lnu.sePublications
123 51 - 100 of 117
rss atomLink to result list
Permanent link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
  • Lundgårdh, Filip
    et al.
    Mid Sweden University, Sweden.
    Svensson, Kjell
    Karolinska institutet, Sweden.
    Alricsson, Marie
    Linnaeus University, Faculty of Social Sciences, Department of Sport Science.
    Epidemiology of hip- and groin injuries in Swedish male first football league2019In: Knee Surgery, Sports Traumatology, Arthroscopy, ISSN 0942-2056, E-ISSN 1433-7347Article in journal (Refereed)
    Abstract [en]

    Abstract

    Purpose  This study aimed to investigate the incidence, pattern and burden of hip/groin injuries in Swedish professional male football players over five consecutive seasons.

    Methods  Injury history from 16 football teams in the Swedish male first football league was evaluated during five consecutive seasons. The team’s medical staff recorded team exposure and time-loss injuries prospectively between 2012 and 2016.

    Results  In total, 467 time-loss injuries located in the hip/groin area were recorded among 1,687 professional male football players, with an overall incidence and burden of 0.82/1,000 h and 15.6/1,000 h, respectively. There appeared to be an increased risk of hip/groin injuries during the last two seasons (2015-2016); however, the difference was not statistically significant (n.s). Recurrent injury rate was relatively low (14%), and overuse injuries accounted for the majority of injuries and absence days. Muscle injuries were the main injury type, while kicking and sprinting/running were the primary causes of injury. Goalkeepers had the lowest percentage of injuries and absence days.

    Conclusion  Hip/groin injuries are a substantial problem in football, but does not seem to be an increasing phenomenon in the Swedish male first football league. Index and overuse injuries accounted for the majority of injuries and absence days. Thus, the focus should be on preventing hip/groin injuries to lower the injury rate. These new findings should be taken into consideration when designing and implementing preventive training interventions.

     

  • Jogmark, Marina
    Blekinge Institute of Technology, Sweden.
    Den regionala transformationsprocessens sociala dimension: Karlskrona 1989-20022015Doctoral thesis, monograph (Other academic)
    Abstract [en]

    How can we understand places and their development processes from a social perspective? The aim of this case study is to understand the emergence of an IT-industry in Karlskrona between 1989-2002 from a social capital perspective. Historically, the production and the form of life of the population in Karlskrona, has been characterized by the fact that Karlskrona is a naval city, which for several centuries has had a naval base and a naval ship yard. Karlskrona is also an interesting case to study because of the stagnation in the economy and the insignificant prospects for industrial renewal in the late 1980s. Despite these conditions, something happens that for a short period of time changes the local structure both in terms of production and population. How can we understand the social dimension of such a change?

    In a narrated form this case study highlights how the transformation of Karlskrona contain both bridging and bonding forms of social relations. The main purpose of this dissertation is accordingly to understand which networks of relations the key participants of the study are a part of and get resources from. The study also aim to highlight structures for action around the development of the IT-industry in relation to the ties that bind in the already established industrial specialization in Karlskrona, in other words the lasting relationships tied to the naval base, the navy and the naval yard. From this viewpoint questions are asked regarding what kind of social relations appear, both in the new and the old Karlskrona, and what it is in particular that characterizes the new social capital that makes up the key participants room to manoeuvre in the process of transformation for Karlskrona.

     

    The phenomenon where the place Karlskrona appears as socially divided between exchanges within the context of the new and the already established industry, is illustrated as two pillars of social capital. The pillars are assumed to be separated at the beginning of the transformation, and then they change as people live their lives and are included in new types of exchanges with each other. From the case specific study of the transformation of Karlskrona between 1989-2002, other, more general analytical connections are made in the discussion about how the dynamics of the transformation could be made possible, and why it stopped. From the theoretical viewpoint of social capital the dissertation follows a discussion about the lessons which can be learnt regarding the question how we can view places and their transformation processes. The conclusions particularly emphasize the importance of how newcomers can contribute as well as the crucial role held by border crossers when it comes to

    create linking social capital of the place.

  • Tingström Magnusson, Ylva
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Sjuksköterskans erfarenheter av att bedöma patienter inom ambulanssjukvården2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Sjuksköterskan inom ambulanssjukvården kan bedöma och behandla patienten i hemmet eller på den plats patienten påträffas. Därefter kan patienten hänvisas till lämplig vårdnivå. Sjuksköterskans bedömning baseras på behandlingsriktlinjer, triageringssystemet RETTS samt tidigare erfarenheter.

    Syfte: Syftet var att undersöka sjuksköterskans erfarenhet av att bedöma patienter inom ambulanssjukvården.

    Metod: Studiens metod var en systematisk litteraturstudie som innefattade sex kvalitativa vetenskapliga artiklar. Databassökningar har gjorts i databaserna Cinahl och PsycInfo. Artiklarna som valdes ut kvalitetsgranskades enligt en framtagen mall för kvalitetsgranskning. Analysmetoden utgick från en kvalitativ innehållsanalys.

    Resultat: Sjuksköterskans erfarenhet påverkades av tidigare beslut som tagits samt vilka beslutsstöd som fanns tillgängliga i verksamheten. Sjuksköterskans förmåga stärks om tid läggs på patientens hela situation inför bedömningen. Vissa larm oroade sjuksköterskorna mer inför t ex barn och patienter i samma ålder.

    Slutsats: Sjuksköterskan inom ambulanssjukvården med erfarenhet inom yrket var lugnare och tog mer ansvar vid bedömningen av patienten och kunde hänvisa till annan vårdnivå. Det vore bra att nyanställd sjuksköterska inom ambulanssjukvården arbetar med erfaren sjuksköterska. Bättre samhällsinformation till de som söker vård skulle underlätta så att de kommer till rätt vårdinstans och ambulans till den som behöver den.

  • Gelot, Ludwig
    Linnaeus University, Faculty of Social Sciences, Department of Social Studies.
    Reclaiming the Transcendence of Positive Peace Against the Violence of Post-Liberal Peace2018In: International Journal on World Peace, ISSN 0742-3640, Vol. 35, no 2, p. 27-52Article in journal (Refereed)
    Abstract [en]

    Peace research has abandoned thepursuit of positive peace becauseof a profound commitment to anontology of violence. By assumingthat the world is shaped by arbitrarypower relations, scholars workingon the liberal and post-liberal peaceend up focusing their research onnegative peace. The article developsa critique of this ontology ofviolence assumed by the Realist,Liberal and Critical traditions whichconceals the possibility of positivepeace. Following the lead of CharlesTaylor, it locates the philosophicalshackles that stifle peace research inthe immanent frame that underpinsthe political work of Hobbes and hiscontemporaries. The article outlinesthe contours of an ontology of peaceand revisits the concept of eirenismto conceptualise positive peace.

  • Jägerbrink, Filip
    Linnaeus University, Faculty of Arts and Humanities, Department of Cultural Sciences.
    Barns aktivitetsmötesplatser i det offentliga rummet: orten-rummet-mötet2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    This study aims to investigate children's use of meeting places in the public space. The study focuses on meeting places that can be associated with physical activity. The study has focused on the urban area of Mönsterås as the geographical position area and can therefore be viewed as a case study. In order to investigate the purpose, the paper has used three different examination methods, which where intervjues, observations and a survey in which children has been asked what venues they use for activities, how often they visit these venues, and which factors they consider important for an “activity venue”. The interviews have focused on what “activity venues” that currently exists in Mönsterås urban area, what officials in the county considers during the planning and construction of “activity venues” and what they see as important factors for these venues. The result shows that the factors the officials see as important are: accessibility, lighting, vegetation, safety and security, as well as cleanliness and tidiness. This is largely in line with what the children sees as important factors for an “activity venue”. The children considers good lighting, close to home, no car traffic and cleanliness and tidiness as important factors for an activity venue. The results of the study are largely in line with what research in the field confirms as important factors for a venue that encourages children to physical activity.

  • Jalilzadehazhari, Elaheh
    et al.
    Linnaeus University, Faculty of Technology, Department of Forestry and Wood Technology.
    Vadiee, Amir
    Mälardalen University, Sweden.
    Johansson, Peter
    Jönköping University, Sweden.
    Achieving a trade‐off construction solution using BIM, an optimization algorithm, and a multi‐criteria decision‐making method2019In: Buildings, ISSN 2075-5309, E-ISSN 2075-5309, Vol. 9, no 4, p. 1-14, article id 81Article in journal (Refereed)
    Abstract [en]

    The Energy Performance of Building Directive obligated all European countries to reduce the energy requirements of buildings while simultaneously improving indoor environment quality. Any such improvements not only enhance the health of the occupants and their productivity, but also provide further economic benefits at the national level. Accomplishing this task requires a method that allows building professionals to resolve conflicts between visual and thermal comfort, energy demands, and life‐cycle costs. To overcome these conflicts, this study exploits the incorporation of building information modelling (BIM), the design of experiments as an optimization algorithm, and the analytical hierarchy process (AHP) into a multi‐criteria decision‐ making method. Any such incorporation can (i) create constructive communication between building professionals, such as architects, engineers, and energy experts; (ii) allow the analysis of the performance of multiple construction solutions with respect to visual and thermal comfort, energy demand, and life‐cycle costs; and (iii) help to select a trade‐off solution, thereby making a suitable decision. Three types of energy‐efficient windows, and five types of ground floors, roofs, and external wall constructions were considered as optimization variables. The incorporation of several methods allowed the analysis of the performance of 375 construction solutions based on a combination of optimization variables, and helped to select a trade‐off solution. The results showed the strength of incorporation for analyzing big‐data through the intelligent use of BIM and a simulation in the field of the built environment, energy, and costs. However, when applying AHP, the results are strongly contingent on pairwise comparisons

  • Öberg, Denise
    Linnaeus University, Faculty of Arts and Humanities, Department of Music and Art. 960105-6568.
    Bild i designprocessen: En studie av teknikelevers uppfattningar om bildundervisningens användbarhet i designprocessen2018Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Studien syftar till att undersöka hur gymnasieelever som studerar teknikprogrammet inriktning design och produktutveckling uppfattar bildämnets relevans i relation till sitt gymnasieprogram. I sex kvalitativa intervjuer får eleverna berätta om sina uppfattningar och erfarenheter kring bildämnets användbarhet i andra kurser där designprocessen används. Resultatet analyseras och tolkas sedan utifrån pragmatismens syn på lärande och forskning kring kreativitet, lärande och designprocessen. Studien visar att eleverna uppfattar två nyttiga aspekter av bildundervisningen i förhållande till deras programinriktning; teckningstekniker och kreativitet. Vissa elever anser att teckningstekniker som skissande var förlegade eftersom man med digitala medier smidigare och lättare kunde åstadkomma samma resultat. Om kreativitet anser eleverna att det var en förutsättningen för att kunna skapa någonting originellt, vilket i sin tur är syftet med design. Därför är det något eleverna antingen anser att de fått med sig eller önskar att de fått med sig från bildundervisning. Färglära uppfattar inte eleverna som användbart.

  • Nilsson, Julia
    Linnaeus University, Faculty of Social Sciences, Department of Social Studies.
    The perceptions of young South Africans to the land reform: -A qualitative study of young people in Stellenbosch2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study is to examine the opinions of the land reform by the young population in Stellenbosch, South Africa. So far, the land reform that was implemented already in 1994, has not proven to be effective on the country’s huge inequality of land ownership between the black and white population. The white minority still own the majority of the land, due to historical injustices that developed through colonisation of South Africa and during the apartheid rule. 

    Since 2014, the discussions of the land reform have got more attention, both nationally and internationally, due to a new policy proposal called land expropriation without compensation. The objective of the thesis were therefore to gain an understanding on the perception of the land reform by both black and white people. To accomplish this, semi-structured individual interviews were conducted with seven people from black ethnicities and seven people from white ethnicities. The interviews were outlined to analyse how grievance would be affected by the land reform, as well as if the respondents answers differed due to homogeneous characteristics. The main results from this research was that there were no indication on that the level of relative deprivation would be affected by the land reform. Although, the majority of the respondents stressed the importance of the land reform to be given the right support and attention by the government in order to be successful. This could in turn be seen as problematic whereas most of them did not express much trust for the government. In addition, the perception by the land reform could generally not be interconnected to a certain background characteristics. The answers to both of the research questions could be explained by the uncertainty about the implementation of the land reform. 

  • Petersson, Linda
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Bemötandet av anhöriga till hjärndöda patienter aktuella för organdonation.: Att beskriva viktiga aspekter i intensivvårdssjuksköterskans omvårdnadsarbete- En litteraturstudie.2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In the intensive care unit the most advanced care is preformed to save the lives of the sickest or most hurt patients. However sometimes it is not possible to save the patient’s life and he or she is declared braindead. When this happens organ donation is possible. Then the intensive care nurses task is to keep the organs in donation condition and at the same time care for the relatives of the donorpatient.

    Aim: To describe important aspects for intensivecare nurses in the care of relatives to braindead patients in question for organdonation.

    Method: A systematic literature review, based on 14 qualitative articles.

    Results: Following the analysis, five major categories were identified: the importance of information for the relatives understanding, the importance of giving the relatives time, respect for the family’s decision, care for the family and helping the family to finding meaning in a meaningless situation. The result shows that it is important to give the relatives clear information about cause of death and about the concept of braindeath. The question about organdonation shall not be asked at the same time as the death is announced. The nursing staff did not want to influence the decision the relative’s made about organdonation and they would respect the relatives decision nomatter what they decided. The care for the relatives has a high priority in these situations and to donate the organs could make the death not appear totally meaningless.

    Conclusion: It is important to increase the understanding of the relative’s situation in the organdonation process. If the professional role of the intensive care nurse in interaction with the relatives, is strenghten, it could increase the chances for a positive response about the donation of the patient’s organs and save many lives.

  • Creelman, Alastair
    Linnaeus University, The University Library.
    ОНЛАЙН-ОБРАЗОВАНИЕ ДЛЯ БЕЖЕНЦЕВ – БАРЬЕРЫ И ВОЗМОЖНОСТИ: Online education for refugees - barriers and opportunities2019In: ПРЕЕМСТВЕННАЯ СИСТЕМА  ИНКЛЮЗИВНОГО ОБРАЗОВАНИЯ:  ПРОЕКТИРОВАНИЕ ИНКЛЮЗИВНЫХ  ОБРАЗОВАТЕЛЬНЫХ СИСТЕМ [Successful Systems of Inclusive Education: Designing of Inclusive Educational Systems]: Материалы VIII Международной научно-практической конференции 21–22 марта 2019 г. [Proceeding of the VIII International Scientific and Practical Conference March 21-22, 2019] / [ed] А. В. Тимирясова, И. И. Бикеев, Д. З. Ахметова, Г. Я. Дарчинова, Н. А. Паранина, Н. В. Климко, Kazan, Russia: Kazan Innovative University , 2019, p. 30-35Conference paper (Other academic)
    Abstract [en]

    The influx of refugees into Europe in the last five years has lead to a wide range of educational initiatives in order to help refugees gain a foothold in their adopted homelands and gain access to formal education and employment. Online education in the form of mobile apps, open educational resources and open online courses such as MOOCs (Massive Open Online Courses) offer flexible learning opportunities for many people This is especially true dur31  ing the asylum-seeking process that can sometimes take up to 2 years and during which access to formal education is usually denied. This article examines the use of online education with refugees and asylum seekers, mostly in Europe, discusses the barriers and opportunities of this approach and suggests some future developments.

  • Mach, Jon
    Linnaeus University, Faculty of Social Sciences, Department of Pedagogy and Learning.
    Strategier för att behålla medarbetare: ur ett chefsperspektiv2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med studien är att analysera vilka strategier sex olika organisationer har för att behålla medarbetare. Kvalitativ metod har använts. Sammanlagt har sex personalansvariga chefer intervjuats med hjälp av en strukturerad intervjuguide. Resultatet visar vilka strategier cheferna använder för att behålla sina medarbetare. Dessa områden är delaktighet, kommunikation och information, ut-vecklingsmöjligheter samt lärande i arbete. Slutsatsen är att cheferna arbetar aktiv med att värna om sin personal. De anse om medarbetaren trivs på arbetsplatsen finns det stora möjligheter för medarbetaren att fortsätta att arbeta för företaget.

  • Sjögren, Ida
    Linnaeus University, Faculty of Health and Life Sciences, Department of Chemistry and Biomedical Sciences.
    Har fysisk aktivitet positiv effekt vid mild till måttlig depression?2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The most common form of depression is major depressive disorder (MDD). MDD can be divided into three subgroups: mild, moderate and severe. Every fifth adult in Sweden is diagnosed with MDD at least once during their lifetime. Within a few years, depression will be the biggest public health problem according to the World Health Organization (WHO). In Sweden, more than 1000 suicides per year are committed, most of them due to depression. The number of sick leaves due to depression has increased steadily and the social costs for depression were in year 2005 SEK 33 billion. The most common treatments for depression are Cognitive Behavioral Therapy (CBT) and antidepressant drugs, where SSRI is the primary choice. Purpose: The aim of this work was to investigate whether or not physical activity is an adequate form of treatment for mild to moderate depression. Method: In total, seven scientific articles were selected from pubmed and swemed+. Results: In study 1, which was a meta-analysis, the scores on Hamilton Depression Rating Scale (HAM-D) and Beck Depression Inventory-scale (BDI) for participants who had Physical Activity (PA) decreased statistically significantly by an average of 4.52 points and 6.46 points, respectively, compared to controls. The decrease in BDI was clinically significant, but the decrease on the HAM-D scale was not clinically significant. Studies 2-4 are all based on one major study, the REGASSA study. Compared to those who received treatment as usual (TAU), participants who had PA reduced their Montgomery-Åsberg Depression Rating Scale (MADRS) score statistically significantly by 2.99 points more after three months, which is clinically significant. Participants who received CBT via the internet decreased statistically significantly by 2.83 points more than the participants in the TAU group, which is also clinically significant. In study 5, the participants reductions of Patient Health Questionnaire-9 (PHQ-9) scores were statistically significant in the groups that received Behavioral Activation (BA) and in the group receiving some education about depression combined with PA, compared with a control group after twelve weeks. The decrease in mean value for the intervention groups on PHQ-9 was 5.6 to 8.24 points, which is clinically significant. In study 6, the participants in the intervention groups decreased their PHQ-9 scores statistically significantly with 4.7 (BA) and 7.06 (PA) points. The decreases in both groups are statistically significant compared to the control group. The decrease in the PA group is clinically significant and in the BA group the decrease is near clinical significance. Study 7 examined the relationship between PA and depression and the reverse relationship through Mendelian Randomization. In this study a protective connection was found between accelerometer-based activity and MDD. Participants in most studies went from moderate MDD to mild or no MDD, where the interventions were effective. Discussion: The studies evaluated have used different estimation scales and have used different types of control groups which has made it difficult to compare the results of the studies. The groups that received standard treatment have received different treatments depending on which physician they have had. More research needs to be done to confirm the results and to find out at what intensity the training should be performed. It would also be interesting to investigate whether or not there is a connection between the population´s increasingly sedentary lifestyle and the increase of mental illness. Conclusion: The results of the various studies show that PA has a positive effect on mild to moderate MDD. A greater effect is achieved when the patient also receives some education about MDD.

  • Beyersdorff, Linnea
    et al.
    Linnaeus University, Faculty of Social Sciences, Department of Education and Teacher's Practice.
    Halilovic, Ilda
    Linnaeus University, Faculty of Social Sciences, Department of Education and Teacher's Practice.
    Flerspråkighet i förskolan: En kvalitativ studie om förskollärares förutsättningar för att stimulera barns flerspråkighet i förskolan.2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med studien är att ur ett lärarperspektiv synliggöra vilka förutsättningar förskollärare har för att stimulera barns flerspråkighet i förskolan. I vilka situationer barns flerspråkighet kan innebär en möjlighet respektive begränsning för den pedagogiska verksamheten, hur förskollärare arbetar för att stimulera barns flerspråkighet och vilka kunskaper och färdigheter lärare verksamma i en flerspråkig barngrupp behöver vara i besittning av. Undersökningen genomfördes med hjälp av intervjuer av fyra olika förskollärare som arbetar på mångkulturella förskolor. Resultatet visade att majoriteten av förskollärarna såg möjligheter i form av att barnen i tidig ålder möter olika språk och kulturer. Begränsningar som nämndes var bland annat kommunikationen med barn och vårdnadshavare som inte utvecklat det svenska språket än samt brist på tid för att stimulera och stödja barnen i sina olika språk. Förskollärarna använder olika material och resurser i arbetet med flerspråkiga barn för att ge dem bästa möjligheter till att utveckla alla sina språk. Dessutom nämner flera förskollärare att det är viktigt att tänka på sitt förhållningssätt och att det speglas i arbete med flerspråkiga barn samt att det är viktigt med rätt kompetens och kunskap för att kunna stimulera barns flerspråkighet på bästa sätt. Det är viktig att vara positiv till barnens språk och att uppmuntra och ge dem möjligheter till att använda språken även i förskolan. Språket är ett viktigt redskap för att kunna kommunicera med andra. Språket utvecklas främst i sociala sammanhang som även bidrar till ett gemensamt lärande. Barnens språkutveckling är därför viktigt för att kunna delta i sociala sammanhang som skapar lärande.

