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  • 1.
    Hjelte, Jan
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete. Department of support and developlment, Umeå Municipality.
    Från ax till limpa: Om konsten att skapa smakliga insatserav goda idéer. En utvärdering av Tilda-satsningen.2008Rapport (Övrig (populärvetenskap, debatt, mm))
  • 2.
    Hjelte, Jan
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete. Department of support and developlment, Umeå Municipality.
    Från matvanor till narkotikaanvändning.: En studie av hälsan hos Ungdomar i Umeåregionen utifrån 2007 års Leva-undersökning.2009Rapport (Övrig (populärvetenskap, debatt, mm))
  • 3.
    Hjelte, Jan
    Department of support and developlment, Umeå Municipality.
    LOKE-boken: en handbok för lokal uppföljning enligt LOKE-modellen2018Rapport (Övrig (populärvetenskap, debatt, mm))
    Abstract [sv]

    I handboken diskuteras vad LOKE är för något, men också vad som kan vara bra att tänka på när man planerar och genomför lokal uppföljning enligt LOKE-modellen. Handboken berör modellen i sig, hur man kan gå tillväga för att följa upp och analysera data, men också vad man kan tänka på vid implementering samt hur uppföljning kan vara en del i ett lärande. Återgivningen gör inte anspråk på att vara uttömmande när det gäller vad som finns skrivet inom dessa kunskapsområden. Istället utgår den från mina egna, men också nuvarande och före detta kollegors erfarenheter av vad som kan vara värt att tänka på vid uppföljning med LOKE-modellen.

  • 4.
    Hjelte, Jan
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Samarbete i gränsland: Om relation och kommunikation i samarbete mellan skola och barnomsorg2005Doktorsavhandling, monografi (Övrigt vetenskapligt)
    Abstract [en]

    This thesis is a case study about the forms of appearance and the consequences of relations and communication in collaborative work between school and child-care providers. The empirical data consists mainly of interviews, but include also a number of written documents.

    The aims of the study are:

    • First, to review how relations and communication appear in collaborations between school and child-care.

    • Second, to examine the consequences of relations and these communica-tions for cooperation between different professions in school and child-care.

    • Third, to review how these relations and communications between child-care and school are influenced by organizational conditions.

    The theoretical frame of reference has four sections. The first comprises some comprehensive assumptions for the thesis. The second deals with perspectives on relation and communication. The third discusses cooperation as organizing of social processes. The fourth examines, from a neo-institutional standpoint, how organizational conditions influence professional relations and communication in these collaborations.

    Regarding relations, the analysis shows that there was regular face-to-face-contact between different professional groups but variations in frequency of contact. One contributing cause to the variations was geographical distance. Another cause was the extent to which the groups shared common interests. It also became evident that there were variations in the distribution of power partly caused by systemic, structural, conditions and partly by episodic and temporary aspects.

    The analysis also shows that communication has four content types. First, work communication, refers to the everyday communication in cooperation. News- and status communication concerns actors, at different levels, informing other actors about their status. Management communication, partly concerned the coordination of areas of responsibility on the management level. It also con-cerned the managers’ direction of the operative level. Value and culture communication, included discussions about the underlying assumptions of different programs.

    Relations and communication affected those areas of knowledge and those programs that would be a part of the cooperation. If the actors did not agree with one another they had to negotiate to reach an agreement that both parties accepted. Communication also influenced the opportunity to organize cooperation around children’s needs. For example communication influenced flexibility in the cooperation. To make this possible continuous communication was necessary as was the opportunities to create similar knowledge about each other’s competence and how it was manifested in the practical work.

    Regarding the organizational conditions, institutional rules affected the actors opinions about whom they should cooperate, and therefore communicate, with. In spite of that, the actors on the operative level had a space to act strategically. Therefore the implementation of cooperation, to a great extent, was formed in communication between actors who were involved in the every day work.

