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Andersson, Ann-ChristineORCID iD iconorcid.org/0000-0003-0409-1985
Publications (10 of 43) Show all publications
Gäre, K., Andersson, A.-C., Andersson-Gäre, B. & Thor, J. (2023). Evidence informed healthcare improvement: Design and evaluation. Jönköping: Jönköping University, School of Health and Welfare
Open this publication in new window or tab >>Evidence informed healthcare improvement: Design and evaluation
2023 (English)Report (Other academic)
Abstract [en]

Healthcare is in constant change with fast development in knowledge, new technology and varying needs and expectations from patients, citizens, management, and politicians. There is a challenge in balancing the involved actors´ focus, needs, preferences, and resources for healthcare improvement. Improvement of healthcare is an ongoing activity, sometimes managed and controlled, often not. A key ingredient for success is competence where the need for competence varies with perspectives of the improving actors. Actors in healthcare improvement are professionals, patients, politicians, management, citizens, researchers, research foundations and others. In this report a review of frameworks in healthcare improvement are presented together with management myths and questions around needs for healthcare improvement competence and capabilities currently on the agenda.

Most improvement initiatives of some size have substantial parts of IT and have had so for a considerable time. This rather long experience of more and less successful IT implementation and use is transparent and useful in all kinds of healthcare improvement. One important issue in this report is what has real impact is the actual understanding and use of innovations and artefacts by healthcare actors in a broad sense for healthcare improvement (e.g., new clinical evidence, clinical guidelines, process changes, information systems and more). The aim in this report is to review frameworks which can be useful in healthcare improvement as well as in the study of healthcare improvement.

Conclusions concern what is found to be important to study and understand healthcare improvement, considering the presented frameworks. Improvement of healthcare is present in all the frameworks but in different ways and what is emphasized concerning scope and focus. Improving healthcare take place in the interaction of at least two parts, one of which is healthcare professionals, and another is the patient/next-of-kin. Professionals and patient populations interact in processes of social networks and structures. Actors and context are useful concepts for understanding action (use) and its social contexts. The actual use of innovations is best understood in terms of integration into clinical activities and processes – actors’ interaction, coordination and communication activities and processes.

Theoretical implications are that there is a need for more research concerning meso and macro perspectives on methods for healthcare improvement, and the interplay of perspectives regarding the understanding of improvement in healthcare. Of course, a challenge is that the objects of improvement are complex adaptive systems of healthcare is not easily to catch in simple rules. They are genuinely difficult both to change and evaluate changes. Practical implications of the report support design and contents of education programs in improvement of healthcare, in better understanding usefulness, practice, use, and experience base. To help the understanding of the need and usefulness of integrating different perspectives for successful healthcare improvement, e.g., micro, meso, and macro perspectives, use of mixed methods and more. 

Place, publisher, year, edition, pages
Jönköping: Jönköping University, School of Health and Welfare, 2023. p. 48
Series
Arbetsrapporter från Hälsohögskolan ; 2023:1
Keywords
healthcare improvement, complex adaptive systems, frameworks, co-production, sensemaking, sensegiving, adoption, implementation, organizing
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hj:diva-61123 (URN)
Available from: 2023-06-15 Created: 2023-06-15 Last updated: 2023-06-15Bibliographically approved
Andersson-Gäre, B. & Andersson, A.-C. (2023). Från kunskap till handling – för barnens bästa. Stockholm: Stiftelsen Allmänna Barnhuset
Open this publication in new window or tab >>Från kunskap till handling – för barnens bästa
2023 (Swedish)Report (Other academic)
Place, publisher, year, edition, pages
Stockholm: Stiftelsen Allmänna Barnhuset, 2023
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-63260 (URN)
Available from: 2024-01-09 Created: 2024-01-09 Last updated: 2024-02-14Bibliographically approved
Thor, J., Andersson, A.-C. & Andersson-Gäre, B. (2023). Förbättringskunskap behöver fortsatt tillämpas i vården [Improvement knowledge has been applied when changing health services - and continues to be needed]. Läkartidningen, 120, Article ID 22154.
Open this publication in new window or tab >>Förbättringskunskap behöver fortsatt tillämpas i vården [Improvement knowledge has been applied when changing health services - and continues to be needed]
2023 (Swedish)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 120, article id 22154Article in journal (Refereed) Published
Abstract [sv]

Förbättringskunskap har tillämpats i förändringsarbetet inom vården i Sverige i stor utsträckning sedan ämnet introducerades i Läkartidningen år 2002.

Flera tillämpningar har dokumenterats i vetenskapliga publikationer med koppling till förbättrade kliniska utfall, ofta visade i nationella kvalitetsregister.

Förbättringsvetenskap bidrar till utvärdering och utveckling av förbättringskunskapstillämpning.

Patienters och närståendes erfarenhet och kunskap integreras i nyare beskrivningar och tillämpning av förbättringskunskap.

Förbättringskunskap behöver tillämpas av såväl kliniska medarbetare som ledare och uppdragsgivare för att möta kommande utmaningar för hälso- och sjukvården.

Abstract [en]

In 2002, Läkartidningen published a call to apply improvement knowledge in efforts to change health services. Looking back over the past 20 years, we highlight many scientifically documented examples of such application. Many efforts, often within »breakthrough collaboratives«, have included Swedish national quality registries, with documented health outcome improvements related to application of Improvement Knowledge. Applications have been evaluated through improvement science studies. A literature review documented 32 PhD theses addressing healthcare improvement published by Swedish universities. Increasingly, improvement knowledge definitions and applications include - and harness - the experiences and knowledge among patients and their families. To meet challenges in the future, all health care stakeholders will need to master and apply improvement knowledge.

Place, publisher, year, edition, pages
Läkartidningen Förlag AB, 2023
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hj:diva-63593 (URN)36757306 (PubMedID)
Note

Medicinsk kommentar.

Available from: 2024-02-14 Created: 2024-02-14 Last updated: 2024-02-14Bibliographically approved
Ramfelt, K., Andersson-Gäre, B., Andersson, A.-C. & Petersson, C. (2023). ‘It's like a never-ending diabetes youth camp’: Co-designing a digital social network for young people with type 1 diabetes. Health Expectations, 26, 662-669
Open this publication in new window or tab >>‘It's like a never-ending diabetes youth camp’: Co-designing a digital social network for young people with type 1 diabetes
2023 (English)In: Health Expectations, ISSN 1369-6513, E-ISSN 1369-7625, Vol. 26, p. 662-669Article in journal (Refereed) Published
Abstract [en]

Introduction: Living with a chronic condition such as type 1 diabetes (T1D) affects everyday life and support from others experiencing a similar situation can be helpful. A way to receive such support is to use an online network where people can connect and share experiences. Research has described the benefits of using such tools for connecting patients. The aim of this study was to describe the co-design of a social network for young people with T1D and to describe their experiences when using this network.

Methods: A co-design approach was used, following three steps adapted from Sanders and Stappers (2008). In all, 36 adolescents with T1D participated. Data in the form of recordings and notes from telephone interviews, workshops and focus groups were collected and then analysed using content analysis. Numerical data from the digital platform were also used.

Findings: For the interpersonal values, supporting, learning and relating to emerge, the framework of the network must be appealing and user-friendly. The limits of time and place are eliminated, and there is a possibility for many more to join in.

Conclusion: Co-design ensures that what stakeholders think is important forms the basis for the design. The interpersonal values that are promoted are ones that only the exchange of lived knowledge and experience can generate. It is complementary to the support that healthcare professionals can offer; thus, this kind of social network is important for improved, coproduced care.

Patient or Public Contribution: The participants in the present study were persons living with T1D. They were active co-creators from the start to the end. An adult person with experience of living with T1D was involved as an advisor in the research team when drafting the manuscript.

