首页 > 最新文献

Society, Health & Vulnerability最新文献

英文 中文
Dimensions of vulnerability salient for health: a sociological approach 对健康有突出影响的脆弱性方面:一种社会学方法
Pub Date : 2019-01-01 DOI: 10.1080/20021518.2018.1557467
G. Scambler
ABSTRACT In this explicitly sociological contribution I discern and explore a number of dimensions of vulnerability with potential relevance to people’s health, health-related quality of life and longevity. Reference is made here to (a) anomie, (b) alienation, (c) powerlessness, (d) marginalisation, (e) exclusion, (f) stigmatisation, (g) deviance, (h) cultural imperialism, (i) loneliness, and (j) symbolic violence. These are then explored further in light of the core sociological concepts of structure, culture and agency. In the penultimate part of the paper the mechanisms – or, “media of enactment” – that convert vulnerability into sickness, impairments and premature death are listed and discussed. The concluding paragraphs are committed to a consideration of the ramifications of the analysis for the effectiveness of policy interventions designed to protect people’s health.
在这个明确的社会学贡献中,我辨别并探索了脆弱性的一些维度,这些维度与人们的健康、与健康相关的生活质量和寿命有潜在的相关性。这里提到(a)失范,(b)疏离,(c)无力,(d)边缘化,(e)排斥,(f)污名化,(g)偏差,(h)文化帝国主义,(i)孤独,以及(j)象征性暴力。然后根据结构、文化和代理的核心社会学概念进一步探讨这些问题。在论文的倒数第二部分,列出并讨论了将脆弱转化为疾病、损伤和过早死亡的机制——或“颁布媒介”。最后各段致力于审议分析对旨在保护人民健康的政策干预措施有效性的影响。
{"title":"Dimensions of vulnerability salient for health: a sociological approach","authors":"G. Scambler","doi":"10.1080/20021518.2018.1557467","DOIUrl":"https://doi.org/10.1080/20021518.2018.1557467","url":null,"abstract":"ABSTRACT In this explicitly sociological contribution I discern and explore a number of dimensions of vulnerability with potential relevance to people’s health, health-related quality of life and longevity. Reference is made here to (a) anomie, (b) alienation, (c) powerlessness, (d) marginalisation, (e) exclusion, (f) stigmatisation, (g) deviance, (h) cultural imperialism, (i) loneliness, and (j) symbolic violence. These are then explored further in light of the core sociological concepts of structure, culture and agency. In the penultimate part of the paper the mechanisms – or, “media of enactment” – that convert vulnerability into sickness, impairments and premature death are listed and discussed. The concluding paragraphs are committed to a consideration of the ramifications of the analysis for the effectiveness of policy interventions designed to protect people’s health.","PeriodicalId":254363,"journal":{"name":"Society, Health & Vulnerability","volume":"132 10","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113996905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
“Does training in Motivational Interviewing affect the ability to build working alliance? – an intervention study” “动机性访谈训练会影响建立工作联盟的能力吗?”-一项干预研究”
Pub Date : 2019-01-01 DOI: 10.1080/20021518.2019.1595365
Paula Sofie Haugan, M. Berge, Vegard Breiseth, E. Sund, M. Hedlund
ABSTRACT Higher education in health science and social work are examples of professional educations were it is vital to continue to learn and develop professional knowledge. This study focused on a specific education program which is of relevance to such professionals. Professional studies in health and social work demand insight into and knowledge of disciplines that embrace physical and mental health, as well as social issues. The aim of this study was to find out whether training in Motivational Interviewing contributed to the development of the ability to build a working alliance. N = 72 students within health and social work were surveyed with the Working Alliance Inventory, a questionnaire on thoughts and feelings in relation to clients (Horvath & Greenburg, 1989). They were surveyed (in 2014 and 2015) before and after a 1-year course in MI, and 73.6% (53/72) responded at both measurement points. Analyses were conducted both on each item (Wilcoxon matched-pairs signed ranks test) and on the three sub-scales: goals, tasks and bonds (paired samples t-test). The study showed no significant association between training in MI and increased the ability to build working alliances; however, an association between training in MI and decreased scoring on the sub-scale, goals, was found.
