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  • 1.
    Aasen, Elin Margrethe
    et al.
    Department of Health Sciences in Aalesund, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology (NOR).
    Dahl, Berit Misund
    Department of Health Sciences in Aalesund, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology (NOR).
    Ottesen, Aase Marie
    Aalborg University (DNK).
    Strunck, Jeanne
    Aalborg University (DNK).
    Eriksson, Henrik
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Dahlborg, Elisabeth
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Boman, Åse
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Vestgarden, Lisbeth Alnes
    Department of Health Sciences in Aalesund, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology (NOR).
    Tengelin, Ellinor
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Department of Health Sciences, Rehabilitation Science, Mid Sweden University.
    Scandinavian Online Cancer Information as Expressions of Governmentality2023Inngår i: Advances in Nursing Science, ISSN 0161-9268, E-ISSN 1550-5014, Vol. 46, nr 3, s. 293-305Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    We compared online distributed information provided to patients with cancer in Scandinavian countries through the lens of governmentality. A secondary comparative qualitative analysis was conducted. Discourses in online patient information showed differences in governmentality techniques across the countries: Norway used a paternalist approach, Denmark an educative approach, and Sweden an individualistic approach and expected the patients to make the “right” decisions. Online information for patients with cancer in Denmark and Norway showed high professional and health care system involvement, whereas in Sweden, there was high patient involvement. There was almost no use of the person-centered approach among the online discourses

  • 2.
    Boman, Åse
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Dahlborg, Elisabeth
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Eriksson, Henrik
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Tengelin, Ellinor
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    The reasonable patient: A Swedish discursive construction2021Inngår i: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800, Vol. 28, nr 3, artikkel-id e12401Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this study was to analyse how the patient is constructed and socially positioned in Swedish patient information. Corpus-assisted critical discourse analysis methodology was utilised on a sample of 56 online patient information texts about cancer containing a total of 126,711 words. The findings show an overarching discourse of informed consent guided by specific features to produce a patient norm that we name “the reasonable patient”, who is receptive to arguments, emotionally restrained and makes decisions based on information. Through the discourse of informed consent, the norm of the reasonable patient emerges, apparently to even out the imbalance of power between patient and professional, but in reality, more likely to construct a patient who is easily controlled and managed. When the self-responsibility towards health is incorporated into the everyday domestic spaces via digital health technologies, the ideas and concepts of the patient role need to be reconsidered based on these new conditions. We conclude that it is important for nursing researchers to broaden the research on patients to include the relationship of power created through language. This study demonstrates both methodological and empirical possibilities to do so

    Fulltekst (pdf)
    fulltext
  • 3.
    Castillo, Ivan Andrés
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Tengelin, Ellinor
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Arveklev Höglund, Susanna
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Dahlborg, Elisabeth
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    When nursing education becomes political: Norm-critical perspectives in a campus-based clinical learning environment2023Inngår i: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800, Vol. 31, nr 2, artikkel-id e12597Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Nursing education is in the process of incorporating critical thinking, social justice, and health inequality perspectives into educational structures, aspiring to help nursing students develop into professional nurses prepared to provide equal care. Norm criticism is a pedagogical philosophy that promotes social justice. This qualitative case study aimed to gain an understanding of and elaborate on an educational development initiative in which norm criticism was incorporated into the composition of a new campus‐based clinical learning environment for nursing education. By analyzing documents and interviews with the help of reflexive thematic analysis three themes were generated: “Intention to educate beyondnursing education,” “Educating in alliance with society,” and “The educative ambiguity of the Clinical Learning Centre. ”The case study indicates that the incorporation of norm criticism into a campus‐based clinical learning environment may encourage nursing students to evolve social skills for nursing practice that support health equality within healthcare. By collaborating with society, nursing education can considerably improve its educational frameworks in alignment with societal demands. However, the inclusion of norm criticism in a setting such as a campus‐based clinical learning environment entails a clash with established institutionalized norms and being perceived as too proximate to politics.