Place, publisher, year, edition, pages
John Wiley & Sons, 2023
Keywords
adolescents, co-design, improvement, social network, type 1-diabetes, value creation
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-59284 (URN)10.1111/hex.13690 (DOI)000899348900001 ()36541231 (PubMedID)2-s2.0-85144285388 (Scopus ID)GOA;;851400 (Local ID)GOA;;851400 (Archive number)GOA;;851400 (OAI)
Funder
Vinnova, 2018‐01442
Available from: 2023-01-03 Created: 2023-01-03 Last updated: 2023-05-16Bibliographically approved
Persson, S., Andersson, A.-C., Andersson-Gäre, B., Lindenfalk, B. & Lind, J. (2023). Lived experience of persons with multiple sclerosis: A qualitative interview study. Brain and Behavior, 13(7), Article ID e3104.
Open this publication in new window or tab >>Lived experience of persons with multiple sclerosis: A qualitative interview study
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2023 (English)In: Brain and Behavior, ISSN 2162-3279, E-ISSN 2162-3279, Vol. 13, no 7, article id e3104Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: Multiple sclerosis (MS) is a chronic autoimmune disease with a substantial impact on quality of life and functional capability. The prognosis of MS has changed over time due to the development of increasingly effective therapies. As the knowledge and perceptions of persons living with chronic conditions increasingly have been acknowledged, it has become important to understand lived experiences with a focus on everyday events and experiences as a way of knowing and interpreting the world. Exploring context-specific lived experiences as a source of knowledge about the disease and care may contribute to more precision in designing care services. The aim of this study was to explore the lived experience of persons living with MS in a Swedish context.

MATERIALS AND METHODS: A qualitative interview study was conducted with both purposeful and random sampling strategies, resulting in 10 interviews. Data were analyzed using inductive thematic content analysis.

RESULTS: The analysis generated 4 overarching themes with 12 subthemes, the 4 themes were: perspectives on life and health, influence on everyday life, relations with healthcare, and shared healthcare processes. The themes are concerned with the patients' own perspectives and context as well as medical and healthcare-related perspectives. Patterns of shared experiences were found, for example, in the diagnosis confirmation, future perspectives, and planning and coordination. More diverse experiences appeared concerning relations with others, one's individual requirements, symptoms and consequences, and knowledge building.

CONCLUSION: The findings suggest a need for a more diverse and coproduced development of healthcare services to meet diverse needs in the population with greater acknowledgement of the person's lived experience, including consideration of the complexity of the disease, personal integrity, and different ways of knowing. Findings from this study will be further explored together with other quantitative and qualitative data.

Place, publisher, year, edition, pages
John Wiley & Sons, 2023
Keywords
coproduction, multiple sclerosis care, patient experience, quality improvement
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hj:diva-60518 (URN)10.1002/brb3.3104 (DOI)000995986100001 ()37246453 (PubMedID)2-s2.0-85160921603 (Scopus ID)GOA;;882813 (Local ID)GOA;;882813 (Archive number)GOA;;882813 (OAI)
Funder
Futurum - Academy for Health and Care, Jönköping County Council, Sweden
Available from: 2023-05-30 Created: 2023-05-30 Last updated: 2023-08-29Bibliographically approved
Vackerberg, N., Andersson, A.-C., Peterson, A. & Karltun, A. (2023). What is best for Esther? A simple question that moves mindsets and improves care. BMC Health Services Research, 23(1), 1-16, Article ID 873.
Open this publication in new window or tab >>What is best for Esther? A simple question that moves mindsets and improves care
2023 (English)In: BMC Health Services Research, E-ISSN 1472-6963, Vol. 23, no 1, p. 1-16, article id 873Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Persons in need of services from different care providers in the health and welfare system often struggle when navigating between them. Connecting and coordinating different health and welfare providers is a common challenge for all involved. This study presents a long-term regional empirical example from Sweden-ESTHER, which has lasted for more than two decades-to show how some of those challenges could be met. The purpose of the study was to increase the understanding of how several care providers together could succeed in improving care by transforming a concept into daily practice, thus contributing with practical implications for other health and welfare contexts.

METHODS: The study is a retrospective longitudinal case study with a qualitative mixed-methods approach. Individual interviews and focus groups were performed with staff members and persons in need of care, and document analyses were conducted. The data covers experiences from 1995 to 2020, analyzed using an open inductive thematic analysis.

RESULTS: This study shows how co-production and person-centeredness could improve care for persons with multiple care needs involving more than one care provider through a well-established Quality Improvement strategy. Perseverance from a project to a mindset was shaped by promoting systems thinking in daily work and embracing the psychology of change during multidisciplinary, boundary-spanning improvement dialogues. Important areas were Incentives, Work in practice, and Integration, expressed through trust in frontline staff, simple rules, and continuous support from senior managers. A continuous learning approach including the development of local improvement coaches and co-production of care consolidated the integration in daily work.