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  • 5.
    Hjelte, Jan
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete. Department of support and developlment, Umeå Municipality.
    Brännström, Jan
    Engström, Christer
    Lokal Evidens (Loke)!: En modell för lokal uppföljning av kommunal öppen och heldygnsvård som riktar sig till personer med missbruks- och beroendeproblematik. Ett SKL-uppdrag.2010Manuskript (preprint) (Övrig (populärvetenskap, debatt, mm))
  • 6.
    Hjelte, Jan
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete. Department of support and developlment, Umeå Municipality.
    Brännström, Jan
    Engström, Christer
    Örnberg, Daniel
    Slutrapport implementering av LOKE 2011 – 20132014Manuskript (preprint) (Övrig (populärvetenskap, debatt, mm))
  • 7.
    Hjelte, Jan
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Eliasson, Benitha
    Association of Local Authorities Norrbotten, Luleå, Sweden.
    Berg, Elisabeth
    Department of Business Administration, Technology and Society, Luleå University of Technology, Luleå, Sweden.
    Changes in ideas on knowledge governance in the context of social services in Sweden2022Ingår i: Nordic Social Work Research, ISSN 2156-857X, E-ISSN 2156-8588, Vol. 13, nr 3, s. 431-444Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Over the past 20 years, the Swedish government and national authorities have organized a structure for knowledge governance in order to implement an evidence-based practice (EBP) for social services. Since the idea of a knowledge governance has not been implemented as expected, it was considered important to develop regional collaboration and support structures (RCSSs) as a link between national and local authorities. In this article, we discuss changes in ideas on knowledge governance at the national level, and also changes in expectations on RCSSs function in knowledge governance of the Swedish social service. Changes in governance also change the prerequisites for implementation of EBP. Therefore, it is important to further examine and analyse ideas on knowledge governance at the national level and whether they change over time. The empirical data consists of official documents and interviews with representatives of key actors at national level. A qualitative content analysis of the interviews was then performed and also an analysis of the official document was used to describe the changes on knowledge governance. This article shows that ideas on knowledge governance has changed over time, from an emphasis on top-down governance towards a more dialogue-based governance. This shift in governance ideals also appears to have had an impact on expectations regarding RCSSs, through an increased emphasis on their collaborative function in relation to both national and local levels. The knowledge governance and the function of the RCSSs appear to be fragile, as this collaboration is based on voluntary partnership and networks.

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  • 8.
    Hjelte, Jan
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Eliasson, Benitha
    Association of Local Authorities Norrbotten, Luleå, Sweden.
    Höög, Elisabet
    Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa.
    Westerlund, Anna
    Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa.
    At the Interplay Between Needs and Expectations: Regional Perspectives on Being an Intermediary Support Structure in Knowledge Governance2022Ingår i: Nordic Journal of Social Research, E-ISSN 1892-2783, Vol. 13, nr 2, s. 1-15Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction: During the last decade, structures for ‘knowledge governance’ as a means of strengthening the quality of social services has been used by the Swedish government and national authorities. In this process, regional collaboration and support structures (RCSSs) have been identified as a key asset as an intermediary link between national and local actors. The aim of this study was to explore the perspectives of these regional actors on expectations associated with being an intermediary support structure in knowledge governance processes in social services in Sweden. Methods: The study uses an abductive, qualitative approach, mainly with open questions in an empirical-driven manner (inductively) and partly in a theory-driven manner (deductively). Interviews with representatives from the RCSSs were used for data collection. Conventional content analysis with elements of directed content analysis of the data material was used. Results: A variety of expectations on RCSSs was reported from the national and local levels. According to the respondents, the feeling of inadequacy in relation to the perceived expectations was recurrent because the expectations were hard to meet. They also experienced role ambiguity and that their mission was unclear. Conclusions: The findings show that RCSSs seem to handle the situation by considering, assessing, and prioritising different actors’ needs and expectations in relation to their own perception of the intermediary mission. The findings also indicate a lack of a collective sense-making process with other key actors on different levels in the knowledge governance system. To reach the core purpose of knowledge governance, it is necessary to establish a common understanding of the relationship between expectations and prerequisites for facilitation between national, regional, and local actors.