    Fulltekst (pdf)
    fulltext
  • 4.
    Dahlborg, Elisabeth
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Boman, Åse
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Eriksson, Henrik
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Tengelin, Ellinor
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Encircling discourses: A guide to critical discourse analysis in caring science2023Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 38, s. 177-184Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim

    The aim of this article was to introduce Fairclough's critical discourse analysis (CDA) in caring and nursing science, to provide a guide on how to perform such an analysis, and to describe the wider context of discourse epistemology.

    Design

    The article is designed as a methodological paper, including (a) epistemological roots of discourse analysis, (b) an overview of discourse analytical research within caring and nursing science which points out an increased trend, and (c) a guide to conducting a CDA.

    Analysis

    It is important that discourse analysis is available and accessible to nursing and caring researchers. Through the process of encircling discourses, valuable insight is given into fields that otherwise would be lost or would not be available.

    Conclusion

    Our summary stance is that discourse analysis as it is presented in this article is strongly advisable for use in nursing and caring sciences.

    Fulltekst (pdf)
    fulltext
  • 5.
    Dahlborg, Elisabeth
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Lau, M.
    Tengelin, Ellinor
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    En introduktion till normer och jämlik vård2022Inngår i: Jämlik vård: normmedvetna perspektiv / [ed] Dahlborg, E. & Tengelin, E., Lund: Studentlitteratur , 2022, s. 23-49Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 6.
    Dahlborg, Elisabeth
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Tengelin, Ellinor
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Aasen, Elin
    Norwegian University of Science and Technology, Trondheim, Norway (NOR).
    Strunck, Jeanne
    Aalborg University, Aalborg, Denmark (DNK).
    Boman, Åse
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Ottesen, Aase Marie
    Aalborg University, Aalborg, Denmark (DNK).
    Dahl, Berit Misund
    Norwegian University of Science and Technology, Trondheim, Norway (NOR).
    Helberget, Lindis Kathrine
    Norwegian University of Science and Technology, Trondheim, Norway (NOR).
    Lassen, Inger
    Aalborg University, Aalborg, Denmark (NOR).
    The struggle between welfare state models and prevailing healthcare policy in Scandinavian healthcare legislative documents2021Inngår i: International Journal of Health Governance, ISSN 2059-4631, nr 1, s. 51-64Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose

    The paper aims to compare and discuss the findings of discursive constructions of patients in legal texts from the three Scandinavian countries. Since traditional welfare state systems in Scandinavia are being challenged by new governance systems, new questions are being raised about patient positions and agency, carrying with them potential ethical dilemmas for healthcare professionals.

    Design/methodology/approach

    The methodology of the paper is inspired by critical discourse analysis. Comprehensively analysing the findings of previous discourse studies on how "the patient" is constructed in central policy texts, this study compares the position of the patient in Norway, Sweden and Denmark.

    Findings

    The paper reveals ideological struggles across the Scandinavian countries, operating at a political level, a legislative level and a healthcare level. It is shown that national governance systems still exert hegemonic power by strongly influencing patients' degree of choice and autonomy. The discursive struggle between welfare state governance and other governance systems in Scandinavia indicates a shift towards a commercial healthcare market although a traditional welfare model is advocated by professionals and researchers

    Research limitations/implications

    Because of the specific conditions of Scandinavian healthcare policy, the findings lack generalisability. The research approach should therefore be explored further in additional contexts.

    Practical implications

    The findings of this study can inform policymakers, professionals and patients of the ideological values underlying seemingly objective shifts in national policy.

    Originality/value

    A comparative critical discourse analysis can expose patterns in the Scandinavian approaches to patient rights.