  • Cronwall, Daniel
    et al.
    Linnaeus University, Faculty of Social Sciences, Department of Education and Teacher's Practice.
    Karlsson, Johan
    Linnaeus University, Faculty of Social Sciences, Department of Education and Teacher's Practice.
    Matematik - det startar i förskolan: En kvalitativ studie om matematikundervisning i förskolan2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Denna studie undersöker hur förskollärare tolkar begreppet matematikundervisning i en förskolekontext med avseende på pedagogisk planering och genomförande. Denna utgångspunkt för undersökning ger möglighet att studera begreppet undervisning som inte finns i förskolans läroplan idag men kommer införas i nästa revidering. Undersöknings fokuserar på hur matematikundervisning i förskolan förstås utifrån en förskollärares perspektiv, hur förskollärarna arbetar för att integrera matematiken i den dagliga verksamheten samt vilka möjligheter och utmaningar som finns med matematikundervisningen i förskolan.

     

    Studien avänder en kvalitativ ansats med semistrukturerade intervjuer som forskningsverktyg. Genom individuella intervjuer med fyra förskollärare försöker studien besvara  hur förskollärare ser på ämnet i fokus. Det teoretiska ramverket för studien utgår från ett didaktiskt perspektiv där vi använt oss av de didaktiska frågorna (vad, hur och varför) för att skapa både frågeställningar, intervjufrågor samt sammanställa insamlad empiri och svara på studiens syfte och frågeställningar.  

     

    Studiens resultat visar att de intervjuade förskollärarna ser matematik i förskolan som mycket viktigt eftersom det är här förskollärarna lägger grunden som barnen sedan kan använda sig av i skolan. Förskollärarna tar även upp att de arbetar med undervisning i förskolan dagligen och att införandet av begreppet undervisning i förskolans läroplan inte kommer ha någon större påverkan på hur de planerar och genomför sin dagliga verksamhet. I studien har även framkommit hur förskollärarna arbetar för att integrera matematiken med hjälp av olika material och barnens intressen. Förskollärarna har även diskuterat möjligheter och utmaningar med matematikundervisning i förskolan.

  • Liljeroth, Jennifer
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Tannerfalk, Lisa
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Lätt sederade patienter under invasiv ventilation: En strukturerad litteraturstudie om patientupplevelser2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Earlier research show that invasive ventilation has been uncomfortable for the patients. Therefore the patients have been deeply sedated. Routines have changed and the patients are nowadays often lightly sedated during invasive ventilation in the ICU. Light sedation results in positive physical effects. It's important to illuminate the patients'  experiences by light sedation during invasive ventilation.

    Aim: The aim of the study was to describe lightly sedated patients experiences during invasive ventilation in the ICU. 

    Method: A structured literature study with systematic data collection was implemented. 13 articles was included after quality control. The qualitative content were analyzed with data extraction. 

    Result: The result were constituted by the following three main categories with subcategories: Experiences of the condition, Experiences of being seen and heard, and Experiences by yearning. The patients expressed both positive and negative experiences associated with light sedation. Experiences of powerlessness and lost dignity were central parts of the result. Nevertheless, the majority of patients wanted to be lightly sedated. Several areas of improvement emerged from the result based on the patients' experiences.

    Conclusion: The result can provide the ICU-nurse with increased knowledge about the patients experiences of care during improvement within the intensive care. Patients hospital stay could be facilitated by health-promoted actions and reduced risk of suffering in care. The authors believe that nurse-patient ratio 1:1 can provide increased patient-focused care. The literature study has also illustrated the existing research and ideas for further research.

  • Carlsson, Tommy
    Linnaeus University, Faculty of Social Sciences, Department of Education and Teacher's Practice.
    Musikens känslomässiga påverkan: en intervjustudie i hur musiklyssning kan påverka ungdomars sinnesstämning2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med denna studie är att ta reda på hur musiklyssning kan påverka ungdomars sinnesstämning och hur ungdomar beskriver sig bli påverkade känslomässigt av att lyssna på musik. Studien är kvalitativ och data samlades in genom intervjuer som genomförts i två olika grupper med tre deltagare i varje grupp. Resultat visar att musiklyssning kan användas till att lindra stress, få lyssnarna att må bra på olika sätt, ge en lugnande effekt och fungera som en tillflyktszon från vardagliga rutiner. Resultatet visar också att olika typer av genrer inom musik har olika effekt på lyssnarna där musik kan ha en lugnande effekt, men även där andra hittar en balans i musik som går i samma tempo som deras stressnivå. Det visar sig även att några lyssnare har utvecklat speciella spellistor med musik som hjälper dem koncentrera sig där musiken är noggrant utvald. Det visar sig också att musik är så pass viktig för deltagarna att de skulle bli galna, få ångest och minskad livslust om musiken försvann ur deras liv.

  • Örnerheim, Mattias
    Linköping University, Sweden.
    Mellan kunskap och politik: Kvalitetssystem och offentlig kunskapsstyrning i hälso- och sjukvården2016Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The aim with this thesis is to describe the quality development in Swedish healthcare from an institutional perspective, analyse implications of the development concerning the relationship between the medical profession and the public administrative system and discuss consequences for political direction and welfare organization. The study is based on four case studies and one conceptual analysis.

    The main conclusion is that the medical quality systems have been imbedded in the political management alongside the development towards a public knowledge management. The analysis has more specifically uncovered that quality registries in healthcare have been influenced by political ideologies, management ideas and ideas of transparency. It is also clear that open comparisons were an ‘unintended consequence’ of the quality registry development that has enhanced the development towards a public knowledge management.

    The analysis also shows that public knowledge management challenges the ideal of democratic enlightened understanding. The development of public knowledge management in the healthcare sector raises the question of who is governing whom in Swedish healthcare.

  • Lindstedt Önneskog, Theréz
    Linnaeus University, Faculty of Arts and Humanities, Department of Swedish Language.
    Tecknade serier i klassrummet: Elevers attityd till serier i årskurs 62019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Tecknade serier är en del av litteraturen som funnits under många år men som haft en svår och komplicerad resa genom årens gång. Redan på 1950-talet fick tecknade serier en negativ stämpel som det lever kvar spår av än idag. Syftet med denna studie är att hitta ett fungerande sätt att ta in serier i klassrummet och undersöka elevers attityd gentemot serier. Jag avser undersöka vilka arbetssätt som kan skapa en positiv, trygg och social läromiljö där serier förvandlas till ett hjälpmedel som elever kan använda och utveckla i sin läs-och språkutveckling. Comics literacy är ett centralt begrepp genom hela uppsatsen, där fokus ligger på samspelet mellan bild och text, istället för att fokusera på ett perspektiv i taget. Den definition av comics literacy som används i uppsatsen är tagen från Lars Wallners (2017) avhandling. Det insamlade materialet består av elevintervjuer, elevarbete och anteckningar från några lektionstillfällen. Den tecknade serie som ligger till grund för lektionsplaneringen är Sword Princess Amaltea 1 av Natalia Batista (2017). Resultatet av elevintervjuerna och elevernas slutarbete visar att flertalet elever fick en positiv bild av serier som arbetsmetod. Eleverna fick möjlighet under intervjutillfället att utrycka för- och nackdelar med att arbeta med serier varav fördelarna var fler än nackdelarna.

  • Lindström, Viktor
    Linnaeus University, Faculty of Arts and Humanities, Department of Music and Art.
    Tolkning för bedömning: En studie om bildlärares tolkning av bedömning och kunskapskrav.2018Student paper other, 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Denna undersökning behandlar hur två bildlärare på högstadiet tolkar kunskapskraven i ämnet bild.  Studien berör hur lärarna känner för bedömning, hur de brukar gå till väga samt hur de bedömer komplexa kunskapskrav som kommunikation och kreativitet. Studien visar på att bedömning inom bildämnet är tidskrävande och subjektivt. Kunskapskraven innehåller mycket värdeord och är öppna för tolkning, i slutändan är det upp till varje enskild lärare att tolka dem efter bästa förmåga. Studien visar på att en viktig faktor för att göra tolkningar är lärarens yrkeserfarenhet. Att bygga upp en säkerhet kring hur kriterierna ska uppfattas och hur elevernas resultat stämmer in i förhållande till kriterierna verkar vara någonting som tar tid, men är nödvändigt.   

  • Torstveit, Monica K
    et al.
    University of Agder, Norway.
    Fahrenholtz, Ida Lysdahl
    University of Agder, Norway.
    Lichtenstein, Mia Beck
    University of Southern Denmark, Denmar.
    Stenqvist, Thomas Birkedal
    University of Agder, Norway.
    Melin, Anna K.
    Linnaeus University, Faculty of Social Sciences, Department of Sport Science.
    Exercise dependence, eating disorder symptoms and biomarkers of Relative Energy Deficiency in Sports (RED-S) among male endurance athletes2019In: BMJ Open Sport & Exercise Medicine, E-ISSN 2055-7647, Vol. 5, no 1, p. 1-8, article id e000439Article in journal (Refereed)
    Abstract [en]

    Objectives To explore associations betweenexercise dependence, eating disorder (ED) symptoms and biomarkers of Relative Energy Deficiency in Sports (RED-S) among male endurance athletes.

    Methods Fifty-three healthy well-trained male cyclists, triathletes and long-distance runners recruited from regional competitive sports clubs were included in this cross-sectional study. The protocol comprised the Exercise Dependence Scale (EXDS), the ED Examination Questionnaire (EDE-Q), measurements of body composition, resting metabolic rate, energy intake and expenditure and blood analysis of hormones and glucose.

    Results Participants with higher EXDS score displayed a more negative energy balance compared with subjects with lower EXDS score (p<0.01). EXDS total score was positively correlated with EDE-Q global score (r=0.41, p<0.05) and the subscale score for restraint eating (r=0.34, p<0.05) and weight concern (r=0.35, p<0.05). EXDS total score and the subscales lack of control and tolerance were positively correlated with cortisol (r=0.38, p<0.01, r=0.39, p<0.01 and r=0.29, p<0.05, respectively). The EXDS subscales withdrawal and tolerance were negatively correlated with fasting blood glucose (r=−0.31 and r=−0.32, p<0.05, respectively), while intention effect was negatively correlated with testosterone:cortisol ratio (r=−0.29, p<0.05) and positively correlated with cortisol:insulin ratio (r=0.33, p<0.05).

