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Article
Publication date: 3 August 2020

Susanna Böling, Johan M. Berlin, Helene Berglund and Joakim Öhlén

Considering the great need for palliative care in hospitals, it is essential for hospital staff to have palliative care knowledge. Palliative consultations have been shown to have…

Abstract

Purpose

Considering the great need for palliative care in hospitals, it is essential for hospital staff to have palliative care knowledge. Palliative consultations have been shown to have positive effects on in-hospital care. However, barriers to contact with and uptake of palliative consultation advice are reported, posing a need for further knowledge about the process of palliative consultations. The purpose of this study therefore was to examine how palliative consultations in hospitals are practised, as perceived by consultants and health care professionals on receiving wards.

Design/methodology/approach

Focus groups with palliative care consultation services, health care personnel from receiving wards and managers of consultation services. Interpretive description and constant comparative method guided the analysis.

Findings

Variations were seen in several aspects of practice, including approach to practice and represented professions. The palliative consultants were perceived to contribute by creating space for palliative care, adding palliative knowledge and approach, enhancing cooperation and creating opportunity to ameliorate transition. Based on a perception of carrying valuable perspectives and knowledge, a number of consultation services utilised proactive practices that took the initiative in relation to the receiving wards.

Originality/value

A lack of policy and divergent views on how to conceptualise palliative care appeared to be associated with variations in consultation practices, tentative approaches and a bottom-up driven development. This study adds knowledge, implying theoretical transferability as to how palliative care consultations can be practised, which is useful when designing and starting new consultation services.

Details

Journal of Health Organization and Management, vol. 34 no. 6
Type: Research Article
ISSN: 1477-7266

Keywords

Abstract

Details

Gender in Management: An International Journal , vol. 38 no. 2
Type: Research Article
ISSN: 1754-2413

Article
Publication date: 16 March 2015

Helene Berglund, Staffan Blomberg, Anna Dunér and Karin Kjellgren

– The purpose of this paper is to describe and analyse ways of organizing integrated care for older persons in Sweden during the past decade.

1049

Abstract

Purpose

The purpose of this paper is to describe and analyse ways of organizing integrated care for older persons in Sweden during the past decade.

Design/methodology/approach

The data consist of 62 cases of development work, described in official reports. A meta-analysis of cases was performed, including content analysis of each case. A theoretical framework comprising different forms of integration (co-ordination, contracting, co-operation and collaboration) was applied.

Findings

Co-operation was common and collaboration, including multiprofessional teamwork, was rare in the cases. Contracting can be questioned as being a form of integration, and the introduction of consumer choice models appeared problematic in inter-organization integration. Goals stated in the cases concerned steering and designing care, rather than outcome specifications for older persons. Explicit goals to improve integration in itself could imply that the organizations adapt to strong normative expectations in society. Trends over the decade comprised development of local health care systems, introduction of consumer choice models and contracting out.

Research limitations/implications

Most cases were projects, but others comprised evaluations of regular organization of integrated care. These evaluations were often written normatively, but constituted the conditions for practice and were important study contributions.

Practical implications

Guiding clinical practice to be aware of importance of setting follow-up goals.

Social implications

Awareness of the risk that special funds may impede sustainable strategies development.

Originality/value

A theoretical framework of forms of integration was applied to several different strategies, which had been carried out mostly in practice. The study contributes to understanding of how different strategies have been developed and applied to organize integrated care, and highlights some relationships between integration theory and practice.

Details

Journal of Health Organization and Management, vol. 29 no. 1
Type: Research Article
ISSN: 1477-7266

Keywords

Open Access
Article
Publication date: 23 November 2022

Karin Berglund, Helene Ahl, Katarina Pettersson and Malin Tillmar

In this paper, women entrepreneurs are seen as leaders and women leaders as entrepreneurial, making both groups an easy target of postfeminist expectations, governed by calls to…

1088

Abstract

Purpose

In this paper, women entrepreneurs are seen as leaders and women leaders as entrepreneurial, making both groups an easy target of postfeminist expectations, governed by calls to embody the entrepreneurial self. Acknowledging that the entrepreneurial self has its roots in the universal, rational and autonomous subject, which was shaped in a male form during the Enlightenment, the purpose of this study is to conceptualise feminist resistance as a process through which the autonomous subject can be de-stabilised.

