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- Arbin, Katarina, 1971-
(författare)
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The road towards successful e-ordering implementation : Success factors and barriers
- 2008
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Ingår i: International Journal of procurement management. - : InderScience Publishers. - 1753-8432 .- 1753-8440. ; 1:4, s. 415-429
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Tidskriftsartikel (refereegranskat)abstract
- Implementing an e-ordering system in a successful way, i.e., managing the implementation process, overcoming the barriers that occur and achieving a satisfactory compliance rate, is not as easy as some consultants and software companies claim. Understanding how a given organisation has managed the implementation process (resulting in a satisfactory compliance rate) may help other organisations achieve the successful implementation of e-ordering systems. The present paper describes the implementation of an e-ordering system in a large pharmaceutical organisation, discussing the problems it faced and how those were overcome. An analysis of the success factors found in previous research is presented, revealing one area that influences implementation success to a larger extent: the end user uptake. A four-year longitudinal case study is presented, which is based on interviews, observations made in daily work, at meetings and training sessions, and other documentation.
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| 2. |
- Arbin, Katarina, 1971-
(författare)
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The structure of determinants of individual adoption and use of e-ordering systems
- 2008
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Ingår i: Human Systems Management. - : IOS Press. - 0167-2533 .- 1875-8703. ; 27:2, s. 143-159
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Tidskriftsartikel (refereegranskat)abstract
- Electronic ordering (e-ordering) systems are currently being implemented in both private and public organizations. The advantages of these systems are widely acknowledged: increased compliance with use of fewer suppliers and improved efficiency. However, realizing these benefits is difficult due to end-user resistance to adopting and using such systems. The present paper proposes a framework inspired by adaptive structuration theory (AST) that functions as an analytical framework that helps to understand what structures and factors influence adoption and use of an e-ordering system. To the adapted AST framework is added factors of influence found in previous purchasing research, resulting in a framework that helps to understand adoption and use of an e-ordering system over time. The framework is tested using empirical data from a 4-year longitudinal case study. The paper embeds purchasing theory within the structuration framework of AST.
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| 3. |
- Björck, Caroline, et al.
(författare)
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Self-image and treatment drop-out in eating disorders
- 2008
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Ingår i: Psychology and Psychotherapy. - Leicester, UK : British Psychological Society. - 1476-0835 .- 2044-8341. ; 81:1, s. 95-104
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: Drop-out from treatment is a serious problem in eating disorders which remains poorly understood. The present study investigated whether self-image and interpersonal theory could help to explain why eating disorder patients drop out of treatment. Method: Intake data on eating disorder patients who terminated treatment prematurely (N=54) were compared with patients who had completed treatment (N=54) and those who were still in treatment after 12 months (N=54). Self-image was assessed using the structural analysis of social behaviour (SASB), and comparisons were made on demographic and clinical variables. Results: Patients who dropped out had initially presented with less negative self-image and fewer psychological problems compared with remainers. Low levels of SASB self-blame discriminated drop-outs from completers and remainers and significantly predicted treatment drop-out. Discussion: Drop-out in eating disorders appears to be a complex phenomenon, not necessarily as pathological as often assumed. There may be important differences in the treatment goals of drop-outs and therapists; patients who drop out may be choosing to disengage at a time when symptom improvement creates space for closer examination of interpersonal issues.
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| 4. |
- Hammar, Björn, 1967-
(författare)
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Metonimias del Estado soberano
- 2008
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Ingår i: Utopia y Praxis Latinoamericana. - Maracaibo, Venezuela : Universidad de Zulia. - 1316-5216. ; 13:43, s. 33-48
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Tidskriftsartikel (refereegranskat)
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| 5. |
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| 6. |
- Lidskog, Marie, et al.
(författare)
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Learning about each other : Students' conceptions before and after interprofessional education on a training ward
- 2008
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Ingår i: Journal of Interprofessional Care. - : Informa UK Limited. - 1356-1820 .- 1469-9567. ; 22:5, s. 521-533
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Tidskriftsartikel (refereegranskat)abstract
- In interprofessional work the striving of the members of each profession to establish their own positive in-group identity can be a source of conflict and have a negative effect on care. To counteract this, interprofessional training wards (IPTWs) have been developed in Sweden. The aim of the present study was to investigate similarities and differences in how student nurses, student occupational therapists and student social workers perceived their own and the other two professions before and after clinical education on an IPTW. Sixteen students were interviewed before and after the training on an IPTW in municipal care for older people in Sweden. A coding scheme developed in an earlier study was used in the analysis of the interviews. The findings indicate that there are changes in the students' stereotyped views, enhancing understanding of each other's professions after three weeks' clinical education on the IPTW. In some areas, however, there are still discrepancies between the description of own profession and the others' understanding of this profession that need to be confronted. In interprofessional training during education in social and health care there needs to be a balance between on the one hand the particular professional identity, on the other the shared identity implied by membership of the health-care team focusing on a common goal.
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| 7. |
- Lidskog, Marie, et al.
(författare)
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Students' learning experiences from interprofessional collaboration on a training ward in municipal care
- 2008
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Ingår i: Learning in Health and Social Care. - : Wiley. - 1473-6853 .- 1473-6861. ; 7:3, s. 134-145
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Tidskriftsartikel (refereegranskat)abstract
- One way to offer students pursuing health and social care programmes realistic experiences of teamwork is interprofessional training wards where students from different educational programmes learn teamwork by working together. In the present study, a training ward in municipal care for older people was evaluated. Students from occupational therapy, nursing and social work programmes worked together on the ward for 3 weeks to learn with, from and about each other. The aim of the study was to compare students' attitudes towards practice on a training ward before and after and to evaluate goal fulfilment after 3 weeks' interprofessional education on a training ward. An attitude questionnaire was distributed to all students before and after their time on the ward, supplemented with a retrospective goal-fulfilment questionnaire afterwards. The results show that the collaborative, social experience the training ward offers was appreciated by the students and in most respects, met the learning goals set up for the course. The most important learning experience was working together in a real-life setting. However, there are some issues to take into consideration when planning and developing training wards. The setting needs to be realistic and relevant in relation to future roles for all of the student groups involved. The value and purpose of engaging together in basic patient care needs to be the subject of further investigation. When it comes to fostering competent team-workers, training wards seem to be one way forward. But to fully understand the challenges and difficulties involved in planning these wards, the learning achieved must be understood in the context of the setting as a whole, in all its aspects.
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| 8. |
- Silén, Marit, et al.
(författare)
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Nurses' conceptions of decision making concerning life-sustaining treatment
- 2008
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Ingår i: Nursing Ethics. - London : Edward Arnold. - 0969-7330 .- 1477-0989. ; 15:2, s. 160-173
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to describe nurses' conceptions of decision making with regard to life-sustaining treatment for dialysis patients. Semistructured interviews were conducted with 13 nurses caring for such patients at three hospitals. The interview material was subjected to qualitative content analysis. The nurses saw decision making as being characterized by uncertainty and by lack of communication and collaboration among all concerned. They described different ways of handling decision making, as well as insufficiency of physician-nurse collaboration, lack of confidence in physicians, hindrances to patient participation, and ambivalence about the role of patients' next of kin. Future research should test models for facilitating communication and decision making so that decisions will emerge from collaboration of all concerned. Nurses' role in decision making also needs to be discussed.
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| 9. |
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| 10. |
- Wennman-Larsen, Agneta, et al.
(författare)
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Development in quality of relationship between the significant other and the lung cancer patient as perceived by the significant other
- 2008
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Ingår i: European Journal of Oncology Nursing. - : