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Abrandt Dahlgren, MadeleineORCID iD iconorcid.org/0000-0001-5066-8728
Alternativa namn
Publikasjoner (10 av 144) Visa alla publikasjoner
Reichenpfader, U., Wickström, A., Abrandt Dahlgren, M. & Carlfjord, S. (2020). 'In the hospital all is taken care of': A practice-theoretical approach to understand patients' medication use. Sociology of Health and Illness, 42(1), 50-64
Åpne denne publikasjonen i ny fane eller vindu >>'In the hospital all is taken care of': A practice-theoretical approach to understand patients' medication use
2020 (engelsk)Inngår i: Sociology of Health and Illness, ISSN 0141-9889, Vol. 42, nr 1, s. 50-64Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Drawing from case examples of medication review implementation in three hospital settings in Sweden, this article examines patients’ medication use. Based on a practice theory approach and utilising data from interviews with patients and participant observation, we reconstruct three practices of everyday medication use centring on accepting, challenging or appropriating medication orders. This article argues that patients’ medication practices are embedded in wider practice arrangements that afford different modes of agency. Reconceptualising patients’ medication use from a practice‐based perspective revealed the meaning‐making, order‐producing and identity‐forming features of these practices. Also, we illustrated how different modes of agency were achieved in patients’ medication practices, suggesting a fluidity of both the meanings attached to and the identities related to medication use. Our findings have practical implications as these practices of medication use can be transformed when altering the arrangements they are embedded in, thus going beyond the clinical encounter.

sted, utgiver, år, opplag, sider
Wiley-Blackwell Publishing Inc., 2020
Emneord
practice theory, medication use, qualitative methods, hospital ethnography, agency
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-161290 (URN)10.1111/1467-9566.12985 (DOI)000506959200004 ()31423622 (PubMedID)2-s2.0-85070810146 (Scopus ID)
Forskningsfinansiär
Forte, Swedish Research Council for Health, Working Life and Welfare, 2014-4657Medical Research Council of Southeast Sweden (FORSS), 476971, 568651Region Östergötland, 533151, 626451
Merknad

Funding agencies: Swedish Research Council for Health, Working Life and WelfareSwedish Research CouncilSwedish Research Council for Health Working Life & Welfare (Forte) [2014-4657]; Medical Research Council of Southeast Sweden [568651, 476971]; County Council of Ostergotl

Tilgjengelig fra: 2019-10-29 Laget: 2019-10-29 Sist oppdatert: 2020-02-03bibliografisk kontrollert
Reichenpfader, U., Wickström, A., Abrandt Dahlgren, M. & Carlfjord, S. (2019). Embedding hospital-based medication review: The conflictual and developmental potential of a practice. Journal of Health Organisation & Management, 33(3), 339-352
Åpne denne publikasjonen i ny fane eller vindu >>Embedding hospital-based medication review: The conflictual and developmental potential of a practice
2019 (engelsk)Inngår i: Journal of Health Organisation & Management, ISSN 1477-7266, E-ISSN 1758-7247, Vol. 33, nr 3, s. 339-352Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Purpose: The purpose of this paper is to explore the embedding of hospital-based medication review attending to the conflictual and developmental nature of practice. Specifically, this paper examines manifestations of contradictions and how they play out in professional practices and local embedding processes.

Design/methodology/approach: Using ethnographic methods, this paper employs the activity-theoretic notion of contradictions for analyzing the embedding of medication review. Data from participant observation (in total 290?h over 48 different workdays) and 31 semi-structured interviews with different healthcare professionals in two Swedish hospital-based settings (emergency department, department of surgery) are utilized.

Findings: The conflictual and developmental potential related to three interrelated characteristics (contested, fragmented and distributed) of the activity object is shown. The contested nature is illustrated showing different conceptualizations, interests and positions both within and across different professional groups. The fragmented character of medication review is shown by tensions related to the appraisal of the utility of the newly introduced practice. Finally, the distributed character is exemplified through tensions between individual and collective responsibility when engaging in multi-site work. Overall, the need for ongoing ᅵrepairᅵ work is demonstrated.