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  • 9.
    Hjelte, Jan
    et al.
    Umeå kommun.
    Hyvönen, Ulf
    Externa relationer, Umeå universitet.
    Sjöberg, Magdalena
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Från tanke till handling: unga föräldrars beslut om deltagande i föräldrastödsgrupper2013Ingår i: Familjepeppen: en föräldrastödsatsning i Umeåregionen / [ed] Ulrika Widding och Johanna Olsson, Umeå: Umeå kommun , 2013, s. 13-18Kapitel i bok, del av antologi (Övrig (populärvetenskap, debatt, mm))
  • 10.
    Hjelte, Jan
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Höög, Elisabet
    Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa.
    Nordström, Annika
    FoU Socialtjänst, Region Västerbotten, Umeå, Sverige.
    Kunskap och expertis i små glesbygdskommuners socialtjänst: synen på utmaningar och lösningar2023Ingår i: Socialvetenskaplig tidskrift, ISSN 1104-1420, E-ISSN 2003-5624, Vol. 30, nr 1, s. 457-476Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Small rural municipalities face major challenges in the area of welfare. One of these challenges is about providing knowledge and expertise within social services. As a result of its small scale, social services in rural areas have an integrated organisation where social workers are supposed to work with a wide range of social problems. At the same time, there are expectations that they should have expertise in defined areas. This article focuses on how representatives of social services in eight rural municipalities view the opportunities to provide knowledge and expertise.

    Data collection was carried out within an action research project in connection with conferences and workshops. The results show that it can be challenging to develop knowledge and expertise. Since social services mainly have an integrated organisation, it is difficult to keep up-to-date on the state of knowledge in all areas. Another challenge is that it can be difficult to maintain skills in practice because certain types of cases are encountered relatively rarely.

    To deal with the challenges, different collaborative solutions are seen as a way to balance expectations on knowledge and expertise, and to balance the expectations of knowledge and expertise with the conditions that prevail in rural environments. The attitude towards different kinds of digital technology – for example web-based education and supervision – as tools for knowledge development and access to expertise is consistently positive. The results also indicate that digital technology has the potential to change the perspectives on the organisation of knowledge development and expertise within social services in rural municipalities.

    An overall interpretation of the results is that social services in rural areas must deal with different challenges in terms of knowledge and expertise than social services in larger and more densely populated areas. Therefore, the possible solutions are also different.

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  • 11.
    Hjelte, Jan
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Ineland, Jens
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Quality in professional encounters with students who have intellectual disabilities: experiences from special needs upper secondary schools in Sweden2020Ingår i: European Journal of Special Needs Education, ISSN 0885-6257, E-ISSN 1469-591X, Vol. 35, nr 5, s. 648-662Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this article is to analyse how professionals in special needs upper secondary schools in Sweden – assistants, teachers and Special Education Needs Coordinators – understand and define quality in their daily interactions with students who have intellectual disabilities. Our analysis draws on data collected via a digital questionnaire, including both open-ended and standardised (Likertscale) questions. In this study, written excerpts from open-ended questions comprised the primary empirical data used in the analysis. 129 respondents provided a total of 289 statements concerning their views on quality in professional encounters. In order to explore the semantic content of the written excerpts, the empirical data were analysed using thematic content analysis. Our findings show that perceptions of quality can be categorised differentiated into three typological themes or aspects: individual, relational and contextual. Our findings also show that differences in responses – both frequency and content – appear to be associated with the respondents' professional affiliation. Based on these findings, the article suggests the need for an established and shared theoretical basis –in education and practice – of what constitutes quality in professional encounters with students who have intellectual disabilities.

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  • 12.
    Hjelte, Jan
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete. Department of support and development, Umeå Municipality.
    Sjöberg, Magdalena
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Westerberg, Kristina
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för psykologi.
    Hyvönen, Ulf
    From thought to action: young parents' reasons for participation in parenting support groups at child welfare centers2015Ingår i: Social Work in Public Health, ISSN 1937-1918, Vol. 30, nr 6, s. 516-533Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    In this article the focus is on young parents' engagement process in relation to participation in parenting support groups carried out at child welfare centers. This qualitative study focuses not only on young parents' reasons for participating or not participating in parenting support groups during different phases in their engagement process, but also on examining the circumstances that may contribute to such changes. The results show that these reasons can be divided into four categories: the staff, other participants, the social network, and practical circumstances. It also appears that these reasons change between different phases of their engagement process. Primarily three different circumstances contributed to variation in parents' reasons: difficulty in predicting the value of participation, increased closeness in relationships with staff and other parents, and the specific life phase in which young parents find themselves. The results have important implications for policy makers and practitioners in their work in formulating and updating parenting support; they also indicate what may be important to focus on in the recruitment of young parents, and also what may be crucial in regard to them completing their engagement in parent support groups.

