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¿Preparados para co-crear? Un estudio de caso sobre la pre-creación en el desarrollo de servicios asistenciales para personas mayores en el norte de Suecia
No full textIntroduction: While co-creation has emerged as a promising approach to address complex problems in health and care systems, few examples exist where scholars have examined what separate stakeholder groups do to enhance their potential to engage in collaborative processes of joint problem-solving. The current study seeks to bridge this knowledge gap by providing empirical insights into the challenges of one stakeholder enacting ‘pre-creation’ to reform care services for older adults in the rural Swedish north through the Storuman Cares 2050 initiative.
Methods: This case study draws upon data collected through extensive notetaking of 23 core group meetings within Storuman Cares 2050. The notes were summarized into a database, which also included reflections on how previous experiences with other projects should inform progress as well as deliberations on engagement with co-creation partners. The data was thematically analyzed with themes developed through an inductive approach.
Results: Three themes were developed. The first one, ‘getting our house in order’, makes explicit the values, principles, and approaches that a stakeholder might bring to a co-creation process. The second theme, ‘starting close to home’, describes the value of supporting and stimulating internal engagements through demonstrating a commitment and capacity for change. The third theme, ‘reaching out’, details the importance of, but challenges to, engaging with external stakeholders.
Conclusion: This case study bridges an important knowledge gap by detailing how one stakeholder navigated past experiences and the history of relationships with diverse stakeholders while trying to support internal engagements and other local voices when aspiring to co-create. By introducing the concept of ‘pre-creation’ as encompassing the enhancement of an organization’s potential to engage in complex processes of joint problem-solving, the findings provide a stimulus for scholars to further explore what separate stakeholder groups do to enable them to co-create.Introducción: Aunque la co-creación ha surgido como un enfoque prometedor para abordar problemas complejos en los sistemas sanitarios y asistenciales, existen pocos ejemplos en los que los estudiosos hayan examinado qué hacen los grupos de partes interesadas por separado para mejorar su potencial para participar en procesos colaborativos de resolución conjunta de problemas. El presente estudio pretende colmar esta laguna de conocimiento proporcionando una visión empírica de los retos de una de las partes interesadas que promulga la "pre-creación" para reformar los servicios de atención a los adultos mayores en el norte rural de Suecia a través de la iniciativa Storuman Cares 2050.
Métodos: Este estudio de caso se basa en los datos recogidos mediante una amplia toma de notas de 23 reuniones del grupo central de Storuman Cares 2050. Las notas se resumieron en una base de datos, que también incluía reflexiones sobre cómo las experiencias previas con otros proyectos deberían informar el progreso, así como deliberaciones sobre el compromiso con los socios de co-creación. Los datos se analizaron temáticamente con temas desarrollados mediante un enfoque inductivo.
Resultados: Se desarrollaron tres temas. El primero, "poner la casa en orden", explicita los valores, principios y enfoques que una parte interesada puede aportar a un proceso de co-creación. El segundo tema, "empezar cerca de casa", describe el valor de apoyar y estimular los compromisos internos demostrando el compromiso y la capacidad de cambio. El tercer tema, "tender la mano", detalla la importancia y los retos de la participación de las partes interesadas externas.