卫生科学和社会工作的高等教育是专业教育的例子,它对持续学习和发展专业知识至关重要。本研究的重点是一个具体的教育方案,这是相关的专业人士。健康和社会工作的专业研究需要对包括身心健康以及社会问题的学科有深入的了解和了解。本研究旨在探讨动机性访谈的训练是否有助于建立工作联盟的能力。对72名从事卫生和社会工作的学生进行了工作联盟量表调查,这是一份关于与客户有关的思想和感受的问卷(Horvath & Greenburg, 1989)。他们分别于2014年和2015年接受了为期1年的MI课程前后的调查,73.6%(53/72)的学生在两个测量点都有回应。对每个项目(Wilcoxon配对配对签名秩检验)和三个子量表:目标、任务和纽带(配对样本t检验)进行分析。该研究显示,MI培训与建立工作联盟的能力之间没有显著关联;然而,在MI训练和得分下降之间的关联,目标,被发现。
{"title":"“Does training in Motivational Interviewing affect the ability to build working alliance? – an intervention study”","authors":"Paula Sofie Haugan, M. Berge, Vegard Breiseth, E. Sund, M. Hedlund","doi":"10.1080/20021518.2019.1595365","DOIUrl":"https://doi.org/10.1080/20021518.2019.1595365","url":null,"abstract":"ABSTRACT Higher education in health science and social work are examples of professional educations were it is vital to continue to learn and develop professional knowledge. This study focused on a specific education program which is of relevance to such professionals. Professional studies in health and social work demand insight into and knowledge of disciplines that embrace physical and mental health, as well as social issues. The aim of this study was to find out whether training in Motivational Interviewing contributed to the development of the ability to build a working alliance. N = 72 students within health and social work were surveyed with the Working Alliance Inventory, a questionnaire on thoughts and feelings in relation to clients (Horvath & Greenburg, 1989). They were surveyed (in 2014 and 2015) before and after a 1-year course in MI, and 73.6% (53/72) responded at both measurement points. Analyses were conducted both on each item (Wilcoxon matched-pairs signed ranks test) and on the three sub-scales: goals, tasks and bonds (paired samples t-test). The study showed no significant association between training in MI and increased the ability to build working alliances; however, an association between training in MI and decreased scoring on the sub-scale, goals, was found.","PeriodicalId":254363,"journal":{"name":"Society, Health & Vulnerability","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127947177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Co-worker dialogue – a tool for health, personal development, and an empowering development culture in the workplace 同事对话——工作场所健康、个人发展和赋权发展文化的工具
Pub Date : 2018-01-01 DOI: 10.1080/20021518.2018.1516095
Petra Nilsson Lindström, Åsa Bringsén
ABSTRACT This study explores managers’ perspective on how co-worker dialogue [CWD] can foster co-worker health and personal development, and contribute to an empowering development culture in the workplace. The interview study was performed at a hospital in Sweden. Seventeen hospital managers participated. The managers, both men and women, worked in different areas, and a majority had 30–40 co-workers. To uncover underlying pattern phenomena in the interview data, a six-step inductive qualitative thematic analysis was conducted. The findings present three themes, each highlighting different prerequisites for CWD to function as a resource for the co-workers and the workplace: (1) Utility; (2) Content, and (3) Implementation. The study provides suggestions for and problems of practical implications from the findings. To make the findings useful in other organizations, practical implications are presented and discussed in the light of workplace health promotion [WHP]. The CWD is not focusing on performance the way traditional PA does. The CWD is therefore an important complement to PA in annual co-worker meetings, to also highlight the co-worker perspective. If managers realize the value of working with both PA and CWD, opportunities for health, personal development, and an empowering development culture are created.
