citizens react to these often stereotypical symbols and images targeting them. In this study we have investigated how welfare recipients in Norway and Denmark, and caseworkers in Denmark, understand and account for images which, through the use of stereotypes, directly or indirectly may question welfare recipients’ work ethic and deservedness. Analysing photo-elicitation interview data, we have uncovered a variety of reactions characterized by ‘problematization’. The interviewees problematize the image and depicted stereotypes, which they link both with motif and symbols and with surrounding public debates on the work ethic and deservedness of welfare recipients. Furthermore, as photo-elicitation is a rarely used tool in welfare research, we address methodological aspects of using photo-elicitation in a study of ‘othered’ welfare recipients.
福利受惠者不断受到媒体辩论和政府宣传的影响,这些宣传的形象和象征鼓励改善职业道德和个人责任。然而,只有少数研究分析了作为“他者”的福利接受者对这些针对他们的通常是刻板印象的符号和形象的反应。在这项研究中,我们调查了挪威和丹麦的福利接受者,以及丹麦的社会工作者如何理解和解释通过使用刻板印象,直接或间接地质疑福利接受者的职业道德和应得的形象。通过分析照片引出式访谈数据,我们发现了以“问题化”为特征的各种反应。受访者对形象提出了问题,并描绘了刻板印象,他们将其与主题和符号以及围绕福利接受者的职业道德和应得性的公开辩论联系起来。此外,由于照片启发是福利研究中很少使用的工具,我们解决了在“其他”福利接受者研究中使用照片启发的方法问题。
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引用次数: 6
Neo-liberalism and the Nordic welfare model: a study of the Liberal Alliance and ideological adaptation in Denmark 新自由主义与北欧福利模式:丹麦自由联盟与意识形态适应研究
Pub Date : 2016-11-10 DOI: 10.7577/NJSR.2099
T. Hedegaard
This article explores whether and how the neo-liberal ideology has adapted to the Nordic welfare model by studying the attitudes of voters and grass-roots members of the Danish party Liberal Alliance towards the welfare state. This inquiry into one of the key issues for the neo-liberal ideology is inspired by theory on how an ideology will adapt to its context. The expectation outlined in the article is for the neo-liberals of this party to favour features that make the Nordic welfare model distinctive – extensive governmental responsibility, especially for children and the elderly, and a universalistic approach to providing welfare. I have explored this question using a mixed-methods approach, where I analyse a survey of voters and interviews with grass-roots members of the party. Combined this shows that the neo-liberals in Liberal Alliance do support a role for the welfare state that extends beyond a minimum welfare state, especially for the care of children, but they view old age and retirement mostly as a problem each individual must deal with. Regarding the universalistic approach to providing welfare, the neo-liberals seem torn between two different tendencies, one being a perception of a fair way to provide welfare and the other the idea of a selective welfare state as a neo-liberal core idea, which leads to ambivalent attitudes. I argue that this results in a form of the neo-liberal ideology that has adapted to the Nordic welfare model.
本文通过研究选民和丹麦自由联盟基层成员对福利国家的态度,探讨新自由主义意识形态是否以及如何适应北欧福利模式。对新自由主义意识形态的关键问题之一的探究,受到关于意识形态如何适应其环境的理论的启发。文章中概述的期望是,该党的新自由主义者支持使北欧福利模式与众不同的特征——广泛的政府责任,特别是对儿童和老人的责任,以及提供福利的普遍方法。我用一种混合方法探讨了这个问题,我分析了对选民的调查和对该党基层成员的采访。综上所示,自由联盟中的新自由主义者确实支持福利国家超越最低福利国家的作用,特别是在照顾儿童方面,但他们认为老年和退休主要是每个人必须处理的问题。关于提供福利的普遍主义方法,新自由主义者似乎在两种不同的倾向之间摇摆不定,一种是对公平方式提供福利的看法,另一种是将选择性福利国家作为新自由主义的核心理念,这导致了矛盾的态度。我认为,这导致了一种适应北欧福利模式的新自由主义意识形态。
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引用次数: 2
Scaling Up Housing First Pilots – Drivers and Barriers 扩大住房优先试点——驱动因素和障碍
Pub Date : 2016-07-13 DOI: 10.7577/NJSR.2175
Marcus Knutagård
There has been an increased interest in Housing First services in Sweden over the past few years. The model was first developed in New York by the organization Pathways to Housing. The growing interest in Housing First as a response to ending long-term homelessness is seen not only in the US and Canada, but also in Europe. One reason for this is the mass of evidence showing high housing retention rates with Housing First services as compared with traditional services. This article aims to analyse the drivers and barriers that hinder or facilitate the scaling up of Housing First pilots. The research question is: Is it possible to incorporate lessons learned from the Housing First pilot into the existing system of homelessness services? In other words: Is it possible to put new wine into old bottles? This is an ongoing research project on Housing First services in Sweden, with the specific focus on the Housing First pilot in the city of Helsingborg. The empirical material consists of in-depth interviews and focus group interviews with project managers, support workers and other stakeholders. The main results show that leadership is essential and a key driver for the scaling-up process. Another driver is the importance of repeating the vision and goals of the idea to keep the story alive. A third key driver is that the staff has identified the Housing First approach as a relative advantage and believes in the idea. The main barrier to the scaling-up process lies in the structures that maintain and surround the social housing programme.