  • 7.
    Dahlborg Lyckhage, Elisabeth
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Lau, Malena
    Tengelin, Ellinor
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för vårdvetenskap på avancerad nivå.
    Normer som hinder för jämlik och rättighetsbaserad vård2015Inngår i: Jämlik vård: normmedvetna perspektiv / [ed] Dahlborg Lyckhage, Elisabeth, Lyckhage, Gunnar & Tengelin, Ellinor,, Lund: Studentlitteratur AB, 2015, 1, s. 37-57Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 8.
    Dahlborg Lyckhage, Elisabeth
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Lyckhage, GunnarTengelin, EllinorHögskolan Väst, Institutionen för hälsovetenskap, Avdelningen för vårdvetenskap på avancerad nivå.
    Jämlik vård: normmedvetna perspektiv2015Collection/Antologi (Annet vitenskapelig)
  • 9.
    Eriksson, Henrik
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Tengelin, Ellinor
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Socialkategorisering och jämlik vård2022Inngår i: Jämlik vård: normmedvetna perspektiv / [ed] Dahlborg, E. & Tengelin, E., Lund: Studentlitteratur , 2022, 2, s. 73-100Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 10.
    Lundström, Sofie
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Tengelin, Ellinor
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Mid Sweden University (SWE).
    Gunnarsdottir, Hrafnhildur
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Bertilsson, Monica
    University of Gothenburg (SWE).
    Young people’s experience of promoting aspects for mental well-being2023Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    Background: Increasing mental health problems among young people are frequently reported. There is also a growing discussion about whether this increase reflects actual mental health problems, or if young people have more limited abilities to deal with normal challenges in life. From a social justice perspective, young people’s own thoughts and experiences need to be considered when mental health promotion among young people is addressed. 

    Purpose: The purpose of this study was to describe young people’s experiences of promoting aspects for mental well-being.

    Methods: Individual interviews were conducted with 33 youths aged 16 to 25 years. The interviews were based on the mental well-being items used in the national public health survey ‘Health at equal terms’, annually conducted by The Public Health Agency of Sweden. Qualitative content analysis was used to capture the youth´s experiences.

    Findings: Preliminary findings describe promoting aspects for mental well-being as; feeling involved in social contexts, having support from loved ones, receiving help from others, feeling significant as a person, being listened to, having an inner strength, feeling that one’s life is meaningful, and reasonable expectations from oneself and those around.

    Conclusion: Findings show that both internal and external aspects are important for promoting mental well-being among young people. Some aspects are beyond their control, which indicates that society needs to create prerequisites for young people to develop mental well-being.

  • 11.
    Pherson, Tommy
    et al.
    Göteborgs universitet.
    Tengelin, Ellinor
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för vårdvetenskap på avancerad nivå.
    Genusnormer: normer som skapar kvinnor och män2015Inngår i: Jämlik vård: normmedvetna perspektiv / [ed] Dahlborg Lyckhage, Elisabeth, Lyckhage, Gunnar, Tengelin, Ellinor, Lund: Studentlitteratur AB, 2015, 1, s. 107-126Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 12.
    Tengelin, Ellinor
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Att leva  med arbetsrelaterade psykiska problem2021Inngår i: Psykisk hälsa i arbetslivet / [ed] Hensing, Gunnel, Holmgren, Kristina, Björk, Lisa,, Lund: Studentlitteratur AB, 2021, 1, s. 223-248Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 13.
    Tengelin, Ellinor
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Klass, hälsa och vård2022Inngår i: Jämlik vård: normmedvetna perspektiv / [ed] Dahlborg, E. & Tengelin, E., Lund: Studentlitteratur , 2022, 2, s. 215-238Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 14.
    Tengelin, Ellinor
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för vårdvetenskap på avancerad nivå.
    Klassnormer och föreställningen om klasslösa patienter2015Inngår i: Jämlik vård: normmedvetna perspektiv / [ed] Dahlborg Lyckhage, Elisabeth, Lyckhage, Gunnar & Tengelin, Ellinor,, Lund: Studentlitteratur AB, 2015, 1, s. 81-99Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 15.
    Tengelin, Ellinor
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Jönköping University, School of Health and Welfare, Jönköping, Sweden.
    Bülow, Pia H
    University of the Free State, Department of Social Work, Bloemfontein, South Africa; Jönköping University, School of Health and Welfare, Jönköping, Sweden.
    Berndtsson, Ina
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Dahlborg Lyckhage, Elisabeth
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Norm-Critical Potential in Undergraduate Nursing Education Curricula: A Document Analysis2019Inngår i: Advances in Nursing Science, ISSN 0161-9268, E-ISSN 1550-5014, Vol. 42, nr 2, s. E24-E37Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The documents and literature that regulate nursing education are based on certain values and knowledge, and the underlying power in the curriculum raises the question of how health care professionals are molded during the course of their education. Norm criticism is a concept with its roots in critical pedagogy and gender and queer studies, emphasizing the origins as well as the consequences of marginalization, power, and knowledge of what is generally accepted as "normal" and "true." Norm criticism is used in this article to analyze the documents and literature underlying a nursing program in Sweden, which are shown to include a sometimes politically correct rhetoric, but one lacking a firm basis in social justice values.

  • 16.
    Tengelin, Ellinor
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Cliffordson, Christina
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Dahlborg Lyckhage, Elisabeth
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Berndtsson, Ina
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Constructing the Norm-critical awareness scale: A scale for use in educational contexts promoting awareness of prejudice, discrimination, and marginalisation2019Inngår i: Equality, Diversity and Inclusion, ISSN 2040-7149, E-ISSN 2040-7157, Vol. 38, nr 6, s. 652-667Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose: Healthcare professionals' conscious or unconscious norms, values and attitudes have been identified as partial explanations of healthcare inequity. Norm criticism is an approach that questions what is generally accepted as "normal" in society, and it enables professionals to identify norms that might cause prejudice, discrimination and marginalisation. In order to assess norm-critical awareness, a measurement scale is needed. The purpose of this paper is to develop a scale for measuring norm-critical awareness. Design/methodology/approach: The scale-development process comprised a qualitative item-generating phase and a statistical reduction phase. The item pool was generated from key literature on norm criticism and was revised according to an expert panel, pilot studies and one "think aloud" session. To investigate the dimensionality and to reduce the number of items of the scale, confirmatory factor analysis was performed. Findings: The item-generation phase resulted in a 46-item scale comprising five theoretically derived dimensions revolving around function, consequences, identity, resistance and learning related to norms. The item-reduction phase resulted in an instrument consisting of five dimensions and 20 items. The analyses indicated that a summary score on the scale could be used to reflect the broad dimension of norm-critical awareness. Originality/value: The Norm-critical awareness scale comprises five theoretically derived dimensions and can be used as a summary score to indicate the level of norm-critical awareness in educational contexts. This knowledge is valuable for identifying areas in greater need of attention. © 2019, Emerald Publishing Limited.

  • 17.
    Tengelin, Ellinor
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Dahl, Berit Misund
    Norwegian Univ Sci & Technol, Dept Hlth Sci, Trondheim, Norway (NOR).
    Boman, Åse
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Ottesen, Aase Marie
    Aalborg Univ, Dept Commun & Psychol, Aalborg, Denmark (DNK).
    The Struggle Between Ancient Welfare Thinking and Prevailing Health Care Policy in Scandinavian Health Care Legislative Documents2020Inngår i: International Journal of Qualitative Methods, E-ISSN 1609-4069, Vol. 19, s. 53-54Artikkel i tidsskrift (Fagfellevurdert)
  • 18.
    Tengelin, Ellinor
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Dahlborg, Elisabeth
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Berndtsson, Ina
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Bülow, Pia H
    Jönköping University, Department of Social Work, School of Health and Welfare, Jönköping, Sweden; Department of Social Work, University of the Free State, Bloemfontein, South Africa (ZAF).
    From political correctness to reflexivity: A norm-critical perspective on nursing education.2020Inngår i: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800, Vol. 27, nr 3, artikkel-id e12344Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Education is important in shaping professional identity, including how one approaches norms and normalisation. In the analysis presented in this study, nursing students' own constructions of norms and normality from the outlook of their education are highlighted and problematised. To deepen the understanding of these matters, the aim of this study was to explore constructions of norms and normality among students in nursing education. Students studying in a nursing department at a Swedish university college were approached and asked to consider open survey questions targeting their views on norms and normality; 154 of them replied. After a discourse analytic approach to the data, we could see how the students constructed norms and normality as (a) instrumental instructions, consisting of easy-to-digest statements grounded in the profession's obvious moral and ethical values, (b) limiting and frustrating obstacles for personal freedom that were important to challenge, (c) rules to be obeyed for the stability of society and (d) a matter of reflection, with each individual being responsible for understanding differences in norms, perspectives and opinions. We conclude that nursing education would benefit from norm-critical perspectives, problematising students' own positions to norms, power and privilege.

