How can occupational health services in Sweden contribute to work ability?

Occupational health service in Sweden is often described as an important and strategic resource to reduce work-related diseases, improve work ability and successfully assess improvement of the workplace. However, not much research has been done on how OHS contribute to reduced absence due to work-related illness or improvement of the work ability of employees. In our study, the ambition has been to describe how OHS can contribute and give effects in client companies. Fifteen companies considered to be good examples were selected in cooperation with the social partners. Semi-structured interviews were carried out with representatives of the company and OHS. The results show that efficient collaboration depend strongly on the relationship between the OHS and the company, and were highly correlated with a continuously dialogue and contact. Good occupational safety and health management at company level was a key factor for effective use of OHS. The strategic collaborations also often led to that OHSs contribution was gradually shifted from a reactive or medical focus to a more proactive approach. Several of the interviewed OHSs also held this strategy to work more with prevention, and focusing on "treating the organization", not the individual, leaving the executive measures to the company.     

The state and use of municipal tree inventories in Swedish municipalities – results from a national survey

Urban trees are an essential component of urban ecosystems, and management of this resource constitutes an essential element of urban open space management. However, municipal tree inventories in Sweden and elsewhere have received limited attention. It is unknown how common municipal tree inventories are in Sweden, factors governing whether a municipality has an inventory and what the inventories are used for. This study therefore sought to: Create an overview of the state of Swedish municipal tree inventories and determine how municipality size, green space budget and management organisation affect the presence and scope of municipal tree inventories. The research questions examined were: What is the current state of Swedish municipal tree inventories? and what affects the status of these municipal tree inventories? A survey with questions related to strategic and operational perspectives of municipal tree inventories, e.g. how they are conducted and used, together with questions relating to budget and potential use of consultants, was sent to all 290 Swedish municipalities. The response rate was 55.5%. The main findings were that municipality size affects whether a municipality has an urban tree inventory and that the municipal organisation form affects how inventories are used. The existence of an inventory also increased the probability of the municipality having a tree management plan. Based on these results we recommend further research related to strategic management perspectives of tree inventories.     

Normal childbirth and evidence based practice

This paper was presented at a Health Conference in March 2007, celebrating the 150th birthday of the Royal Women's Hospital in Melbourne. It discusses the definition of "normal childbirth", and the pros and cons of three medical technologies: caesarean section, epidural analgesia during labour and routine ultrasound screening during pregnancy, and whether clinical practices, in Australia and Sweden (author is Swedish), in relation to these methods are evidence based. It also discusses the impact of non-scientific reasons, such as anxiety, on clinical decision making.     

Realigning criminal policy. Offender and victim in the Swedish party system over time

The article conducts a case study of criminal policy in the Swedish party system between 1960 and the present. Like other countries, Sweden has witnessed its criminal policy take a ‘punitive turn’ during this time. We hypothesize that this turn is explained by the fact that the discourse on crime has become increasingly victim-centred. Our study of the changes in the parties’ policies suggests that the parties play a central role in this explanation. In order to understand the punitive turn, however, the increasingly victim-centred discourse must in turn be explained. We argue that it is the individualization of society which provides the key here.     

Comparative research in social work: methodological considerations using the ‘diachronic–synchronic’ distinction in linguistics

Although there has been a significant increase in the number of comparative studies in social work, there has, to date, been a deficit in terms of methodological discussion and development in this domain. In this article, a linked pair of methodological concepts (‘diachronic’–‘synchronic’), drawn from linguistics, and often used in comparative research studies in the humanities and social sciences, has been applied to the field of comparative research in social work. The use of this distinction in comparative research of social work contributes to the progress of social work as a research-based scientific discipline. The distinction also offers the potential for the development of research methodology in the field of comparative social work research.     

Support From Parents and Teachers in Relation to Psychosomatic Health Complaints Among Adolescents

This study explores the relative contribution of parental and teacher support to adolescents’ psychosomatic health complaints, with a particular focus on gender and age differences. Based on a survey of 49,172 ninth‐ and eleventh‐grade students in Stockholm (2006–2014), structural equation modeling results demonstrated negative associations between parental and teacher support on psychosomatic health complaints. Parental support had a stronger association with the outcome among girls than boys. It was also more important than teacher support for psychosomatic health complaints. Parental support was more important for younger girls’ health compared to older girls, with opposite patterns for teacher support. These findings highlight the need to consider gender and age to understand the links between social support and health during adolescence.     

Spatial configurations of urban forest in different landscape and socio-political contexts: identifying patterns for green infrastructure planning

Rapid urbanisation and climate change have motivated the development of urban green infrastructure (UGI) as a planning strategy to support the wellbeing of urban people and ecosystems while parallel adapting cities to climate change. Forest (tree-covered areas >0.5 ha) is a key UGI component that afford a wider range of ecosystem services and mitigate urban heat islands more effectively than non-wooded green spaces. However, understanding of spatial configurations (variation in patch size and frequency) of forests across the gradient of urbanisation and between cities is limited to case studies. This represents a considerable knowledge gap for identification of general patterns that can inform integration of forest resources in UGI planning that have value beyond the individual city level. In this study we used Geographic Information Systems to explore the spatial configuration of forests across cities located within landscapes characterised by different levels of anthropogenic modification (degree of forest cover) and socio-political contexts, i.e. all Danish and Swedish cities >10,000 inhabitants (m class="EmphasisTypeItalic ">nm> = 176). We applied general linear modelling to investigate the relationship between forest cover, patch size and frequency with 1) regional landscape type, 2) demographic trends 1960–2010, and 3) the gradient of urbanisation (measured in three zones: urban core (0.2 km from city boundary), urban fringe (0.2–2 km), and urban periphery (2–5 km)). Regardless of demographic trends, forest cover was lowest in cities settled in large-scale agricultural regions, higher in regions with mosaics of forest and farming, and highest in forest-dominated regions. However, in all cities forest cover was lowest in the urban zone and peaked on the urban fringe rather than on the urban periphery. Furthermore, pocket woods (0.5–2 ha) accounted for over 50 % of patches in all three urban zones, irrespective of regional landscape type. We conclude by discussing how these general patterns could inform strategies for integration of urban forests in UGI planning.     

Developing competence and confidence in midwifery-focus groups with Swedish midwives

Background

Midwives have a significant impact on the clinical outcome and the birthing experience of women. However, there has been a lack of research focusing specifically on clinical midwives’ learning and development of professional competence.

Defender, spokesperson, therapist: representing the true interest of the client in therapeutic law

The aim of this article is to analyse the role of the legal representative in therapeutic law, specifically in Swedish administrative court hearings relating to compulsory care. Data are collected from three types of cases where a health or social welfare authority argues that it is necessary to apply coercion to a citizen: the Care of Young Persons (Special Provisions) Act, the Care of Alcohol and Drug Abusers (Special Provisions) Act and the Compulsory Psychiatric Care Act. The data consist of audio-recordings from 39 hearings, supplemented by 28 interviews with participants in these hearings, and court documents. Three primary roles of the legal representatives are identified: defender, spokesperson and therapist. We show how the primary role of the attorney becomes that of the spokesperson, but also that the role of the therapist takes precedence over that of the defender.