  • 13.
    Hjelte, Jan
    et al.
    Department of Support and Development, Umeå Municipality, Umeå, Sweden.
    Stenling, Andreas
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för psykologi.
    Westerberg, Kristina
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för psykologi.
    Youth jobs: young peoples' experiences of changes in motivation regarding engagement in occupations in the Swedish public sector2018Ingår i: International Journal of Adolescence and Youth, ISSN 0267-3843, E-ISSN 2164-4527, Vol. 23, nr 1, s. 36-51Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This article focuses on the influence of a programme with the purpose of increasing young people’s motivation to engage in professions with labour shortages in the Swedish public sector. The data collection methods used were qualitative and quantitative. The study shows that employment quality (skills, learning opportunities and social interaction) is essential to young people in relation to labour market interventions targeted at professions with labour shortages in the public sector. There appears to be heterogeneity in how young people value different factors. In addition, the motivational profile of young people seems to be an evolving process, but also in what way participation in a programme with focus on professions with labour shortages may contribute to such changes. The results indicate that, when planning a programme aimed at young people, individual differences should be taken into account in order to motivate them to work in professions with labour shortages.

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  • 14.
    Hjelte, Jan
    et al.
    Umeå socialtjänsten (Umeå Social Services).
    Westerberg, Kristina
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för psykologi.
    The story of a knowledge-based and learning organization2014Ingår i: Nordic Journal of Social Research, E-ISSN 1892-2783, Vol. 5, s. 1-20Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Knowledge is generally viewed as one of the most important organizational resources, and this view is also held in relation to municipal elderly-care organizations. However, the concept of a knowledge-based organization has seldom been addressed in elderly-care research. The aim of the present study was to analyse how political and professional groups involved in elderly care conceive of the idea of a knowledge-based organization, and how these conceptions relate to their expectations in relation to the future of elderly care. This issue is important because these conceptions are intertwined with actions conducted by organizational members. Participants were selected for the study on the basis of organizational level and engagement in the development of different kinds of care in an elderly-care organization in a large municipality. A narrative approach was used for data analysis. The study indicates that the interpretations of a knowledge-based organization bring stability and meaning to participants by linking elderly care, as it is in the present, to an image of its future. Furthermore, the narratives are adjusted depending on what kind of problems that organization is expected to solve. However, the participants do not view the economic resources of the organization as something they can influence and develop, in either the present or the future. The study also shows that there are multiple perspectives in regard to the meaning of a knowledge-based organization and, accordingly, multiple perspectives on what will need to be done in the future. This is a potential problem for elderly care because it can hinder the coordination of organizational activities and the ability to handle the challenges of the future. Therefore the results point to the importance of creating within the organization a shared meaning of its main problems, and to the contribution a knowledge-based organization can make in solving these problems.

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  • 15.
    Hjelte, Jan
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete. Department of support and development, Umeå Municipality.
    Westerberg, Kristina
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för psykologi.
    Svanevie, Kajsa
    En ljusnande framtid är vår?: En utvärdering av Umeå kommuns satsning på ungdomsjobb mellan åren 2010-20132014Rapport (Övrig (populärvetenskap, debatt, mm))
  • 16.
    Ineland, Jens
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Pedagogiska institutionen.
    Hjelte, Jan
    Umeå Municipality, Sweden.
    Knowing, being or doing?: A comparative study on human service professionals' perceptions of quality in day-to-day encounters with clients and students with intellectual disabilities2018Ingår i: Journal of Intellectual Disabilities, ISSN 1744-6295, E-ISSN 1744-6309, Vol. 22, nr 3, s. 246-261Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    What does it mean to decide, act and behave in a professional manner towards people with intellectual disabilities? This article analyses how professionals from three welfare organizations describe quality in daily encounters with people with intellectual disabilities. Four hundred and twenty-one respondents participated in the study. Our empirical data consisted of written excerpts exclusively. Findings revealed that quality in encounters with people with intellectual disabilities was associated with personal attributes, pertinent knowledge, professional actions and ideological awareness. Findings also show differences in responses, both quantitatively (frequency) and qualitatively (content), which seem to be associated with organization. This reflects that human service organizations, as normative environments, underpin ideas about relevance and appropriateness in day-to-day situations, forming actions and perceptions among its members. Our conclusion is that organizational context needs to be considered to enhance our knowledge on how different categories of professionals view quality and moral worth when working with people with intellectual disabilities.

