Browsing Reports /HS by Title

After the Storm. Developments in Maintenance Treatment Policy and Pra...
Johnson, Björn Book chapter in On the Margins. Nordic alcohol and drug treatment 1885–2007 : Nordic Centre for Alcohol and Drug Research (2007)	BOOK CHAPTER

Drömmen om dagcentralen. Omsorgsformer och språk bland utlandsfödda ä...
Magnusson, Finnur; Löfgren, Tor; Hjelm, Kristina : Malmö stad Rapport;2 (2007)	REPORT

English abstract:

Summary This report consists of three separate texts: Dreaming of the daycentre by Finnur Magnússon, Primarily a good house by Tor Löfgren and Old immigrants with language problem by Kristina Hjelm. The articles of Hjelm Löfgren are reedited versions of their candidate degree essays in Social work at the university of Malmö. The report follows two thematic main paths often occurring in the research on the life conditions of old migrants; the question of residential and care forms, versus the importance of language within eldercare. Recently the discussion of ethnically specified residential setting has focused different kind of daycentres whose activities are adapted to the needs of old migrant groups. The activities of these organizations have gradually been getting the characters of being ”open houses” addressing their activities towards persons whose needs are social rather than medical. The point of departure is a local action in order to establish a daycentre for Persian speaking old migrants in Malmö – Iranians and Afghans. The report focuses the actions and steps taken by different actors such as civil servants, representatives of a local migrants association involved in the daycentre project, as well as representatives of aged Persian speaking migrants in Malmö. The report’s main ambition is not to highlight the process of establishing a daycentre itself. We rather focus on the questions such a process may raise and what implications it may have. Furthermore the report focuses the issue of the low representation of migrants within Swedish eldercare and the issue of language may be one of its causes. The idea of ethnically based solutions in Swedish eldercare can be seen from different angles. According to tradition the welfare society has dealt with the needs of aged citizens. The emergence of hitherto new groups within the care comes as a challenge. Individuals with habits and most of all: speaking different languages are now standing on the doorstep of the care apparatus and sometimes feeling that they are not let in. However the findings of the reports show that some of the old migrants by different reasons choose to place themselves outside the care system. Taking into account the findings of the texts in the report one can state that daycentres are important and in many cases they satisfy the social needs and demands of many old migrants. A daycentre offers the possibility of meeting others and thereby breaking negative social isolation. Another and perhaps most important part of our findings is the complexity of ethnic care solutions which sometimes tends to be neglected. Ethnic care solutions touch upon the issue of democracy, necessary care based priorities, the integration of non-Swedes as well as the crucial connection between care and communication and language.

Ett projekt för att implementera evidensbaserad omvårdnad
Willman, Ania; Nilsson, Roland; Eiman, Maria; Carlsson, Sara Evidensbaserad omvårdnad;nr 1 (2003)	REPORT

Swedish abstract:

För att bidra till sjuksköterskornas engagemang för en god vård startade Malmö högskola, Hälsa och samhälle, hösten 1999, Enheten för evidensbaserad omvårdnad. Efter en omorganisation i november 2002 ingår verksamheten i Enheten för biomedicinsk laboratorievetenskap, folkhälsovetenskap och omvårdnad. Ett av nio mål är att i samarbete med nyckelgrupper identifiera och implementera effektiva strategier för spridning och tillämpning av forskningsresultat. Vid Universitetssjukhuset MAS (UMAS) har ett visionsdokument kallat "Målbild 2005" utarbetats. Ett av målen för UMAS verksamhet är att en lärande organisation och en evidensbaserad vård ska införas vid sjukhuset (Enheten för verksamhetsutveckling - Informationsenheten UMAS, 2001). Som en del i att förverkliga målbilden, startades ett projekt mellan UMAS och Malmö högskola. Samarbetsprojektet syftade till att förverkliga en del av målbildsarbetet på UMAS, öka Malmö högskolas samarbete med det omgivande samhället samt utveckla projektdeltagarnas kompetens. Fyra legitimerade sjuksköterskor från tre olika vårdenheter vid UMAS har deltagit i projektet. Projektet var tidsbegränsat till sex månader, under år 2002. Varje deltagare har avsatt 20 % av sin heltidstjänstgöring, vilket innebär en arbetsdag per vecka, för projektet. Tidsfördelningen har varit lika mellan Malmö högskola och UMAS. Projektet skulle öka sjuksköterskornas möjligheter att följa utvecklingen inom omvårdnadsforskningens område, vilket i sin förlängning förväntades öka kvaliteten på verksamheten och den vård som ges till patienterna. Med hjälp av nya kunskaper har projektdeltagarna förmedlat budskapet på sjukhuset och kunnat ge arbetskamrater introduktion och vägledning i ämnet evidensbaserad omvårdnad. Genom att projektdeltagarna arbetar kliniskt finns kompetensen aktiv ute på avdelningarna och då kan också intresset spridas på ett naturligt sätt i det dagliga arbetet till andra bland personalen. Projektdeltagarnas övergripande och gemensamma erfarenhet är att det är en stor tillgång att få kombinera kliniskt arbete med forskning. Vårdenhetscheferna har positiva erfarenheter av samarbetsprojektet. De anser att målen för projektet är uppfyllda och att projektdeltagarna har fått en ökad kompetens. Intresset för evidensbaserad omvårdnad har väckts bland medarbetarna, men ännu kan det inte märkas några synbara effekter av den ökade medvetenheten om evidensbaserad omvårdnad i deras arbetssätt. Den fråga som vårdenhetscheferna nu anser vara viktig att fortsätta arbeta med är, hur implementeringen av evidensbaserad omvårdnad ska ske i framtiden.

