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Framtidens sjukvård - Digitalisering som lösning till dagens finansiella och organisatoriska utmaningar inom sjukvårdenBurlion, Anna, Kervall, Anna-Stina January 2020 (has links)
Sveriges vision är att bli bäst i världen på e-hälsa till år 2025. Digitalisering tillskrivs vara lösningen på flera av de samhällsutmaningar svensk hälso-och sjukvård står inför. Förhoppningen är att digitalisering ska ge möjlighet till delaktighet, inflytande och självständighet med målsättning att uppnå en jämlik, jämställd och effektiv hälso- och sjukvård. Tidigare forskning kring digitalisering av sjukvård ger ingen entydig bild av vilka kostnadseffektiviseringar och kvalitetsförbättringar som kan uppnås. Digitaliseringen kommer att påverka organisationen och dess medlemmar och i slutändan kvaliteten på vården för patienten. Denna studie syftar till att visa hur ett digitalt system, Skånes Digitala Vårdsystem, påverkar organisationen det införs i och vilka utmaningar det anses lösa. Genom en policyanalys påvisas att digitaliseringsdiskursen är framträdande och leder till ny ansvarsfördelning och styrning, en outtalad maktförskjutning, ger upphov till nya institutionella arrangemang, påverkar andra diskurser och kan leda till digitalt utanförskap. Sammantaget påvisar studien att SDV är långt mycket mer än ett IT-system, snarare en styrande och disciplinerande policy i utvecklingen av hälso- och sjukvården. Denna studie bidrar till det redan breda forskningsfältet genom att analysera ett digitalt system som en policy utifrån ett governmentalityperspektiv. Genom detta skapas en förståelse för hur ett digitalt system kan bli styrande för en organisation och dess beslutsfattande. / Sweden’s vision is to become the world leader on e-health by the year 2025. Digitalization is attributed to being the solution to several of the societal challenges Swedish healthcare is facing. The hope is that digitalization will provide opportunities for participation, influence and independence with the aim of achieving equal and effective healthcare. Previous research of digitalization of healthcare does not give an unambiguous picture of the efficiency and quality improvements that can be achieved. Digitalization will affect the organization and its members and ultimately the quality of care for the patient. This study aims to show how health information technology (HIT) affects the organization it is introduced in and what challenges it is considered to solve. A policy analysis demonstrates that the discourse of digitalization is prominent and leads to new divisions of responsibilities and governance, an unspoken shift in power, gives rise to new institutional arrangements, affects other discourses and can lead to digital exclusion. Overall, the study shows that HIT act as a governing and disciplinary policy in the development of healthcare. This study contributes to the already broad field of research by analyzing a digital system as a policy from a governmentality perspective. This creates an understanding of how an organization and its decision-making can be governed by a digital system.
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The retreat of multiculturalism in the Netherlands: A post-structural policy analysisAiriian, Elina January 2019 (has links)
Since the 1990’s, the retreat of multiculturalism has been described as an integration policy trend across European states. There is however much disagreement among scholars on how this phenomenon should be understood and whether it actually exists. As previous research suggests that the Netherlands is perceived as an extreme example of the withdrawal of multiculturalism, this thesis seeks to critically examine integration in a Dutch governmental context. This is being done by making use of a post-structural policy analysis, which is aimed at understanding the discursive construction of a policy document. More specifically, it has been chosen to utilize Bacchi’s “What is the problem represented to be?” approach, as it focuses on how problems are being represented and understood instead of solely focusing on solving problems. Thus, the theoreotical framework is based on Bacchi’s WPR methodology in combination with previous literature on multiculturalism and assimilationism. The object for analysis is the official Dutch integration policy document of 2007 “Make sure you belong”. By critically examining this document, it can be concluded that Dutch integration is indeed withdrawing from multiculturalism and showing strong features of assimilationism. It can additionally be concluded that the government has a powerful role in constructing meanings.
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Settler Colonialism Continued: A Genealogy of Indigenous Regulation and Oppression in CanadaBourne, Nisse 12 November 2021 (has links)
Since the release of the Truth and Reconciliation Commission of Canada’s final report in 2015, there has been a political and societal focus on the atrocities that occurred in residential schools. The abuse, sexual abuse, murder, and genocide of Indigenous children through the residential school system has become the main focus for many settlers in Canada. However, focusing our attention on the most heinous acts alone can obfuscate manifestations of Indigenous regulation and oppression that are subtler or more covert. This project takes a genealogical approach to allow for the exposure of naturalized settler colonial logics, while also placing residential schools within a continuum of Indigenous regulation and oppression. This project uses Foucault’s concepts of power (disciplinary power, biopower, governmentality) and contemporary colonial concepts of recognition and accommodation to uncover the governmental technologies used within the residential school system and the Correctional Service of Canada’s approach to Indigenous corrections. This project challenges the progression fallacy which states our current epoch is more ethical than any other that came before by arguing the political rationalities of Western superiority and settler colonial benevolence that justified the creation of residential schools still exist today. This project examines the Correctional Service of Canada’s approach to Indigenous corrections as a contemporary illustration of how the political rationalities of Western superiority and settler colonial benevolence not only serve as justifications for harmful policies, programs, and initiatives, but also aid in the production of new Indigenous subjects and populations. Although the manifestations of Indigenous oppression have changed throughout time, the political rationalities that underpin them have stayed the same.