    Conclusion In this sample of healthy male athletes, we found associations between higher EXDS scores, ED symptoms and biomarkers of RED-S, such as a more pronounced negative energy balance and higher cortisol levels.

  • Arosenius, Lisa
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Vad föräldrar anser om bildstöd som preoperativ information till barn: En enkätstudie2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Using the right preoperative information for the right patient is of the utmost importance for the patient to feel involved in their own care. In the operation of children, it is also important that the information is reached and understood by both the child and its parents. Purpose: The purpose of this study was to investigate how parents of the children who are operated under anesthesia find that the preoperative information in the form of an picture sheet works and if there is a difference between younger and older children. Method: The study has a quantitative approach where a questionnaire was distributed to parents whose children have undergone anesthesia for a period of six weeks. The selection was all parents (one per child) to children aged 1-10 years. The families in need of an interpreter were excluded from the study. The questionnaires responses have been analyzed in the statistics program SPSS and are reported both as tables and text. The open question has been analyzed through content analysis. Result: The parents felt that their children understood and were helped by the picture sheet. Even they themselves felt that they had benefited from it. It created security and participation. The older children understood the information better than the younger children. Conclusion: Using a picture sheet, which where sent both home and then used during the day, creates security and participation among parents and children.

  • Norlin, Ann
    Kalmar County museum, Sweden.
    Att resa till framtiden2019Report (Other (popular science, discussion, etc.))
    Abstract [sv]

    Kalmar läns museum har över trettio års erfarenhet av att arbeta med pedagogik tillsammans med barn och unga, i Sverige och internationellt. Arbetet sker med stöd av tre funktioner; kulturarvet, tidsresemetodik och internationella erfarenheter. Tidsresemetodiken är en pedagogisk metod där det lokala kulturarvet används för att reflektera över samtidsfrågor i en pedagogisk process. Målet är lärande, social sammanhållning och att bidra till en positiv samhällsutveckling. Frågeställningarna är centrala, där möjlighet ges att reflektera över någon aktuell fråga i ett historiskt sammanhang.

    Genom Bridging Ages, ett internationellt nätverk med samarbetspartners i över tjugo länder, skapas erfarenheter, kunskaper och utveckling. Länsmuseet arbetar med alla tidsåldrar; från stenåldertill modern tid. Skolans tidsresor sker med entydlig koppling till läroplaner och förskolans och grundskolans kursplaner.

    Tidsresemetodiken består av en process, med förberedelser i skolan eller den lokala gruppen och ett event, i form av ett rollspel i en kulturmiljönära skolan. I rollspelet är alla deltagarna aktiva och delaktiga i olika praktiska aktiviteter samtidigt som angelägna frågeställningar diskuteras. Frågeställningarna kan röra sig om exempelvis makt, jämställdhet, miljö, migration eller demokrati. En tidsresa med förberedelser och uppföljning öppnar upp nya perspektiv för lärande. Samtliga skolämnen kan involveras och tidsperiod och innehåll anpassas så att dagen blir en naturlig del av undervisningen. Tidsresorna är ett samarbete och planeras gemensamt med berörda parter. Drama, rollspel, musik, bild och rörelse utgör ofta betydande inslag under själva eventet.

    Kalmar läns museum genomför regelbundet tidsresor till olika tidsåldrar:

    • Stenålder, bronsålder med frågeställningar om samarbete, hållbarhet och miljö, döden, makt, demokrati. Medeltiden utifrån frågeställningar om hälsa, makt, lagar och regler, dygder och ideal.

    • 1500-talet med teman om uppror/krig eller fred, makt, ryktesspridning.

    • Sekelskiftet, 1900 om jämställdhet, könsroller, migration och framtidstro.

    • Många av tidsresorna i andra länder är förlagda till de senaste 50 åren, vilket ger möjlighet till personliga intervjuer i förberedelser och efterarbeten.

    Genom en förfrågan från Cornelius Holtorf, Linnéuniversitet, Unescoprofessor i Heritage Futures, uppstod möjligheten att, med hjälp av projektmedel, istället för att resa till förfluten tid, prova att göra en tidsresa till framtiden. Uppgiften var att planera, genomföra och utvärdera en tidsresa till framtiden.

    Det fanns två frågor att besvara:

    (a) Är det möjligt att, med hjälp av tidsresemetodiken, genomföra en tidsresa till framtiden?

    (b) Kan man använda en tidsresa till framtiden för att arbeta med samtidsfrågor?

    Två tidsresor till år 2068, varav en med vuxna och en med elever från grundskolan, skulle genomföras och utvärderas under höstterminen 2018.

  • Sätermark, Amanda
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Tiljander, Anita
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Operationssjuksköterskans erfarenheter av situationer där det sterila fältet äventyras intraoperativt: En intervjustudie2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Surgical site infections increase suffering for the patient and entails great cost for society. The theatre nurse should work to make sure patient safety and to avoid patient injuries correlated to the surgery. The theatre nurse competence in hygiene and adherence to conduct the sterile field is needed to prevent surgical site infections.

    Aim: To describe the theatre nurse experiences of situations where the sterile field is jeopardized intraoperative and the actions to prevent it.

    Method: Qualitative design, semi structured interviews with 12 theatre nurses from a hospital in southern Sweden. Inductive content analysis by Elo and Kyngäs (2008) was used to analyze the data.

    Results: The study shows that communication and teamwork is necessary for the theatre nurse to maintain the sterile field. For the same reason the theatre nurse needs to be observant of everything going on in the operating room. When the patient's life is in danger, sterility comes in second place, and makes it necessary to prioritize. Unpredicted situations demands creativity to restore the sterile field but it gets easier with work experience

    Conclusion: The theatre nurse has a lot of experiences regarding situations where the sterile field is jeopardized. Several factors play a role in maintaining the sterile field. Research that facilitates the theatre nurse tasks in maintaining the sterile field should be further studied. 

  • Holmesson, Samuel
    Linnaeus University, Faculty of Arts and Humanities, Department of Cultural Sciences.
    Unga ekar och unga adelsmän ska man hata: En studie av det svenska ekregalets konfliktskapande mekanismer i Ramdala socken, Blekinge län 1796–18192019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    During the early modern period, oak timber was one of the most critical resources needed for large scale maritime operations, and consequently became protected by heavy legislation, reserved for state matters, thus clashing with the interests of the peasantry. This essay seeks to study the oak tree as a means of conflict between peasantry and state during 1796-1819 with Ramdala parish, Blekinge county, Sweden as primary study object, and Östra District Courts sentences in cases concerning oak.

    The result shows a significant decline in usable oak timber for the navy between 1796-1819, and that several of the existing oak trees were damaged due to human impact. The results supports that the core of the conflict was due to that the oaks to an overwhelming extent grew in the farmers’ fields and therefore competed with the crops, lowering the return. It also shows that the law didn’t distinguish between the oaks’ age or quality when stipulating penalties for illegal damaging and felling, neither took into consideration the extent of the crime when imposing penalties for not being able to pay the fines. There is also evidence supporting that this system to some extent was exploited by the peasantry.

  • Kälveus, David
    Linnaeus University, Faculty of Arts and Humanities, Department of Cultural Sciences.
    Regeringskrisen 1978 utifrån två perspektiv: Massmedierna och partiernas ståndpunkt i kärnkraftsfrågan2019Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    This research highlights the swedish government crisis in 1978, based on two perspectives and how they affected the crisis. These include mass media and how the politicians acted in relation to their respective parties' standpoint on the nuclear power issue. The material is based on information from the editorial pages of two national newspapers and one submission page. This should shed light on whether the media affected the crisis. The research has also been supplemented with literature to investigate the parties’ opinions regarding the nuclear power issue. The chosen newspapers are Dagens Nyheter and Svenska Dagbladet. A qualitative text analysis has been applied to the study by interpreting texts from newspapers and literature. The essay centers on the end of the crisis when the government parties, Centerpartiet, Moderaterna and Folkpartiet tried to find an agreement on the nuclear power issue, but also the days after Thorbjörn Fälldin's resignation as prime minister.

    The findings of the investigation suggests that both perspectives affected the crisis, with some exceptions. The newspapers that were examined differ in comparison with other mass media and it turns out that both leader pages and the submitter side did not follow up on the “betrayal” debate that was directed against Fälldin and Centerpartiet. However, several leaders and submitters claim that the media affected the crisis. It is also possible to suggest that the government's dissolution was due to the positions of the government parties on the nuclear power issue and that the politicians had to comply with this.

  • Blad, Pontus
    Linnaeus University, Faculty of Arts and Humanities, Department of Cultural Sciences.
    Den svenska neutraliteten: En studie hur rikets neutralitet skildras i skolans historieböcker2019Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    How has the question of Swedish neutrality been taught in the Swedish school during the 1950s, 1960s and 2000s?

    Neutrality is changeable and can be linked to shifts in history culture, conscious and contemporary perceptions during time.

    The material has been interpreted through the hermeneutics guidelines, which means that I have made the interpretation.

    At the beginning of the Second World War in 1939, the Swedish government declared the country neutral. Sweden was represented during the war by a collective government led by Per Albin Hansson and declared the country as "non-warring". The consequence of this was that Sweden was not drawn into any armed conflict. In our school books, the knowledge is conveyed that Sweden was not included in the Second World War. Between historians and within history science, it is continuously debated to what extent the Swedish government maintained and protected the neutrality. The essay will analyze and study material in which Sweden’s neutrality is portrayed and in what way the transit agreement is reported in the textbooks and how it differs. Differences in history consciousness will be investigated with the help of current research. Compared to previous research, this study provides a more complex understanding of neutrality changes in school textbooks. The analysis has concluded that the historiography appears different over time and that the ethical aspect is becoming increasingly apparent.

  • Nilsson, Elina
    Linnaeus University, Faculty of Health and Life Sciences, Department of Chemistry and Biomedical Sciences.
    Hormonella preventivmedel för män: Finns det?2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Even though there are many contraceptive methods available for females, almost half of all pregnancies worldwide are unintended. Compared with female contraceptive methods, male alternatives are few. The only contraceptive methods that are available for men are condoms and vasectomy.

    The mechanism of action of hormonal contraceptives that are under development for men is based on a suppression of spermatogenesis. Effective suppression of the spermatogenesis can be achieved by the co-administration of exogenous androgens and progestogens. Exogenous testosterone binds to androgen receptors in the hypothalamus which reduces the secretion of GnRH from the hypothalamus. That leads to a decreased secretion of the gonadotropin hormones, FSH and LH, from the pituitary and thereby consequently suppressing intra-testicular testosterone synthesis and spermatogenesis. The World Health Organization (WHO) has determined that a man's sperm concentration should be reduced to below three million spermatozoa/mL of ejaculate to provide effective contraception. If men had more contraceptive options, it would lead to shared contraceptive responsibility and equal responsibility for family planning. It would also hopefully lead to fewer unintended pregnancies and abortions.

    The aim of this study was to determine the effect of hormonal preventive agents on male use, as well as the effect of the investigated preparations.

    This study is a literature review based on seven randomized controlled trials evaluating the effect of testosterone administration, either in combination with a progestin or as a monotherapy. The studies were found in the database PubMed.

    All seven studies on which this worked were based on showed that spermatogenesis is more effectively inhibited by a combination therapy of a progestin and testosterone than of testosterone as monotherapy, however, with side effects such as weight gain and acne. All studies showed good results with few serious side effects, suggesting that the first hormonal male contraception for men will be a combination of testosterone and a progestin. Before a male hormonal contraceptive will be available, more studies need to be concluded.

  • Carlsson Pecharromán, Beatriz
    Linnaeus University, Faculty of Arts and Humanities, Department of Film and Literature.
    "They said I was not like that": En intersektionell karaktärsanalys av Mary i Doris Lessings The Grass is Singing2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • Svanberg, Frida
    Linnaeus University, Faculty of Arts and Humanities, Department of Swedish Language.
    Grammatikdiskurser på mellanstadiet: En studie av fyra lärares syn på grammatik och grammatikundervisning2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Denna studie undersöker fyra mellanstadielärares syn på grammatik. De fyra lärarna är behöriga i ämnet svenska, och intervjuerna rymmer utöver lärarnas syn på grammatik även frågor om hur de säger sig undervisa i grammatik och vilket syfte grammatikundervisning fyller. Analysen av lärarnas svar har utgått från Ivaničs (2004) skrivdiskurser, men analysmodellen är bearbetad för att vara tillämpbar på grammatikundervisning. Resultatet av undersökningen visar att den diskurs som utgår från en formalistisk syn på språk och undervisning – färdighetsdiskursen – är vanligast förekommande för lärarna i studien. Ingen lärare positionerar sig enbart inom den diskursen, utan alla lärare positionerar sig inom minst en av de andra diskurserna som analysen utgår från: kreativitetsdiskursen respektive samhällsdiskursen. Till skillnad från den formalistiska diskursens språk- och undervisningssyn, som går från delar till helhet, har de funktionella diskurserna en språk- och undervisningssyn som går från helhet till delar. Trots en läroplan med övergripande funktionell språksyn visar resultatet att den formalistiska språksynen fortfarande är vanligt förekommande och att de ofta ger uttryck för att undervisningen sker isolerat.

  • Strandh, Cecilia
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Konradsson, Paulina
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Vårdpersonalens upplevelse av att inkludera närstående inom vuxenpsykiatrisk öppenvård2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: A patient-focused care means that the patient's relatives are also included in the care. Those who are related are defined by the patient and who choose them as important persons in their life. Related parties see themselves as important sources of information for individuals living with mental illness. Studies show that their entire life is changing and that the whole family is affected when someone falls ill in mental illness. It is therefore important that the healthcare staff participate in the adolescent psychiatric care. Aim: The aim of this study is to investigate the healthcare staff's experience of including close relatives in adult psychiatric outpatient care. Methodology: A qualitative study is done and semi-structured interviews have been conducted with healthcare professionals working in adult psychiatric outpatient care. The healthcare staff consisted of seven specialist nurses in psychiatric care, two general nurses and six caregivers. Collected data was analyzed with a qualitative content analysis. Result: The healthcare staff stated that it is important to raise awareness and create an understanding of the situation of close relatives, with a good relationship, the nursing work was felt much easier when it came to supporting the patient in the right way. The healthcare staff also noticed the relatives' need for support and information. There were also some challenges encountered when it came to including relatives in the adult psychiatric outpatient care. Conclusion: Collaboration between the patient, related persons and healthcare staff is facilitated if the related parties are included in the adult psychiatric outpatient care. The study can be used as inspiration for the development of close family work in both psychiatric and somatic care. In order for the related party work to be able to develop, it would be beneficial if support came from the business so that cooperation with related parties can be prioritized at the organizational level.

  • Johansson, Johannes
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Svarén, Fredrik
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Smärtbedömning inom ambulanssjukvården: en kvalitativ innehållsanalys av studieprotokoll kring innehållet i sjuksköterskans prehospitala smärtbedömning2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Meeting patients with pain is common in ambulance care. There are good opportunities for the pre-hospital nurse to help the patient at an early stage with nursing measures to avoid unnecessary suffering. Studies have shown that there is a link between inadequate pain relief and inadequate pain assessment. Research on the content of the nurse's pain assessment in the prehospital environment is limited. Aim: To describe the contents of the nurse's systematic pain assessment in ambulance care. Method: A qualitative study was carried out using a study protocol. The study protocol contained four open questions that were designed on the basis of Ida Jean Orlando's "The Deliberative Nursing Process". The pre-hospital nurse did a description of his meeting with patients with pain. Data collection was conducted in southern Sweden and generated 82 study protocols that were included in the study. Data analysis of the study protocol's response was made through a qualitative content analysis. Result: Nine categories were identified that describe the content of the nurse's pain assessment. The most important findings concern objective signs, interaction between the nurse and the patient, and decision support for assessment. Conclusion: Assessment of pain is a complex task and can often be challenging in the prehospital environment. It is required that the nurse is skilled in many areas. Being able to assess the cause of the pain, intensity and being able to provide adequate treatment. In addition, it is important to have an ability to interact with the patient. Further knowledge of the assessment of pain would be positive for the prehospital nurse in his profession. More research on the content of pain assessment should be done.

  • Gustavsson, Madeleine
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Wall, Katarina
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Intrahospital transport av kritiskt sjuka patienter: Intensivvårdssjuksköterskans erfarenhet ur ett patientsäkerhetsperspektiv - en fokusgruppstudie2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The intrahospital transport of critically ill patients is increasing due to gradually advanced intensive care. Transports are often associated with complication risks and can thus also affect patient safety. Despite this, studies on the experience of the intensive care nurse from a patient safety perspective are lacking. Aim: The aim of the study was to highlight the intensive care nurse's experience of a patient-safe intrahospital transport for critically ill patients who are cared for in an intensive care unit. Method: The study was carried out through semi-structured focus group interviews with qualitative inductive design. During three interviews, data were collected using a total of thirteen intensive care nurses. The collected material was analyzed with a qualitative content analysis. Results: The analysis resulted in three categories; the importance of the preparation for patient-safe intrahospital transport, the importance of communication for patient-safe intrahospital transport and external factors that can affect patient safety. Conclusions: In order to improve patient safety, the authors recommend working with and updating checklists, advocating good communication and using team exercises. The new knowledge could, from a patient and societal perspective, provide an increased insight and understanding of the preventive work to counteract health injuries and reduce unnecessary suffering in patients and also be useful from an educational perspective. Further research on the importance of cooperation in intrahospital transport and to gain more knowledge about different areas of improvement regarding the technical equipment would also be desirable.

  • Arildsson, Mathilda
    Linnaeus University, Faculty of Health and Life Sciences, Department of Chemistry and Biomedical Sciences.
    Har ketamin effekt mot terapiresistent depression?2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Depression is a syndrome characterized by depressed mood, loss of interest and energy, feelings of guilt or worthlessness and thoughts of death and suicide. Over 300 million people suffer from depression and it is one of the leading causes of disability in the world.

    Today’s treatment for depression includes psychological treatment as well as pharmacological treatment. While there are many antidepressant drugs, it can take up to weeks or even months before a clinical effect in the severity of the depression can be noticed. In addition, one third of the patients do not achieve remission. These patients, after treatment with two antidepressant medications given at adequate doses for an adequate duration, are considered to have treatment-resistant depression (TRD).

    Ketamine is a drug long used for its anesthetic and analgesic effects, but it is also known as a party-drug that can cause out-of-body experience. However, it has also been found that a single-dose ketamine may give people with TRD a rapid antidepressant effect, within 24 hours. In contrast to current antidepressant medications which primarily acts on the monoaminergic system, ketamine instead acts on the glutamatergic system.

    The aim of this study was to evaluate if ketamine has an effect on people suffering from TRD.

    This study is a literature review where five randomized controlled trials on the effect of ketamine in patients with TRD have been analyzed. Four studies evaluated the effect of intravenous ketamine where one of them used a varied dose frequency and one of them used esketamine in various doses. The fifth study evaluated the effect of intranasal administration of ketamine. All studies were found in the database PubMed.

    The overall result shows that ketamine has an effect on TRD. After 24 hours all the studies showed a significant improvement in the severity of the depression with ketamine treatment compared to placebo (p <0.05). Ketamine treatment resulted in a 7-16 points larger reduction in depressive symptoms on the scales used compared to placebo. This represents on average a change from severe/moderately severe depression to mild depression. There was also a significant difference in response (at least 50 % reduction in points from baseline on the scale used) after 24 hours with ketamine treatment compared to placebo (p <0.05). The proportion of ketamine treated patients with response varied between 44-71 % compared to 0-6 % for placebo and 28 % for active placebo (midazolam).

    Even though ketamine seems to have an effect on patients with TRD there is still limited knowledge of how the antidepressant effect shall be maintained and the safety of long-term use. Further studies are needed to determine if ketamine will be an option in future antidepressant treatment against TRD.

  • Wihlborg, Elin
    et al.
    Linköping university, Sweden.
    Hansson, Lisa
    Linköping university, Sweden.
    Örnerheim, Mattias
    Linköping university, Sweden.
    Implementering av patientlagstiftning: En lång resa från goda intentioner till nya förhållningssätt i vårdvardagen2017Report (Other academic)
    Abstract [sv]

    Den här rapporten belyser och analyserar svårigheterna att implementera lagstiftning som tillkommit under senare år för att ge patienter bättre möjligheter att påverka den vård de får. I patientmaktsutredningens delbetänkande om Patientlag (SOU 2013:2) uppmärksammas eftersläpning i implementeringen av flera av de åtgärder som trädde i kraft år 2010 som vårdgaranti, fast vårdkontakt och förnyad medicinsk bedömning (prop. 2009 /10:67 Stärkt ställning för patienten). De mest framträdande lagändringar som skett under senare år för att stärka patienters ställning är rätten till vårdval, det vill säga att välja vårdgivare inom och utom regionen (SFS 1982:763), rätten att få en förnyad medicinsk bedömning en så kallad second opinion (3 a § SFS 1982:763), rätten att få vård inom viss tid, den så kallade vårdgarantin (SFS 1982:763), samt möjligheten att välja vårdgivare inom EU. Sammantaget handlar det om åtgärder som ska stärka patientens ställning och ge den enskilde patienten inflytande över hälso- och sjukvården (SOU 2013:44).

    Frågor om patienters inflytande i vården är inte nya. De har successivt vuxit fram. Ett viktigt steg togs redan år 1990 då patienter i de flesta landsting fick möjlighet att välja vård utanför det egna landstinget. Det dåvarande Landstingsförbundet rekommenderade då landstingen att utöka patientens valmöjligheter av utförare över landstingsgränserna (SOU 2013:2). Sedan dess har policyer för att stärka patienters inflytande, engagemang och delaktighet i sin egen vård och hälsa uppmärksammats i flera utredningar och lagförslag.

    Denna rapport analyserar implementeringen av patientlagstiftning. Syftet är dels att utifrån fallstudier belysa hur lagstiftning om vårdens skyldigheter i förhållande till patienter implementeras och dels att analysera hur och varför utfallet varierar, för att kunna diskutera möjliga sätt att förstärka implementeringen av denna lagstiftning. Syftet konkretiseras i dessa övergripande forskningsfrågor:

    1. Hur påverkas implementeringen av patientlagstiftning av det regionskommunala självstyret?
    2. Hur påverkas implementeringen av patientlagstiftning av lagstiftningens utformning?
    3. Hur bidrar eller hindrar sjukvårdens professioner implementeringen av lagstiftningsåtgärder som syftar till att stärka patienters inflytande i vården?
    4. Hur bidrar eller hindrar medborgarna implementeringen av lagstiftningsåtgärder som syftar till att stärka patienters inflytande i vården?....
  • Örnerheim, Mattias
    Linköping university, Sweden.
    Kvalitetsbegreppet i lagstiftningen inom den mänskliga sektorn: - en översikt2013Report (Other academic)
    Abstract [sv]

    Denna undersökning behandlar hur olika kvalitetsaspekter i några utvalda sektorslagar förhåller sig till varandra inom hälso- och sjukvård, polis- och kriminalvård, utbildning samt vissa kommunala lagar. Alla befinner sig i den s.k. mänskliga sektorn av offentlig verksamhet. Den bakomliggande orsaken till detta är att Innovationsrådet vill fördjupa kunskapen om hur begreppet kvalitet definieras och används i svensk lagstiftning och i förarbetena till vissa lagar. Undersökningen strävar inte efter att generera någon legaldefinition av begreppet kvalitet.

    Kvalitetsbegreppet delas in i aspekterna; struktur, process och resultat i en analysmodell i form av en matris som även tar hänsyn till personal och medborgarperspektiv. Strukturkvalitet speglar förutsättningarna för eller inflödet i en verksamhet, processkvalitet belyser de aktiviteter som görs i verksamheten och resultatkvalitet återger prestationerna och effekterna av verksamheten. Med hjälp av analysmodellen skapas ett mönster över vilka aspekter som tydligast framträder i lagarna och förarbeten samt vilket perspektiv som är mest påtagligt i respektive lag. Genom analysmodellen har en överblick över varje sektor kunnat ges.

    Undersökningen är en dokumentstudie och baseras på lagtexter med relaterade propositioner samt statliga utredningar. De utvalda lagarna återfinns i bilaga 1. I analysen av materialet har först kvantitativa sökningar gjort på kvalitet och relaterade begrepp såsom kvalitetssäkring, kvalitetsgranskning, kvalitetskontroll samt kvalitetsutvärdering för att få en bild av om kvalitet är ett återkommande begrepp eller inte. Därefter har en granskning och tolkning gjorts för att utreda ur vilka aspekter som kvalitet beskrivs, samt vilket perspektiv som väger tyngst i skrivningar i lagen och dess förarbeten.

    Varje sektor är resultatredovisad för sig i särskilda avsnitt. Resultaten visar att kvalitetsbegreppet inom hälso- och sjukvården är frekvent förekommande ur aspekterna struktur och resultat, medan resultatkvalitet överlämnats till den autonoma medicinska professionen att definiera. I utbildningssektorn tycks förhållandet vara det motsatta där resultatkvalitet i form av måluppfyllelse är det centrala och betonas starkt även kvalitet i termer av struktur och process förekommer. Även i denna sektor lyfter lagstiftaren fram autonomi och egenkontroll i avseende på utbildning och forskning när det gäller att definiera vad som är god kvalitet i vetenskapliga processer och resultat.

    Inom socialtjänsten pågår ett arbete som syftar till att ta fram kvalitetsindikatorer ur olika aspekter inspirerat av hälso- och sjukvården. Idag är begreppet kvalitet tydligast uttryckt i socialtjänstlagen när det gäller aspekterna struktur och process i ett personalperspektiv. Även inom polis och kriminalvård tycks kvalitetsbegreppet öka i betydelse även i lagtexterna, där struktur- och processaspekter framkommer i kriminalvårdens nya fängelse- och häkteslagstftningen. I polislagen lyser dock begreppet kvalitet med sin frånvaro, vilket i sig inte hindrar att krav ställs på kvalitet genom andra kanaler.

    Undersökningen avslutas med en diskussion utifrån de sektorsvisa resultaten om behov av ständigt återkommande omprövningar av hur begreppet ska användas i lagen och avvägningar om risken för cementering av verksamheter å ena sida och rättsäkerhet samt tydlighet å den andra.

  • Örnerheim, Mattias
    Linköping university, Sweden.
    Mapping via Time-Geography to Elucidate Institutional, Economic and Political Change2012In: Proceedings of 15th Uddevalla Symposium,2012, Entrepreneurship and Innovation Networks / [ed] Iréne Bernhard, Bohus: Ale Tryckteam , 2012, p. 1-10Conference paper (Refereed)
    Abstract [en]

    Change has always been an issue for studies in politics and economics. However, there are few systematic treatments of institutions. This paper exemplifies how institutions (i.e., rules, norms and conventions) relate to the time-geography concepts of constraints, which affect different agents, policy-making, as well as economic performance.This paper seeks to advance the current discussion and sets some groundwork for further elaboration on economic and political change from an ontological perspective based in time-geography. It offers an initial exploration of the analysis of institutional change by a conceptualization of constraints in time-geography.The contribution of this study lies in the fact that insights from a time-geography approach have the ability to make the evolutionary perspective more coherent in empirically-related works when grading and ordering institutions of relevance concerning economic and political evolvement.

  • Örnerheim, Mattias
    et al.
    Linköping university, Sweden.
    Elg, Mattias
    Linköping university, Sweden.
    Implementering i vården: En kunskapsöversikt om beslutsnivåer och professionsperspektiv2018Report (Other academic)
    Abstract [sv]

    Hälso- och sjukvården liksom socialtjänsten är under ständig förändring – medicinska framsteg skapar nya möjligheter till behandling samtidigt som behoven av hälso- och sjukvård och socialtjänst ökar i takt med att allt fler lever längre med kroniska sjukdomar. Socialtjänsten kommer att behöva stödja fler med långvariga och komplexa behov, vilket band annat kommer att ställa krav på ändrade arbetssätt. En fortsatt utveckling i vården och omsorgen är viktigt för att i dag och i framtiden kunna tillhandahålla en god vård och omsorg som patienter och brukare känner förtroende för.Samtidigt finns tecken på att utvecklingen och lärandet inte sker i den omfattning som behövs. I olika analyser har Vårdanalys genom åren visat att lärandet mellan olika verksamheter och huvudmän är begränsat. Orsakerna bakom det är flera.Hösten 2017 initierade vi ett forskningsuppdrag med ambitionen att utifrån litteraturen identifiera övergripande utmaningar när det gäller implementering i hälso- och sjukvården och socialtjänsten. Vi gav professor Mattias Elg och postdoktor Mattias Örnerheim vid institutionen för ekonomisk och industriell utveckling (IEI), Linköpings universitet, uppdraget att presentera en kunskapsöversikt på detta tema.Deras översikt har varit ett värdefullt bidrag till Vårdanalys arbeten under 2017 och 2018 som på olika sätt analyserat utvecklingsarbete och deras förutsättningar att bidra till långsiktig utveckling. Det är vår förhoppning att den här promemorian kan tjäna som ett kunskapsunderlag i den fortsatta diskussionen om hur vi kan skapa bättre förutsättningar till lärande och utveckling i vården och omsorgen.Den här promemorian är författarnas redovisning av forskningsuppdraget i sin helhet och de står själva för innehållet.

  • Örnerheim, Mattias
    Linköping university, Sweden.
    What frames Quality Registers in Swedish Health Care: an institutional approach2011In: Proceedings from 14th Uddevalla Symposium, 2011 Entrepreneurial Knowledge, Technology and Transformation of Regions / [ed] Iréne Bernhard, Trollhättan: Högskolan Väst , 2011, p. 1-19Conference paper (Refereed)
    Abstract [en]

    Quality issues strike the classical conflict in a democratic health-care deliverysystem of different interests among the politicians, the medical profession andpublic officials. This cannot be studied as a cut-off whiz. Quality registers havedeveloped over the past 40 years. Therefore, this paper puts the innovation ofquality registers in an institutional perspective. Two things are essential in thispaper. First, this paper reviews the emergence of quality registers in Swedish healthcare as an effect of institutional arrangements. Second, it analyses the interactionof diverse factors in different institutional settings and logics. The relevant data forthe study was collected from official/unofficial policy documents and key actorinterviews.The empirical findings show that three different waves of development can betraced in history that has highly affected the development of quality registers. Italso shows that medical quality is framed and determined by physicians in line withprofessional knowledge and by the primary institutional logic of quality in medicalcare. However, organisational quality in health care is framed by the logic ofpublic equity of access based on a third party payer and the logic of managerialcontrol. These two paths of quality developments are now federating in aninstitutional logic of transparency. The contribution of this paper is importantbecause it produces insights in different institutional logics, which frames the riseof the two quality paths and the problems they have to face in order to merge. It also enhances the existing knowledge that institutions matter.

  • Örnerheim, Mattias
    et al.
    Linköping university, Sweden.
    Wihlborg, Elin
    Linköping university, Sweden.
    Path Dependence on New Roads. Institutional Development of Quality Registers2014In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 18, no 2, p. 3-22Article in journal (Refereed)
    Abstract [en]

    When explaining social development and changes in public administration, institutional changeis a typical focus. Institutional analysis can combine the analyses of changes on the basis offormal legal and informal arrangements; it commonly shows that institutions lead to inertiawhere changes over time are concerned. Political aims are a guide to how organizations aredesigned and governed. When goals and earlier decisions clearly guide change, path dependenceis a fundamental concept when explaining change. However, this analysis shows how andwhen quality registers appeared as an answer to changes in institutional arrangements in Swedishpublic healthcare. Through three phases, cumulative processes have been visible and theprocesses have been followed by an improved and increased usage of quality registers andother quality systems. This analysis shows that institutional development can be pathdependentin relation to methods and means. Despite changing goals over time, quality registersas a policy tool have been path-dependent and stayed firm. Thus, it is important to see alsoorganisational methods as a development path that can be used to implement even new policyaims.

  • Henriksson, Linn
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology.
    Svensson, Linnea
    Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology.
    Lärare och föräldrar: En intervjustudie om relationen mellan lärare och föräldrar2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The school is in constant development. Parents are increasingly engaged in their childrens'  school performance. New demands emerge on the relationship between teachers and parents. And this also affects the teachers' mental work environment. This study therefore aims to examine teachers' perception of their relationship with the parents. Partly how they perceive the relationship and partly how the teachers perceive that their mental work environment is affected by this relationship. Seven active teachers have been interviewed, four who work in the upper secondary school and three who work in high school. The interviews were semi-structured and the material was compiled through a content analysis. The study showed, among other things, that the teachers' perception of the meeting with parents was mostly positive and unproblematic. The study also discuss situations when this was not the case. There was a certain difference between high school and upper secondary school teachers. The high school teachers in the study both have and feel that they have more demands on parenting. What was important for good mental work environment were good parent relationships and support from colleagues at work. Common to many of the informants was that there was a desire for even more contact with parents', in order to favor the child's schooling and performance.

     

    Keywords: teachers, parents, school, mental work environment

  • Schildmeijer, Kristina
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Wallerstedt, Birgitta
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Ekstedt, Mirjam
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Karolinska Institutet, Sweden.
    Healthcare professionals' perceptions of risk when care is given in patients' homes2019In: Home Healthcare Now, ISSN 2374-4529, E-ISSN 2374-4537, Vol. 37, no 2, p. 97-105Article in journal (Refereed)
    Abstract [en]

    Perceptions of risks in decision making for home healthcare were examined. Twenty home healthcare professionals were interviewed. Content analysis yielded one theme (management of known and unpredictable risks) and four categories. Healthcare professionals had to handle both known and unpredictable risks in daily work in patients' homes concerning communication challenges, a fragmented organization at several levels, risky medication management, and balancing respect for patient autonomy and involvement in care against risk taking. Priority must be given to creating safer care in this setting.

  • Magneli, Martin
    et al.
    Karolinska Institutet, Sweden;Danderyd University Hospital, Sweden.
    Unbeck, Maria
    Karolinska Institutet, Sweden;Karolinska University Hospital, Sweden.
    Rogmark, Cecilia
    Skåne University Hospital, Sweden.
    Rolfson, Ola
    University of Gothenburg, Sweden.
    Hommel, Ami
    Malmö University, Sweden;Skåne University Hospital, Sweden.
    Samuelsson, Bodil
    Karolinska Institutet, Sweden.
    Schildmeijer, Kristina
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Sjöstrand, Desiree
    Skånevård Kryh, Sweden.
    Gordon, Max
    Karolinska Institutet, Sweden;Danderyd University Hospital, Sweden.
    Sköldenberg, Olof
    Karolinska Institutet, Sweden;Danderyd University Hospital, Sweden.
    Validation of adverse events after hip arthroplasty: a Swedish multi-centre cohort study2019In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 9, no 3, p. 1-9, article id e02377Article in journal (Refereed)
    Abstract [en]

    Objectives Preventing adverse events (AEs) after orthopaedic surgery is a field with great room for improvement. A Swedish instrument for measuring AEs after hip arthroplasty based on administrative data from the national patient register is used by both the Swedish Hip Arthroplasty Register and the Swedish Association of Local Authorities and Regions. It has never been validated and its accuracy is unknown. The aim of this study was to validate the instrument’s ability to detect AEs, and to calculate the incidence of AEs following primary hip arthroplasties.

    Design Retrospective cohort study using retrospective record review with Global Trigger Tool methodology in combination with register data.

    Setting 24 different hospitals in four major regions of Sweden.

    Participants 2000 patients with either total or hemi-hip arthroplasty were recruited from the SHAR. We included both acute and elective patients.

    Primary and secondary outcome measures The sensitivity and specificity of the instrument. Adjusted cumulative incidence and incidence rate.

    Results The sensitivity for all identified AEs was 5.7% (95% CI: 4.9% to 6.7%) for 30 days and 14.8% (95% CI: 8.2 to 24.3) for 90 days, and the specificity was 95.2% (95% CI: 93.5% to 96.6%) for 30 days and 92.1% (95% CI: 89.9% to 93.8%) for 90 days. The adjusted cumulative incidence for all AEs was 28.4% (95% CI: 25.0% to 32.3%) for 30 days and 29.5% (95% CI: 26.0% to 33.8%) for 90 days. The incidence rate was 0.43 AEs per person-month (95% CI: 0.39 to 0.47).

    Conclusions The AE incidence was high, and most AEs occurred within the first 30 days. The instrument sensitivity for AEs was very low for both 30 and 90 days, but the specificity was high for both 30 and 90 days. The studied instrument is insufficient for valid measurements of AEs after hip arthroplasty.

  • Ekstedt, Mirjam
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Karolinska Institutet, Sweden.
    Schildmeijer, Kristina
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Wennerberg, Carolina
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Kalmar County Council, Sweden.
    Nilsson, Lina
    Linnaeus University, Faculty of Technology, Department of Informatics. Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
    Wannheden, Carolina
    Karolinska Institutet, Sweden.
    Hellström, Amanda
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Enhanced patient activation in cancer care transitions: protocol for a randomized controlled trial of a tailored eectronic health intervention for men with prostate cancer2019In: JMIR Research Protocols, ISSN 1929-0748, E-ISSN 1929-0748, Vol. 8, no 3, p. 1-13, article id e11625Article in journal (Refereed)
    Abstract [en]

    Background: Prostate cancer has increased in incidence worldwide and is the leading cause of cancer death in 24 countries. The most common treatment is radical prostatectomy. However, surgery is associated with postoperative complications such as urinary incontinence and sexual dysfunction, causing decreased quality of life. If survivors are encouraged to be more active in self-care management, the symptom burden may decrease and quality of life may improve. An electronic health (eHealth) intervention based on motivational behavioral theory has been developed for this purpose.

    Objective: This study aimed to compare the effectiveness of standard care in combination with a tailored eHealth and mobile health self-management support system, electronic Patient Activation in Treatment at Home (ePATH), with standard care of adverse effects of prostate cancer treatment (urinary incontinence and sexual functioning) in men undergoing radical prostatectomy. The secondary aim was to test the effect on patient activation, motivation, overall well-being, and health literacy over time in and between groups.

    Methods: A pragmatic multicenter, block-randomized controlled trial with 2 study arms, standard care (control) and eHealth-assisted standard care (intervention), for patients undergoing radical prostatectomy. For 80% power, a sample of 242 men will need to be recruited.

    Results: Recruitment started in January 2018 and is expected to be completed by August 2019. Data collection will be completed in August 2020. The first cross-sectional results from this trial are anticipated to be published in January 2020.

    Conclusions: With the increasing number of prostate cancer survivors, attention should be paid to rehabilitation, psychosocial care, and support for endurance of self-care to reduce suffering from adverse treatment effects, poor quality of life, and depression because of postoperative complications. This project may increase knowledge of how patients can be supported to feel involved in their care and returning to as normal a life as possible. The anticipated effects of ePATH could improve health outcomes for individuals and facilitate follow-up for health care professionals.

  • Bergdahl, Louise
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Möller, Malin
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Vårdkvalitet: -En litteraturstudie om vårdkvalitet inom psykiatrisk vård2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Quality of care is a multi-faceted concept that cannot be described in a unilateral way. Quality of care can be seen from many different perspectives, where the patient perspective is one. The concept of participation appears as central when the quality of care is described. The patient's involvement in the development of health and medical care is regulated by law and the patient is seen as a natural part of the development work. Previous studies show that patients emphasized interpersonal process as most important, for how care quality was perceived.

    Purpose: The aim is to compile research from a patient perspective regarding the quality of care in psychiatric care.

    Methodology: A literature study based on 8 reviewed qualitative articles. The analysis was carried out in accordance with Evans' four-way method. Key concepts were identified and then themes and sub-themes were created that generated the result.

    Result: The quality of care according to the patients is a combination of several factors. The most prominent are the staff who care about good treatment and where the patients may be involved. The care environment is also an important factor for the patients to experience quality of care and then it includes a safe and aesthetic environment. The result is presented in two themes, Staff who care and A quiet, beautiful and safe environment with four sub- themes; Treatment, Participation, Aesthetics and Security.

    Conclusion: Staff with an ability to create a meeting that involves participation in safe forms in a beautiful environment is a prerequisite for patients in the psychiatric care to experience quality of care. The literature study contributes with a compilation of knowledge about what patients within psychiatric care experience is quality of care, why it can be used to promote development, patient involvement and the staff's ability to give patients a good quality of careregardless of the health context.

  • Marquez Montano, Astrid
    et al.
    Linnaeus University, Faculty of Social Sciences, Department of Education and Teacher's Practice.
    Grip, Lina
    Linnaeus University, Faculty of Social Sciences, Department of Education and Teacher's Practice.
    ”Tänka om, tänka nytt, lära nytt”: En kvalitativ studie om förskollärares uppfattningar om Läslyftet som kompetensutvecklingsmodell inom språk-, läs- och skrivdidaktik.2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Mätningar av barn i skolåldern har visat en försämring inom läs- och skrivförmåga. Genom att utveckla och fördjupa lärarnas kompetenser om barns lärande inom språk-, läs- och skrivdidaktik, stärks barnens språkliga förmåga redan från tidig ålder. Denna utveckling och fördjupande av lärarnas kompetenser inom språk-, läs- och skrivdidaktik sker genom Läslyftet. För att synliggöra vad läslyftet har haft för påverkan på förskollärarna och verksamheten är det genom denna studie syftet att beskriva förskollärares uppfattningar om Läslyftet som metod för kompetensutveckling. Frågeställningarna för studien är: Vilka uppfattningar har förskollärare om Läslyftet? På vilket sätt har Läslyftets kollegiala lärande främjat kompetensutveckling inom språk-, läs- och skrivdidaktik? Hur påverkar förskollärares inställning till Läslyftet sin kompetensutveckling inom språk-, läs- och skrivdidaktik? 

    Ämnet undersöks genom kvalitativa intervjuer där sex förskollärare medverkade. Förskollärarnas uppfattningar om Läslyftet analyserades med hjälp av ramfaktorteorin och Learnings Studies två nivåer om lärande. Utgångspunkterna från ramfaktorteorin är personramen och den fysiska ramen och Learning Studies två nivåer om lärande, lärarens lärande och elevers lärande. 

    Resultatet visar att det kollegiala lärandet har varit en genomgående faktor för förskollärare att utveckla sina kompetenser inom språk-, läs- och skrivdidaktik. Läslyftets ämnesinnehåll och modell för kompetensutveckling har överskådligt uppfattats som positiv och givande. Förskollärarna uppfattar en förändring i sin inställning kring språk-, läs- och skrivdidaktik samt att det kollegiala har varit meningsfull för en gemensam utveckling för arbetslagen.

  • Magnusson, Frida
    et al.
    Linnaeus University, Faculty of Social Sciences, Department of Education and Teacher's Practice.
    Sandahl, Emma
    Linnaeus University, Faculty of Social Sciences, Department of Education and Teacher's Practice.
    Högläsningens påverkan på barns språkutveckling i förskolan: En kvalitativ studie om förskollärares uppfattningar om högläsningens påverkan på barns språkutveckling2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med vår studie är att bidra med kunskap om hur förskollärare uppfattar att högläsning påverkar barns språkutveckling genom att undersöka hur förskollärare resonerar kring högläsning i förskolan. Ämnet högläsningens påverkan på barns språkutveckling var intressant att undersöka eftersom tidigare studier har visat att högläsning är av betydelse för barns språkutveckling samt att vårdnadshavare läser allt mindre för sina barn i hemmet. Utifrån syftet formulerades två frågeställningar: På vilka sätt arbetar förskollärare med högläsning för att främja barns språkutveckling? Vilka resurser har förskollärare för att främja barns språkutveckling i samband med högläsning? För att kunna undersöka och få ta del av förskollärarnas uppfattningar valde vi att utgå från en kvalitativ ansats med semistrukturerade personliga intervjuer med fyra verksamma förskollärare. Vi lyssnade på de inspelade intervjuerna, sammanställde och kategoriserade intervjusvaren utifrån olika mönster och fick fram ett resultat som vi därefter analyserade utifrån tidigare forskning och teoretiskt ramverk. Slutligen diskuterades resultatet och analysen i relation till våra tolkningar och uppfattningar. Resultatet visade att samtliga intervjuade förskollärare i studien hade en uppfattning om att högläsning är ett betydelsefullt verktyg för att främja barns språkutveckling. Det framhölls att det är genom utvecklande samtal om böcker och texter i samband med högläsning där barn får inflytande och delaktighet som är avgörande för att barns språk ska kunna utvecklas. Förskollärarna nämnde dessutom att en lugn miljö är en förutsättning för att samtalen vid högläsning ska bli av god kvalité.

  • Zeijlon, Izabelle
    Linnaeus University, Faculty of Arts and Humanities, Department of Film and Literature.
    "Jag har drömt så underligt": Drömmandet i Lewis Carrolls Alice i Underlandet och Tim Burtons filmadaption2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Uppsatsens syfte är att undersöka hur drömmen gestaltas i romanen Alice i Underlandet och Tim Burtons filmadaption från 2010. Tillvägagångssättet för att uppnå syftet är en intermedial analys kombinerat med teorier om drömmar i film samt Freuds teorier om drömmar i litteratur. Uppsatsens frågeställning är hur gränsen mellan dröm och verklighet är gestaltad, som besvaras genom en jämförelse mellan romanen och filmadaptionen. Gestaltningen av drömmen syns tydligast i kontrast till Alice vakna verklighet eftersom det då går att se vad som skiljer drömmen från verkligheten. Genom en enskild analys av romanen och filmen, samt en jämförande analys av båda medierna har uppsatsens slutsats fastställts.

    Slutsatsen är att filmens gestaltning av gränsen mellan dröm och verklighet består av en markerande passage mellan dröm och verklighet, medan romanen gestaltar gränsen mellan dröm och verklighet som en flytande övergång. 

    Romanen gestaltar övergången till drömvärlden främst genom text där Alice funderande blir en övergång till drömmandet. Filmen möjliggör även tolkningen att Underlandet finns på riktigt och därmed inte är en dröm.

  • Bergkvist, Rosita
    Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology.
    How to stand the nursing profession: A study of proactive antecedents, self-efficacy, and organizational factors, and the mediation of cognitive appraisals on the outcome of stress and anxiety among nurses2016Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    In the light of present problems with stress related illness in organizations, often affecting women working in health care, the purpose of the current study was to examine proactive and malleable factors that could influence nurse’s perception of work stressors. Based on a model, self-efficacy and grouped organizational factors were examined as antecedents to the outcome of anxiety and stress via cognitive appraisals. The mediating role of the cognitive appraisals was further examined. The sample consists of 117 nurses and assistant nurses of which 112 were females working at a hospital in southern Sweden. The analyses were conducted with simple and multiple regressions. The result revealed that self-efficacy and the organizational factor together serve as antecedents to cognitive appraisals of stress, however, contrary to previous research, not to all appraisals. The mediating role of the cognitive appraisals showed that the harm appraisal mediate the relation between the organizational factor and the outcome of both anxiety and stress. The threat appraisal is found to partly mediate the relation between the organizational factor and the anxiety outcome as well as the stress outcome. The result further showed a none mediation role for the challenge appraisal between any of the antecedents and the outcomes, which suggest that the challenge appraisal do not serve as an underlying mechanism in either relationship. Other relations in the model are further shown and discussed in the study together with limitations, implications and suggestions of future research.

  • Uddh Söderberg, Terese
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Biology and Environmental Science.
    Berggren Kleja, Dan
    Swedish Geotechnical Institute, Sweden.
    Åström, Mats E.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Biology and Environmental Science.
    Jarsjö, Jerker
    Stockholm University, Sweden.
    Fröberg, Mats
    Swedish Geotechnical Institute, Sweden.
    Svensson, P. Andreas
    Linnaeus University, Faculty of Health and Life Sciences, Department of Biology and Environmental Science.
    Augustsson, Anna
    Linnaeus University, Faculty of Health and Life Sciences, Department of Biology and Environmental Science.
    Metal solubility and transport at a contaminated landfill site – From the source zone into the groundwater2019In: Science of the Total Environment, ISSN 0048-9697, E-ISSN 1879-1026, Vol. 668, p. 1064-1076Article in journal (Refereed)
    Abstract [en]

    Risks associated with metal contaminated sites are tightly linked to material leachability and contaminant mobility. In this study, metal solubility and transport were characterized within a glass waste landfill through i) lysimeter-collection of pore water and standardized batch leaching tests, ii) soil profiles extending from the landfill surface, through unsaturated soil underneath, and into the groundwater zone, and iii) groundwater samples upstream, at, and downstream of the landfill. The soil analyzes targeted both pseudo-total and geochemically active concentrations of contaminant metals (As, Cd, Pb, Sb) and basic soil geochemistry (pH, org. C, Fe,Mn). Water samples were analyzed for dissolved, colloid-bound and particulate metals, and speciation modelling of the aqueous phase was conducted. The results revealed a highly contaminated system, with mean metal concentrationsin the waste zone between 90 and 250 times the regional background levels. Despite severe contamination of the waste zone and high geochemically active fractions (80–100%) of all contaminant metals as well as elevated concentrations in landfill pore water, the concentrations of Cd and Pb decrease abruptly at the transition between landfill and underlying natural soil and no indication of groundwater contamination was found. The efficient cation retention is likely due to the high pH. However, the sorption of As and Sb is weaker at such high pH,which explains their higher mobility from the pore water zone into groundwater. The field soil:solution for Pb, ranging from 140 to 2,900,000 l kg−1), despite little variability in basic geochemical variables, which we suggest is due to waste material heterogeneity.

  • Einarsson, Catrin
    et al.
    Linnaeus University, Faculty of Social Sciences, Department of Social Studies.
    Pettersson, Jenny
    Linnaeus University, Faculty of Social Sciences, Department of Social Studies.
    I riktning mot evidensbaserad praktik?: En kvalitativ studie av Polismyndighetens implementering av evidensbaserad praktik. 2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of the study was to illustrate how evidence-based praxis is implemented in the police agencies activities with crime prevention work. We asked two questions: a) What actions does the Swedish Police authority take when implementing evidence-based praxis in its operations? and b) What opportunities contra difficulties do the managers, community police officers and teachers at the police institute see with evidence-based praxis? This was investigated through qualitative interviews in order to capture the participants personal opinions and experiences about the subject. Evidence-based policies are practiced through the crime-prevention work that takes place through local cooperations. The role of community police officers constitutes an important strategic role as being cosmopolitan, which ensures that communication between the police and society works, which in turn forms the basis for the crime-prevention work. The result also shows that the police cannot take care of law enforcement on their own initiative; responsibility also rests on individuals, groups and other organizations. We see patterns of a majorly positive attitude within the police, which contradicts previous research. There are not enough evidence-based methods within all working fields of the police, which has emerged as an important factor in order to implement evidence-based praxis. Whilst the police may be positive towards evidence-based methods, they can not solely rely on them. The resources are too lacking in order for the evidence-based praxis to also permeate the police authority's work. In order for the police authority's work to be carried out by evidence-based methods, community police officers need to have a higher status internally. They also need a mandate in the form of being able to make decisions about operative resources. The main contribution of the study´s is that evidence-based praxis needs to be strategically implemented, and the key people who work primarily with evidence-based praxis needs a higher status within the organization.