TY - JOUR
T1 - Knowledge creation for the future of integrated health and social services
T2 - Vague visions or an expansion of activity?
AU - Juvonen, Sanna
AU - Koivisto, Jaana-Maija
AU - Toiviainen, Hanna
N1 - Funding Information:
This work was supported by the Finnish Ministry of Education and Culture Fund as part of the SotePeda24/7 project OKM/241/523/2017. Development Manager Miia Lammi. was in charge of the design of the canvas tool used in workshops.
Publisher Copyright:
© 2022
PY - 2022
Y1 - 2022
N2 - This article analyses multi-professional knowledge creation in relation to the future of health and social services in Finland. The empirical data were collected from a workshop and it was carried out in cooperation between the representatives of higher education and working life. Workshop gave to its participants the possibility for multi-professional knowledge creation exercise to expand on future integrated health and social services. Participants saw digitalisation as enabling clients to use services and as offering more holistic help in incorporating clients' service histories and needs. The analytical framework is based on the cultural-historical activity theory (CHAT) and the knowledge creation approach, which directs attention to creation of the future object of client-centred services and knowledge artefacts by means of which future visions are collectively imagined and concretised. The activity-theoretical analysis of the elements of the envisioned service activity brought into daylight contradictions between the present and the future, as well as the possibility of overcoming the siloed services, and acknowledge the diversity of the clients' situations. These challenges may be difficult to grasp by means of a knowledge creation exercise alone. However, the realization of future activity requires solving the contradictions of the present service and care.
AB - This article analyses multi-professional knowledge creation in relation to the future of health and social services in Finland. The empirical data were collected from a workshop and it was carried out in cooperation between the representatives of higher education and working life. Workshop gave to its participants the possibility for multi-professional knowledge creation exercise to expand on future integrated health and social services. Participants saw digitalisation as enabling clients to use services and as offering more holistic help in incorporating clients' service histories and needs. The analytical framework is based on the cultural-historical activity theory (CHAT) and the knowledge creation approach, which directs attention to creation of the future object of client-centred services and knowledge artefacts by means of which future visions are collectively imagined and concretised. The activity-theoretical analysis of the elements of the envisioned service activity brought into daylight contradictions between the present and the future, as well as the possibility of overcoming the siloed services, and acknowledge the diversity of the clients' situations. These challenges may be difficult to grasp by means of a knowledge creation exercise alone. However, the realization of future activity requires solving the contradictions of the present service and care.
KW - Activity systems
KW - Contradictions
KW - Cultural–historical activity theory (CHAT)
KW - Expansions
KW - Health and social care services
KW - Integrated services
KW - Knowledge creation
U2 - 10.1016/j.lcsi.2022.100613
DO - 10.1016/j.lcsi.2022.100613
M3 - Article
AN - SCOPUS:85124479702
SN - 2210-6561
VL - 37
JO - LEARNING, CULTURE AND SOCIAL INTERACTION
JF - LEARNING, CULTURE AND SOCIAL INTERACTION
M1 - 100613
ER -