Women's experiences of self-reporting health online prior to their first midwifery visit: A qualitative study

Background

Information and communication technologies are increasingly used in health care to meet demands of efficiency, safety and patient-centered care. At a large Danish regional hospital, women report their physical, mental health and personal needs prior to their first antenatal visit. Little is known about the process of self-reporting health, and how this information is managed during the client-professional meeting.

Organizational persistence in the use of war gaming and scenario planning

Even though war gaming and scenario planning are widely used in business contexts, there is little evidence that either practice is associated with superior performance. Why, then, spend the costs? In this paper we address this puzzle and suggest why the extant empirical findings have so far proven limited. We consider the development of these practices and find that they have a substantially entangled and overlapping history, particularly at the RAND Corporation in the 1950s. Despite shared historical roots, the treatment of war gaming and scenario planning in the scholarly literature branched out into different streams. This separation is unfortunate because it obscures a better understanding of the premises under which these practices are effective. We propose an analysis of the overlaps and contrasts of war gaming and scenario planning that sets out clear boundary conditions for their use and efficacy. We find that each practice is tailored to provide strategic guidance in a context where the organization is facing different forms of uncertainty. This suggests they may be effective, and thus improve organizational performance, where the relevant uncertainties are operative. Such benefits would be apparent over longer time scales, and only if the relevant boundary conditions are met. However, to the best of our knowledge, no longitudinal empirical test of either war gaming or scenario planning is available. We therefore conclude that more research is needed to ascertain the true relationship between these popular practices and their performance outcomes.     

The Sidewalk as a Contested Space: Women’s Negotiation of Socio-Spatial Processes of Exclusion in Public Urban Space in Saudi Arabia; The Case of Al Tahlia Street

Riyadh is one of the most gender-segregated cities in the world. However, as gender segregation is less enforced on sidewalks, it provides an optimal case study for a space where women and men may be co-present. Thus, this paper aims to increase the understanding of the relationship between sociocultural norms and spatial programming regarding spatio-temporal inclusion or exclusion in public urban spaces. The results show that women’s use and access to sidewalks are influenced by gender norms, religious values, gendered regulations, and generic spatial programming. For instance, regulations limit the use of outdoor seating to men only, thus sidewalks adjacent to, e.g., cafes function as mono-gender spaces dominated by men. However, young women negotiate spatially bounded gender norms through their presence, behaviour, and dress. Although sidewalks are conceived as men’s space, women account for nearly half of the users, but their use often goes unnoticed as women self-regulate their spatio-temporal and visible presence. The study presents six types of women’s spatio-temporal behaviours with varying degrees of visible and invisible users. Ultimately, this paper argues that planning for inclusive sidewalks cannot be addressed solely through the ‘universal’ characterization of space; it should also be supplemented by context-specific knowledge regarding the socio-spatial needs.     

Visual social media and affectivity: the impact of the image of Alan Kurdi and young people’s response to the refugee crisis in Oslo and Sheffield

This article focuses on the reception of the image of Alan Kurdi by a group of young volunteers in Oslo and Sheffield, and their understanding of the subsequent civic and political engagement. Methodologically, the study draws on a series of in-depth interviews conducted with a group of young volunteers who saw the photograph when it went viral on Twitter and who had followed the media coverage and participated in on- and offline activities related to the case. To analyse the views of the research participants on the Alan Kurdi case, I draw on feminist theoretical perspectives on affectivity, theoretical literature relating to news images and iconic photography, and online social movement theories. The study shows that the iconic image of Alan Kurdi offered a way of transforming complex and unsettled aspects of the refugee crisis into something concrete and understandable, contributing to galvanize affective resonance and immediate public response among the involved subjects. The infrastructure of social media, enabling the rapid global circulation of the image, contributed to shaping social assemblages to which connective emotions and common meanings were ascribed.     

Changes in health-related quality of life in elderly men after 12 weeks of strength training

Background

Muscular strength is associated with functional ability in elderly, and older adults are recommended to perform muscle-strengthening exercise. Understanding how improved muscle strength and -mass influence general and specific domains of quality of life is important when planning health promotion efforts targeting older adults. The aims of the present study were to describe changes in health-related quality of life (HRQOL) in older men participating in 12 weeks of systematic strength training, and to investigate whether improvements in muscle strength and muscle mass are associated with enhancements in HRQOL.

