| 8911. |
- Kaminsky, Elenor, et al.
(författare)
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Paediatric health calls to Swedish telenurses : a descriptive study of content and outcome
- 2010
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Ingår i: Journal of Telemedicine and Telecare. - : SAGE Publications. - 1357-633X .- 1758-1109. ; 16:8, s. 454-457
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Tidskriftsartikel (refereegranskat)abstract
- We collected data about telephone triage calls concerning children in Sweden. A sample of 110 paediatric calls were recorded. The transcribed data were analysed regarding word count, reasons for calling, results of calls, ages and gender of children, and gender of parents. The median call length was 4.4 min and the median child's age was 3.5 years. Mothers made 73% of calls, but mothers and fathers called to the same extent about daughters and sons, and regardless of age. The most common reasons for calls were ear problems, rash/wound or fever. In nearly half the calls, the telenurses provided self-care advice. Call length, word count or caller's part of word count did not differ according to gender of parents or children. However, mothers were more likely to receive self-care advice while fathers were more often referred to other health services by the telenurses. Telenurses might need to improve their gender competence, and more male telenurses in the service would potentially be beneficial to callers.
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| 8912. |
- Kaminsky, Elenor, et al.
(författare)
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Registered nurses' understandings of emergency medical dispatch center work : A qualitative phenomenographic interview study
- 2021
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Ingår i: Nursing and Health Sciences. - : John Wiley & Sons. - 1441-0745 .- 1442-2018. ; 23:2, s. 430-438
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Tidskriftsartikel (refereegranskat)abstract
- Non-urgent and urgent telephone nursing services are increasing globally, and phenomenographic research has shown that how work is understood may influence work performance. This descriptive study makes a qualitative inductive investigation of understandings of emergency medical dispatch center work among registered nurses. Twenty-four registered nurses at three mid Swedish emergency medical dispatch centers were interviewed. Analysis based on phenomenographic principles identified five categories in the interviews: (i) Assess, prioritize, direct, or refer; (ii) Facilitate ambulance nursing work; (iii) Perform nursing care; (iv) Always be available for the public; and (v) Have the person behind the patient in mind. The first constitutes the basis of the work. The second emphasizes cooperation with and support for the ambulance staff. The third entails remotely providing nursing care, whilst the fourth stresses serving the entire population. The fifth and most comprehensive way of understanding work involves having a holistic view of the person in need, including person-centered care. Provision of high-quality emergency medical dispatch center work involves all categories. Combined, they constitute a "work map," valuable for reflection, competence development, and introduction of new staff.
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| 8913. |
- Kaminsky, Elenor, et al.
(författare)
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Telenurses' understanding of work : detective or educator?
- 2009
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Ingår i: Journal of Advanced Nursing. - : Wiley. - 0309-2402 .- 1365-2648. ; 65:2, s. 382-390
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Tidskriftsartikel (refereegranskat)abstract
- AIMThis paper is a report of a study to describe the different ways of understanding work among a group of Swedish telenurses.BACKGROUNDTelenursing is an expanding service in many western countries and telenursing work is likely to be understood in a variety of ways. The way in which a person understands work influences how work is performed. Telenursing demands high levels of competence.METHODA qualitative interview study was conducted during 2004-2005. Twelve of the 20 telenurses working at a call centre in Sweden were interviewed, five of them twice because of organizational changes. The 17 interviews were analysed using a phenomenographic approach.FINDINGSFive different categories were identified in the data: (1) Assess, refer and give advice to the caller (2) Support the caller (3) Strengthen the caller (4) Teach the caller and (5) Facilitate the caller's learning. The first category can be seen as a base for telenursing work and was the only category used by some telenurses. The second category has components of traditional caring and the third is a coaching function. The fourth category contains a teaching component, but the fifth is the only category where the caller's learning is in focus. Telenurses who reported the fifth way also included all other ways of understanding work. Hence, this seems to be the most comprehensive way of understanding work.CONCLUSIONThe categories together constitute a telenursing 'workmap'. This 'workmap' can be used for reflection to expand telenurses' current understanding of work, and hence promote competence development. Telenurses need to be aware of their role in public health education.
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| 8914. |
- Kaminsky, Elenor, et al.
(författare)
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Telephone Nursing in Sweden : a narrative literature review
- 2017
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Ingår i: Nursing and Health Sciences. - : Wiley. - 1441-0745 .- 1442-2018. ; 19:3, s. 278-286
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Forskningsöversikt (refereegranskat)abstract
- elephone nursing services are expanding globally. Swedish Healthcare Direct is the largest healthcare provider in Sweden. This paper provides a comprehensive understanding of telephone nursing, as reflected by research on Swedish national telephone nursing, and discusses the findings in relation to international literature. A descriptive, mixed-studies literature review was conducted. Twenty-four articles from January 2003 to April 2015 were identified from PubMed, Scopus, and CINAHL, and included. The issues explored in this study are how telephone nursing is perceived by callers, telephone nurses, and managers, and what characterizes such calls. Callers value reassurance, support, respect and satisfaction and involvement in decisions can increase their adherence. The telephone nurses' perspective focused on problems and ethical dilemmas, communication, the decision support tool, and working tasks. The managers' perspective focused on nursing work goals and malpractice claims. Concerning call characteristics, authentic calls, incident reports, and threats to patient safety were considered. Telephone nursing seems safe, but gender can play a role in calls. Future research on caller access, equity, and efficiency, healthcare cost-effectiveness, distribution, and patient safety is needed.