Design/methodology/approach

Empirically, this study draws on an extensive research project on women’s rural entrepreneurship that includes 32 in-depth interviews with women entrepreneurs in rural Sweden. This study interpreted expressions of resistance from the women by using an analytical framework the authors developed based on Jonna Bornemark’s philosophical treatise.

Findings

Feminist resistance unfolds as an interactive and iterative learning process where the subject recognises their voice, strengthens their voice and beliefs in a relational process and finally sees themselves as a fully fledged actor who finds ways to overcome obstacles that get in their way. Conceptualising resistance as a learning process stands in sharp contrast to the idea of resistance as enacted by the autonomous self.

Research limitations/implications

This study helps researchers to understand that what they may have seen as a sign of weakness among women, is instead a sign of strength: it is a first step in learning resistance that may help women create a life different from that prescribed by the postfeminist discourse. In this way, researchers can avoid reproducing women as “weak and inadequate”.

Originality/value

Through the re-writing of feminist resistance, the masculine entrepreneurship discourse including the notion of the autonomous self is challenged, and a counternarrative to the postfeminist entrepreneurial woman is developed. Theorising resistance as a learning practice enables a more transforming research agenda, making it possible to see women as resisting postfeminist expectations of endless competition with themselves and others.

Details

Gender in Management: An International Journal , vol. 38 no. 2
Type: Research Article
ISSN: 1754-2413

Keywords

Open Access
Article
Publication date: 28 July 2021

Malin Tillmar, Helene Ahl, Karin Berglund and Katarina Pettersson

Contrasting two countries with different gender regimes and welfare states, Sweden and Tanzania, this paper aims to analyse how the institutional context affects the ways in which…

1789

Abstract

Purpose

Contrasting two countries with different gender regimes and welfare states, Sweden and Tanzania, this paper aims to analyse how the institutional context affects the ways in which a neo-liberal reform agenda is translated into institutional changes and propose how such changes impact the preconditions for women’s entrepreneurship.

Design/methodology/approach

This study uses document analysis and previous studies to describe and analyse the institutions and the institutional changes. This paper uses Scandinavian institutional theory as the interpretative framework.

Findings

This study proposes that: in well-developed welfare states with a high level of gender equality, consequences of neo-liberal agenda for the preconditions for women entrepreneurs are more likely to be negative than positive. In less developed states with a low level of gender equality, the gendered consequences of neo-liberal reforms may be mixed and the preconditions for women’s entrepreneurship more positive than negative. How neo-liberalism impacts preconditions for women entrepreneurs depend on the institutional framework in terms of a trustworthy women-friendly state and level of gender equality.

Research limitations/implications

The study calls for bringing the effects on the gender of the neo-liberal primacy of market solutions out of the black box. Studying how women entrepreneurs perceive these effects necessitates qualitative ethnographic data.

Originality/value

This paper demonstrates why any discussion of the impact of political or economic reforms on women’s entrepreneurship must take a country’s specific institutional context into account. Further, previous studies on neo-liberalism have rarely taken an interest in Africa.

Details

Journal of Enterprising Communities: People and Places in the Global Economy, vol. 16 no. 4
Type: Research Article
ISSN: 1750-6204

Keywords

Open Access
Article
Publication date: 16 August 2021

Malin Tillmar, Helene Ahl, Karin Berglund and Katarina Pettersson

Contrasting Sweden and Tanzania, this paper aims to explore the experiences of women entrepreneurs affected by entrepreneurialism. This study discusses the impact on their…

1364

Abstract

Purpose

Contrasting Sweden and Tanzania, this paper aims to explore the experiences of women entrepreneurs affected by entrepreneurialism. This study discusses the impact on their position in society and on their ability to take feminist action.

