Search results for "hoito"
showing 10 items of 1041 documents
Selectivity of clientele in Finnish private early childhood education and care
2021
In accordance with the Nordic welfare model, the Finnish early childhood education and care (ECEC) system has traditionally been based on public provision and the idea of universalism. However, over the last twenty years the ECEC system has undergone market-oriented reforms. As a result, the share of private for-profit ECEC provision has grown significantly. By applying impression management theory, this qualitative research examines how representatives of private ECEC providers describe the selection and selectivity of their clientele and how they aim at managing the impression they convey through their descriptions. The study shows how three different mechanisms of selectivity are produce…
The involvement of autistic children in early childhood education
2023
Research on the involvement of autistic children in daily activities in inclusive early childhood education is scarce. In Finland, all children, including autistic children, under the age of seven (before basic education) are entitled to participate in early childhood education and care. Children also attend compulsory, free-of-charge pre-primary education during the year before their basic education begins. Furthermore, attending early childhood education and care is not dependent whether a child requires day care because of their parents’ work. Autistic children attend early childhood education in inclusive day care centres. Thus, in this study, we examined the involvement of autistic chi…
Flexibly Scheduled Early Childhood Education and Care: Finnish Mothers’ and Educators’ Perceptions on Young Children’s Experiences and Child-Responsi…
2018
The study explores Finnish mothers' and educators' perceptions on young children's experiences and child-responsive practices related to flexibly-scheduled early childhood education and care (ECEC). Data were gathered by ethnography-based interviews with mothers and educators of oneto three-year-old children attending this form of ECEC and qualitatively analysed using the method of inductive content analysis. According to the interviewees, young children experienced a multitude of feelings related to flexibly-scheduled ECEC, ranging from the undesirable, such as strain, distress and confusion, to the desirable, such as comfort, satisfaction and understanding. The children's feelings were as…
Evening early childhood education and care: Reformulating the institutional culture
2020
The article investigates the ongoing reformulation of the institutional culture of early childhood education and care (ECEC) in Finnish evening ECEC. Educators’ practices in implementing evening ECEC were explored and viewed through the lens of young children’s belonging. Data were collected by observing the evenings of eight children aged 20–36 months in two Finnish centers offering flexibly scheduled ECEC and analyzed using qualitative thematic analysis. Three main themes of educators’ practices were identified: (1) managing a unique and changing social group, (2) fostering homeliness, and (3) maintaining routines and institutional order. While these practices mostly contributed to child-…
Sectoral policies cause incoherence in forest management and ecosystem service provisioning
2022
Various national policies guide forest use, but often with competing policy objectives leading to divergent management paradigms. Incoherent policies may negatively impact the sustainable provision of forest ecosystem services (FES), and forest multifunctionality. There is uncertainty among policymakers about the impacts of policies on the real world. We translated the policy documents of Finland into scenarios including the quantitative demands for FES, representing: the national forest strategy (NFS), the biodiversity strategy (BDS), and the bioeconomy strategy (BES). We simulated a Finland-wide systematic sample of forest stands with alternative management regimes and climate change. Fin…
Subsidizing private childcare in a universal regime
2023
AbstractAll families in Finland have the freedom to choose between subsidized home care, universal public childcare, and private childcare. We study the impact of the introduction of private childcare subsidies in Finland. Private childcare subsidies have causal effects on take-up but no impact on home care or employment among women with small children. Instead, private services seem to crowd out public childcare. Private services have a socioeconomic gradient by mother’s education that steepens when the subsidy increases. Families’ preferences between home care, public childcare, and private childcare do not explain the result.
Victims of family violence identified in emergency care : comparisons of mental health and somatic diagnoses with other victims of interpersonal viol…
2019
Family violence is a global health problem incurring significant costs to both individuals and health care systems. However, family violence as a cause of trauma and other health issues is often unidentified in patients attending emergency care. Better understanding of the risk factors associated with family violence could improve the identification and treatment of victimized patients in health care settings. Little longitudinal research exists on the mental and somatic health of family violence victims currently identified in EDs and little is known about how victims of family violence differ from other help-seeking victims of interpersonal violence. A total of 345 patients were identifie…
Lean design improves both health-care facilities and processes: a literature review
2014
This article presents a literature review of the challenges and possibilities for Lean design in modern health-care facilities. Many of today's health-care facilities are in dire need of renovation since limited financial resources among health-care demand improved work process efficiency, safety and employee well-being. Lean philosophy has been successfully implemented into hospitals with up-and-running hospital processes, but has not been thoroughly tested as a design methodology. The principles of Lean do not contradict with user-centric, participatory or ergonomic design approaches and thus the possibilities of using Lean as a complementary design methodology to the aforementioned appro…
The value of perfect and imperfect information in lake monitoring and management.
2020
Highlights • Knowledge on the value of monitoring can assist decision-making in lake management. • We calculate value of perfect information theoretically. • We estimate value of imperfect information with Monte Carlo type of approach. • Generally, monitoring is profitable to invest in if VOI exceeds the cost. • Additional monitoring is profitable even if the lake is in good condition a priori. Uncertainty in the information obtained through monitoring complicates decision making about aquatic ecosystems management actions. We suggest the value of information (VOI) to assess the profitability of paying for additional monitoring information, when taking into account the costs and benefits of…
Spatial trade-offs between ecological and economical sustainability in the boreal production forest
2022
Economically-oriented forestry aims to sustain timber harvest revenues, while ecologically-oriented management supplies suitable habitat for species using deadwood as primary habitat. As these objectives are conflicting, planning for economic and ecological sustainability involves compromise and trade-offs. We analyze the spatial trade-offs between the economic value from timber harvesting and the volume of deadwood in the boreal forest. We assess these trade-offs from three perspectives: (1) landscape characteristics, affected by conservation strategies; (2) forest management promoting either economic or ecological values; (3) uncertainty in inventory errors undermining the estimate of the…