CONCLUSIONS: The development was facilitated by a simple question: "What is best for Esther?" This question unified people, flattened the hierarchy, and reminded all care providers why they needed to improve together. Continuously focusing on and co-producing with the person in need of care strengthened the concept. Important was engaging the people who know the most-frontline staff and persons in need of care-in combination with permissive leadership and embracing quality improvement dimensions. Those insights can be useful in other health and welfare settings wanting to improve care involving several care providers.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2023
Keywords
Co-production, Collaboration, Complex care, Mindset, Perseverance, Person centeredness, Quality improvement, System-thinking
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hj:diva-62253 (URN)10.1186/s12913-023-09870-1 (DOI)001050063400002 ()37592279 (PubMedID)2-s2.0-85168289821 (Scopus ID)GOA;;898130 (Local ID)GOA;;898130 (Archive number)GOA;;898130 (OAI)
Funder
Region Jönköping CountyEuropean Social Fund (ESF)
Available from: 2023-08-23 Created: 2023-08-23 Last updated: 2023-08-29Bibliographically approved
Vackerberg, N. & Andersson, A.-C. (2022). Commentary: Bridging the silos: A comparative analysis of Implementation Science and Improvement Science [Letter to the editor]. Frontiers in Health Services, 2, Article ID 964489.
Open this publication in new window or tab >>Commentary: Bridging the silos: A comparative analysis of Implementation Science and Improvement Science
2022 (English)In: Frontiers in Health Services, E-ISSN 2813-0146, Vol. 2, article id 964489Article in journal, Letter (Refereed) Published
Place, publisher, year, edition, pages
Frontiers Media S.A., 2022
Keywords
Improvement Science, Implementation Science, quality improvement, pragmatism, positivism
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-58741 (URN)10.3389/frhs.2022.964489 (DOI)GOA;;1707069 (Local ID)GOA;;1707069 (Archive number)GOA;;1707069 (OAI)
Note

A Commentary on "Bridging the silos: A comparative analysis of Implementation Science and Improvement Science" by Nilsen, P., Thor, J., Bender, M., Leeman, J., Andersson-Gäre, B., and Sevdalis. N. (2022). Frontiers in Health Services. 1:817750. doi: 10.3389/frhs.2021.817750

Available from: 2022-10-28 Created: 2022-10-28 Last updated: 2023-08-23Bibliographically approved
Andersson, A.-C. (2022). Förbättringskunskap och förbättringsforskning: Kunskapsöversikt om förbättringsarbetes framväxt inom hälso- och välfärdssektorn i Sverige, samt implikationer för projektet Barnens Bästa Gäller! i Kronoberg. Växjö: Linnaeus University
Open this publication in new window or tab >>Förbättringskunskap och förbättringsforskning: Kunskapsöversikt om förbättringsarbetes framväxt inom hälso- och välfärdssektorn i Sverige, samt implikationer för projektet Barnens Bästa Gäller! i Kronoberg
2022 (Swedish)Report (Other academic)
Abstract [sv]

Syftet med denna kunskapsöversikt är att belysa hur förbättringskunskapen utvecklats i den svenska hälsovård- och välfärdssektorn, och vilka implikationer förbättringskunskap kan ha för projektet ”Barnens Bästa Gäller! i Kronoberg” (BBGiK). Rapporten avslutas med en diskussion om de möjligheter och utmaningar som påverkar projektet. Förbättringskunskap är nära besläktat med kvalitetsutveckling, och är numer vanligt förekommande i hälso- vård- och välfärdsorganisationer. De lagar och regelverk som styr innefattar skyldigheter att bedriva kvalitetsutveckling, och Ledningssystem för systematiskt kvalitetsarbete (SOSFS 2011:9) gäller för både vård- och omsorgsorganisationer.

Rapporten lyfter fram förbättringskunskapens ursprung, dess forskningsanknytning och evidens och utveckling och övergång till vård- och välfärdsorganisationer. När förbättringskunskap fått fäste i den kunskapsintensiva evidensbaserade vårdsektorn och förbättringsarbeten började bli mera vanligt, uppstod frågor om hur förbättringsmetoder fungerar. Flera av de tidiga aktörerna inom förbättringskunskap var läkare och sjuksköterskor, och därför blev det angeläget att även arbetet med förbättringar kunde betraktas utifrån evidenskrav. Runt sekelskiftet 2000 började de första forskningspublikationerna dyka upp. En av förbättringsforskningens stora utmaningar är att utveckla vetenskaplig robust kunskap, och en vanlig kritik har varit att en svag vetenskaplig och teoretisk grund.