Design/methodology/approach

This paper analysed interviews conducted in the two countries over 15 years, using a holistic perspective on context, including its gendered dimensions.

Findings

The results amount to a critique of entrepreneurialism. Women in Sweden did not experience much gain from entrepreneurship, while in Tanzania results were mixed. Entrepreneurialism seems unable to improve the situation for women in the relatively well-functioning economies in the global north, where it was designed.

Research limitations/implications

In mainstream entrepreneurship studies, there is a focus on the institutional context. From the analysis, it is apparent that equal attention must be given to the social and spatial contexts, as they may have severe material and economic consequences for entrepreneurs and entrepreneurship. The paper raises questions for further studies on the gendering of markets in different contexts, as well as questions on the urban-rural dimension.

Practical implications

In Sweden, marketisation of welfare services led to more women-owned businesses, but the position of women did not improve. The results strongly convey the need for a careful analysis of the pre-existing context, before initiating reforms.

Originality/value

The paper adds to the understanding of context in entrepreneurship studies: Africa is largely an underexplored continent and contrasting North and South is an underexplored methodological approach. This paper further extends and develops the model of gendered contexts developed by Welter et al. (2014).

Details

Journal of Enterprising Communities: People and Places in the Global Economy, vol. 16 no. 5
Type: Research Article
ISSN: 1750-6204

Keywords

Article
Publication date: 24 January 2022

Malin Tillmar, Birgitta Sköld, Helene Ahl, Karin Berglund and Katarina Pettersson

The purpose of this paper is to explore and discuss to what extent and why women's entrepreneurship contributes to rural economic viability and gender equality in an advanced…

Abstract

Purpose

The purpose of this paper is to explore and discuss to what extent and why women's entrepreneurship contributes to rural economic viability and gender equality in an advanced welfare state.

Design/methodology/approach

The authors use detailed register data to explore men's and women's rural businesses in the most common industries for rural women entrepreneurs in the Swedish welfare state. Based on a literature review, the authors develop hypotheses and analyse how family, business and industry factors influence earnings.

Findings

Women's rural entrepreneurship is important for rural viability, as women's businesses provide a wide range of services necessary for life in rural areas. Although women's rural businesses are not significantly smaller than those of men, women's income is lower and more sensitive to business and industry variables. Marriage has positive effects for the earnings of men but negative effects for the earnings of women. The authors argue that the results are contingent on the gendering of entrepreneurship and industries, as well as on the local rural gender contracts. For these reasons, the importance of women entrepreneurs for rural viability is not reflected in their own incomes. Hence, women's rural entrepreneurship does not result in (economic) gender equality.

Originality/value

Entrepreneurship scholars rarely explore women's rural entrepreneurship, and particularly not in the Global North or Western welfare states. Therefore, this empirical study from Sweden provides novel information on how the gender order on the business, industry and family levels influences the income of men and women entrepreneurs differently.

Details

International Journal of Gender and Entrepreneurship, vol. 14 no. 3
Type: Research Article
ISSN: 1756-6266

Keywords

Article
Publication date: 11 September 2017

Colette Henry, Barbara Orser, Susan Coleman and Lene Foss

Government attention to women’s entrepreneurship has increased in the past two decades; however, there are few cross-cultural studies to inform policy development. This paper aims…

1446

Abstract

Purpose

Government attention to women’s entrepreneurship has increased in the past two decades; however, there are few cross-cultural studies to inform policy development. This paper aims to draw on gender and institutional theory to report on the status of female-focused small and medium-sized enterprises/entrepreneurship policies and to ask how – and to what extent – do women’s entrepreneurship policies differ among countries?

Design/methodology/approach

A common methodological approach is used to identify gaps in the policy-practice nexus.

Findings

The study highlights countries where policy is weak but practice is strong, and vice versa.

Research limitations/implications

The study’s data were restricted to policy documents and observations of practices and initiatives on the ground.

Practical implications

The findings have implications for policy makers in respect of support for women’s entrepreneurship. Recommendations for future research are advanced.

