Governance,Accountability, and Organizational Development: Eldercare Unit Managers’ and Local Politicians’ Experiences of and Responses to State Supervision of Swedish Eldercare

This article explores how local politicians and care unit managers in Swedish eldercare experience and respond to state supervision (SSV). Twelve politicians and twelve managers in 15 previously inspected municipalities were interviewed about their experiences of and reactions to SSV in relation to their views of care quality and routines in eldercare practice. The findings indicate that local managers and political chairs perceived SSV in eldercare positively at a superficial level but were critical of and disappointed with specific aspects of it. In terms of (a) governance, chairs and managers said SSV strengthened implementation of national policies via local actors, but they were critical of SSV’s narrow focus on control and flaws in eldercare practice. With regard to (b) accountability, SSV was seen as limited to accountability for finances and systemic performance, and regarding (c) organizational development, SSV was seen as limited to improving routines and compliance with legislation, while local definitions of quality are broader than that. In general, local actors regarded SSV as improving administrative aspects and routines in practice but ignoring the relational content of eldercare quality.     

The Travelling Idea of Looking After Children: Conditions for moulding a systematic approach in child welfare into three national contexts—Australia,Canada and Sweden

Abstract

Looking After Children (LAC) is an approach (care philosophy and working tools) used to assess the psycho-social development of children being cared for by child welfare agencies. It is an international initiative that was developed in England and then travelled and was translated into other contexts, most notably Australia, Canada and Sweden. This paper presents findings from an open-ended question in a survey distributed to social workers and managers using LAC and “cousin” systems in these countries. We asked respondents what advice they would give to others considering implementing these systems. Our qualitative content analyses showed that, regardless of the context, the 257 respondents gave voice to programmatic/normative arguments, reflecting mainly positive attitudes to the systems. However, managers and social workers voiced different arguments in their favour. Managers voiced normative arguments favouring the underlying principles, whereas social workers from all three countries identified the dual needs to remain flexible and to recognise the limitations of the systems, especially at the operational level. Results offer insights into approaches to change management in different contexts.     

Information Technology Risks as Seen by the Public

Risks related to information technology (IT) are becoming a focus of concern in current risk debates. The use of IT is rapidly spreading in the population, as is access to computers in general. The present article reviews the literature on IT use (especially electronic mail and various Internet applications) and the related risks. In addition, the results from a survey about IT use and risk perception, given to a random sample of the Swedish population, are reported. In general, participants were quite positive to IT and were, to some extent, aware of the related risks. However, risks of IT were mostly seen as pertinent to other people, a finding in contrast with other results on perceived technology hazards. The attitude toward the use of IT was strongly related to general attitude toward computers, and less clearly to risk perception. Only a small percentage of the respondents reported having had negative experiences with IT hazards such as Internet addiction, depression, and social isolation. When extrapolated to the general population, however, these small percentages amount to large groups in the population that have been negatively affected by IT use.     

On univariate and bivariate generalized gamma convolutions

This paper has two parts. In the first part some results for generalized gamma convolutions (GGCs) are reviewed. A GGC is a limit distribution for sums of independent gamma variables. In the second part, bivariate gamma distributions and bivariate GGCs are considered. New bivariate gamma distributions are derived from shot-noise models. The remarkable property hyperbolic complete monotonicity (HCM) for a function is considered both in the univariate case and in the bivariate case.     

Risk Perception and Movies: A Study of Availability as a Factor in Risk Perception

Media effects on risk perception have often been explained by Tversky and Kahneman's availability principle, but research has not consistently supported it. What seem like media effects based on availability may be effects of new information. In an experimental study, entertainment movies depicting dramatic risk events were shown. They were found to produce no average effects on perceived risks in spite of large mood effects and being perceived as credible. We found, however, evidence of idiosyncratic effects of the movies, that is, people reacted immediately after the movies with enhanced  or  diminished risk beliefs. These reactions had faded after 10 days. Implications for the availability heuristic and risk perception are discussed.     

Local Acceptance of a High-Level Nuclear Waste Repository

The siting of nuclear waste facilities has been very difficult in all countries. Recent experience in Sweden indicates, however, that it may be possible, under certain circumstances, to gain local support for the siting of a high-level nuclear waste (HLNW) repository. The article reports on a study of attitudes and risk perceptions of people living in four municipalities in Sweden where HLNW siting was being intensely discussed at the political level, in media, and among the public. Data showed a relatively high level of consensus on acceptability of at least further investigation of the issue; in two cases local councils have since voted in favor of a go-ahead, and in one case only a very small majority defeated the issue. Models of policy attitudes showed that these were related to attitude to nuclear power, attributes of the perceived HLNW risk, and trust. Factors responsible for acceptance are discussed at several levels. One is the attitude to nuclear power, which is becoming more positive, probably because no viable alternatives are in sight. Other factors have to do with the extensive information programs conducted in these municipalities, and with the logical nature of the conclusion that they would be good candidates for hosting the national HLNW repository.     

The story about theater organizations, the public's approval, and the actors' identity formation in Nordic disability theater

Nordic disability theater is a relatively new and interesting field of disability research. In this article, the authors provide an overview of the field of disability theater in a Nordic context. The article is based on a comparative analysis from 3 research projects conducted in Sweden and Norway. The projects used qualitative methods and were analyzed from different theoretical perspectives. Interviews were conducted at 4 different disability theaters involving actors with hearing impairments, intellectual disabilities, physical disabilities, and mental disabilities. The aim of this article is to illustrate how the organizational settings reflect different goals and aims at the political and artistic levels. The authors will also address the relationship between the theaters and the public opinion and media. Finally, they will illustrate in what way organization, recognition, and public approval play an important role for the actors' identity formation and sense of belonging.     

Lifestyles,and Risk Perception Consumer Behavior

In this article, the concept of lifestyle is traced to its early roots in personality psychology and in marketing. In the latter field, many commercial marketing firms have made strong claims as to the explanatory power of lifestyle dimensions, often based on procedures which have been kept secret, but researchers have seldom been able to verify such claims. In spite of this, the approach is very popular, has wide credibility and is often given very favorable media coverage. Probably because of this, it is often considered as a very important and promising approach by administrators working with the regulation of risk and risk communication. It may also be credible in some quarters because it affords a way of ‘explaining’ risk perception as being non-rational. In this paper, we give results from an empirical study of nuclear waste risk perception which is related to a basic risk perception model and three approaches to lifestyles: Kahle's List of Values, a Swedish adaptation of the ‘Agoramétrie’ approach suggested by a group of French researchers, and Dake and Wildavsky's Cultural Theory dimensions. It was found that nuclear waste risk perception could be modeled successfully with risk attitudes and perception data (basic model about 65% of the variance explained), but that lifestyle dimensions added virtually nothing to the explanatory power of the model. Lifestyle dimensions in isolation only explained a minor part of the variance.