Conclusiones: Este estudio de caso cubre una importante laguna de conocimiento al detallar cómo una parte interesada navegó por experiencias pasadas y la historia de las relaciones con diversas partes interesadas mientras trataba de apoyar los compromisos internos y otras voces locales cuando aspiraba a co-crear. Al introducir el concepto de "pre-creación", que engloba la mejora del potencial de una organización para participar en procesos complejos de resolución conjunta de problemas, las conclusiones estimulan a los estudiosos a seguir explorando qué hacen los distintos grupos de interesados para poder co-crear
Review (English): Patrick Bühler, Schule als Sanatorium: Pädagogik, Psychiatrie und Psychoanalyse, 1880–1940
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Review (Swedish): Petra Kramberger, Irena Samide och Tanja Žigon (red.), Frauen, die studieren, sind gefährlich: Ausgewählte Porträts slowenischer Frauen der Intelligenz
No full textLanguage Shift as a Way of Acquiring New Citizenship and a Profession: The Educational Background of the First Female Students at the Jyväskylä Teachers Seminary
Get PDFThis article sheds light on gendered aspects of the early years of the Finnish teacher training system. It focuses on the first generation of female students at the Jyväskylä Teachers Seminary in central Finland, their educational background, and their language competences. My main sources are the students’ applications to the seminary, which I explore with the help of the collective biographical method. The Jyväskylä Teachers Seminary, the first Finnish-language teacher training college for elementary school teachers in Finland, was established in central Finland in 1863, partly in response to the increasing significance of the Finnish language to the nation. For the girls who entered the seminary, their preparatory private education and the language shift they experienced there from Swedish to Finnish were significant factors both in their training as teachers and in the opportunity to gain a public profession of their own, as well as a new kind of female citizenship. Most of these women had graduated from private schools or had only private tutoring at home
[Book review] Håkan Rydving & Konsta Kaikkonen eds., Religions around the Arctic
No full textReview of: Håkan Rydving & Konsta Kaikkonen eds., Religions around the Arctic. Source Criticism and Comparisons (Stockholm studies in comparative religion 44), Stockholm: Stockholm University Press 202
[Book review] Marianne Vasara-Aaltonen, Learning Law and Travelling Europe
No full textReview of: Marianne Vasara-Aaltonen, Learning Law and Travelling Europe. Study Journeys and the Developing Swedish Legal Profession, c. 1630–1800, Leiden & Boston: Brill 201
Smart Grid in the Arctic City: Historical, Technological, and Social Aspects of Evolution
Get PDFThis article presents the evolution of a smart grid in an artic city, and we analyze its development using the Smart Grid Reference Architecture (SGAM) and from historical, technological, and social points of view in an Arctic context. We illustrate the emergence of smart grid application and its relation to energy consumption habits and sustainability. The study includes observations from empirical research conducted using a mixed methods approach. This included two months of organizational ethnographies consisting of interviews with specialists at an electricity utility, shadowing the workers, participant observation in the control center, and a questionnaire survey among local residents. Three stages of transformation in the electricity network were observed: 1) the conversion from analog to digital in network operations, with residents as passive receivers of electricity; 2) introducing digital communications and a digital local area network that allowed residents to report consumption; 3) the electrical network as an evolving smart grid with a digital platform enabling two-ways communication among network actors. People became more active when smart grid applications were introduced in the electricity network and middle-aged men can now better manage their energy consumption, even though their motivation is financial, rather than environmental. At the same time, unplugging from the smart grid becomes increasingly difficult
Santiago Santi, promotor de salud indígena Naporuna de la Amazonía del Ecuador
Get PDFSantiago Santi is an indigenous man from the Naporuna ethnic group in the Amazon region of Ecuador. He has been a volunteer Community Health Worker (CHW) for 30 years in his community of El Edén, Orellana Province, Ecuador. He has published his memoirs in a book entitled 'Sé de donde vengo, no sé a dónde voy' (I know where I come from, I don't know where I'm going). He is one of the founders of the 'Asociación de promotores de salud Naporunas Sandi Yura', which currently includes 120 indigenous community health workers from 58 communities in the provinces of Orellana and Sucumbíos. The association is celebrating its 30th anniversary this year and is the largest movement of CHWs in the country. Santiago reflects on his reasons for being a community health worker, the values that CHWs should have, the history of Sandi Yura, and where the organisation should focus in the future.Santiago Santi es un indígena de la etnia Naporuna de la Amazonía del Ecuador. Durante 30 años ha trabajado voluntariamente como promotor de salud en su comunidad El Edén, provincia de Orellana, Ecuador. Ha publicado sus memorias en un libro titulado “Sé de dónde vengo, no sé a dónde voy”. El es uno de los fundadores de la “Asociación de promotores de salud Naporunas Sandi Yura”, que incluye en este momento 120 promotores indígenas pertenecientes a 58 comunidades localizadas en las provincias de Orellana y Sucumbíos. La Asociación cumple este año 30 años de organización jurídica siendo el movimiento de promotores más grande del país. Santiago reflexiona sobre sus motivos para ser promotor, los valores que los y las promotores deben tener, la historia de Sandi Yura e indica las líneas donde la organización debería enfocarse en el futuro.