  • 19.
    Tengelin, Ellinor
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Dahlborg Lyckhage, Elisabeth
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Discourses with potential to disrupt traditional nursing education: Nursing teachers’ talk about norm-critical competence2017Inngår i: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800, Vol. 24, nr 1, artikkel-id UNSP e12166Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This paper describes the discourses underlying nursing teachers’ talk about their own norm-critical competence. Norm criticism is an approach that promotes awareness and criticism of the norms and power structures that exert an excluding effect in society in general and in the healthcare encounter in particular. Given the unequal relationships that can exist in healthcare, for example relationships shaped by racism, sexism and classism, a norm-critical approach to nursing education would help illuminate these matters. The studied empirical material consisted of focus group interviews. Nursing teachers discussed their norm-critical competence based on the university course "Norm-Aware Caring" in which they had recently participated. Through a critical discourse analysis, three discourses were identified in their talk, all of which had the potential to disrupt traditional, normative nursing education. However, in all three discourses there was an underlying discourse of normality, clearly positioning the teachers as exemplifying the "normal." The binary constructed between normality and otherness contradicts a basic tenet of the norm-critical approach and may hamper the development of genuine norm-critical competence in nursing education. © 2016 John Wiley & Sons Ltd.

  • 20.
    Tengelin, Ellinor
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap.
    Dahlborg Lyckhage, Elisabeth
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Nursing teachers’ reflections on their own norm-critical competence2016Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    Background: Nursing education in Sweden generally lacks norm-critical perspectives, even though this could help unveil normative judgements of patients in nurses’ daily work. To pursue work-integrated learning about norm criticism for nursing teachers at a small university college in Sweden, all teachers involved in nursing education were offered the course Norm-Aware Caring.Aim: To describe how norm criticism in nursing education is constructed by nursing teachers’ discussions.Methods: After the course Norm-Aware Caring, 20 of the participating 33 nursing teachers were interviewed in five focus groups about their reflections on their new knowledge. The interview transcripts were analyzed on the basis of Fairclough’s discourse analysis, in which words and social practice are seen as mutually constituting each other.Results: Discursive constructions related to teaching, caring and learning were seen in the text. Norm critical teaching was constructed as a practice of much consideration not to insult any student. Norm criticism as a basic caring value was closely related to person-centered care. Their own, personal learning was expressed as fear to use their new knowledge in a wrong way. The teachers themselves considered norm-criticism as something to learn in order to improve the understanding of people who does not fit into majority norms. This perspective of tolerance was consistent in the construction of all discourses.Discussion: It appears that the teachers’ social practice is influenced by a perspective that divides the “normal” from the “deviant”. This may prevent an internalization of norm-critical knowledge, a perspective that aims to question categorizations of normality. Therefore, it is important to continuously scrutinize and reflect over the role of social norms as part of work-integrated learning for nursing teachers.

    References

    AGENCY FOR HEALTH CARE ANALYSIS 2014. A more equal care is possible. Analysis of unmotivated differences in care, encounters and treatment. Report 2014:7. Stockholm: Agency for Health Care Analysis.