  • 17.
    Ineland, Jens
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Pedagogiska institutionen.
    Hjelte, Jan
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Knowing, being or doing?: Perceptions among human service professionals about quality in day-to-day encounters with people with intellectual disabilities.2016Konferensbidrag (Refereegranskat)
  • 18.
    Jonsson, Frida
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa. Umeå universitet, Arktiskt centrum vid Umeå universitet (Arcum).
    Goicolea, Isabel
    Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa.
    Hjelte, Jan
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Linander, Ida
    Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa.
    Representing a Fading Welfare System that Is Failing Young People in 'NEET' Situations: a WPR Analysis of Swedish Youth Policies2022Ingår i: Journal of Applied Youth Studies, ISSN 2204-9193Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The situation of young people who are neither in employment, education nor training (referred to in political, scientific and public discourses as ‘NEETs’) has received widespread attention during the last decade. However, while policy responses to young people’s work- and school-related marginalisation have been analysed by international scholars in a variety of contexts, to the best of our knowledge, no study to date has scrutinised problem representations of ‘NEET’ young people in youth policies in Sweden. To bridge the current knowledge gap and uncover taken-for-granted assumptions about the otherwise largely unchallenged Nordic welfare model, the aim of this research was to explore how the ‘problem’ of ‘NEET’ young people is represented in Swedish policies and policy proposals. To facilitate this, a discursive approach to policy analysis was adopted, following Bacchi’s ‘What’s the Problem Represented to be?’ (WPR) methodology. By focusing on the solutions that have been proposed to reduce the size of the ‘NEET’ group in two selected policies, four problem representations were developed. These connect the ‘NEET’ problem in Sweden, at the general level, to the ‘vulnerability’ of young people on the margins of education and employment (especially certain sub-groups) and, more specifically, to the failure of a fading welfare system to provide services and support for these ‘vulnerable’ subjects. Beyond representing the ‘problem’ along these lines, the identified problem representations may contribute to silencing young people’s agency and ignoring the consequences of a growing labour-market precarisation in Sweden, while failing to provide a basis for equity and social justice.

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  • 19.
    Meili, Kaspar Walter
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa. Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Hjelte, Jan
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Jonsson, Frida
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Allmänmedicin. Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa.
    Löfgren, Curt
    Månsdotter, Anna
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Allmänmedicin. Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa.
    Lindholm, Lars
    Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa. Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin.
    NEET prevention through Sweden’s youth payroll tax cut: Evaluating cost-effectiveness using CALY-SWEManuskript (preprint) (Övrigt vetenskapligt)
  • 20.
    Meili, Kaspar Walter
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa.
    Hjelte, Jan
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Lindholm, Lars
    Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa. Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin.
    Månsdotter, Anna
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Allmänmedicin. Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa.
    Capability inequality: Does disadvantage or plurality matter more for policy?: A Swedish cross-sectional study on the population distribution and group differences of capability using CALY-SWEManuskript (preprint) (Övrigt vetenskapligt)
  • 21.
    Meili, Kaspar Walter
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa.
    Mulhern, Brendan
    Centre for Health Economics Research and Evaluation, University of Technology Sidney, Ultimo, Australia.
    Ssegonja, Richard
    Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden; Respiratory, Allergy and Sleep Medicine Research Unit, Department of Medical Sciences, Uppsala University, Uppsala, Sweden.
    Norström, Fredrik
    Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa.
    Feldman, Inna
    Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Månsdotter, Anna
    Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa.
    Hjelte, Jan
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Lindholm, Lars
    Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa.
    Eliciting a value set for the Swedish capability-adjusted life years instrument (CALY-SWE)2023Ingår i: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: Our aim was to elicit a value set for Capability-Adjusted Life Years Sweden (CALY-SWE); a capability-grounded quality of life instrument intended for use in economic evaluations of social interventions with broad consequences beyond health.

    Methods: Building on methods commonly used in the quality-adjusted life years EQ-5D context, we collected time-trade off (TTO) and discrete choice experiment (DCE) data through an online survey from a general population sample of 1697 Swedish participants. We assessed data quality using a score based on the severity of inconsistencies. For generating the value set, we compared different model features, including hybrid modeling of DCE and TTO versus TTO data only, censoring of TTO answers, varying intercept, and accommodating for heteroskedasticity. We also assessed the models’ DCE logit fidelity to measure agreement with potentially less-biased DCE data. To anchor the best capability state to 1 on the 0 to 1 scale, we included a multiplicative scaling factor.