I rapporten har befintlig litteratur producerad i Sverige, i form av böcker och bokkapitel, avhandlingar och artiklar, sammanställts och analyserats avseende publikationsfrekvens över tid och innehåll (tema). Sammanställningen lyfter fram studier som har extra relevans för projektet, såsom samverkansprojekt och olika ansatser att överföra och anpassa förbättringskunskap till den sociala sektorn. Mellan åren 2007–2020 utkom 30 böcker, bokkapitel och enklare skrifter. De flesta är läroböcker i form av antologier skrivna för vårdens professioner och handlar ofta om grundläggande förbättringskunskap. 32 avhandlingar från nio svenska lärosäten identifierades, den första från 2003. Flera avhandlingar intar organisationsperspektiv, men även ledarskap, patientsäkerhet och patientinvolvering/delaktighet förekommer. Totalt 210 artiklar identifierades publicerade mellan 1992 och 2020, med flest antal (n=166) efter 2011. Tematiseringen resulterade i sex olika teman: 1) Systematiskt och värdeskapande förbättringsarbete; 2) Samverkan mellan organisationer och vårdgivare; 3) Användning av förbättringsmetoder och (teoretiska) modeller; 4) Ledarskap och lärande; 5) Mätningar, kvalitetsregister och uppföljning; samt 6) Personinvolvering och patientsäkerhet.

Delaktighet och samskapade är en tydligt ökande trend inom vården. Samtidigt har det inom sociala verksamheter länge ansetts viktigt att beakta personers rättigheter och möjligheter till inflytande. Sammanställningen pekar mot en utveckling där samverkan mellan organisationer och samskapande med dem vård och omsorg är till för blir en allt viktigare faktor. Detta är en viktig aspekt för projektet BBGiK, som spänner över flera olika verksamheter och organisationer. Det är alltid en utmaning när olika verksamheter tillsammans ska hitta fungerande lösningar. Denna utmaning blir inte mindre av att de kommer ifrån olika kunskapstraditioner, men i projektet finns förutsättningar för gemensamt lärande runt en gemensam modell. En förutsättning för att lyckas med förbättringsarbete är ett aktivt ledarskap, och strävan mot samma gemensamma mål: ”att skapa en trygg och säker uppväxt för VARJE barn genom främjande, tidiga och samordnade insatser”.

Place, publisher, year, edition, pages
Växjö: Linnaeus University, 2022. p. 80
Series
Forskningsrapporter i Socialt arbete ; 4
Keywords
Kvalitetsförbättring Förbättringskunskap Förbättringsforskning Sammanställning Kunskapsöversikt
National Category
Other Medical Sciences not elsewhere specified
Identifiers
urn:nbn:se:hj:diva-56767 (URN)978-91-89709-04-1 (ISBN)
Projects
Forskningsprojektet Tillitsskapande organisering - gränsöverskridande koordinering för barns bästa
Funder
The Kamprad Family Foundation
Note

Denna rapport är en del av följeforskningsprojektet Tillitsskapande organisering –gränsöverskridande koordinering för barns bästa som bedrivs inom Linnéuniversitetet i samverkan med kommuner och Regionen i Kronoberg, finansierat av Kampradstiftelsen.

Available from: 2022-06-03 Created: 2022-06-03 Last updated: 2022-06-08Bibliographically approved
Gremyr, A., Holmberg, C., Thor, J., Malm, U., Andersson-Gäre, B. & Andersson, A.-C. (2022). How a Point-of-Care Dashboard Facilitates Co-production of Health Care and Health for and with Individuals with Psychotic Disorders: A Mixed-methods Case Study. BMC Health Services Research, 22, Article ID 1599.
Open this publication in new window or tab >>How a Point-of-Care Dashboard Facilitates Co-production of Health Care and Health for and with Individuals with Psychotic Disorders: A Mixed-methods Case Study
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2022 (English)In: BMC Health Services Research, E-ISSN 1472-6963, Vol. 22, article id 1599Article in journal (Refereed) Published
Abstract [en]

Background

Individuals with psychotic disorders experience widespread treatment failures and risk early death. Sweden’s largest department specializing in psychotic disorders sought to improve patients’ health by developing a point-of-care dashboard to support joint planning and co-production of care. The dashboard was tested for 18 months and included more than 400 patients at two outpatient clinics.