    FAIRCLOUGH, N. 1989/2015. Language and power, London, Routledge.

    KIRKEVOLD, M. 2009. Nursing Science – epistemological deliberations]. In: ÖSTLINDER, G., SÖDERBERG, S. & ÖHLÉN, J. (eds.) Caring as an Academic Subject: Report from a Working Conference. Swedish Association for Nurses.

    VAN HERK, K. A., SMITH, D. & ANDREW, C. 2011. Examining our privileges and oppressions: incorporating an intersectionality paradigm into nursing. Nursing Inquiry, 18, 29-39.

  • 21.
    Tengelin, Ellinor
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Eriksson, Henrik
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Röda korsets högskola.
    Dahlborg, Elisabeth
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    En manual för normkritik: Handfasta råd för en levande kunskapsbildning i svensk sjuksköterskeutbildning om kvinnors våldsutsatthet2021Inngår i: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 98, nr 4, s. 604-614Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [sv]

    Det nya lärandemålet i sjuksköterskeutbildningen innebär att studenter ska visa kunskap om mäns våld mot kvinnor och våld i nära relationer. Målet illustrerar behovet av att medvetandegöra och problematisera normer kring kön, makt och relationer. Med utgångspunkt i erfarenheter från Högskolan Väst föreslår vi i denna artikel normkritik som ett arbetssätt i utbildningen och formulerar handfasta råd. Undervisning om normer och makt kan förflyttas från att vara en perifer fråga driven av eldsjälar till gemensamt kollegialt ansvar med en central placering i varje kurs. Råden kan användas av ledare och lärare som vill erbjuda en sjuksköterskeutbildning där studenters förmåga att fråga, agera och ge våldsutsatta kvinnor en röst är ett centralt inslag.

    Fulltekst (pdf)
    fulltext
  • 22.
    Tengelin, Ellinor
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Hensing, G.
    Institute of Medicine, University of Gothenburg, Gothenburg (SWE).
    Holmgren, K.
    Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg (SWE).
    Ståhl, C.
    Division of Education and Sociology, Linköping University, Linköping (SWE).
    Bertilsson, M.
    Institute of Medicine, University of Gothenburg, Gothenburg (SWE).
    Managers’ experience-based understanding of capacity to work in workers with common mental disorders2021Inngår i: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 31, nr Suppl 3, s. 458-Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background:

    The capacity to work among workers with common mental disorders (CMD) is important to understand but scarcely explored from a manager perspective, even though their views could add essential knowledge. The aim of this study was to explore and describe managers’ experience-based understand[1]ing of capacity to work in individuals with CMD.

    Methods:

    This qualitative focus group study used inductive manifest content analysis as analytic technique. First-line managers with experiences of employees with CMDs were recruited via organizations and networks. Eight focus group interviews with altogether 31 participants were performed.

    Results:

    The analysis resulted in five categories of managers’ experi[1]ence-based understanding of occupational functioning in workers with CMDs: (1) The capacity to mentally focus on work tasks decreases or disappears, with negative consequences for work output. (2) The capacity to commit to continuous and coherent tasks changes, making tasks that span over longer periods of time difficult. (3) The capacity to independently adapt to the needs of the situation decreases, causing the worker to need more guidance and instructions than usual. (4) The capacity to keep up professional appearances is reduced, meaning that the worker struggle with the profes[1]sional role. Finally, (5) the ability to interact socially and professionally decreases, which potentially causes conflicts at the workplace.

    Conclusions:

    This study shows managers’ experience-based understanding of CMDs in workers as severe changes and reductions of employees’ capacities needed for occupational functioning. These findings add to the understanding of the construction of the capacity at the workplace. A deeper understanding of reduced work capacity is also needed to adapt workplaces and our findings can facilitate work accommodations for employ[1]ees with CMDs.