摘要:本研究探讨了管理者对同事对话(CWD)如何促进同事健康和个人发展的看法,并为工作场所的赋权发展文化做出贡献。访谈研究是在瑞典的一家医院进行的。17位医院管理人员参与了研究。这些经理有男有女,他们在不同的领域工作,大多数人有30-40名同事。为了揭示访谈数据中潜在的模式现象,我们进行了六步归纳定性主题分析。研究结果提出了三个主题,每个主题都强调了CWD作为同事和工作场所资源的不同先决条件:(1)实用性;(2)内容;(3)实施。本研究对研究结果提出了建议和实际意义上的问题。为了使研究结果对其他组织有用,本文根据工作场所健康促进[WHP]提出并讨论了实际意义。CWD不像传统PA那样注重性能。因此,CWD在年度同事会议上是PA的重要补充,也突出了同事的观点。如果管理人员认识到与私人助理和CWD合作的价值,就会创造健康、个人发展和赋权发展文化的机会。
{"title":"Co-worker dialogue – a tool for health, personal development, and an empowering development culture in the workplace","authors":"Petra Nilsson Lindström, Åsa Bringsén","doi":"10.1080/20021518.2018.1516095","DOIUrl":"https://doi.org/10.1080/20021518.2018.1516095","url":null,"abstract":"ABSTRACT This study explores managers’ perspective on how co-worker dialogue [CWD] can foster co-worker health and personal development, and contribute to an empowering development culture in the workplace. The interview study was performed at a hospital in Sweden. Seventeen hospital managers participated. The managers, both men and women, worked in different areas, and a majority had 30–40 co-workers. To uncover underlying pattern phenomena in the interview data, a six-step inductive qualitative thematic analysis was conducted. The findings present three themes, each highlighting different prerequisites for CWD to function as a resource for the co-workers and the workplace: (1) Utility; (2) Content, and (3) Implementation. The study provides suggestions for and problems of practical implications from the findings. To make the findings useful in other organizations, practical implications are presented and discussed in the light of workplace health promotion [WHP]. The CWD is not focusing on performance the way traditional PA does. The CWD is therefore an important complement to PA in annual co-worker meetings, to also highlight the co-worker perspective. If managers realize the value of working with both PA and CWD, opportunities for health, personal development, and an empowering development culture are created.","PeriodicalId":254363,"journal":{"name":"Society, Health & Vulnerability","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117304450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Interactional facilitators and barriers to social relationships between students who use AAC and fellow students 使用AAC的学生与其他同学之间社会关系的互动促进因素和障碍
Pub Date : 2018-01-01 DOI: 10.1080/20021518.2018.1438692
Jørn Østvik, S. Balandin, B. Ytterhus
ABSTRACT Purpose: This paper investigates the perceptions among parents and staff of how relational aspects among students who use AAC, fellow students, and staff may affect the students’ social relationships. Methods: The study included semi-structured interviews of 6 parents and 18 staff to 7 students using AAC. The interviews were audio-recorded, transcribed verbatim, and analyzed by using a constructivist grounded theory approach. Results: The analysis identified several interactional facilitators and barriers to social relationships between students using AAC and fellow students. Conclusions: The results demonstrated the importance of considering personal as well as environmental facilitators and barriers to the student using AAC’s social relationships. The complexities in how these interactional facilitators and barriers interact with each other are discussed in relation to previous research. Of special importance for the development of the students’ social relationships was shared experiences between students using AAC and fellow students, environmental adaption and support provided by staff and fellow students, staff’s efforts in building goodwill for students using AAC, and fellow students’ confidence in using AAC. As confidence in communicating was associated with reduction of the consequences of challenging communication with students using AAC, the results indicated the importance of providing communication training to fellow students.
摘要目的:调查家长和教职员对使用AAC的学生、同学和教职员之间的关系因素如何影响学生的社会关系的看法。方法:采用半结构式访谈法,对使用AAC的7名学生进行6名家长和18名工作人员的访谈。访谈录音,逐字转录,并使用建构主义扎根理论方法进行分析。结果:分析确定了使用AAC的学生与同学之间社会关系的几个互动促进因素和障碍。结论:研究结果表明,考虑个人和环境的促进因素和障碍对学生使用AAC社会关系的重要性。这些相互作用的促进因素和障碍如何相互作用的复杂性在之前的研究中进行了讨论。对学生社会关系发展尤为重要的是使用AAC的学生与同学之间的经验分享、教职员与同学对环境的适应和支持、教职员为使用AAC的学生建立好感的努力,以及同学对使用AAC的信心。由于对沟通的信心与使用AAC的学生沟通困难的后果减少有关,结果表明为同学提供沟通培训的重要性。
{"title":"Interactional facilitators and barriers to social relationships between students who use AAC and fellow students","authors":"Jørn Østvik, S. Balandin, B. Ytterhus","doi":"10.1080/20021518.2018.1438692","DOIUrl":"https://doi.org/10.1080/20021518.2018.1438692","url":null,"abstract":"ABSTRACT Purpose: This paper investigates the perceptions among parents and staff of how relational aspects among students who use AAC, fellow students, and staff may affect the students’ social relationships. Methods: The study included semi-structured interviews of 6 parents and 18 staff to 7 students using AAC. The interviews were audio-recorded, transcribed verbatim, and analyzed by using a constructivist grounded theory approach. Results: The analysis identified several interactional facilitators and barriers to social relationships between students using AAC and fellow students. Conclusions: The results demonstrated the importance of considering personal as well as environmental facilitators and barriers to the student using AAC’s social relationships. The complexities in how these interactional facilitators and barriers interact with each other are discussed in relation to previous research. Of special importance for the development of the students’ social relationships was shared experiences between students using AAC and fellow students, environmental adaption and support provided by staff and fellow students, staff’s efforts in building goodwill for students using AAC, and fellow students’ confidence in using AAC. As confidence in communicating was associated with reduction of the consequences of challenging communication with students using AAC, the results indicated the importance of providing communication training to fellow students.","PeriodicalId":254363,"journal":{"name":"Society, Health & Vulnerability","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132337917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Relationships between healthcare employees and managers as a resource for well-being at work 医疗保健员工和管理者之间的关系是工作幸福感的一种资源
Pub Date : 2018-01-01 DOI: 10.1080/20021518.2018.1547035
Sophie Schön Persson, Petra Nilsson Lindström, P. Pettersson, Ingemar Andersson, K. Blomqvist
ABSTRACT Relationships at work are important to the psychosocial work environment and may be resources for the employees’ well-being. There is a need for a better understanding of what generate positive relationships at work. The aim of the study was to gain a better understanding of the relationship between employees and managers in municipal healthcare. A qualitative study with twenty-seven individual interviews was conducted with healthcare employees and managers in municipal healthcare. The relationship between manager and employees and its possible contribution to well-being was a key focus. A comparison and tentative analysis, inspired by hermeneutics, was used in order to analyse similarities and differences in employee and manager experiences. The findings revealed similarities as well as considerable differences between employees and managers in their experiences. Two themes emerged from the interpretation of the text: (i) Health-promoting relationships are characterized by asymmetry and by a manager that stands outside the group; and (ii) Health-promoting relationships are characterized by mutuality and symmetry and by a manager that is part of the group. The relationship between the employees and the managers are both a resource for doing a good job and a means for achieving belongingness at work. To highlight well-working aspects of relationships at work, may contribute to a better psychosocial work environment and, ultimately, the well-being among healthcare recipients.
工作关系对社会心理工作环境非常重要,可能是员工幸福的资源。有必要更好地理解是什么在工作中产生积极的关系。本研究的目的是为了更好地了解城市医疗保健中员工与管理者之间的关系。本研究采用定性研究方法,对市属卫生保健机构的员工和管理人员进行了27次访谈。管理者和员工之间的关系及其对福利的可能贡献是一个重点。在解释学的启发下,采用比较和试探性分析来分析员工和管理者经验的异同。研究结果显示,员工和管理者在经历上既有相似之处,也有相当大的差异。对案文的解释产生了两个主题:(i)促进健康的关系的特点是不对称,管理者站在集团之外;(二)促进健康的关系的特点是相互性和对称性,并且管理者是该集团的一部分。员工和管理者之间的关系既是做好工作的资源,也是实现工作归属感的手段。强调工作中关系的良好方面,可能有助于创造更好的社会心理工作环境,并最终促进医疗保健接受者的福祉。
{"title":"Relationships between healthcare employees and managers as a resource for well-being at work","authors":"Sophie Schön Persson, Petra Nilsson Lindström, P. Pettersson, Ingemar Andersson, K. Blomqvist","doi":"10.1080/20021518.2018.1547035","DOIUrl":"https://doi.org/10.1080/20021518.2018.1547035","url":null,"abstract":"ABSTRACT Relationships at work are important to the psychosocial work environment and may be resources for the employees’ well-being. There is a need for a better understanding of what generate positive relationships at work. The aim of the study was to gain a better understanding of the relationship between employees and managers in municipal healthcare. A qualitative study with twenty-seven individual interviews was conducted with healthcare employees and managers in municipal healthcare. The relationship between manager and employees and its possible contribution to well-being was a key focus. A comparison and tentative analysis, inspired by hermeneutics, was used in order to analyse similarities and differences in employee and manager experiences. The findings revealed similarities as well as considerable differences between employees and managers in their experiences. Two themes emerged from the interpretation of the text: (i) Health-promoting relationships are characterized by asymmetry and by a manager that stands outside the group; and (ii) Health-promoting relationships are characterized by mutuality and symmetry and by a manager that is part of the group. The relationship between the employees and the managers are both a resource for doing a good job and a means for achieving belongingness at work. To highlight well-working aspects of relationships at work, may contribute to a better psychosocial work environment and, ultimately, the well-being among healthcare recipients.","PeriodicalId":254363,"journal":{"name":"Society, Health & Vulnerability","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121584586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 12
Equality and differences: group interaction in mixed focus groups of users and professionals discussing power 平等与差异:用户和专业人员讨论权力的混合焦点小组中的小组互动
Pub Date : 2018-01-01 DOI: 10.1080/20021518.2018.1447193
Ingrid Femdal, Marit Solbjør
ABSTRACT Using focus groups, the group interaction provide an important source of data about the group process. The aim of this study is to explore how users and professionals in mixed focus groups interact when discussing power in user-professional relationships. By analysing three mixed focus group discussions where both mental health service users and professionals participate, the article contributes to the discussion on focus group interaction in mixed focus groups. The analysis is inspired by Stevens’ twelve-question guide for group interaction. The results show how the participants related to the vignettes, how they related to each other, and contradictions and disagreements in the focus groups discussing the vignettes. Despite the participant’s background as users and professionals, the vignettes engaged the group discussions and became a tool for equality within the groups. By discussing power in user-professional relationships in mixed focus groups, the vignettes were interpreted from perspectives as user, mental health workers and researchers. Mixed focus group interaction can make a valuable contribution to developing knowledge in the field of mental health service research.
使用焦点小组,小组互动为小组过程提供了重要的数据来源。本研究的目的是探讨混合焦点小组中的用户和专业人员在讨论用户-专业关系中的权力时如何互动。本文通过分析三个由心理健康服务使用者和专业人员共同参与的混合焦点小组讨论,对混合焦点小组中的焦点小组互动进行了讨论。这一分析受到了史蒂文斯关于小组互动的12个问题指南的启发。结果显示了参与者如何与小插曲相关,他们如何相互关联,以及讨论小插曲的焦点小组中的矛盾和分歧。尽管参与者的背景是用户和专业人士,但小插曲参与了小组讨论,并成为小组内平等的工具。通过在混合焦点小组中讨论用户-专业关系中的权力,从用户、精神卫生工作者和研究人员的角度对小插曲进行了解释。混合焦点小组互动可以为精神卫生服务研究领域的知识发展做出宝贵贡献。
{"title":"Equality and differences: group interaction in mixed focus groups of users and professionals discussing power","authors":"Ingrid Femdal, Marit Solbjør","doi":"10.1080/20021518.2018.1447193","DOIUrl":"https://doi.org/10.1080/20021518.2018.1447193","url":null,"abstract":"ABSTRACT Using focus groups, the group interaction provide an important source of data about the group process. The aim of this study is to explore how users and professionals in mixed focus groups interact when discussing power in user-professional relationships. By analysing three mixed focus group discussions where both mental health service users and professionals participate, the article contributes to the discussion on focus group interaction in mixed focus groups. The analysis is inspired by Stevens’ twelve-question guide for group interaction. The results show how the participants related to the vignettes, how they related to each other, and contradictions and disagreements in the focus groups discussing the vignettes. Despite the participant’s background as users and professionals, the vignettes engaged the group discussions and became a tool for equality within the groups. By discussing power in user-professional relationships in mixed focus groups, the vignettes were interpreted from perspectives as user, mental health workers and researchers. Mixed focus group interaction can make a valuable contribution to developing knowledge in the field of mental health service research.","PeriodicalId":254363,"journal":{"name":"Society, Health & Vulnerability","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125752818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 15
Promoting professional development in medical education: perspectives from the Norwegian medical school in Tromsoe 促进医学教育的专业发展:来自特罗姆索挪威医学院的观点
Pub Date : 2018-01-01 DOI: 10.1080/20021518.2018.1451174
S. S. Hovdenak, Eline Wiese
ABSTRACT In international research on medical education the concepts of professionalism and professional development have been increasingly focused. The article problematizes and discusses these concepts in relation to the Aristotelian concepts of episteme, techne and phronesis. Phronesis as a form of knowledge is of fundamental importance regarding professionalism and professional development, and can be regarded as a response to an instrumentalist understanding of medical education. The article reports from an ongoing qualitative study following the revision of the study programme in medicine at the Medical School University of Tromsoe, The Arctic University of Norway. In the renewed programme the concept of phronesis is paid attention to, and the article discusses how phronesis is focused on different learning arenas. The data presented builds on the students’ perspectives on phronesis as a form of knowledge in medical education.