在过去几年中,瑞典对住房优先服务的兴趣越来越大。该模型最初是由纽约的“住房之路”组织开发的。不仅在美国和加拿大,而且在欧洲,人们对住房优先的兴趣日益浓厚,这是对结束长期无家可归现象的回应。其中一个原因是大量证据表明,与传统服务相比,住房优先服务的住房保留率很高。本文旨在分析阻碍或促进住房优先试点扩大的驱动因素和障碍。研究的问题是:是否有可能将住房优先试点的经验教训纳入现有的无家可归服务体系?换句话说:有可能把新酒装进旧瓶吗?这是一个正在进行的关于瑞典住房优先服务的研究项目,特别关注赫尔辛堡市的住房优先试点。实证材料包括与项目经理、支持人员和其他利益相关者的深度访谈和焦点小组访谈。主要结果表明,领导力是必不可少的,是扩大规模过程的关键驱动因素。另一个驱动因素是重复理念的愿景和目标以保持故事的活力的重要性。第三个关键驱动因素是,工作人员认为住房优先的方法是一个相对优势,并相信这个想法。扩大进程的主要障碍在于维持和围绕社会住房方案的结构。
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引用次数: 2
Intelligence testing, ethnicity, and construction of the deviant child: Foucault and special education in Sweden 智力测验、种族和异常儿童的建构:福柯与瑞典的特殊教育
Pub Date : 2016-03-29 DOI: 10.15845/NJSR.V7I0.900
Thomas Axelsson
In this article, I discuss how Foucault may help us to reach a different understanding of special education. This article primarily draws on two analytical tools from Foucault’s ‘toolbox’: genealogy and governmentality. These tools are used to analyse three different cases of intelligence testing from the debate concerning the Swedish school organization in the early twentieth century. It is possible to see intelligence-quotient (IQ) testing as an overarching tool for controlling social behaviour. Intelligence-quotient testing was an important tool of power, with the aim of establishing certain regimes of truth on a societal as well as on an individual level. This article shows through a Foucauldian analysis that we should be careful in interpreting this entirely as an expression of state power from above or as different experts’ intentions. Rather, by using a genealogical approach, we can attempt to (re)write the history of interpretations, or problematizations, and then we can utilize a perspective of governmentality that focuses on the techniques and their effects.