    Key messages:

    • This study adds a manager perspective to the increasing knowledge about how capacity to work is influenced by CMD. 
    • This study shows that managers experience that CMD in workers severely change and reduce employees’ capacities needed for occupational functioning.
  • 23.
    Tengelin, Ellinor
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Hensing, Gunnel
    Insurance Medicine, School of Public Health and Community Medicine, Institute of Medicine, University of Gothenburg, Gothenburg (SWE).
    Holmgren, Kristina
    Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, The Sahlgrenska Academy at the University of Gothenburg, Gothenburg (SWE).
    Ståhl, Christian
    Department of Behavioural Sciences and Learning, Division of Education and Sociology, Linköping University, Linköping (SWE).
    Bertilsson, Monica
    Insurance Medicine, School of Public Health and Community Medicine, Institute of Medicine, University of Gothenburg, Gothenburg (SWE).
    Swedish managers' experience-based understanding of the Capacity to work in employees with Common Mental Disorders: a Focus Group Study.2022Inngår i: Journal of occupational rehabilitation, ISSN 1053-0487, E-ISSN 1573-3688, Vol. 32, nr 4, s. 685-696Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    PURPOSE: Understanding of the capacity to work among employees with common mental disorders (CMDs) is important, but contemporary knowledge on this issue lacks the managers' perspective. The aim of this study was to explore and describe managers' experience-based understanding of capacity to work in employees with CMD.

    METHODS: A qualitative focus group study was designed. Managers with experience in supporting employees with CMD were recruited via organizations and networks. Eight focus group interviews with 31 participants took place.

    RESULTS: The analysis resulted in five categories. (1) Capacity to mentally focus on work tasks decreases or disappears, with negative consequences for work output. (2) Capacity to commit to continuous and coherent task changes, making tasks that span longer periods of time difficult. (3) Capacity to independently adapt to the needs of the situation decreases, and employees need more guidance and instructions than usual. (4) Capacity to keep up professional appearances is reduced, and the employees struggle with the professional role. (5) Ability to interact socially and professionally decreases, which potentially causes conflicts at the workplace.

    CONCLUSIONS: This study adds managers' perspective to the increasing knowledge on how capacity to work is influenced by CMDs. Managers understand CMDs in employees as changed, reducing the capacities needed for occupational functioning. A deeper understanding of reduced capacity to work is needed to adapt workplaces, and our findings can facilitate work accommodations for employees with CMDs.

    Fulltekst (pdf)
    Springer
  • 24.
    Tengelin, Ellinor
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Misund Dahl, Berit
    Department of health sciences, Norwegian University of Science and Technology, Norway.
    Boman, Åse
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Ottesen, Aase Marie
    Department of communication and psychology, Aalborg University, Denmark.
    The struggle between ancient welfare thinking and prevailing health care policy in Scandinavian health care legislative documents2019Inngår i: 25th Annual Qualitative Health Research (QHR) Conference: Book of Abstracts, 2019, s. 67-Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    Traditional welfare state systems in Scandinavia are challenged by new governance systems. Demands for efficiency and productivity in healthcare increase, raising questions about patients' positions and agency. This also implies ethical dilemmas for healthcare professionals. Comprehensively analysing the findings of previous discourse studies on how the patient is constructed in central policy texts, this study compares the position of the patient and the accompanying ideological struggles in Norway, Sweden, and Denmark. The purpose was to compare and discuss the findings of discursive constructions of patients in law and policy text from the three countries. We found an ideological struggle across the Scandinavian countries, operating at a political level, a legislative level and a healthcare level, with variation in how the new value-based patient care is constructed. We conclude that national governance systems still exert hegemonic power by strongly influencing patients' degree of choice and autonomy. The Scandinavian countries may all be heading towards a commercial healthcare market, despite their tradition of a welfare model of healthcare. Today, healthcare strategies move in the opposite direction, controlled by politicians' financial goals. The ideological struggle between welfare state governance and other governance systems, may exist also in other western countries in our globalized world.

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