在国际医学教育研究中,专业主义和专业发展的概念日益受到关注。本文将这些概念与亚里士多德的知识、技术和实践概念联系起来进行问题化和讨论。医学知识作为一种知识形式,对专业精神和专业发展具有根本性的重要性,可以被视为对医学教育工具主义理解的回应。这篇文章报道了挪威特罗姆索大学医学院和北极大学医学研究方案修订后正在进行的一项定性研究。在更新的课程中,我们关注了实践教学的概念,并讨论了实践教学如何在不同的学习领域得到重视。所提供的数据建立在学生对医学教育中作为一种知识形式的phronesis的观点之上。
{"title":"Promoting professional development in medical education: perspectives from the Norwegian medical school in Tromsoe","authors":"S. S. Hovdenak, Eline Wiese","doi":"10.1080/20021518.2018.1451174","DOIUrl":"https://doi.org/10.1080/20021518.2018.1451174","url":null,"abstract":"ABSTRACT In international research on medical education the concepts of professionalism and professional development have been increasingly focused. The article problematizes and discusses these concepts in relation to the Aristotelian concepts of episteme, techne and phronesis. Phronesis as a form of knowledge is of fundamental importance regarding professionalism and professional development, and can be regarded as a response to an instrumentalist understanding of medical education. The article reports from an ongoing qualitative study following the revision of the study programme in medicine at the Medical School University of Tromsoe, The Arctic University of Norway. In the renewed programme the concept of phronesis is paid attention to, and the article discusses how phronesis is focused on different learning arenas. The data presented builds on the students’ perspectives on phronesis as a form of knowledge in medical education.","PeriodicalId":254363,"journal":{"name":"Society, Health & Vulnerability","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115666810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Health, lifestyle habits, and physical fitness among adults with ADHD compared with a random sample of a Swedish general population 与瑞典普通人群随机抽样比较ADHD成人的健康、生活习惯和身体素质
Pub Date : 2018-01-01 DOI: 10.1080/20021518.2018.1553916
Annette Björk, Ylva Rönngren, J. Selander, S. Vinberg, O. Hellzén, N. Olofsson
ABSTRACT Background: Persons with Attention Deficit Hyperactive Disorder (ADHD) represent a high-risk population according to health and lifestyles. In the present study, 48 adults with ADHD were recruited to a forthcoming lifestyle intervention. The ADHD sample was matched to a random sample of 42 persons from a Swedish general population that was selected from LIV (a Lifestyle-Performance-Health project). Objective: To identify potential differences in health, lifestyle habits, and physical fitness between adults with and without ADHD. Method: Self-reported questionnaires and physical fitness tests. Results: The ADHD group show worse health outcomes with higher odds ratios for bad general health (OR;13 CI; (3,4–50)), and poorer lifestyle habits with higher odds ratios for low weekly exercise (OR; 3,8 CI; (1,2–13)). When adjusting for education, employment status, and cash margin, the ADHD sample did not show decreased aerobic fitness (OR; 0,9 CI; (0,8–1,0), but lower odds ratios for doing less sit-ups (OR; 0,6 CI; (0,4–0,9)) compared to the general population group. Conclusion: It is not possible to prove that the ADHD diagnosis itself cause the worse health and lifestyle. Other lifestyle factors may have negative consequences of adult ADHD, such as lower levels of education, less succeed in working life, and minor financial margins.
