1,721,138 research outputs found
Exercise & Movement in Vocational Education: Developing Organizational Health Competencies through Co-Creation with Management and Teachers at a Vocational School
No full textInclusion of children and adolescents with a different ethnical background and/or low socio-economic status in football: a state-of-the-art literature review
No full textRecommendations for the use of organizational health literacy for changing the participation of ethnic minorities in preventive health interventions.
No full textTitel: Anbefalinger til anvendelse af organisatorisk sundhedskompetence til forandring afetniske minoriteters deltagelse i forebyggende sundhedsindsatserBaggrund: Der ses en højere forekomst af forebyggelige kroniske sygdomme blandt etniskeminoriteter end blandt etniske danskere. Samtidig ses det, at etniske minoriteter i lavere gradend etniske danskere benytter sig af forebyggende sundhedsindsatser, trods et større forbrug aføvrige sundhedsydelser. Sundhedskompetence fremhæves som determinant for etniskeminoriteters sundhed og sygdom. Et nyere fokus inden for forskning i sundhedskompetencegør det klart, at sundhedskompetence skabes i et samspil mellem individuel og organisatorisksundhedskompetence. Imidlertid har der i mange år været et stort fokus på individuelsundhedskompetence, mens organisatorisk sundhedskompetence er relativt overset. Dertilmangler der yderligere viden om organisatorisk sundhedskompetence i relation tilforebyggelse.Formål: Formålet er, med et kritisk realistisk perspektiv, at undersøge mekanismer, derindvirker på etniske minoriteters deltagelse i forebyggende sundhedsindsatser, og hvordanorganisationer, der udbyder forebyggelse kan anvende organisatorisk sundhedskompetencemhp. at forbedre etniske minoriteters adgang til forebyggende sundhedsindsatser.Metode: Der er udført et kvalitativt litteraturreview. Søgningen er foretaget i PubMed, Embase,Cinahl, ProQuest, PsykNet og Scopus efter studier, der bidrager med kvalitativ viden ometniske minoriteters deltagelse i forebyggende sundhedsindsatser. Dataekstraktion er foretageti Nvivo 12, hvorefter data er syntetiseret i temaer, og de enkelte temaer er efterfølgendeanalyseret med udgangspunkt i Org-HLR frameworket af Trezona et al. (2017), som dannerrammen for organisatorisk sundhedskompetence i specialet.Resultater: 19 artikler blev inkluderet, som bidrog med barrierer og facilitatorer for etniskeminoriteters deltagelse i forebyggende sundhedsindsatser ud fra forskellige perspektiver. Deidentificerede barrierer og facilitatorer for etniske minoriteters deltagelse i forebyggendesundhedsindsatser relaterer sig til otte temaer; navigering i sundhedsvæsenet, socialt netværk,arbejdsgange, forståelser af sygdom, interventionens rammer, kommunikation, organisationensressourcer og tilgængelighed. Alle syv domæner i Org-HLR frameworket bidrager medstrategier, som kan imødekomme de identificerede barrierer og facilitatorer, i særdeleshedinvolvering af og samarbejde med lokalsamfundet. Der ses imidlertid også begrænsninger vedbrugen af frameworket.Konklusion: Barrierer og facilitatorer for etniske minoriteters deltagelse i forebyggendesundhedsindsatser er afhængige af den tid og kontekst, de udspiller sig i. En systematisk tilgangtil at blive en sundhedskompetent organisation kan bidrage positivt til forandring af etniskeminoriteters deltagelse i forebyggende sundhedsindsatser. Det kræver imidlertid et aktivt valgog at der tildeles ressourcer til det. Politisk prioritering kan understøtte forandringen. Fremtidigforskning bør se på etniske minoriteters brug af forebyggende sundhedsindsatser. Der børdesuden være fokus på utilsigtede konsekvenser ved brug af Org-HLR frameworket.Titel: Recommendations for the use of organizational health literacy for changing theparticipation of ethnic minorities in preventive health interventions.Background: There is a higher occurrence of preventable chronic diseases amongst ethnicminorities than ethnic Danes. At the same time ethnic minorities use preventive healthinterventions less, despite a higher use of other medical services. Health literacy is emphasizedas a determinant for the health and disease of ethnic minorities. A more recent focus withinhealth literacy research shows that, health literacy is created in an interaction betweenindividual and organizational health literacy. However, for many years there has been greatfocus put on individual health literacy, while organizational health literacy has been relativelyoverlooked. To that there is a lack of knowledge of organizational health literacy in relation toprevention.Aim: The aim is, from a critical realistic perspective, to examine mechanisms that influencethe participation of ethnic minorities in preventive health interventions, and how organizationsthat provide preventive health interventions can use organizational health literacy in order toimprove the access to these interventions for ethnic minorities.Methods: A qualitative literature review was carried out. A search for studies that contributequalitative knowledge on the participation of ethnic minorities in preventive healthinterventions was conducted in PubMed, Embase, Cinahl, ProQuest, PsykNet and Scopus.Extraction of data was carried out in Nvivo 12, after which data was synthesized into themes,and each theme was analyzed based on the Org-HLR framework by Trezona et al. (2017),which frames organizational health literacy