Originality/value: By using a practice-theoretical approach and ethnographic methods, this paper presents a novel perspective for studying local embedding processes. Following the day-to-day work of frontline clinicians captures the ongoing processes of embedding medication review and highlights the opportunities to learn from contradictions inherent in routine work practices.

sted, utgiver, år, opplag, sider
Emerald Group Publishing Limited, 2019
Emneord
Patient safety, Qualitative research, Implementation, Medical professions, Ethnographic methods, Medical practice
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-156644 (URN)10.1108/JHOM-09-2018-0268 (DOI)000471054500005 ()2-s2.0-85064750614 (Scopus ID)
Merknad

Funding agencies:  Swedish Research Council for Health, Working Life and Welfare (Forte) [2014-4657]; Medical Research Council of Southeast Sweden (FORSS) [FORSS-476971, FORSS-568651]; County Council of ostergotland patient safety research fund (Region ostergotlands Medel f

Tilgjengelig fra: 2019-05-02 Laget: 2019-05-02 Sist oppdatert: 2019-07-15bibliografisk kontrollert
Strindlund, L., Abrandt Dahlgren, M. & Ståhl, C. (2019). Employers’ views on disability, employability, and labor market inclusion: A phenomenographic study. Disability and Rehabilitation, 41(24), 2910-2917
Åpne denne publikasjonen i ny fane eller vindu >>Employers’ views on disability, employability, and labor market inclusion: A phenomenographic study
2019 (engelsk)Inngår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 41, nr 24, s. 2910-2917Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

PURPOSE: 

This study aims to increase our understanding of employers' views on the employability of people with disabilities. Despite employers' significant role in labor market inclusion for people with disabilities, research is scarce on how employers view employability for this group.

METHODS: 

This was a qualitative empirical study with a phenomenographic approach using semi-structured interviews with 27 Swedish employers from a variety of settings and with varied experience of working with people with disabilities.

RESULTS: 

The characteristics of employers' views on the employability of people with disabilities can be described as multifaceted. Different understandings of the interplay between underlying individual-, workplace-, and authority-related aspects form three qualitatively different views of employability, namely as constrained by disability, independent of disability, and conditional. These views are also characterized on a meta-level through their association with the cross-cutting themes: trust, contribution, and support.

CONCLUSIONS: 

The study presents a framework for understanding employers' different views of employability for people with disabilities as a complex internal relationship between conceived individual-, workplace-, and authority-related aspects. Knowledge of the variation in conceptions of employability for people with disability may facilitate for rehabilitation professionals to tailor their support for building trustful partnerships with employers, which may enhance the inclusion of people with disabilities on the labor market. Implications for rehabilitation Employers' views on employing people with disabilities vary with respect to individual-, workplace-, and authority-related aspects in relation to trust, contribution and support. Knowledge of the employers' views on the employability of people with disabilities can support professionals in authorities and in vocational rehabilitation. The findings illustrate the importance of analyzing what type of support employers need as a starting point for building trustful partnerships between authority actors and employers. The findings offer a vocabulary that can be used by professionals in authorities and in vocational rehabilitation in tailoring employer-oriented support to increase labor market inclusion of people with disabilities.

sted, utgiver, år, opplag, sider
Taylor & Francis, 2019
Emneord
Employers, people with disabilities, employability, labor market inclusion, Sweden, phenomenography
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-161453 (URN)10.1080/09638288.2018.1481150 (DOI)000499283100006 ()29962236 (PubMedID)2-s2.0-85049169088 (Scopus ID)
Tilgjengelig fra: 2019-11-01 Laget: 2019-11-01 Sist oppdatert: 2019-12-18bibliografisk kontrollert
Boud, D., Nyström, S., Abrandt Dahlgren, M., Gustavsson, J., Kelly, M. & O’Keeffe, D. (2019). Learning through observation. In: Madeleine Abrandt Dahlgren, Hans Rystedt, Li Felländer-Tsai & Sofia Nyström (Ed.), Interprofessional Simulation in Health Care: Materiality, Embodiment, Interaction (pp. 115-137). Cham: Springer
Åpne denne publikasjonen i ny fane eller vindu >>Learning through observation
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2019 (engelsk)Inngår i: Interprofessional Simulation in Health Care: Materiality, Embodiment, Interaction / [ed] Madeleine Abrandt Dahlgren, Hans Rystedt, Li Felländer-Tsai & Sofia Nyström, Cham: Springer, 2019, s. 115-137Kapittel i bok, del av antologi (Fagfellevurdert)
Abstract [en]