Methods

We recruited 49 men aged 60–81 years to participate in an intervention study with pre-post assessment. The participants completed a 12-week strength training program consisting of three sessions per week. Tests and measurements aimed at assessing change in HRQOL, and changes in physical performance (maximal strength) and physiological characteristics. HRQOL was measured using the 12-item short-form survey (SF-12). Muscle mass was assessed based on changes in lean mass (leg, trunk, arm, and total), and strength was measured as one-repetition maximum in leg extension, leg press, and biceps curl.

Results

Two of the eight HRQOL SF-12 scores, role physical and general health, and the physical component summary scores, increased significantly during the intervention period. Small significant positive correlations were identified between improvements in muscle strength, and better physical and social function. Moreover, a significant increase in total muscle mass was seen during the intervention period.

Conclusions

The positive, findings from this study would suggest that systematic strength training seems to be a beneficial intervention to improve HRQOL, muscle strength and muscle mass in older men.

     

Legal gambling availability and youth gambling behaviour: A qualitative longitudinal study

In many countries, gambling has gained status as a socially accepted form of entertainment. Studies of how and to what extent young people are influenced by changes in gambling availability are relatively inconclusive, and knowledge of why youth gambling behaviours increase or decrease under changing conditions is sparse. This study addressed this situation by examining qualitatively how young people experience and respond to changes in gambling opportunities. The research presented in the article is part of a large longitudinal study of gambling behaviours among Danish adolescents. Data were collected over a period of 3 years with three waves of interviews with a 10- to12-month frequency. A number of issues were identified and these were integrated into four overarching analytical themes: legislation, conditions of entry, proximity and technological innovations. Implications for further research and policy are considered.     

Frontline implementation of welfare conditionality in Norway: A maternalistic practice

Welfare conditionality is both ambitious and ambiguous for the frontline workers who put policy into practice. Since January 2017, the Norwegian frontline service should require social assistance benefit recipients under the age of 30 to participate in some sort of work-related activation, so-called mandatory activation. Drawing on qualitative interviews with frontline workers at local offices in the Norwegian Public Welfare Service (NAV), we investigate how the requirement is implemented in a context of a professionalised social welfare service. Mandatory activation is arguably a paternalistic measure. Drawing on Bernardo Zacka's concept of moral dispositions and Laura Specker Sullivan's concepts of maternalism, our findings indicate that at the frontline, mandatory activation policies are implemented by maternalistic decision making, emphasising the interpersonal relation between trained caseworkers and clients. The caseworkers use their discretionary powers in the implementation of conditionality and sanctions by emphasising care and support as embedded in the strict rules.     

Being a Foster-to-Adopt Parent: Experiences of (Un)certainty and Their Influence on the Sense of Being the Parent

The Mixed-Bank Program (Quebec, Canada) is based on concurrent planning principles. While the primary goal of this placement is reunification of the child with their birth parents, the low probability of this happening calls for simultaneously planning for an alternative solution, such as adoption. As a result, foster-to-adopt families have to deal with the uncertainty of the adoptability of the child and having no legal status nor control over the situation. In a qualitative study focusing on understanding how foster families from the Mixed-Bank Program develop the sense of being the parent of the child they care for, 25 semi-structured interviews with foster parents from 20 different families were conducted. As part of grounded theory methodology, a typology of profiles according to the level of uncertainty was constructed: (1) experience of certainty, (2) experience of momentary uncertainty, and (3) chronic uncertainty. This article presents these profiles and discusses the following challenges: the willingness to settle for permanence without adoption in all profiles, the link between the level of uncertainty and the assiduity of birth parents to supervised visits with the child, and the lack of power and control over the fulfillment of the goal of having or completing a family.     

Vital tasks and roles of frontline workers facilitating job inclusion of vulnerable youth

Researchers and others are worried about the marginalization of vulnerable youth who drop out of school and work. Frontline workers are key support givers for vulnerable youth, but they have been described as professionals who lack a recognized body of knowledge they can rely on. This article investigates vital frontline roles and tasks related to job inclusion of vulnerable youth. Qualitative data are drawn from 16 Norwegian pilot projects aimed at developing social work approaches among vulnerable youth. The challenges and the support provided resemble those in other European countries. Cross-case analysis suggests four main support roles: (1) administration and securing of basic needs, (2) connection and relationship building, (3) job enabling, and (4) job customisation. Combining roles 1 and 2 with roles 3 or 4 seems to improve the outcomes, meaning that they improve the capabilities of vulnerable youth to find and master a job when that is something they have reason to value. Since this topic has been little explored for vulnerable youth, this article contributes to further developing job inclusion support for this target group in particular.