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  • 1.
    Fröding, Karin
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Geidne, Jonny
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Elander, Ingemar
    Örebro University, School of Humanities, Education and Social Sciences.
    Eriksson, Charli
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Towards Sustainable Structures for Neighbourhood Development?: Healthy City Research in four Swedish Cities 2003 – 2009.2013In: Journal of Health Organisation & Management, ISSN 1477-7266, E-ISSN 1758-7247, Vol. 27, no 2, p. 225-245Article in journal (Refereed)
  • 2.
    Fröding, Karin
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Geidne, Jonny
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Elander, Ingemar
    Örebro University, School of Humanities, Education and Social Sciences.
    Eriksson, Charli
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Towards sustainable structures for neighbourhood development?: Healthy city research in four Swedish municipalities 2003‐20092013In: Journal of Health Organisation & Management, ISSN 1477-7266, E-ISSN 1758-7247, Vol. 27, no 2, p. 225-245Article in journal (Refereed)
    Abstract [en]

    PURPOSE: A vehicle to reduce health inequalities and improve public health has been provided by programmes at a neighbourhood level. The purpose of this paper is to analyse the development processes in four municipalities for achieving sustainable structures in area-based development programmes during and after a formal partnership period.

    DESIGN/METHODOLOGY/APPROACH: A case-study database was compiled based on the strategic and local work of four municipalities and four municipal housing companies who cooperated in the Partnership for Sustainable Welfare Development 2003-2009. The case-study database includes nine in-depth studies with interviews (n = 68), participant observations (n = 125), a survey (n = 1,160), and documents. The data are analysed using three theoretical concepts: political support, alliances, and citizen participation.

    FINDINGS: Political support, alliances, and citizen participation are important building blocks in neighbourhood development work. However, when the partnership ended there was little left that could function as a sustainable structure. Political support seems to be a means to reach the target, including ensuring a consistent approach and allocation of resources. However, the support must continue also after the intervention period, when the formal partnership collaboration ends, otherwise the established structure will soon decompose. Citizen participation is another precondition for a sustainable structure able to continue despite reduced municipal support. Alliances have the best chance of forming sustainable structures when they involve both the strategic and the operational level.

    ORIGINALITY/VALUE: Even though many evaluations have been conducted to capture the process of interventions, little attention has been given to the challenges facing the outcomes of the intervention when it comes to making permanent the activities for reducing health inequalities. This paper is an attempt to deal with these challenges.

  • 3.
    Tamás, Éva
    et al.
    Institution for Medicine and Health, Linköpings Universitet, Linköping, Sweden.
    Södersved Källestedt, Marie-Louise
    Clinical Skills Centre, Centre for Clinical Research, Uppsala University, Uppsala, Sweden.
    Hult, Håkan
    Department of Clinical Science Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.
    Carlzon, Liisa
    Simulation Centre West, Department of Research, Education and Development, Sahlgrenska University Hospital, Göteborg, Sweden.
    Karlgren, Klas
    The Södersjukhuset Hospital and Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden.
    Berndtzon, Magnus
    Metodikum - Skill Centre of Medical Simulation, Region County Jönköping, Jönköping, Sweden.
    Hultin, Magnus
    Department of Surgical and Perioperative Sciences, Anaesthesiology and Intensive Care (Sunderbyn), Umeå University, Umeå, Sweden.
    Masiello, Italo
    Department of Clinical Science and Education, Karolinska Institutet, Stockholm, Sweden.
    Allvin, Renée
    Örebro University, School of Medical Sciences. Örebro University Hospital. Clinical Skills Centre.
    Simulation educators in clinical work: the manager's perspective2020In: Journal of Health Organisation & Management, ISSN 1477-7266, E-ISSN 1758-7247, Vol. 34, no 2, p. 181-191Article in journal (Refereed)
    Abstract [en]

    PURPOSE: Information is scarce on healthcare managers' understanding of simulation educators' impact on clinical work. Therefore, the aim of this study was to explore healthcare managers' perceptions of the significance of clinically active simulation educators for the organisation.

    DESIGN/METHODOLOGY/APPROACH: Healthcare managers were invited to be interviewed in a semi-structured manner. Inductive thematic analysis was used to identify and analyse patterns of notions describing the managers' perceptions of simulation educators' impact as co-workers on their healthcare organisations.

    FINDINGS: The identified relevant themes for the healthcare unit were: (1) value for the manager, (2) value for the community and (3) boundaries. Simulation educators were perceived to be valuable gatekeepers of evidence-based knowledge and partners in leadership for educational issues. Their most prominent value for the community was establishing a reflective climate, facilitating open communication and thereby improving the efficacy of teamwork. Local tradition, economy, logistics and staffing of the unit during simulation training were suggested to have possible negative impacts on simulation educators' work.

    PRACTICAL IMPLICATIONS: The findings might have implications for the implementation and support of simulation training programs.

    SOCIAL IMPLICATIONS: Healthcare managers appreciated both the personal value of simulation educators and the effect of their work for their own unit. Local values were prioritised versus global. Simulation training was valued as an educational tool for continual professional development, although during the interviews, the managers did not indicate the importance of employment of pedagogically competent and experienced staff.

    ORIGINALITY/VALUE: The study provided new insights about how simulation educators as team members affect clinical practice.

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