rapport_hs_05.pdf (203.7Kb)

EU och den ideella sektorn - En studie av det svenska Equalprogrammet
Scaramuzzino, Roberto; Heule, Cecilia; Johansson, Håkan; Meeuwisse, Anna : Malmö Högskola, Hälsa och samhälle FoU Rapport;2010:2 (2010)	REPORT

English abstract:	The main purpose of this report is to study how the European Union (EU) affects the landscape of voluntary organizations in Sweden. This may take many different guises, for instance through new forms of financial support, but also by introducing new aims, methods and ideological components. One major European initiative has been the Equal programme, which started in 2001 and lasted until 2007 and prescribed a close cooperation between public, private and voluntary organizations. We ask how and to what extent did voluntary organisations manage to gain resources and influence within this programme? The study relates to current theoretical thinking on new forms of governance, mobilization among marginal groups and current organizational theory. Findings demonstrate that almost 650 organizations have been involved in the Swedish Equal programme and among the different participants we find a great number of public organizations, yet to less extent private actors. The programme also included a large number of voluntary organizations. However, our analyses indicate that the Swedish Equal programme differs from similar programmes in other Member States. In most countries voluntary organizations were in majority and public organizations in minority. All countries share a common feature as a limited number of private organizations have participated. Arguably, the Swedish programme is marked by its high numbers of public organizations and – in a comparative perspective – small number of voluntary organizations. Analyses of the participating voluntary organizations in the Swedish Equal programme demonstrate variety as the programme included organizations such as the women’s movement, immigrant organizations, organizations representing people with disabilities, the Swedish Church and other religious organizations. However, most organizations belonged to a social partner related organization (e.g. national, regional or local unions) or an interest group representing poor and discriminated groups in the society. This is hardly surprising as the Equal programme aimed to bring people back into the labour market. Some user organizations participated in the programme. The reasons why organizations participate in the Equal programme vary greatly. Some follow the formal objectives and tries to include unemployed people in the labour market, while others have mainly participated as a way to create goodwill for their company. Another key reason is to gain financial support and even though public organizations tend to ‘dominate’ the Swedish Equal programme, it has provided voluntary organizations with ample financial support. However, our study demonstrate competition over some desirable positions within partnerships, e.g. to be coordinators and/or the organization controlling the finances within the partnership. These positions are mainly hold by public organizations. In some cases this appears to be part of an intentional strategy, while in other cases a response to expectations from the European Social Fund. Public organizations function as a guarantee for a certain degree of stability within partnerships (organizational, financial and administrative). Albeit that these positions are generally held by public organizations, some smaller user organizations have been highly successful in hoarding opportunities within the programme. They have developed a general competence on running different EU projects, administrative capacity to coordinate projects involving several different partners and have also managed to exercise great influence in the partnerships they have participated in. Our conclusion is that these organizations have gained most from participating in the Equal programme and increased their position vis-á-vis other voluntary organizations.
