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  • 51.
    Tengelin, Ellinor
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Misund Dahl, Berit
    Department of health sciences, Norwegian University of Science and Technology, Norway.
    Boman, Åse
    University West, Department of Health Sciences, Section for nursing - graduate level.
    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 documents2019In: 25th Annual Qualitative Health Research (QHR) Conference: Book of Abstracts, 2019, p. 67-Conference paper (Other academic)
    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.

  • 52.
    Viking, Tuija
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Wenzer, J.
    University of Gothenburg, Gothenburg (SWE).
    Hylin, U.
    Department of Clinical Science and Education, Karolinska Institutet, Stockholm (SWE).
    Nilsson, Lena A.
    University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Peer support workers´ role and expertise and interprofessional learning in mental health care:: a scoping review2022In: Journal of Interprofessional Care, ISSN 1356-1820, E-ISSN 1469-9567, Vol. 36, no 6, p. 828-838Article in journal (Refereed)
    Abstract [en]

    Interprofessional learning (IPL), which is learning arising from the interaction between representatives of two or more professions, has not been studied extensively in relation to peer support workers (PSWs) in mental health care teams. PSWs support others who face challenges with their own experience of similar challenges of mental health problems. The role of PSWs has been studied in mental health care interprofessional teams. However, researchers have not paid attention to IPL where the PSWs contribute their knowledge. This paper is a scoping review that aims to highlight existing knowledge of the PSW role and expertise in IPL in the context of mental health care. The findings show knowledge of (a) the key factors and challenges when interprofessional teams include the PSW role, (b) the legitimacy of the PSWs' role and expertise, and (c) the benefits of the PSW role. A knowledge gap was identified of teams' use of PSWs' expertise and its implications for IPL.

    Download full text (pdf)
    T&F
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