    Results: We excluded 20% of the TTO answers of participants with the largest inconsistencies to improve data quality. A hybrid model with an anchor scale and censoring was chosen to generate the value set; models with heteroskedasticity considerations or individually varying intercepts did not offer substantial improvement. The lowest capability weight was 0.114. Health, social relations, and finance and housing attributes contributed the largest capability gains, followed by occupation, security, and political and civil rights.

    Conclusion: We elicited a value set for CALY-SWE for use in economic evaluations of interventions with broad social consequences.

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  • 22.
    Meili, Kaspar Walter
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa.
    Månsdotter, Anna
    Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa. Department of Living Conditions and Lifestyles, Public Health Agency Public Health Agency of Sweden, Stockholm, Sweden.
    Richter Sundberg, Linda
    Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa.
    Hjelte, Jan
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Lindholm, Lars
    Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa.
    An initiative to develop capability-adjusted life years in Sweden (CALY-SWE): Selecting capabilities with a Delphi panel and developing the questionnaire2022Ingår i: PLOS ONE, E-ISSN 1932-6203, Vol. 17, nr 2, artikel-id e0263231Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction: Capability-adjusted life years Sweden (CALY-SWE) are a new Swedish questionnaire-based measure for quality of life based on the capability approach. CALY-SWE are targeted towards use in cost-effectiveness evaluations of social welfare consequences. Here, we first motivate the measure both from a theoretical and from a Swedish policy-making perspective. Then, we outline the core principles of the measure, namely the relation to the capability approach, embedded equity considerations inspired by the fair-innings approach, and the bases for which capabilities should be considered. The aims were to 1) the most vital capabilities for individuals in Sweden, 2) to define a sufficient level of each identified capability to lead a flourishing life, and to 3) develop a complete questionnaire for the measurement of the identified capabilities.

    Material and methods: For the selection of capabilities, we used a Delphi process with Swedish civil society representants. To inform the questionnaire development, we conducted a web survey in three versions, with each Swedish 500 participants, to assess the distribution of capabilities that resulted from the Delphi process in the Swedish population. Each version was formulated with different strictness so that less strict wordings of a capability level would apply to a larger share of participants. All versions also included questions on inequality aversion regarding financial, educational, and health capabilities.

    Results: The Delphi process resulted in the following six capabilities: Financial situation & housing, health, social relations, occupations, security, and political & civil rights. We formulated the final phrasing for the questionnaire based on normative reasons and the distribution of capabilities in the population while taking into account inequality aversion.

    Conclusion: We developed a capability-based model for cost effectiveness economic evaluations of broader social consequences, specific to the Swedish context.

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  • 23.
    Nordström, Annika
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa. FoU Välfärd, Region Västerbotten.
    Höög, Elisabet
    Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa.
    Hjelte, Jan
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Innovationskraft i små glesbygdskommuner: för en kunskapsbaserad socialtjänst2020Rapport (Övrigt vetenskapligt)
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  • 24.
    Tafvelin, Susanne
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för psykologi.
    Hjelte, Jan
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Schimmer, Robyn
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för informatik.
    Forsgren, Maria
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för psykologi.
    Torra, Vicenç
    Umeå universitet, Teknisk-naturvetenskapliga fakulteten, Institutionen för datavetenskap.
    Stenling, Andreas
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för psykologi.
    Introducing robots and AI in human service organizations: what are the implications for employees and service users?2023Ingår i: Handbook of critical studies of artificial intelligence / [ed] Simon Lindgren, Cheltenham: Edward Elgar Publishing, 2023, s. 726-736Kapitel i bok, del av antologi (Refereegranskat)
    Abstract [en]

    Robots and AI are increasingly being introduced in organizations to improve efficiency and replace dull and dangerous work. The implementation of robots and AI will change the way work is organized and managed with consequences for both employees and service users. In this chapter, we critically examine the implementation of robots and AI in human service organizations from work design, management, and ethical perspectives. We propose that the implementation of robots and AI introduces several challenges and risks for both employees and users that need to be addressed. However, we also suggest that these challenges may be overcome if knowledge about work design and user involvement is considered.