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“It’s All About You Being Successful as a Student”: Mental Health and Wellness at a Post-Secondary Institution in Ontario: A Governmentality AnalysisSimar, Melinda 08 April 2020 (has links)
A mental health crisis is happening on post-secondary campuses in Ontario today. Post-secondary institutions provide mental health services to students in an effort to respond to this crisis and manage students in distress. The management of students and the implementation of these mental health services is the main concern of this thesis, more specifically, the ways in which these services expose conscious and/or unconscious beliefs about student mental health. By extension, these beliefs constitute the ways in which we can think about, talk about, and know about patient safety. The object of study is the intersection of the neo-liberal university with the ‘good’ student and the resulting effects of this relationship on the development and implementation of mental health services. These intersections themselves create possibilities for acting on students in distress, but that also create unintended contradictions in the services themselves. An examination of this intersection can address a gap in the literature on post-secondary student mental health.
The conceptual framework used in this study is primarily built from Michel Foucault’s concepts of subjectivity, and governmentality. The object of consideration is limited in this study to senior employees directly involved in student mental health at a university in Ontario. Documents are analysed to show how student mental health problems have been problematized nationally, provincially and locally and, thus, a behaviour to be regulated with governing practices. Data from interviews with senior University employees and observations of wellness events are analysed to examine the imbrication of advanced liberal rationalities and techniques in the implementation of mental health services on campus. The thesis argues that the development of these services is not an unproblematic process, whereby services and activities act simply as neutral tools to improve the mental health and well-being of students. Rather, these services aim to produce successful, enterprising students. Discourses of mental health and student success produce certain truths about practices and student subjectivities, obscuring and narrowing the definition of health and well-being and creating contradictions for students experiencing mental distress. In particular, this thesis shows how the University’s objectives for providing mental health services have implications for the development of mental health services and the governing of post-secondary in advanced liberal ways.
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Meningsfulla aktiviteter på fritidshemmet : En etnografisk studie kring dilemmat med meningsfulla aktiviteter utifrån samtal med fritidshemslärare och eleverBosta Lorenz, Kajsa, Granlund, Patrik January 2019 (has links)
Syftet med studien var att undersöka hur lärare i fritidshem resonerade kring begreppet meningsfulla aktiviteter och hur de beskrev att de utformade och planerade aktiviteterna för eleverna. Samt hur eleverna resonerade kring de meningsfulla aktiviteterna. Konstruktionen av data skapades utifrån en etnografisk ansats och analyserades med hjälp av en diskursanalys. Konstruktionen av empiri skedde med hjälp av en trianguleringsmetod där åtta skriftliga intervjuer av fritidshemslärare, fyra observationer av aktiviteter, fyra gruppsamtal med elever som deltagit i observationerna samt fyra djupintervjuer med fritidshemslärare genomfördes. I resultatet framkom elevers lust, glädje och intresse samt läroplanens riktlinjer som centrala i utformandet av aktiviteter. Fritidshemlärarna menade även att lärandet i aktiviteterna skulle genomsyras av ett informellt, implicit och procedurellt lärande och tog avstånd från det formella lärandet i skolverksamheten. Eleverna upplevde det centrala i meningsfulla aktiviteter som att få leka fritt och tillsammans med sina kompisar. I utsagorna kan det sägas finnas en ömsesidig förståelse mellan elever och fritidshemslärare i att meningsfulla aktiviteter ska utgå från eleverna men även vikten av det finns styrda aktiviteter.
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Editorial GouvernementalitätVollbrecht, Ralf, Dallmann, Christine 03 February 2016 (has links)
Wir freuen uns, mit 'Medienwelten – Zeitschrift für Medienpädagogik' eine neue medienpädagogische Zeitschrift präsentieren zu können, die eine weitere Publikationsmöglichkeit auf einem bislang engen Publikationsfeld schafft.
