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  • 1.
    Abrahamsson, Agneta
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Samhällsvetenskap. Högskolan Kristianstad, Forskningsmiljön Arbete i skolan (AiS).
    Agevall, Lena
    Växjö universitet.
    Välfärdssektorns projektifiering: kortsiktiga lösning av långsiktiga problem2009Inngår i: Kommunal ekonomi och politik, ISSN 1402-8700, Vol. 13, nr 4, 35-60 s.Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    In this article we use two immigrant projects to identify similarities and consequences in order to discuss and analyse outwarding collaborative projects in human service organizations as a tool for change. The heavy use of projects in a slimmed public sector originates from projects’ contradictory promises of flexibility and effectiveness in the New Public Management context. Usually projects are used as a way to get more resources to long-term needs but are seldom implemented as planned in the regular organisation. Seemingly politicians, management and civil servants preferred are focusing on the positive side of projects as means to legitimate the organizations and to bring change by targeting and steering activities. However, they tend to overlook the negative consequences from projects. Citizens and participants experience frustration and distrust. The long-term development in organizations is scarce. Projects are seldom implemented meanwhile as the problems the projects were expected to target still are remaining or even are increasing.

  • 2.
    Abrahamsson, Agneta
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Samhällsvetenskap. Högskolan Kristianstad, Forskningsmiljön Arbete i skolan (AiS).
    Andersson, Joyce
    Springett, Jane
    Högskolan Kristianstad, Sektionen för hälsa och samhälle.
    Building bridges or negotiating tensions?: experiences from a project aimed at enabling migrant access to health and social care in Sweden2009Inngår i: Diversity in Health and Care, ISSN 1759-1422, E-ISSN 1743-4904, Vol. 6, nr 2, 85-95 s.Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    A current challenge for many European countries is to enable forced migrants to access health and social care that meets their needs. One solution is to use paraprofessionals - that is, trained individuals who are not professionals - to act as bridge-builders between minority communities and the health and social care sectors. This paper explores the development of a quality improvement project in Sweden. The project aimed to recruit and train forced migrants who had lived in Sweden for more than five years to act as bridge-builders. The aim was to use their unique experiences and knowledge in two ways - to work with service staff in developing new ways of working, and to become culturally competent paraprofessionals working with their own communities. This paper focuses on how an understanding of the role evolved as the participants reflected on their experiences and undertook an inquiry process culminating in the development of three possible models of what the task of a bridge-builder should be in developing culturally appropriate health and social services that are responsive to the needs of forced migrants. The conclusion reflects on what was learned and how the experiences from this project may be useful for others who are struggling with the same kind of problem in Sweden and in other countries.

  • 3.
    Abrahamsson, Agneta
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Samhällsvetenskap. Högskolan Kristianstad, Forskningsmiljön Arbete i skolan (AiS).
    Bing, Vibeke
    Löfström, Mikael
    Högskolan Borås.
    Familjecentraler i Västra Götaland: en utvärdering2009Rapport (Annet vitenskapelig)
  • 4.
    Abrahamsson, Agneta
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Samhällsvetenskap. Högskolan Kristianstad, Forskningsmiljön Arbete i skolan (AiS).
    Springett, Jane
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Karlsson, Leif
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Håkansson, Anders
    Department of Community Medicine, Lund University.
    Ottosson, Torgny
    Högskolan Kristianstad, Sektionen för lärande och miljö, Avdelningen för Pedagogik. Högskolan Kristianstad, Forskningsmiljön Learning in Science and Mathematics (LISMA).
    Some lessons from Swedish midwives' experiences of approaching women smokers in antenatal care2005Inngår i: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 21, nr 4, 335-345 s.Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVE: to describe the qualitatively different ways in which midwives make sense of how to approach women smokers. DESIGN, SETTING AND PARTICIPANTS: a more person-centred national project 'Smoke-free pregnancy' has been in progress in Sweden since 1992. Using a phenomenographic approach, 24 midwives who have been regularly working in antenatal care were interviewed about addressing smoking during pregnancy. FINDINGS: four different story types of how the midwives made sense of their experiences in addressing smoking in pregnancy were identified: 'avoiding', 'informing', 'friend-making', 'co-operating'. KEY CONCLUSION: the midwives' story types about how they approached women who smoke illustrated the difficulties of changing from being an expert who gives information and advice to being an expert on how to enable a woman in finding out why she smoked and how to stop smoking. IMPLICATIONS FOR PRACTICE: health education about smoking that is built on co-operation and dialogue was seen by the midwives as a productive way of working. The starting point should be the lay perspective of a woman, which means that her thoughts about smoking cessation are given the space to grow while she talks.

  • 5.
    Abrahamsson, Agneta
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Samhällsvetenskap. Högskolan Kristianstad, Forskningsmiljön Arbete i skolan (AiS).
    Springett, Jane
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Karlsson, Leif
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Ottosson, Torgny
    Högskolan Kristianstad, Sektionen för lärande och miljö, Avdelningen för Pedagogik. Högskolan Kristianstad, Forskningsmiljön Learning in Science and Mathematics (LISMA).
    Making sense of the challenge of smoking cessation during pregnancy: a phenomenographic approach.2005Inngår i: Health Education Research, ISSN 0268-1153, E-ISSN 1465-3648, Vol. 20, nr 3, 367-378 s.Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    In general, most women are familiar with the need to stop smoking when they are pregnant. In spite of this, many women find it difficult to stop. Using a phenomenographic approach, this study explored Swedish pregnant and post-pregnant women's ways of making sense of smoking during pregnancy. A total of 17 women who either smoked throughout pregnancy or stopped smoking during pregnancy were interviewed. Five different story types of how they are making sense of smoking during pregnancy were identified: smoking can be justified; will stop later; my smoking might hurt the baby; smoking is just given up; smoking must be taken charge of. Based on the study it is argued that the approach used in health education in relation to smoking cessation in antenatal care needs to move from information transfer and advice-giving to the creation of a dialogue. The starting point should be the woman's knowledge, concerns, rationalizations and prejudices. A model is suggested in which a woman may move in a space on three axes depending on life encounters, dialogue and reflections on meaning. The goal in health education would be to encourage movement along three axes: 'increase of self-efficacy towards control', 'increase awareness by reflection on meaning of the smoking issue' and 'avoidance of defense of the smoking behavior'.

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