in this thesis.Results: 19 articles were included, which contributed to barriers and facilitators for theparticipation of ethnic minorities in preventive health interventions. The identified barriers andfacilitators for the participation of ethnic minorities in preventive health interventions relate toeight themes; navigation in the healthcare system, social network, work processes,understandings of disease, the intervention form, communication, the organizational resourcesand accessibility. All seven domains in the Org-HLR framework contribute with strategies thatcan meet the identified barriers and facilitators, in particular, community engagement andpartnerships. However, there are also limitations when using the framework.Conclusion: Barriers and facilitators for ethnic minorities' participation in preventive healthinterventions are dependent on the time and context in which they take place. A systematicapproach to becoming a health literate responsive organization can contribute positively to achange in participation of ethnic minorities in preventive healthcare. However, it requires anactive choice and an allocation of resources towards it. Political prioritization can support thechange. Future research should investigate ethnic minorities' use of preventive healthinterventions. Moreover there should be a focus on unintended consequences when using theOrg-HLR framework
Exploring children's rights: Posthumanist perspectives on recruitment of young boys to a Danish football academy in Uganda.
No full textJeg forlod Danmark i begyndelsen af august 2019 for at undersøge rekrutteringen af unge drenge til et dansk fodboldakademi i Uganda. Mit mål var at blive kritisk involvereret med så mange forskellige mennesker som muligt som var relateret til rekrutteringens processen. Målet var ikke at skulle gengive denne proces, men jeg var i stedet interesseret i at skabe så mange forskellige perspektiver på børns rettigheder når børnene blev rekrutteret. Jeg forsøgte ikke at distancere mig til feltarbejdet. I stedet forsøgte jeg at praktisere en anderledes kritisk og aktivistisk form for etnografi. Jeg opsøgte konfrontationer og diskussioner hos ugandiske og danske trænere, scouts, akademiets medarbejdere og frivillige samt hos den danske direktør. Feltarbejdet, skriveprocessen og projektet generelt var udarbejdet fra en posthumanistisk position som medførte at jeg tog forskellige valg forskelligt i forbindelse med filosofiske og metodiske overvejelser. Jeg forsøgte aktivt at benytte mig af tekst og skrivning som et performativt redskab hvor jeg kunne illustrere kompleksiteten om børns rettigheder og akademiets rekruttering. Jeg levede i Uganda 11 ud af de sidste 18 måneder og jo mere tid jeg var der jo mere kæmpede jeg også med at gøre det kendte ukendt. Mit etnografiske arbejde forårsagede mange forskellige dilemmaer hvor jeg konstant blev mindet om min forestilling om at jeg ville være en ansvarlig forsker. Jeg var i midten af et akademi som rekrutterede drenge helt ned i 7 års alderen. Dette vil for altid være problematisk med børns rettigheder fordi hvad eller hvem er topprioriteten? Er det akademiets visioner om at skabe rollemodeller og professionelle spillere eller er det tanker om at et barn for alt i verden skal være nærmest sin familie? Jeg giver ikke et direkte svar uden også at have illustreret hvor kompliceret dette er, og jo flere aktører der involveres jo mere kompleks. Hvad jeg dog foreslår, er at der er håb og muligheder for en bedre fremtid for børn som er relateret til fodboldakademier. En bedre fremtid hvor ugandiske børn og familier ikke udnyttes af internationale akademier som er tilstede med en dækhistorie om humanisme.I left Denmark at the beginning of august 2019 to investigate how recruitment of young boys was practised at a Danish football academy in Uganda. I aimed to critically engage with as many people who were related to the recruitment process, not so much to clarify a specific practice, but I was more interested in creating perspectives on children’s rights from a critical ethnographic approach. As an ethnographer, a critical ethnographer, I did not seek to distance myself from my work. I deliberately involved myself as much as possible through an activist style where I did not avoid confrontations or discussions. I tried to do so with Ugandan and Danish academy coaches, scouts, staff members, volunteers and the director of El Cambio Academy. This project departure from a posthumanism position and was inspired by different philosophers mainly Gilles Deleuze and Félix Guattari who affected me and the project to practise and write research differently. I tried to experiment with styles of writings. I used texts and writing as an active element where new thoughts could evolve. I lived in Uganda the past eleven out of eighteen months, and the more time I was there, the more I experienced the struggle of making the familiar strange. I think my confrontational ethnographic work could be interpreted as some kind of wrestling with things that slowly had become familiar, which I thought forever would be strange to me. This wrestle caused many dilemmas during the fieldwork, where I constantly select my actions because I imagined myself as a responsible researcher. Being in the middle of an academy that recruits boys from they are seven years old will forever be problematic when it is thought with a children’s rights principles - because who or what is the top priority? I do not provide a single answer, because it is far more complicated when many different actors get involved, but what I argue is that there could be a potentially different and better future for children related to academies. A better future where families and children from Uganda no longer are taken advantage of by international football academies who are there with a cover story of humanism.<br/