Swedish abstract:	Det övergripande syftet för rapporten är att studera hur den Europeiska Unionen (EU) påverkar det svenska organisationslandskapet av ideella organisationer, exempelvis genom resurstilldelning, men också nya målsättningar, metoder och ideologiska element. Mer konkret analyserar vi i vilken utsträckning och på vilket sätt ideella organisationer har lyckats tillskansa sig deltagande och inflytande i Equalprogrammet. Programmet finansierades genom den Europeiska Socialfonden och löpte mellan 2001 och 2007. Programmet föreskrev ett nära samarbete mellan offentliga, privata och ideella organisationer i så kallade partnerskap. I denna studie har vi kartlagt alla ingångna partnerskap i Equalprogrammet samt jämfört det svenska Equalprogrammet med motsvarande program i andra medlemsländer. Materialet har analyserats utifrån teorier om partnerskap och nya former av styrningsmekanismer, diskriminerade gruppers egenorganisering, samt organisationsteoretiska perspektiv om det sociala landskapet. Studien visar att Equalprogrammet har haft ett stort genomslag i det svenska organisationslandskapet. Nästan 650 organisationer har engagerat sig i programmet. Många av dessa är ideella organisationer, men också offentliga och privata aktörer. Bland de ideella organisationerna finner vi exempelvis kvinno-, handikapp- och invandrarorganisationer, men också svenska kyrkan och andra religiösa samfund. Bland de ideella organisationerna finns också en rad mindre brukarorganisationer. Alla deltagande organisationer har accepterat att arbeta efter programmets principer och metoder där bl.a. partnerskapsmodellen och det transnationella samarbetet är centrala element. För många av de ideella organisationerna har deltagande i programmet inneburit ett centralt kapitaltillskott. Våra analyser indikerar dock att det svenska Equalprogrammet avviker från motsvarande program i andra medlemsländer. I flera medlemsländer är de ideella organisationerna i majoritet och i många fall motsvaras det höga deltagande av de ideella organisationerna med ett lägre deltagande från offentliga organisationer. I en stor majoritet av länderna är andelen privata organisationer mycket liten. Därmed skiljer sig det svenska Equalprogrammet från övriga länders i och med att andelen offentliga organisationer är jämförelsevis hög och andelen deltagande ideella organisationer relativt liten. Studiens resultat ligger därmed väl i linje med den internationella forskningen om välfärdsstatsregimer. Deltagandet av ideella organisationer i det svenska Equalprogrammet pekar mot en tydlig övervikt av ideella organisationer som kan knytas till arbetsmarknadens parter (fackförbund och liknande) samt intresseorganisationer för svaga och diskriminerade grupper i samhället. Eftersom Equalprogrammet har som syfte att få ut människor i arbete och att bryta utanförskap är detta knappast förvånande. Ett mindre antal ideella organisationer har en ”social inriktning”, dvs. som sitt främsta syfte att öka välfärden för individer och grupper i samhället. Många av dessa socialt inriktade ideella organisationer har dock en tydlig brukarprofil, dvs. organisationer som har en ”vi för oss” prägel. Men även om offentliga organisationer dominerar numerärt i det svenska Equalprogrammet innebär detta inte att andra organisationer förblivit lottlösa. Tvärtom har offentliga organisationer ofta varit en ekonomisk garant för ett stabilt arbete inom ramen för programmet. Men målsättningarna för att delta i programmet är högst skiftande. I många fall anges att arbetet syftar till att stödja utsatta gruppers inträde på arbetsmarknaden, i andra fall är syftet snarare att skapa goodwill för det egna företaget genom att samverka med andra organisationer. I denna rapport har vi även analyserat sammansättning och resursfördelning inom ramen för de enskilda partnerskapen i det svenska Equalprogrammet. Analysen visar på komplexa former av samverkan och/eller konflikt inom partnerskapen och att vissa positioner är mer betydelsefulla än andra i ett partnerskap (exempelvis som stödmottagare och koordinator). Dessa positioner innehas framför allt av offentliga organisationer. Detta kan dels vara en medveten strategi, men också svar på önskemål från den Europeiska Socialfonden då offentliga organisationer ger partnerskapen stabilitet, kompetens och tydliga rutiner när det gäller att hantera projekt i mångmiljonklassen. Få privata organisationer agerar koordinatorer eller som stödmottagare. Mer förvånande är att många mindre brukarorganisationer har dragit nytta av programmet. De har lärt sig vad som krävs för att leda olika EU projekt, utveckling en allmän kompetens om EU frågor och utövat inflytande i sina respektive partnerskap. Vår bedömning är att dessa organisationer har lyckats stärka sin ställning och fått ökat handlingsutrymme tack vare sitt deltagande i Equalprogrammet.

FoU_2010_2 MUEP.pdf (468.0Kb)

Fatherhood and health outcomes. The case of Europe
Plantin, Lars : WHO Regional Office for Europe (2007)	REPORT

English abstract:

In 1994, The International Conference on Population and Development established the importance of involving men in the challenge of improving sexual and reproductive health. Above all the emphasis was placed on developing efforts which would increase the man’s involvement in parenting and measures which could lead to the man taking greater responsibility for his own sexual and reproductive behaviour - ”including family planning and maternal and child health” (UN, 1994). The background for this was a wakening realization that men’s attitudes, knowledge base and ways of reacting not only influenced their own but also women’s reproductive health. Parallel to this development there has also been a growing academic interest in how men live their lives, create their male identities and form relationships to their immediate environment. One context in which these questions are being explored is in the research on men, masculinities and fatherhood. Fatherhood research has increased dramatically during the recent decade and also become a multidisciplinary scientific field of knowledge. Behind this development we can see several major changes in the late modern society, e.g. shifting marriage and divorce patterns and a changing work life with an increasing labour force participation of women. The growth of the women’s movement has also contributed to a strong focus on fatherhood since the possibilities of increasing gender equality in society require increased involvement by men in family life. The result is that today, scientists from different scientific disciplines are studying a broad variety of different perspectives and questions around men’s parenting. The questions at issue are no longer focused only on the topic of how fathers’ behavioural patterns influence their children’s development but are today also focused on the men themselves, their partners and how fatherhood is constructed in everyday practice and in relationships (Plantin, 2003). This means that a number of questions have been raised about men’s parenting, mirroring the positive as well as the problematic sides of it. The challenging and difficult side of men’s parenting has mostly been framed in discussions about “deadbeat dads” or “feckless fathers” that ignore their parenting responsibilities, and how this negatively affects the children’s emotional, psychological and financial well-being. Fathers' shortcomings in taking an equal responsibility for the internal family work and the household tasks is another example of problematic behaviour that has been discussed and related to negative effects on women’s possibilities to combine work and family life. Men and fathers have of course also been discussed in connection with domestic violence and other destructive behaviours that negatively affect their own as well as family health.However, another part of fatherhood research has challenged the deficit perspective on men’s parenting and instead focused on the positive sides of fatherhood that might contribute to better health outcomes. The significance of fathers for the development and well-being of children and adolescents, or the positive meaning of being a father are some examples of topics in this research. Discussions about various policies and legislation to support fathers in becoming more involved in caring for their children are also tightly connected to this perspective. Policies on parental leave or different forms of support to combine work and family life provide better opportunities for men to be more engaged and involved in all parts of domestic life. But more specifically, what do we know about the relationship between fatherhood and health? How can an increasing involvement by fathers in sexual and reproductive health contribute to a better health and well-being for themselves as well as their partners and children? Is there any “evidence” in existing literature that support the idea that men should be more involved during the delivery and the ante- and postnatal care? And what about gender equality and the late modern ideas around the “new, equal and nurturing fatherhood” -what do we know about the health outcomes of this? Do policies that support fathers to be both working fathers and caring men have any health impact on the men, women and children? The aim of this report is to take a closer look at these questions. The report consists of three different sections and starts with a discussion on the methodology for the literature review. It then continues with a chapter on Fatherhood and reproductive health. This chapter has a focus on the expectant and new fathers and discusses what we know about men's experiences of the childbearing decision, pregnancy and the delivery. How can men be supportive and engaged during these different stages in the “father-to-be” –process and how are these experiences related to health outcomes of the mother, child and men themselves? This chapter will end with a section that points out or highlights groups of fathers that might need special support and concern from a health perspective. The next part is called Managing fathering. On fatherhood and health in everyday life. This chapter focuses on fathers’ practices in everyday life and how this can be related to different health outcomes. It starts with a general overview of the research that has studied how becoming a parent, and in this case becoming a father, effect men’s health. Is fatherhood positive for men’s health as it adds a new meaning to life and a healthier way of living, or can it actually have negative effects as it means increased stress, marital conflicts and more worries? This is followed by a section that focuses on the possibilities for men to be both working fathers and caring men. It highlights existing policies for fathers in Europe to combine work and family lifeand investigates whether there is evidence for linking these to positive health outcomes. This includes policies on parental leave, parents’ access to day care and family-friendly policies at the work place. There will also be a special focus on the relations between the work-family boundaries, stress, illness and well-being. The next section will draw upon research studying the internal family life in Europe, with a special focus on men’s participation in child rearing and the household work. The fatherhoodchild relationship and the importance of fathers for children's well-being, health and development are also highlighted. Finally, the report ends with a Summary and end discussion where the main results are highlighted and discussed.

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Att möta variation - berättelser om vårdetik
Björngren Cuadra, Carin Book chapter in Migrationens utmaningar inom hälsa, vård och omsorg : Stadskontoret, Malmö stad FoU-rapport;2 (2010)	BOOK CHAPTER

Barnfattigdomen i Sverige
Salonen, Tapio; Thornblad, Helene : Rädda Barnen (2010)	REPORT

Barns ekonomiska utsatthet
Salonen, Tapio : Rädda Barnen Årsrapport (2010)	REPORT

Det pornografiska scriptet – om unga och pornografi.
Löfgren-Mårtenson, Lotta; Månsson, Sven-Axel Book chapter in Nationell NIKK-rapport;545 : Tema Nord (2006) Rapporten består av kvalitativa studier i det nordiska projektet: Unge,kön och pornografi i Norden.	BOOK CHAPTER