  • 25.
    Westerberg, Kristina
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för psykologi.
    Hjelte, Jan
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete. UFFE, Social Services, Umeå, Sweden.
    The impact of elderly care competenceand quality improvement programme in four Swedish municipalities2013Ingår i: Journal of Vocational Education and Training, ISSN 1363-6820, E-ISSN 1747-5090, Vol. 65, nr 3, s. 319-332Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    During a number of years Swedish municipalities have work with improvment of competence and long-term quality in elderly care. The overall aim of the present study was to compare different learning activities (workplace improvement and/or courses), and to relate these activities to learning climate, learning strategies, and perception of care quality. In addition, the effect of organisational changes was tested. Four Swedish municipalities were selected and 219 nursing assistants filled in a questionnaire (response rate, 58%). Documentation of the learning activities was collected. A two-way multivariate analysis of variance was computed to answer the research questions. The results showed that there was a main effect for learning activities and organisational change on learning climate and learning strategies, but not on the perception of care quality. A combination of courses and workplace improvement practices yielded better results compared with only one of these activities, and organisational changes had a negative effect. The results suggest that the workplace should not only be regarded as an area for non-formal training but should also be included as a part of a training programme. Organisational changes should be avoided during the programme, otherwise the expected effects of the time and effort invested may be wasted.

  • 26.
    Westerberg, Kristina
    et al.
    Umeå universitet. UFFE: Field Research and Development Unit in Social Services, Sweden.
    Hjelte, Jan
    UFFE: Field Research and Development Unit in Social Services, Sweden.
    Brännström, Jan
    UFFE: Field Research and Development Unit in Social Services, Sweden.
    Hyvönen, Ulf
    UFFE: Field Research and Development Unit in Social Services, Sweden.
    The meaning of a knowledge-based organization in Swedish municipal elderly care2012Ingår i: Social Work Education, ISSN 0261-5479, E-ISSN 1470-1227, Vol. 31, nr 1, s. 465-484Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This article addresses the notion of the knowledge-base in a Swedish social services organization. The overall aim was to investigate the concept “knowledge-based organization in municipal elderly care” as it was perceived by informants on different organizational levels and professional and political functions in the social services. The research questions concerned how different informants perceive, and to what extent they share, the meaning of a knowledge-based organization and to relate these perceptions to the organizational conditions for learning and knowledge use. The theoretical point of departure was the socio-cultural approach where the interaction between communication, cultural artifacts and actions are important ingredients. The results showed that there were different views on the meaning of knowledge-based elderly care, mainly related to professional functions and organizational levels. It is argued that these views have implications for organizational learning and change as well as formal training and education.

  • 27.
    Westerberg, Kristina
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för psykologi.
    Hjelte, Jan
    The Field Research and Development Unit in Social Services, Umea Municipality, Umea, Sweden.
    Josefsson, Sara
    Unit Manager in Home Help Services, Norrköping Municipality, Norrköping, Sweden.
    Understanding eldercare users' views on quality of care and strategies for dealing with problems in Swedish home help services2017Ingår i: Health & Social Care in the Community, ISSN 0966-0410, E-ISSN 1365-2524, Vol. 25, nr 2, s. 621-629Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of the present study was to gain a deeper understanding of eldercare users’ strategies for dealing with problems in the quality of care and care satisfaction in relation to home help services. Based on earlier research and evaluations, it was assumed that users would express satisfaction and gratitude, but also be unwilling to complain. The specific research questions were: a) What, if any, quality of care problems do the users mention?, b) How do the users explain the reasons for these problems?, and c) What strategies do the users employ to deal with these problems?

    A total of 35 interviews were conducted in November 2013 with 15 men and 20 women (66 to 92 years). The data were analysed using thematic and qualitative content analysis.

    The results showed that almost all users expressed overall satisfaction with their care. However, all but one also mentioned problems. The users stated very clearly and explicitly the reasons for these problems, and in most cases they referred to the work conditions, work organization and lack of other resources in the eldercare organization. Two strategies were commonly used to deal with these problems: trivialization and adaptation. A third strategy was expressed dissatisfaction, where the problem led to actions or plans to take action. One interpretation of the findings is that what is actually measured in official quality assessments and follow-ups may be care users’ understanding of the work conditions and work organization of eldercare. The understanding attitude may prevent them from complaining because it lowers their expectations.

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