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| 8915. |
- Kamranfar, S., et al.
(författare)
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A Partial Least Squares Structural Equation Modelling Analysis of the Primary Barriers to Sustainable Construction in Iran
- 2023
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Ingår i: Sustainability. - : Multidisciplinary Digital Publishing Institute (MDPI). - 2071-1050. ; 15:18
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Tidskriftsartikel (refereegranskat)abstract
- This paper outlines the obstacles to sustainable construction growth in Iran and thereafter examines the effect and relation between these barriers and the direction of sustainable construction growth as one of the essential objectives for achieving sustainable cities and infrastructure. The study is applied for research purposes that are based on descriptive survey data gathering and correlational data analysis techniques. The statistical population for this study consists of 120 construction-related engineers and university professors who were assessed on a five-point Likert scale. Using SmartPLS software version 4, the responses to the questionnaire were examined. The Kolmogorov–Smirnov assessment was utilized to evaluate the normalcy of the variables, as this assessment is typically employed for this purpose. For data analysis, the PLS (partial least squares) method was used, while SEM (structural equation modeling) methods have been used to assess the study hypotheses. Cronbach’s alpha and the composite reliability coefficient (CR) were applied to determine the instrument’s viability, and the results show that the coefficient connected to all variables is above 7.0, which is an acceptable value. The AVE (average variance extracted) was also used to evaluate the questionnaire’s validity, which was greater than 0.4 and deemed acceptable for coefficients of significance (T-values), coefficient of predictive power (Q2), and coefficient of determination (R2). The obtained results support and confirm all research hypotheses, including that the identified obstacles directly affect the performance of sustainable construction. According to the results of the Friedman test, the legal restrictions variable (CL) is the most significant obstacle to sustainable construction in Iran, with a rank of 4.24. The indicators of political limits (CP) and social and cultural constraints (CSC) came in at second and third, respectively. The results could help government officials make better decisions about where to focus their attention and how to distribute scarce resources.
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| 8916. |
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Kan man vara sjuk och ändå ha hälsan? : Frågor om liv, hälsa och etik i tvärvetenskaplig synvinkel
- 2005
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Samlingsverk (redaktörskap) (övrigt vetenskapligt/konstnärligt)abstract
- Är det mitt eget fel om jag blir sjuk? Har sjukdomar något syfte? Hur mäter man hälsa och livskvalitet? Hur kommer morgondagens folksjukdomar att se ut? Kan man vara fet och ändå ha hälsa?Att lära sig formulera frågor och att problematisera är en viktig del av träningen i kritiskt tänkande och en viktig grundtanke bakom problembaserat lärande (PBL) som pedagogisk metod.Frågorna, som boken besvarar, formulerades av studenter i Linköping och ställdes till en tvärvetenskaplig resurspanel bestående av lärare och forskare vid universitetet.Boken ger en bred introduktion till centrala frågor om människors liv och hälsa och till olika förhållningssätt i dessa frågor. Den riktar sig till studenter både inom hälso- och sjukvårdsområdet och det folkhälsovetenskapliga fältet samt till alla som intresserar sig för hälsa, etik och livskvalitet.
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| 8917. |
- Kanders, Linda, 1979-, et al.
(författare)
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Full-scale comparison of N2O emissions from SBR N/DN operation versus one-stage deammonification MBBR treating reject water : - and optimization with pHset-point
- 2019
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Ingår i: Water Science and Technology. - : IWA Publishing. - 0273-1223 .- 1996-9732. ; 79:8, s. 1616-1625
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Tidskriftsartikel (refereegranskat)abstract
- To be able to fulfill the Paris agreement regarding anthropogenic greenhouse gases, all potential 12 emissions must be mitigated. Wastewater treatment plants should aim to eliminate emissions of the 13 most potent greenhouse gas, nitrous oxide. In this study, these emissions were measured at a full-scale 14 reject water treatment tank during two different operation modes: nitrification/denitrification (N/DN) 15 operating as a sequencing batch reactor (SBR), and deammonification (nitritation/anammox) as a moving 16 bed biofilm reactor (MBBR). Nitrous oxide was measured both in the water phase and in the off-gas. The 17 treatment process emitted significantly less nitrous oxide in deammonification mode 0.14-0.7 %, 18 compared to 10 % of Total Nitrogen in N/DN mode. The decrease can be linked to the change feeding 19 strategy, concentration in nitrite, load of ammonia oxidized, shorter aeration time, no ethanol dosage 20 and the introduction of biofilm. Further, evaluation was done how the operational pH set point 21 influenced the emissions in deammonification mode. Lower concentrations of nitrous oxide was 22 measured in water phase at higher pH (7.5-7.6) than at lower pH (6.6-7.1). This is believed to be mainly 23 because of the lower aeration ratio and increased complete denitrification at the higher pH set point.