背景:注意缺陷多动障碍(ADHD)患者在健康和生活方式方面属于高危人群。在目前的研究中,48名患有多动症的成年人被招募参加即将到来的生活方式干预。ADHD样本与从瑞典普通人群中随机抽取的42人样本相匹配,这些人是从LIV(生活方式-表现-健康项目)中选择的。目的:确定有和没有多动症的成年人在健康、生活习惯和身体健康方面的潜在差异。方法:自述问卷和体质测试。结果:ADHD组表现出较差的健康结果,总体健康状况较差的优势比较高(OR;13 CI;(3,4 - 50)),较差的生活习惯与较低的每周运动(OR;3、8 CI;(1, 2 - 13))。当调整教育、就业状况和现金保证金时,ADHD样本没有显示出有氧适应度下降(OR;0 9 CI;(0,8 - 1,0),但少做仰卧起坐的优势比较低(OR;0, 6 CI;(0,4 - 0,9)))。结论:不可能证明ADHD诊断本身导致健康和生活方式的恶化。其他生活方式因素可能会对成人多动症产生负面影响,比如教育水平较低、工作不成功、经济利润微薄。
{"title":"Health, lifestyle habits, and physical fitness among adults with ADHD compared with a random sample of a Swedish general population","authors":"Annette Björk, Ylva Rönngren, J. Selander, S. Vinberg, O. Hellzén, N. Olofsson","doi":"10.1080/20021518.2018.1553916","DOIUrl":"https://doi.org/10.1080/20021518.2018.1553916","url":null,"abstract":"ABSTRACT Background: Persons with Attention Deficit Hyperactive Disorder (ADHD) represent a high-risk population according to health and lifestyles. In the present study, 48 adults with ADHD were recruited to a forthcoming lifestyle intervention. The ADHD sample was matched to a random sample of 42 persons from a Swedish general population that was selected from LIV (a Lifestyle-Performance-Health project). Objective: To identify potential differences in health, lifestyle habits, and physical fitness between adults with and without ADHD. Method: Self-reported questionnaires and physical fitness tests. Results: The ADHD group show worse health outcomes with higher odds ratios for bad general health (OR;13 CI; (3,4–50)), and poorer lifestyle habits with higher odds ratios for low weekly exercise (OR; 3,8 CI; (1,2–13)). When adjusting for education, employment status, and cash margin, the ADHD sample did not show decreased aerobic fitness (OR; 0,9 CI; (0,8–1,0), but lower odds ratios for doing less sit-ups (OR; 0,6 CI; (0,4–0,9)) compared to the general population group. Conclusion: It is not possible to prove that the ADHD diagnosis itself cause the worse health and lifestyle. Other lifestyle factors may have negative consequences of adult ADHD, such as lower levels of education, less succeed in working life, and minor financial margins.","PeriodicalId":254363,"journal":{"name":"Society, Health & Vulnerability","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126944979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 10
Inclusion, sustainability, and equality: how can research contribute? 包容、可持续性和平等:研究如何做出贡献?
Pub Date : 2017-07-28 DOI: 10.1080/20021518.2017.1332856
A. Härenstam
ABSTRACT Polarisation, segregation, exclusion, inequality, and vulnerability are real threats to our societies. What kind of research can identify and explain the mechanisms involved in creating what we need to strive for integration, inclusion, equality, and social sustainability? What kind of questions shall we raise? How can we decrease the gap between research and practice? In fact, striving to keep to the standards of excellent science might result in missing important aspects and new perspectives. There is a risk that within disciplines, science is too abstract and narrow-minded. My intention here is to share some reflections on how we can learn from earlier experiences of research on inequalities and to discuss some alternative ideas on approaches that might contribute applicable knowledge.
两极分化、隔离、排斥、不平等和脆弱性是对我们社会的真正威胁。什么样的研究可以识别和解释创造我们需要努力实现整合、包容、平等和社会可持续性的机制?我们应该提出什么样的问题呢?我们如何缩小研究与实践之间的差距?事实上,努力保持优秀科学的标准可能会导致错过重要的方面和新的视角。有一种风险是,在学科内部,科学过于抽象和狭隘。我在这里的目的是分享一些关于我们如何从早期研究不平等的经验中学习的思考,并讨论一些可能有助于提供适用知识的方法的替代想法。
{"title":"Inclusion, sustainability, and equality: how can research contribute?","authors":"A. Härenstam","doi":"10.1080/20021518.2017.1332856","DOIUrl":"https://doi.org/10.1080/20021518.2017.1332856","url":null,"abstract":"ABSTRACT Polarisation, segregation, exclusion, inequality, and vulnerability are real threats to our societies. What kind of research can identify and explain the mechanisms involved in creating what we need to strive for integration, inclusion, equality, and social sustainability? What kind of questions shall we raise? How can we decrease the gap between research and practice? In fact, striving to keep to the standards of excellent science might result in missing important aspects and new perspectives. There is a risk that within disciplines, science is too abstract and narrow-minded. My intention here is to share some reflections on how we can learn from earlier experiences of research on inequalities and to discuss some alternative ideas on approaches that might contribute applicable knowledge.","PeriodicalId":254363,"journal":{"name":"Society, Health & Vulnerability","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131747998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Managers’ and employees’ views of critical aspects for alcohol abuse prevention at small and medium enterprises – the case of ski resorts in Northern Sweden 管理人员和雇员对中小企业预防酗酒关键方面的看法——以瑞典北部滑雪胜地为例