Co-production of recommendations for enhanced involvement of local networks around citizens in vulnerable positions
No full textTransforming Experience into Change: The Role of Middle Managers in Preventing Hand and Finger Strain Among Nurses
No full textResumeIntroduktion: Arbejdsrelaterede hånd- og fingerbelastninger er en velkendt, men ikke dokumenteret lidelse blandt hospitalsansatte sygeplejersker, hvor nationale retningslinjer ift. håndtering af hånd- og fingerproblematikker mangler. Sygeplejerskens arbejde er præget af travlhed og faglig stolthed, hvor egne behov tilsidesættes til fordel for patientens sundhed. Forskning viser at mellemlederens opbakning er vigtig ift. implementering af forebyggende hjælpemidler. Samtidig er hospitalsvæsenet en kompleks organisation, udfordret af knappe ressourcer, hvilket vanskeliggør effektiv implementering.Formål: Formålet er at undersøge og forstå mellemlederes erfaringer med implementering af hjælpemidler på hospital X, for efterfølgende at udformet et forandringsforslag, der kan støtte op om mellemlederens implementering af hjælpemidler til styrket forebyggelse af arbejdsrelaterede hånd- og fingerbelastninger.Metode: Specialet tager afsæt i den filosofisk hermeneutiske videnskabsteori, og metodologisk anvendes en systematisk litteratursøgning samt kvalitative interviews til henholdsvis at identificere faktorer, der hæmmer og fremmer implementering af hjælpemidler, samt at afdække mellemlederes erfaringer med implementering på hospital X. Fixsens Implementation Drivers benyttes som teoretisk perspektiv til analysen af de kvalitative resultater, samt grundlæggende perspektiv til den systematiske litteratursøgning.Resultater: Fundene fra den systematiske litteratursøgning viser at organisatorisk støtte, synlig ledelse og en inkluderende arbejdskultur fremmer implementering af hjælpemidler blandt sygeplejersker i hospitalssektoren. Kompleksiteten af hjælpemidlet og manglende tilpasning til lokale forhold hæmmer derimod implementeringen. De kvalitative resultater viser, at det er op til mellemlederen at identificere behovet for hjælpemidler samt fastsætte en brugbar implementeringsstrategi. Medinddragelse og meningsskabelse ses som afgørende for at implementeringen lykkes. Samtidig ses det, at sygeplejerskerne har svært ved at ændre arbejdsvaner. Her ses et behov for en struktureret opfølgning på brug af hjælpemidler mod arbejdsrelaterede hånd- og fingerbelastninger, samt tid til refleksion mht. den subjektive værdi ved at anvende hjælpemidler. Konklusion: På baggrund af specialets resultater ses det, at organisation og ledelse har en afgørende betydning for implementering af hjælpemidler blandt sygeplejersker på hospital X. Implementeringsprocessen er forbundet med adskillige hæmmende og fremmende faktorer, hvor meningsskabelse og den enkelte sygeplejerskes forståelse af hjælpemidlets værdi er grundlæggende for at kunne skabe forandring.AbstractIntroduction: Work-related hand and finger strains is a well-known but undocumented issue among nurses working in hospitals, and there are no national guidelines addressing these problems in Denmark. Nurses' work is characterized by time pressure and professional pride, where they often rather set their own needs aside in favor of the patients. Research highlights that the leader's support is crucial for the implementation of preventive assistive devices. Meanwhile, the hospital sector is a complex system challenged by limited resources, which can hinder effective implementation. Purpose: The aim is to explore and understand middle managers' experiences with strengthening the implementation of assistive devices at Hospital X, with the goal of developing a proposal for change that can support the prevention of work-related hand and finger strain among the nurses.Method: This Master Thesis is based on a philosophical hermeneutic approach. A systematic literature review and qualitative interviews were conducted to identify factors that hinder or promote implementation, and to uncover the middle managers' experiences of implementation at Hospital X. Fixsen’s Implementation Drivers was used as the theoretical framework, for the qualitative analysis and as a foundational perspective for the systematic literature review.Results: The results of the systematic literature review shows that organizational support, visible leadership, and an inclusive work culture, promotes the implementation of assistive devices among hospital nurses. In contrast, the complexity of the device and a lack of adaptation to local contexts are barriers. The qualitative findings indicate that middle managers are responsible for identifying the need for assistive devices and establishing usable implementation strategies. Inclusion and creating a sense of purpose are seen as essential to successful implementation of assistive devices used against work-related hand and finger strains. Nurses often struggle to change their work habits, which highlights the need for structured follow-up and time for individual reflection on the perceived value of using assistive devices.Conclusion: The findings show that organizational factors and middle managers' support are crucial to the implementation of assistive devices at Hospital X. The implementation process is influenced by several promoting and hindering factors, where a sense of purpose and the nurse’s personal perception of value are central to achieving sustainable change