This chapter has a particular focus on the observers’ role in simulation-based learning activities. Simulation-based learning is often organised so that participants rotates between active participation in the scenario and participation as observers. The research examples provided show that the conditions for learning are related to the locations where and the ways the observers are situated, and to how the instructions to the observers are formulated. Arguments are put forward that the observers’ role in simulation has unexploited potential for developing skills of noticing.

sted, utgiver, år, opplag, sider
Cham: Springer, 2019
Serie
Professional and Practice-based Learning, ISSN 2210-5549 ; 26
Emneord
Simulation, health care, education
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-159973 (URN)10.1007/978-3-030-19542-7_6 (DOI)9783030195410 (ISBN)9783030195427 (ISBN)
Forskningsfinansiär
Swedish Research Council
Tilgjengelig fra: 2019-08-30 Laget: 2019-08-30 Sist oppdatert: 2019-09-04bibliografisk kontrollert
Eikeland Husebø, S., Abrandt Dahlgren, M., Edelbring, S., Nordenström, E., Nordahl Amorøe, T., Rystedt, H. & Dieckmann, P. (2019). Reflecting on Interprofessional Simulation. In: Madeleine Abrandt Dahlgren, Hans Rystedt, Li Felländer-Tsai and Sofia Nyström (Ed.), Reflecting on Interprofessional Simulation: Materiality, Embodiment, Interaction (pp. 139-171). Cham: Springer Publishing Company
Åpne denne publikasjonen i ny fane eller vindu >>Reflecting on Interprofessional Simulation
Vise andre…
2019 (engelsk)Inngår i: Reflecting on Interprofessional Simulation: Materiality, Embodiment, Interaction / [ed] Madeleine Abrandt Dahlgren, Hans Rystedt, Li Felländer-Tsai and Sofia Nyström, Cham: Springer Publishing Company, 2019, s. 139-171Kapittel i bok, del av antologi (Fagfellevurdert)
Abstract [en]

This chapter explores and discusses how models of debriefing can support interprofessional learning in simulation-based education activities. The role of video as a tool for feedback and reflection is described and the ways video can be integrated in the learning environment to optimize opportunities for learning.

sted, utgiver, år, opplag, sider
Cham: Springer Publishing Company, 2019
Serie
Professional and Practice-based Learning, ISSN 2210-5549, E-ISSN 2210-5557 ; 26
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-160005 (URN)10.1007/978-3-030-19542-7_7 (DOI)9783030195410 (ISBN)9783030195427 (ISBN)
Tilgjengelig fra: 2019-09-02 Laget: 2019-09-02 Sist oppdatert: 2019-09-02bibliografisk kontrollert
Abrandt Dahlgren, M., Rystedt, H., Felländer-Tsai, L. & Nyström, S. (Eds.). (2019). Simulation in Health Care: Materiality, Embodiment, Interaction (1ed.). Cham: Hans Rystedt
Åpne denne publikasjonen i ny fane eller vindu >>Simulation in Health Care: Materiality, Embodiment, Interaction
2019 (engelsk)Collection/Antologi (Fagfellevurdert)
Abstract [en]

Series editors abstract:

A key goal of this book series is to contribute to discussions about and processes for improving the enactment of occupational capacities through professional practice- based experiences. A related goal is associated with understanding and enhancing the contributions that different kinds of experiences can make to the formation and continuity of those occupational practices. The volumes in this series have contrib- uted a range of perspectives, approaches and outcomes to these discussions. This volume continues that tradition through considerations of how simulation-based activities can contribute to enhancing occupational practices in which working and learning progresses inter- and intra-professionally within healthcare settings. The procedural concern here is to enhance patient safety through improving the quality of collaborative working and learning by healthcare workers. The conceptual concern here is to understand how such working and learning can be understood more fully as a process of interdependence amongst practitioners, and how such co- working and learning progresses, in what ways and for what outcomes. Added here are the ways in which technology comes to mediate and support that process. Perhaps only through such considerations, focused empirical work and detailed analysis will our understanding of human capacities, their enactment and evaluation transcend from either wholly individualised or wholly socialised accounts.

The sections comprising this book are drawn from a large collaborative study hosted by three institutions that have longer and solid traditions of making contribu- tions to understanding the development of professional capacities through interpro- fessional practices (i.e. Linkoping), dedicated focuses on improving healthcare practices (Karolinska) and the use of technology in working and learning (Gothenburg). These collaborations have been informed and enriched by contribu- tors from other institutions who bring explanatory concepts. The attempt to utilise, accommodate and optimise these different contributions is exercised within the organisation of the sections of the book and chapters within it, highlighted by a process of dual considerations and separate commentaries. Each of these sections provides an overview, statements about procedural matters (e.g. how to conduct inquiries or how to analyse data), proposing and advancing particular explanatory accounts, and also offering perspectives on how educational or work practice might be enhanced. This structuring is particularly helpful as it provides focused consid- erations of particular phenomena (e.g. team-based approaches to simulation, use of video recordings, doing simulations) through description, analysis and commentary.

In these ways, this volume offers contributions to discussions about the goals for, processes of and outcomes of professional and practice-based learning in a manner that is highly consistent with the ambitions of this book series.

sted, utgiver, år, opplag, sider
Cham: Hans Rystedt, 2019. s. 211 Opplag: 1
Serie
Professional and Practice-based Learning, ISSN 2210-5549, E-ISSN 2010-5557 ; 26
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-159976 (URN)10.1007/978-3-030-19542-7 (DOI)9783030195410 (ISBN)9783030195427 (ISBN)
Forskningsfinansiär
Swedish Research Council, 2012-05450
Tilgjengelig fra: 2019-08-30 Laget: 2019-08-30 Sist oppdatert: 2019-09-04bibliografisk kontrollert
Abrandt Dahlgren, M., Nordenström, E., Rooney, D. & Rystedt, H. (2019). Video as a Tool for Researching Simulation Practices. In: Madeleine Abrandt Dahlgren, Hans Rystedt, Li Felländer-Tsai and Sofia Nyström (Ed.), Video as a Tool for Researching Simulation Practices: Materiality, Embodiment, Interaction (pp. 31-55). Cham: Springer Publishing Company
Åpne denne publikasjonen i ny fane eller vindu >>Video as a Tool for Researching Simulation Practices
2019 (engelsk)Inngår i: Video as a Tool for Researching Simulation Practices: Materiality, Embodiment, Interaction / [ed] Madeleine Abrandt Dahlgren, Hans Rystedt, Li Felländer-Tsai and Sofia Nyström, Cham: Springer Publishing Company, 2019, s. 31-55Kapittel i bok, del av antologi (Fagfellevurdert)
Abstract [en]

This chapter provides examples of how arrangements for collection and analyses of video data were organized across different sites. The common approach to data collection builds on established methods for recording of audiovisual materials in the social sciences with a focus on interaction and learning. The chapter describes how arrangements for data collection across different sites were organised, and how video analysis can be used as a method for collaborative analysis of practices. One approach is entitled purposeful approach to collaborative data analysis. A second approach draws on video-based studies of situated action, and a third approach of analysis is the use of qualitatively different readings of the same data. One does not replace the other, but rather draws out different features.