在本文中,我将讨论福柯如何帮助我们对特殊教育达成不同的理解。本文主要利用福柯“工具箱”中的两个分析工具:谱系学和治理学。这些工具被用来分析三种不同的智力测试案例,这些案例来自20世纪初瑞典学校组织的辩论。我们可以把智商测试看作是控制社会行为的首要工具。智商测试是一种重要的权力工具,其目的是在社会和个人层面上建立某种真理制度。本文通过福柯式的分析表明,我们应该谨慎地将其完全解释为来自上层的国家权力的表达或不同专家的意图。相反,通过使用系谱方法,我们可以尝试(重新)书写解释或问题化的历史,然后我们可以利用关注技术及其影响的治理视角。
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引用次数: 0
The subject of exemption: through discourses of normalization and individualization in Denmark 豁免主体:通过丹麦的正常化与个体化话语
Pub Date : 2016-03-29 DOI: 10.15845/NJSR.V7I0.899
Bjørn Hamre, Tine Fristrup, Gerda Christensen
This article examines the constructions of the deviant subject in Danish Foucauldian educational research. Following the work of Foucault, we argue that the deviant subject, on the one hand, could be considered as a subject of exemption. In this case, exemption is deduced from Foucault’s understanding of the relation between normality and deviancy. On the other hand, an examination of Danish Foucauldian disability research shows that this conception of ‘the deviant subject’ has changed over time. Hence, the present expectations of ‘the disabled’ are – more or less – influenced by contemporary discourses of general education. Thus, this article argues that Foucauldian disability studies could benefit from taking into account Foucauldian research in the field of general education. Until recently, the two research fields have been mutually isolated.
本文考察了丹麦福柯式教育研究中越轨主体的建构。根据福柯的工作,我们认为,越轨主体一方面可以被视为一个豁免的主体。在这种情况下,豁免是从福柯对常态与越轨关系的理解中推导出来的。另一方面,对丹麦福柯式残疾研究的研究表明,这种“越轨主体”的概念随着时间的推移而发生了变化。因此,目前对“残疾人”的期望或多或少受到当代通识教育话语的影响。因此,本文认为,在通识教育领域考虑福柯式的研究可以使福柯式的残疾研究受益。直到最近,这两个研究领域一直是相互孤立的。
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引用次数: 0
Democratic and Inclusive Education in Iceland: Transgression and the Medical Gaze 冰岛的民主和全纳教育:越轨行为和医学视角
Pub Date : 2016-03-29 DOI: 10.7577/NJSR.2097
Ó. Jónsson
‘Inclusive education’ and ‘democracy’ are more than buzzwords in education. They refer to official educational policy in much of the western world. Democracy as a school policy seems to be widely accepted while inclusive education is more controversial, sometimes fuelling lively public debates where parents and politicians are vocal. However, there seems to be little agreement on what ‘inclusive education’ means, although one can discern a certain core to the understanding of ‘inclusive education’ among many of those who participate in the public debate. Central to the above understanding of inclusive education and democracy are certain features that I want to draw attention to. First, what falls under the headings ‘democracy in schools’, ‘democratic education’ or ‘student democracy’, on the one hand, and ‘inclusive education’, on the other, have little to do with one another. I discuss how the medical gaze in the context of education belongs to the dominant ideology of the time and is thus prevailing without ever having to be argued for or defended. The consequence of this is, as I see it, that education (which sometimes is more training than growth) is being cast in pathological terms. I connect the idea of transgression to that of democratic school and character. Transgression is relevant in two ways here. The school has to be a place where transgression is encouraged and, secondly, it is a place where transgression is valued as a democratic virtue. Virtue here could, I think, be understood in Aristotelian terms – or even given a Socratic interpretation.
“全纳教育”和“民主”不仅仅是教育界的流行语。它们指的是西方许多国家的官方教育政策。民主作为一项学校政策似乎被广泛接受,而全纳教育则更具争议性,有时会引发激烈的公开辩论,家长和政治家也会发声。然而,对于“全纳教育”的含义似乎没有达成一致,尽管人们可以在许多参与公共辩论的人中看出对“全纳教育”理解的某些核心。对包容性教育和民主的上述理解的核心是我想提请注意的某些特征。首先,“学校民主”、“民主教育”或“学生民主”,以及“全纳教育”等标题下的内容彼此之间几乎没有关系。我讨论了教育背景下的医学凝视如何属于当时的主导意识形态,因此不需要争论或辩护就能盛行。在我看来,这样做的后果是,教育(有时更多的是训练而不是成长)被用病态的术语来描述。我把越界的概念与民主学派和民主品格的概念联系起来。在这里,越界在两个方面是相关的。学校必须是一个鼓励违规行为的地方,其次,它是一个将违规行为视为民主美德的地方。我认为,美德可以用亚里士多德的方式来理解,甚至可以用苏格拉底的方式来解释。
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引用次数: 11
期刊
Nordic Journal of Social Research
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