Physical activity with health care workers - Prototype development of a workplace physical activity program: Prototype development of a workplace physical activity program
No full textThe following study investigates the implementation of a physical activity program for workers at a nursing home. This program was developed using Hawkins' model for co-creation, with the first two phases already designed prior to this study. The researchers explore how implementing physical activity in the workplace can influence workers’ well-being. The physical activity sessions were conducted three times a week over a four-week period, each lasting 10–15 minutes. Data were collected through observations, questionnaires, and focus group interviews. For data analysis, the researchers applied George Engel’s biopsychosocial model to interpret the workers’ physical, mental, and social well-being. Additionally, Antonovsky's Sense of Coherence framework was used to examine the workers’ sense of manageability, comprehensibility, and meaningfulness in relation to workplace physical activity. The study found that acceptance of the training was high when the exercises were physically manageable. Moreover, workers found the program meaningful when social elements were emphasized and group participation was encouraged. The most notable finding was that 77% of the workers wished to continue the initiative after the prototype testing phase was completedThe following study investigates the implementation of a physical activity program for workers at a nursing home. This program was developed using Hawkins' model for co-creation, with the first two phases already designed prior to this study. The researchers explore how implementing physical activity in the workplace can influence workers’ well-being. The physical activity sessions were conducted three times a week over a four-week period, each lasting 10–15 minutes. Data were collected through observations, questionnaires, and focus group interviews. For data analysis, the researchers applied George Engel’s biopsychosocial model to interpret the workers’ physical, mental, and social well-being. Additionally, Antonovsky's Sense of Coherence framework was used to examine the workers’ sense of manageability, comprehensibility, and meaningfulness in relation to workplace physical activity. The study found that acceptance of the training was high when the exercises were physically manageable. Moreover, workers found the program meaningful when social elements were emphasized and group participation was encouraged. The most notable finding was that 77% of the workers wished to continue the initiative after the prototype testing phase was complete
Assist - The involvement of children and young people in the development of sports activities in public housing areas.
No full textAbstract The purpose of this master thesis was to examine how association representatives understand involvement of children and young people, and what conditions have had an impact on the association representatives’ experience of the process from involvement of children and young people to the development of sports activities in public housing areas. This multiple case study investigated three different areas, where workshops focusing on the involvement of children and young people as well as co-creation workshops in each area were observed. In addition, we conducted interviews with four association representatives from three different sports clubs. Both observations and interviews contributed to our analysis, which was dealt with in the line with instructions for thematic analysis. The analysis revealed the following themes: ‘Understanding involvement’, ‘The Involvement Workshop’, ‘Assist’s project description and guidelines’, and ‘Limitations in the process’. Based on our acquired knowledge, the association representatives understand involvement both from a non-participatory and participatory perspective according to Roger Hart's Ladder of Participation. Our thesis points out that the association representatives demonstrate an understanding of involvement based on levels such as ‘Decoration’, 'Tokenism', 'Assigned and informed' and 'Consulted and informed'. However the association representatives express that a greater degree of involvement would have been advantageous in the process in order to meet the interests of children and young people in sports activities. There have been several conditions which the association representatives experienced have had an impact on the involvement of children and young people in the process. The association representatives have experienced several limiting conditions related to the process, such as the involvement workshop, Assist´s project description and guidelines, the organizational field, as well as the conventions and resources applying to the sports clubs. However, the association representatives adapt to the norms and values the project contains.<br/
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