Originality/value

The paper contributes to extant knowledge and understanding about entrepreneurship policy, specifically in relation to women’s entrepreneurship. It is also one of the few studies to use a common methodological approach to explore and compare women’s entrepreneurship policies in 13 countries.

Details

International Journal of Gender and Entrepreneurship, vol. 9 no. 3
Type: Research Article
ISSN: 1756-6266

Keywords

Article
Publication date: 1 March 2016

Aida Alvinius, Bodil Wilde Larsson and Gerry Larsson

Swedish healthcare has undergone continuous development over several decades. Today, legal responsibility is shared on the local and regional levels, i.e. between municipalities…

Abstract

Swedish healthcare has undergone continuous development over several decades. Today, legal responsibility is shared on the local and regional levels, i.e. between municipalities and county councils. The purpose of the present study is to gain a deeper understanding of boundary spanning roles and strategies involved in municipal and county council collaboration. A grounded theory approach was used. Fifteen informants from several Swedish health care authorities were interviewed. A tension exists between preserving boundary strategies that stifle collaboration and boundary spanning strategies that facilitate it. The way boundary spanners manage their role is assumed to influence the centre of gravity for this tension and thus the combination of favourable boundary spanning strategies and favourable boundary spanning roles is one way of getting the current form of collaboration to work.

Details

International Journal of Organization Theory & Behavior, vol. 19 no. 2
Type: Research Article
ISSN: 1093-4537

Open Access
Article
Publication date: 30 August 2022

Shqipe Gashi Nulleshi and Viktorija Kalonaityte

This paper aims to add to the theorization of the gender dynamic in rural areas by investigating the motives of women who join their family firm (or their spouse's family firm…

2245

Abstract

Purpose

This paper aims to add to the theorization of the gender dynamic in rural areas by investigating the motives of women who join their family firm (or their spouse's family firm) and thereby defy the demographic trend of rural flight. The context of this study is the depopulation of rural areas with the closing of basic services and relocation of the younger population, and educated women in particular, to urban areas. Consequently, rural family businesses risk failing to find successors and suffering forced closure or relocation. The empirical site of the study is rural family firms in Sweden, a context characterized by a high level of gender equality in legislation and culture but gender-conservative business structures in rural regions.

Design/methodology/approach

The empirical case in this paper builds on a qualitative study of nine (9) life course narratives of women entrepreneurs in a rural region of Southern Sweden who have returned to rural areas to join their family business. The authors follow the view established by gender scholars that women are active agents in navigating their lives, and their life story narratives offer insight into the considerations that inform their choice to stay or return to rural locations. In Sweden, the setting for the study, gender equality is widely supported by legislation, policy and institutional frameworks and popular understanding of gender relations. In contrast to the gender-progressive policies of Sweden at large, women's entrepreneurship in rural regions of Sweden tends to follow traditional gender hierarchies and face similar constraints as in rural areas of other countries. The juxtaposition of these competing sets of ideals makes Sweden an important and interesting place to study and draw insights from the experiences of women entrepreneurs.

Findings

The findings reveal that women who choose to join rural family firms view them primarily in a positive light and see this choice as aligned with their need for professional flexibility and assertiveness, rewarding relationships, and a calm, secure, well-balanced life. Theoretically, the study implies that women choosing to engage in rural family firms seek non-material benefits, such as work–life balance and social support, and may be driven in part by a sense of psychological ownership that extends to the rural community.

Originality/value

The findings provide novel insights on women as active agents in navigating their lives and the intrinsic (e.g. alignment of personal values) and extrinsic (e.g. community support) motives that inform their decisions. The study also raises questions regarding how women perceive themselves as “fitting in” to rural settings and to what extent the sense of security within these settings that the women describe may be contingent upon factors such as their families' embeddedness within the community as well as their conformity to the local social norms.

Details

International Journal of Gender and Entrepreneurship, vol. 15 no. 1
Type: Research Article
ISSN: 1756-6266

Keywords

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