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| 8918. |
- Kanders, Linda, 1979-, et al.
(författare)
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Impact of seeding on the start-up of one-stage deammonification MBBRs
- 2014
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Ingår i: Environmental technology. - : Taylor & Francis. - 0959-3330 .- 1479-487X. ; 35:22, s. 2767-2773
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Tidskriftsartikel (refereegranskat)abstract
- Treating nitrogen-rich reject water from anaerobically digested sludge with deammonification has become a very beneficial side stream process. One common technique is the one-stage moving bed bioreactors (MBBRs), which in comparison with the other deammonification techniques can be started up without seeding anammox bacteria. This study investigated the impact of biofilm seeding on the start-up of one-stage deammonification MBBRs. Two lab-scale reactors were run in parallel with partial nitritation for 56 days until 11% of the carrier area in one reactor was replaced with fully developed deammonification biofilm to work as the seeding material. The seeded reactor started nitrogen reduction immediately up to a plateau of 1.3gNm−2 d−1; after another 54 days on day 110, the reduction significantly increased. At the same time, the non-seeded reactor also started to reduce nitrogen due to deammonification. The development was followed with both nitrogen analyses and fluorescence in situ hybridization analyses. On day 134, the biofilm in both reactors contained >90% anammox bacteria and reached maximum nitrogen removal rates of 7.5 and 5.6gNm−2 d−1 in the seeded and non-seeded reactor, respectively. Over 80% of the inorganic nitrogen was reduced. In conclusion, the seeding did not contribute to a shorter start-up time or the achieved anammox enrichment, although it did contribute to a partial, immediate nitrogen reduction. The boundary conditions are the most important factors for a successful start-up in a deammonification MBBR system.
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| 8919. |
- Kanders, Linda, et al.
(författare)
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Rapid start-up of one-stage deammonification MBBR without addition of external inoculum
- 2016
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Ingår i: WATER SCIENCE AND TECHNOLOGY. - : IWA Publishing. - 0273-1223 .- 1996-9732. ; 74:11, s. 2541-2550
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Tidskriftsartikel (refereegranskat)abstract
- In recent years, the anammox process has emerged as a useful method for robust and efficient nitrogen removal in wastewater treatment plants (WWTPs). This paper evaluates a one-stage deammonification (nitritation and anammox) start-up using carrier material without using anammox inoculum. A continuous laboratory-scale process was followed by full-scale operation with reject water from the digesters at Bekkelaget WWTP in Oslo, Norway. A third laboratory reactor was run in operational mode to verify the suitability of reject water from thermophilic digestion for the deammonification process. The two start-ups presented were run with indigenous bacterial populations, intermittent aeration and dilution, to favour growth of the anammox bacterial branches. Evaluation was done by chemical and fluorescence in situ hybridization analyses. The results demonstrate that anammox culture can be set up in a one-stage process only using indigenous anammox bacteria and that a full-scale start-up process can be completed in less than 120 days.
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| 8920. |
- Kanders, Linda, et al.
(författare)
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Sinks and sources of anammox bacteria in a wastewater treatment plant - screening with qPCR
- 2018
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Ingår i: Water Science and Technology. - : IWA Publishing. - 0273-1223 .- 1996-9732. ; 78:2, s. 441-451
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Tidskriftsartikel (refereegranskat)abstract
- The deammonification process, which includes nitritation and anammox bacteria, is an energyefficient nitrogen removal process. Starting up an anammox process in a wastewater treatment plant (WWTP) is still widely believed to require external seeding of anammox bacteria. To demonstrate the principle of a non-seeded anammox start-up, anammox bacteria in potential sources must be quantified. In this study, seven digesters, their substrates and reject water were sampled and quantitative polymerase chain reaction (qPCR) was used to quantify both total and viable anammox bacteria. The results show that mesophilic digesters fed with nitrifying sludge (with high sludge ages) can be classified as a reliable source of anammox bacteria. Sludge hygienization and dewatering of digestate reduce the amount of anammox bacteria by one to two orders of magnitude and can be considered as a sink. The sampled reject waters contained on average >4.0 × 104 copies mL1 and the majority of these cells (>87%) were viable cells. Furthermore, plants with side-stream anammox treatment appear to have higher overall quantities of anammox bacteria than those without such treatment. The present study contributes to the development of sustainable strategies for both startup of anammox reactors and the possibility of improving microbial management in WWTPs.
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