Search results for "hoito"
showing 10 items of 1041 documents
Interprofessional collaboration during an emergency ward’s rounds
2015
Purpose – The purpose of this paper is to explore interprofessional collaboration during ward rounds on a Finnish emergency and infection ward from the viewpoint of three central professional groups: physicians, nurses and secretaries. Design/methodology/approach – The authors utilise an ethnographically informed approach, with observations and interviews as the data collection devices. The data comprise ten interviews with staff members and ten hours of observations. The data were analysed using qualitative thematic analysis. Findings – The ward rounds were found to be rather physician- and medicine-centred, and mostly not interprofessional. Nurses and secretaries in particular expressed …
Incorporating stand level risk management options into forest decision support systems
2018
Aim of study: To examine methods of incorporating risk and uncertainty to stand level forest decisions. Area of study: A case study examines a small forest holding from Jonkoping, Sweden. Material and methods: We incorporate empirically estimated uncertainty into the simulation through a Monte Carlo approach when simulating the forest stands for the next 100 years. For the iterations of the Monte Carlo approach, errors were incorporated into the input data which was simulated according to the Heureka decision support system. Both the Value at Risk and the Conditional Value at Risk of the net present value are evaluated for each simulated stand. Main results: Visual representation of the er…
Arbete eller människorelation? : diskurser om närståendevård under social- och hälsovårdsreformen
2018
Suomessa ikääntyvä yhteiskunta ja hyvinvointivaltion rahoituskriisi haastavat nykyisen hoivapalvelujärjestelmän. Tähän haasteeseen pyritään osittain vastaamaan hallituksen kärkihankkeella, jossa kehitetään koti- ja omaishoitoa. Omaishoito asettuu julkisen ja yksityisen, hoivan ja työn välimaastoon ja se koskettaa erityisesti ikääntyneitä ja vammaisia henkilöitä. Kärkihanke liittyy tiiviisti myös sosiaali- ja terveyspalvelu-uudistukseen, jonka tavoitteena on asiakaslähtöiset ja kustannustehokkaat palvelut. Tässä tutkielmassa tarkastelen omaishoidon diskursseja sote-uudistuksen yhteydessä. Pyrin selvittämään mitä diskursseja julkisessa keskustelussa esiintyy, kuinka ne rakentuvat kielellisest…
Unravelling conceptualizations of (in)equality in early childhood education and care system
2018
Early childhood education’s role in increasing equality in society has been highlighted by international organizations. However, it is unclear what is meant by the concept of equality in different situations, as the meaning fluctuates and reflects the cultural political contexts in which it is embedded. In this paper, we analyse the equality discourses of local early childhood education and care (ECEC) policymakers in Finland, drawing on different conceptualizations of equality and social justice. In doing so, we show that the way in which equality is conceptualized differs – along with the suggested remedies – depending on whether the subjects of equality are adults, children at the border…
Bilingual children as policy agents : Language policy and education policy in minority language medium Early Childhood Education and Care
2017
AbstractThe current study examines bilingual children as language policy agents in the interplay between official language policy and education policy at three Swedish-medium preschools in Finland. For this purpose we monitored nine Finnish-Swedish bilingual children aged 3 to 5 years for 18 months. The preschools were located in three different parts of Finland, in milieux with varying degrees of language dominance. The children were video recorded during their normal daytime routines in early childhood education and care. Three types of communicative situations were analyzed: an educator-led small group activity, free play with friends, and an activity in which one child was playing alone…
Rationalising public support for private early childhood education and care: the case of Finland
2019
In Finland, early childhood education and care (ECEC) is traditionally publicly provided. However, private ECEC provision has increased during the past decade, largely as a result of financial support from the public sector. Drawing on qualitative interviews with municipal decision-makers, this article identifies three frames within which publicly subsidised private ECEC provision and marketisation are rationalised: the pragmatic frame, the government frame and the choice frame. The results show that even though market logics and tendencies seem to have gained a strong foothold in local policies, there is a keen interest in universalism and maintaining public control over local ECEC provisi…
Teacher–child relationships narrated by parents of children with difficulties in self-regulation
2016
This study addresses the relationships between teachers and children (four to six years old) with difficulties in self-regulation from the parent's point of view. Narratives were constructed in 21 interviews with parents of children who have difficulties in self-regulation. The study focused on two questions: (i) What kinds of teacher–child relationships can be identified in the parents’ narratives? and (ii) How is the child positioned in this relational context? The teacher–child relationships found were labelled neutral, problematic and caring. Within these categories, the child was positioned in nine ways ranging from the child as troublesome to the child as unique. The study offers tool…
Care, Upbringing and Teaching in ‘Horizontal’ Transitions in Toddler Day-Care Groups
2016
This chapter focuses on the fundamental notion of early childhood education as an integrated whole, composed of care, upbringing and teaching, in the context of Finnish early childhood education. These three concepts - care, upbringing and teaching - are addressed firstly, on the conceptual level, and then empirically by illustrative examples from day-care groups for one-to-three-year-old children. Our main question focuses on how care, upbringing and teaching are implemented in small-scale ‘horizontal’ transitions children experience between events or activities during the day as part of the experience of day-care, and how these events might be evaluated from a pedagogical perspective. Emp…
Management in the 24/7-society raises concerns of fairness and social responsibility
2018
Purpose Despite the pressure on work-family polices arising from the increase in nonstandard working times in various sectors, only a few studies have addressed management practices in 24/7 workplaces. This paper aims to investigate the challenges Finnish managers face in meeting the various tensions stemming from nonstandard working hours and services operating 24/7. Two typical 24/7 work contexts are focused: the hospitality and retail industries and flexibly scheduled early childhood education and care (ECEC) services. The emphasis is on management practices relating to the planning of work shifts and children’s care schedules. Design/methodology/approach Study 1 comprises focus group i…
Privilege or tragedy? : Educators’ accounts of flexibly scheduled early childhood education and care
2017
This article explores accounts given by Finnish educators ( n = 31) on the topic of flexibly scheduled early childhood education and care (i.e. childcare provided during non-standard as well as standard hours). Previous research has shown this to be a sensitive topic because of the contradiction between what is deemed in the interests of children and the fact of providing childcare during non-standard hours. The research follows the principles of discursive psychology. Educators’ accounts were labelled as excusing, compensating, normalising and justifying. Accounts categorised as excusing and compensating shared concern over the effects of childcare during non-standard hours on children’s w…