Perspectivas desde dentro: Salud mental, bienestar y necesidades sanitarias de los reclusos jóvenes en Camboya
No full textIntroduction: Globally, studies show that young prisoners experience higher rates of mental health disorders and suicidal behaviors than adult prisoners and the general population. In Cambodia, there is a lack of information on the mental health situation of young prisoners and the response of the prison system to that reality. This thesis aimed to explore the mental health, well-being, and healthcare needs of young Cambodian prisoners by examining their mental health status, evaluating life skills interventions, identifying coping mechanisms, and proposing strategies to strengthen the prison health system based on insider perspectives.
Methods: Conducted in four selected prisons, the thesis used both quantitative and qualitative methods. The quantitative studies assessed mental health and evaluated the impact of a Life Skills Education (LSE) intervention. The qualitative approach explored the perspectives of young prisoners and staff regarding mental health, coping mechanisms, and prison healthcare challenges.
Results: The findings revealed high levels of mental health problems but low suicidal behaviors. Younger age, lower education, and drug use were linked to higher ill-mental health. While the LSE intervention improved mental health, the differences with the control group were not statistically significant. Qualitative insights revealed loneliness, lack of family support, and unmet basic needs as young prisoners´ concerns. Staff noted the limited healthcare services available and stressed the need for reforms, including mental health awareness, staff training, and governance improvements.
Conclusion: The thesis highlights high levels of mental health problems among young prisoners in Cambodia and calls for contextualized mental health interventions. Future efforts should focus on strengthening mental health services, staff training, and prison reforms to better support young prisoners' well-being.Introducción: En todo el mundo, los estudios muestran que los presos jóvenes experimentan tasas más altas de trastornos de salud mental y comportamientos suicidas que los presos adultos y la población general. En Camboya, se carece de información sobre la situación de la salud mental de los jóvenes reclusos y la respuesta del sistema penitenciario a esa realidad. Esta tesis pretende explorar la salud mental, el bienestar y las necesidades sanitarias de los jóvenes presos camboyanos examinando su estado de salud mental, evaluando la intervención de “habilidades para la vida”, identificando mecanismos de superación y proponiendo estrategias para reforzar el sistema sanitario de las prisiones basadas en perspectivas desde el interior.
Métodos: La tesis, realizada en cuatro prisiones, utilizó métodos cuantitativos y cualitativos. Los estudios cuantitativos evaluaron la salud mental y el impacto de una intervención educativa basada en habilidades para la vida (Life Skills Education, LSE). El enfoque cualitativo exploró las perspectivas de los jóvenes y del personal de las prisiones en relación con la salud mental, los mecanismos de superación y los retos de la atención sanitaria en las prisiones.
Resultados: Los hallazgos revelaron altos niveles de problemas de salud mental pero bajos comportamientos suicidas. Ser más joven, un bajo nivel educativo y el consumo de drogas se relacionaron con una peor salud mental. Aunque la intervención mejoró la salud mental, las diferencias con el grupo de control no fueron estadísticamente significativas. Las percepciones cualitativas revelaron que la soledad, la falta de apoyo familiar y las necesidades básicas insatisfechas eran las principales preocupaciones de los jóvenes. El personal penitenciario señaló los limitados servicios sanitarios disponibles y subrayó la necesidad de reformas, con relación a la concienciación sobre la salud mental, la formación del personal y la mejora de la gobernanza.
Conclusiones: La tesis pone de relieve los elevados niveles de problemas de salud mental entre los jóvenes reclusos de Camboya y reclama intervenciones de salud mental contextualizadas. Los esfuerzos futuros deberían centrarse en reforzar los servicios de salud mental, la formación del personal e implementar reformas penitenciarias así para mejorar el bienestar de los jóvenes reclusos