Pub Date : 2017-07-28 DOI: 10.1080/20021518.2017.1355719
Maria Warne, E. Wall, S. Vinberg
ABSTRACT Seasonal workers at tourism resorts, particularly young employees, represent a high-risk population for alcohol abuse and other negative lifestyles. This study explores how managers and employees at ski resorts in Northern Sweden experience critical aspects for hazardous alcohol use at small- and medium-sized enterprises. This analysis is based on one open-ended question about hazardous alcohol use prevention at the workplace answered by 153 employees, and semi-structured interviews about being a manager at a ski resort conducted with 13 managers. The analysis showed that managers’ views regarding hazardous alcohol use prevention were double-edged, which was confirmed by the employees’ answers. The managers contribute to the preservation of existing alcohol norms but simultaneously enforce policies and administer tests to control employees’ sobriety at work. Three themes emerged: reproducing existing alcohol norms, an alcohol-controlled working environment and care-taking managers. The results identified a need for early prevention initiatives focusing on the norms and work cultures of small- and medium-sized ski resorts. In relation to the theory of planned behaviour, the analysis illuminates how evaluations of behaviours related to alcohol consumption are communicated in policies and through leadership. In addition, the importance of social pressure regarding alcohol use is clarified in the material.
旅游度假区的季节工,尤其是年轻员工,是酗酒和其他不良生活方式的高危人群。本研究探讨了瑞典北部滑雪胜地的管理人员和员工如何在中小型企业中体验危险酒精使用的关键方面。这项分析是基于153名员工回答的一个关于工作场所有害酒精使用预防的开放式问题,以及对13名经理进行的关于在滑雪胜地担任经理的半结构化访谈。分析表明,管理者对有害酒精使用预防的看法是一把双刃剑,员工的回答证实了这一点。经理们既要维护现有的酒精标准,又要同时执行政策并进行测试,以控制员工在工作中的清醒程度。三个主题出现了:再现现有的饮酒规范、控制饮酒的工作环境和照顾他人的管理者。研究结果表明,需要采取早期预防措施,重点关注中小型滑雪场的规范和工作文化。在计划行为理论方面,分析阐明了与饮酒有关的行为评价是如何通过政策和领导进行沟通的。此外,材料中还阐明了社会压力对饮酒的重要性。
{"title":"Managers’ and employees’ views of critical aspects for alcohol abuse prevention at small and medium enterprises – the case of ski resorts in Northern Sweden","authors":"Maria Warne, E. Wall, S. Vinberg","doi":"10.1080/20021518.2017.1355719","DOIUrl":"https://doi.org/10.1080/20021518.2017.1355719","url":null,"abstract":"ABSTRACT Seasonal workers at tourism resorts, particularly young employees, represent a high-risk population for alcohol abuse and other negative lifestyles. This study explores how managers and employees at ski resorts in Northern Sweden experience critical aspects for hazardous alcohol use at small- and medium-sized enterprises. This analysis is based on one open-ended question about hazardous alcohol use prevention at the workplace answered by 153 employees, and semi-structured interviews about being a manager at a ski resort conducted with 13 managers. The analysis showed that managers’ views regarding hazardous alcohol use prevention were double-edged, which was confirmed by the employees’ answers. The managers contribute to the preservation of existing alcohol norms but simultaneously enforce policies and administer tests to control employees’ sobriety at work. Three themes emerged: reproducing existing alcohol norms, an alcohol-controlled working environment and care-taking managers. The results identified a need for early prevention initiatives focusing on the norms and work cultures of small- and medium-sized ski resorts. In relation to the theory of planned behaviour, the analysis illuminates how evaluations of behaviours related to alcohol consumption are communicated in policies and through leadership. In addition, the importance of social pressure regarding alcohol use is clarified in the material.","PeriodicalId":254363,"journal":{"name":"Society, Health & Vulnerability","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129251025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Society, Health & Vulnerability
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1