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Die kleine böse Randnotiz: Gouvernementalität im RundfunksystemVollbrecht, Ralf 03 February 2016 (has links)
Ausdruck zielführender Gouvernementalität ist auch die verfassungsrechtlich umstrittene Neuordnung der Rundfunkbeiträge in Deutschland. Seit Jahresbeginn 2013 ist der öffentlich-rechtliche Rundfunk bekanntlich eine an die Wohnung gekoppelte Zwangsabgabe der Bürgerinnen und Bürger („Fünfzehnter Rundfunkänderungsstaatsvertrag“). Zwangsfernsehen bedeutet nun nicht, dass man tatsächlich gezwungen wird, öffentlich-rechtliches Fernsehen zu sehen, sondern nur, dass man es bezahlen muss, auch wenn man es nicht sieht. Grund ist insbesondere der Bildungs- und Informationsauftrag des öffentlich-rechtlichen Rundfunks.
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Všední sebelegitimizace moci: distribuce vnímatelného v izraelských osadách na Západním břehu / Mundane Self-Legitimizations of Power: Distribution of the Sensible in the Israeli Settlements in the West BankZáhora, Jakub January 2018 (has links)
Bibliographic Record ZÁHORA, JAKUB. Mundane Self-Legitimizations of Power: Distribution of the Sensible in the Israeli Settlements in the West Bank. Prague, 2017. 277 p. Doctoral dissertation (Ph.D.) Charles University in Prague, Faculty of Social Sciences, Institute of Political Studies. Thesis supervisor: PhDr. Ondřej Ditrych, MPhil., Ph.D. Abstract: In this doctoral thesis I am looking into mechanisms, practices and political technologies that work to depoliticize contested and potentially disturbing realities. To make sense of these processes, I am utilizing the theoretical and conceptual apparatus derived from Foucault's and Rancière's respective works. Following Rancière, I conceptualize depolitization as a "distribution of the sensible", a particular ordering of what is presented to the senses and thus made intelligible, "obvious" and "natural". Understanding such arrangements in terms of a governmental programme, I focus mostly on material and visual elements of the dispositif that promotes this depoliticizing rationality. Empirically, I am investigating the case of the Israeli so-called non-ideological settlements in the West Bank. Despite some popular misconceptions, these communities attract Israelis by offering cheap public services and housing rather than for their religious-nationalistic...
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Bezpečnost měst: městská resilience jako technologie vládnutí / Securing cities: 'Urban resilience' as a technology of governmentSvitková, Katarína January 2019 (has links)
Svitková, K. 2019. Securing cities: 'Urban resilience' as a technology of government, 282 pp. Doctoral thesis (PhD) Charles University, Faculty of Social Sciences, Institute of Political Studies. Department of Security Studies. Academic supervisor: doc. PhDr. PNDr. Nikola Hynek, M. A., PgDip Res, PhD Abstract Resilience has become a buzzword in policy and practice of 'securing' and 'developing' cities and urban populations. This study discusses the use of this concept in the context of governance of subjectivities. More specifically, reflecting its empirical focus, it poses critical questions about constructing and promoting 'urban resilience subjects', and scrutinizes the process of internalization of resilience as a self-governance technique, self-imposed on and by citizens for their own good. The purpose is to problematize resilience as a universal tool or strategy to govern cities and their inhabitants, be it in ordinary or extreme circumstances. The study ventures beyond the traditional critique of neoliberalism to ask questions about what resilience does in terms of a performative governance, exploring the disciplinary and biopolitical nature of this process. Keywords resilience, governmentality, urban, cities, power, biopolitics
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Governmentalita fiskální dohody / Examining Governmentality of the Fiscal CompactFukatsch, Pavol January 2020 (has links)
Sovereign debt crisis is a major event in the history of European monetary and fiscal integration. On the one hand, the crisis has shown weak points of monetary and fiscal governance, but on the other it has proven to lead to more integration in this sector. One of the solutions which led to more integration and was meant to prevent another crisis is the Fiscal Compact. The goal of the Fiscal Compact was to update the "rules of the game" to better fit the reality of post-crisis Eurozone. Crises can unfold and uncover governmentality patterns; the goal of the diploma thesis is to reconstruct these patterns using Foucaldian governmentality conceptual toolbox. The thesis will use the concept of political technologies and techniques to interrogate speech by Mario Draghi that he delivered at the Ludwig Erhard lecture in 2011. Following the identification of political techniques and technologies reflecting ordoliberalism, the thesis will continue with an analysis of microsites of fiscal councils. The goal of the analysis of microsites is to trace the operation of governmentality in the fiscal domain. The overreaching goal of the analysis is to problematize a view, postulating that the solution to the sovereign debt crisis reflects sovereign power.
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