Methods

This study evaluates the dashboard by addressing two questions:

  1. Can differences in health-related outcome measures be attributed to the use of the dashboard?
  2. How did the case managers experience the accessibility, use, and usefulness of the dashboard for co-producing care with individuals with psychotic disorders? 

This mixed-method case study used both Patient-Reported Outcome Measures (PROM) and data from a focus group interview with case managers. Data collection and analysis were framed by the Clinical Adoption Meta Model (CAMM) phases: i) accessibility, ii) system use, iii) behavior, and iv) clinical outcomes. The PROM used was the 12-item World Health Organization Disability Assessment Schedule (WHODAS 2.0), which assesses functional impairment and disability. Patients at clinics using the dashboard were matched with patients at clinics not using the dashboard. PROM data were compared using non-parametric statistics due to skewness in distribution. The focus group included five case managers who had experience using the dashboard with patients.

Results

Compared to patients from clinics that did not use the dashboard, patients from clinics that did use the dashboard improved significantly overall (p = 0.045) and in the domain self-care (p = 0.041). Focus group participants reported that the dashboard supported data feedback-informed care and a proactive stance related to changes in patients’ health. The dashboard helped users identify critical changes and enabled joint planning and evaluation.

Conclusion

Dashboard use was related to better patient health (WHODAS scores) when compared with matched patients from clinics that did not use the dashboard. In addition, case managers had a positive experience using the dashboard. Dashboard use might have lowered the risk for missing critical changes in patients’ health while increasing the ability to proactively address needs. Future studies should investigate how to enhance patient co-production through use of supportive technologies.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2022
Keywords
Coproduction, Learning health systems, Schizophrenia, Psychosis
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Psychiatry
Identifiers
urn:nbn:se:hj:diva-56233 (URN)10.1186/s12913-022-08992-2 (DOI)000906200000002 ()36585696 (PubMedID)2-s2.0-85145377857 (Scopus ID)GOA;;1652948 (Local ID)GOA;;1652948 (Archive number)GOA;;1652948 (OAI)
Note

Published in doctoral thesis in manuscript form.

Available from: 2022-04-20 Created: 2022-04-20 Last updated: 2023-02-13Bibliographically approved
Ekström, E., Andersson, A.-C. & Börjesson, U. (2022). “I’ve Got Many Stories You Know”—Problematizing Silence Among Unaccompanied Migrant Girls. Journal of International Migration and Integration, 23, 797-814
Open this publication in new window or tab >>“I’ve Got Many Stories You Know”—Problematizing Silence Among Unaccompanied Migrant Girls
2022 (English)In: Journal of International Migration and Integration, ISSN 1488-3473, E-ISSN 1874-6365, Vol. 23, p. 797-814Article in journal (Refereed) Published
Abstract [en]

This paper presents a study on inhabited silence among unaccompanied female minors in Sweden. Silence among unaccompanied minors has often been explained by experienced trauma. Conversely, research also explains silence as a natural way of establishing autonomy during adolescence. By analyzing the narratives of 11 unaccompanied female minors, we aim to problematize and broaden the understanding of silence as a lack of communication. By using Bourdieu’s concept of linguistic capital, we analyze how hegemonic narratives on migration and integration influence how the girls in this study use silence in their everyday interactions. Our findings suggest that silence can be understood as both a rejection of these narratives and a strategy to preserve the girls’ integrity. We also demonstrate how these girls negotiate their linguistic capital in relation to embodiment and othering, thereby pushing boundaries of identity and what it means to be seen as Swedish. The paper concludes that silence itself speaks and shows that what is often perceived as a lack of communication can also be understood as a failure to listen.

Place, publisher, year, edition, pages
Springer, 2022
Keywords
Silence; Gender; Youth; Unaccompanied minors; Migration; Integration; Linguistic capital
National Category
Social Work
Identifiers
urn:nbn:se:hj:diva-54140 (URN)10.1007/s12134-021-00841-1 (DOI)000671762400001 ()2-s2.0-85110278774 (Scopus ID)HOA;;54140 (Local ID)HOA;;54140 (Archive number)HOA;;54140 (OAI)
Available from: 2021-07-22 Created: 2021-07-22 Last updated: 2023-02-13Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-0409-1985

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