sted, utgiver, år, opplag, sider
Cham: Springer Publishing Company, 2019
Serie
Professional and Practice-based Learning, ISSN 2210-5549, E-ISSN 2210-5557 ; 26
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-160004 (URN)10.1007/978-3-030-19542-7_3 (DOI)9783030195410 (ISBN)9783030195427 (ISBN)
Tilgjengelig fra: 2019-09-02 Laget: 2019-09-02 Sist oppdatert: 2019-09-02bibliografisk kontrollert
Wiggins, S., Abrandt Dahlgren, M., Ekstedt, M., Hammar Chiriac, E., Larsson Torstensdotter, G. & Törnqvist, T. (2018). Being a professional, or just being a student? A discursive analysis of video-recorded interprofessional learning tutorials in a medical faculty. In: : . Paper presented at NU2018, 9-11 oktober 2018, Västerås, Sweden. Västerås
Åpne denne publikasjonen i ny fane eller vindu >>Being a professional, or just being a student? A discursive analysis of video-recorded interprofessional learning tutorials in a medical faculty
Vise andre…
2018 (engelsk)Konferansepaper, Oral presentation only (Annet vitenskapelig)
sted, utgiver, år, opplag, sider
Västerås: , 2018
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-152174 (URN)
Konferanse
NU2018, 9-11 oktober 2018, Västerås, Sweden
Tilgjengelig fra: 2018-10-19 Laget: 2018-10-19 Sist oppdatert: 2018-10-31
Reichenpfader, U., Wickström, A., Nilsen, P., Abrandt Dahlgren, M. & Carlfjord, S. (2018). Medi(c)ation work in the emergency department: Making standardized practice work. Professions & Professionalism, 8(2), Article ID e2298.
Åpne denne publikasjonen i ny fane eller vindu >>Medi(c)ation work in the emergency department: Making standardized practice work
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2018 (engelsk)Inngår i: Professions & Professionalism, ISSN 1893-1049, E-ISSN 1893-1049, Vol. 8, nr 2, artikkel-id e2298Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Medication review, the systematic examination of an individual patient’s medicines in order to improve medication therapy, has been advocated as an important patient safety measure. Despite widespread use, little is known about how medication review is conducted when implemented in routine health care. Drawing from an ethnographic case study in a Swedish emergency department and using a practice-based approach, we examine how medication review is practically accomplished and how knowledge is mobilized in everyday practice. We show how physicians construct and negotiate medication safety through situated practices and thereby generate knowledge through mundane activities. We illustrate the centrality of practitioners’ collective reflexive work when co-constructing meaning and argue here that practitioners’ local adaptations can serve as important prerequisites to make “standardized” practice function in everyday work. Organizations need to build a practical capacity to support practitioners’ work-based learning in messy and time-pressured  health care  settings.

Emneord
practice-based study, ethnography, practical knowledge, professional practice, medication review, implementation, patient safety
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-151815 (URN)10.7577/pp.2298 (DOI)
Tilgjengelig fra: 2018-10-04 Laget: 2018-10-04 Sist oppdatert: 2019-05-01
Wiggins, S., Abrandt Dahlgren, M., Ekstedt, M., Hammar Chiriac, E., Larsson Torstensdotter, G. & Törnqvist, T. (2018). On doing ‘being a student amongst other kinds of students’: Managing academic identities in an interprofessional tutorial group. In: : . Paper presented at 5th International Conference on Conversation Analysis (ICCA),15 July 2018, Loughborough University, UK.
Åpne denne publikasjonen i ny fane eller vindu >>On doing ‘being a student amongst other kinds of students’: Managing academic identities in an interprofessional tutorial group
Vise andre…
2018 (engelsk)Konferansepaper, Oral presentation only (Annet vitenskapelig)
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-152177 (URN)
Konferanse
5th International Conference on Conversation Analysis (ICCA),15 July 2018, Loughborough University, UK
Tilgjengelig fra: 2018-10-19 Laget: 2018-10-19 Sist oppdatert: 2018-10-31
Organisasjoner
Identifikatorer
ORCID-id: ORCID iD iconorcid.org/0000-0001-5066-8728