Introduction: Self-care Translated into Practice

Alftberg, Åsa; Hansson, Kristofer

doi:10.3384/cu.2000.1525.124415

Cited by 20 publications

(18 citation statements)

References 20 publications

(12 reference statements)

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“…In Sweden, these ideals are explicitly articulated in the Swedish Health and Medical services Act and can be assumed to be deeply rooted in the identity of healthcare professionals, constituting a joint feeling of professional responsibility. In recent decades, the basis for this care logic has been increasingly challenged by the self-care discourse in the form of policy changes that further relocate responsibility for the patient’s health and wellbeing, from the professional to the patient, as well as introducing new principles for cost efficiency [ 26 ]. The key component in HBHC – that the families should gradually be given the tools to make informed decisions in their everyday life, rather than be kept dependent on professional medical supervision – is in line with this logic of self-care.…”

Section: Resultsmentioning

confidence: 99%

How dislocation and professional anxiety influence readiness for change during the implementation of hospital-based home care for children newly diagnosed with diabetes – an ethnographic analysis of the logic of workplace change

Nilsson

Hansson

Tiberg

et al. 2018

BMC Health Serv Res

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BackgroundIn 2013–14, the evidence based care model Hospital-based Home Care for children newly diagnosed with diabetes was implemented at a large paediatric diabetes care facility in the south of Sweden. The first step of the implementation was to promote readiness for change among the professionals within the diabetes team through regular meetings. The aim was to analyse the implicit facilitators and barriers evident on a cultural micro level in discussions during the course of these meetings. What conceptions, ideals and identities might complicate, or facilitate, implementation?MethodsA case study was conducted during the implementation process. This article draw on ethnographic observations carried out at team meetings (n = 6) during the introductory element of implementation. From a discourse theoretical perspective, the verbal negotiations during these meetings were analysed.ResultsThree aspects were significant in order to understand the dislocation during this element of implementation: an epistemological disagreement that challenged the function of information within care practice; a paradoxical understanding of the time-knowledge intersection; and expressions of professional anxiety. More concretely, the professionals exhibited an unwillingness to give up the opportunity to provide structured, age-independent information; a resistance against allowing early discharge; and a professional identity formed both by altruistic concern and occupational guardiancy. The findings suggest the necessity of increased awareness of the conceptions and ideals that constitute the basis of a certain professional practice; a deeper understanding of the cultural meaning that influences care practice within a specific logic in order to predict in what way these ideals might be challenged by the implemented evidence.ConclusionsOur main contribution is the argument that the implemented evidence in itself needs to be examined and problematized from a cultural analytical perspective before initiation in order to be able to actively counter negative connotations and resistance.

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Section: Resultsmentioning

confidence: 99%

How dislocation and professional anxiety influence readiness for change during the implementation of hospital-based home care for children newly diagnosed with diabetes – an ethnographic analysis of the logic of workplace change

Nilsson

Hansson

Tiberg

et al. 2018

BMC Health Serv Res

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“…Plasticity has also brought along an idea that individuals should take care of their malleable brain, to keep it vital (cf. Alftberg & Hansson 2012). In this way, the discursive logic of the (dis)able(d) brain intertwines with what can be called scientific authority.…”

Section: Vulnerable Normality In Popular Neuroimagingmentioning

confidence: 95%

Vulnerable Normality: Popular Neuroimaging and the Discursive Logic of the (Dis)able(d) Brain

Hansson

Suneson

2018

Cult. Unbound

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The aim of this article is to analyse popular neuroimaging of (dis)able(d) brains as a cultural phenomenon, as well as to explore how there has been, during the last decades, a subtle but important change in the way "normal" brains are depicted in popular science. Popular neuroimaging is introduced and used as an empirical basis to analyse what Fiona Kumari Campbell sees as a critique against ableism. The empirical material consists of two British popular science documentaries (both produced by the BBC) on the topic of the brain: Human Brain (1983), and Brain Story (2004). The article argues that the position of normality and able-bodiedness has changed as the development of brain scanning techniques has emerged. In particular, there seems to have been a change in how the brain is visualized and talked about. New frameworks for understanding normality, disability and vulnerability have appeared. Furthermore, we claim that this shift needs to be studied from a theoretical perspective that analyses the discursive logic of the (dis)

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“…followed by 'Hypoglycaemia' , 'Correction dose' , 'Counting carbs' , and 'Exercise' . These points summed up the hope that the family would take responsibility not only for the child's treatment, but also for reaching their health goals with a form of self-care (Alftberg & Hansson 2012;Arduser 2017;Liu and Lundin in this volume).…”

Section: A Number In Circulationmentioning

confidence: 99%

“…Regular exercise will help keep your blood sugar stable and you will feel better in both the short and the long term!' This information imposes a dispositif on the family that not only creates a relation to the 'standardized knowledge' of healthcare (Agamben 2014), but also makes visible the knowledge subject who has experience enough to practise self-care (Foucault 1978;Alftberg & Hansson 2012). At the staff meeting, the first person to talk about the leaflet was one of the doctors, Emma, who wanted to stress it was very useful, because it gave the family information about HbA1c and because 'patients are happier for taking something with them' when leaving the clinic (meaning that most families of children with newly diagnosed diabetes liked having both verbal and written information).…”

Section: A Number In Circulationmentioning

confidence: 99%