Daycare for elderly people in Sweden: a national survey

This study describes the current provision of daycare for elderly people in Sweden. Daycare offers an interesting and relatively unknown field for investigation. It is necessary to provide a comprehensive picture of the provision of daycare, i.e. number of daycare centres, personnel and economic resources. In spring 1995 a survey was carried out in a representative sample of 70 Swedish municipalities. A questionnaire was sent to all 376 identified daycare centres in the participating municipalities and 312 responded. The results show that daycare may be categorized into two main groups and five types, according to the aims, locations and activities offered at the centre. Converting the findings from the survey into national estimates, there are approximately 1500 daycare units serving about 45,000 pensioners on a regular basis, at an annual cost of 500 million SEK.     

When is a goal rational?

In decision theory goals are usually taken as given inputs to the analysis, and the focus is on finding the most efficient means to achieve the goals. But where goals are set with the purpose of achieving them, it is important to know what properties they should possess in order to be successful (or achievement-inducing). Four such properties (or rationality criteria) are discussed, namely that goals should be precise, evaluable, approachable and motivating. Precision and evaluability are epistemic properties that concern what the agent may know. Approachability is an ability-related property that concerns what the agent can do. Motivity is a volitional property that concerns what the agent wants to do. Goals may satisfy the rationality criteria to a greater or lesser extent. Some goals are achievement-inducing mainly because they guide action towards the end-state well, others mainly because they motivate the agent to act towards the realization of the end-state.     

Modelling and simulation to improve decision‐making in clinical development

Modelling and simulation are buzz words in clinical drug development. But is clinical trial simulation (CTS) really a revolutionary technique? There is not much more to CTS than applying standard methods of modelling, statistics and decision theory. However, doing this in a systematic way can mean a significant improvement in pharmaceutical research. This paper describes in simple examples how modelling could be used in clinical development. Four steps are identified: gathering relevant information about a drug and the disease; building a mathematical model; predicting the results of potential future trials; and optimizing clinical trials and the entire clinical programme. We discuss these steps and give a number of examples of model components, demonstrating that relatively unsophisticated models may also prove useful. We stress that modelling and simulation are decision tools and point out the benefits of integrating them with decision analysis. Copyright © 2005 John Wiley & Sons, Ltd.     

Pilot Study Sleepiness in physicians on night call duty

Little is known about how physicians' feelings of sleepiness and sleep patterns are affected by night call duties. In the present pilot study, the authors followed a group of staff (hospital) physicians during and following night call duties. They recorded feelings of sleepiness and sleep patterns every third hour. Results show measurable effects on the sleepiness scale with residual effects lasting up to two days after the actual night call duty. The authors suggest that increased attention should now be given to studies of the psychophysiological effects of both present and alternative work schedules for physicians.     

Attitudes towards the unemployed. An analysis of Swedish survey data

To be unemployed is often associated with being stigmatised by others. People may blame the unemployed themselves, insist that they could find a job if they tried harder, maintain that too little is demanded from recipients of unemployment benefits and consider differences in standard of living between the unemployed and the employed too small. This article is aimed at studying the prevalence of such negative attitudes and to examine the determinants behind them. In May 2000, questions were added on to a randomly selected subsample in the regular Swedish labour force survey. The results indicate that own unemployment experience and perceived risks of becoming unemployed make people less apt to blame the unemployed. Having family members or close friends with unemployment experience tends to have a similar impact. In contrast, young people more often express stigmatising attitudes. With respect to social class position the results are divided.     

Veiled midwifery in the baby factory — A grounded theory study

Background

Midwives’ professional role has been changing drastically over time, from handling births in home settings to being part of a team in labour wards in hospitals. This demands a greater effort of interprofessional collaboration in childbirth care.

Changes in preference

A basic framework for studies of changes in preference is introduced, and four types of changes in preference are identified.Revision by a sentence such as A is better thanB means that a preference forA overB is acquired. The result ofcontraction by A is better thanB is that the subject no longer holdsA to be better thanB. Inaddition andsubtraction, an alternative is added to, or subtracted from, respectively, the set of alternatives that are under consideration. Formal models of these four types of change are introduced, and they are shown to satisfy plausible postulates for rational changes in preferences.     

A comparison of perceived health, attitudes to work, leisure time, and social welfare systems among people in a rural area in the north of Sweden and among people in the city of Stockholm

A problem attracting considerable attention in Sweden today is the substantial regional differences in sickness absence. The aim of the study was to investigate and compare how people, from a random sample of the population in both a rural area in the north of Sweden and the Swedish capital Stockholm, perceive their health, and what their attitudes are to work, leisure time and social welfare systems. Results showed that a larger proportion of those answering in Stockholm considered their health status to be "very good", compared with those in the rural area (p<0.0001). A majority in the rural area compared to the city of Stockholm reported a high or very high level of aches/pain (p<0.0001) and that work causes them physical problems p<0.0001). The population in both Stockholm and the rural area is of the opinion that the increase in sickness absence is mainly due to deterioration in the work environment. Almost half of the individuals in both the rural area and in Stockholm are of the opinion that many of those sick-listed are not actually ill. It may be that in the rural area in north Sweden people are more inclined to put their opinions to practice than those in Stockholm are.     

The significance of feminist infrastructure: #MeToo in the construction industry and the green industry in Sweden

To better understand the interplay between digital activism and feminist infrastructure, this study investigates #MeToo activism in the Swedish construction industry and green industry. Both are industries in transition characterized by a dissonance between formal incentives, that encourage women and others to work in environments previously dominated by white men, and the informal power structures hosting a toxic masculinity. Based on media texts and interviews with key persons from the industries, the article situates #MeToo in a local context and shows how it was embedded in a supportive social, cultural, and technical infrastructure. In both industries, at the time of #MeToo this feminist infrastructure was already in place consisting of: an awareness of the problem of sexual harassment and abuse, knowledge of feminist explanatory models, established feminist online networks, and a supportive feminist culture, which together with widespread digital and feminist literacy became instrumental in the organization of the movement. Social media connected activists and created a critical mass by supporting the uniting of conflicting identity positions around shared differences. The established feminist infrastructure meant that the #MeToo activism, by articulating a widespread affective dissonance, pushed open doors that were already half open and forced them wide. This can explain some of the movement's success in Sweden.     

What difference do different settings in residential care make for young people? A comparison of family‐style homes and institutions in Sweden

Residential care in Sweden has undergone great change in recent decades. With new small family-style institutions, the boundaries between residential care and foster care have been blurred. Almost all residential care used to be run by the public sector. Today about 80 per cent is privately run. This study compares three different settings in residential care: institutions run by the public sector, privately run institutions and family-style homes. Among other things, it is found that the institutions run by the public sector have better educated staff and a higher staff–resident ratio than privately run institutions. Despite this, they are more restrictive in their intake and they have youths with fewer problems, especially delinquency and other antisocial behaviour. The results are discussed in relation to developments in the residential care sector in Sweden and in relation to the balance between care and treatment.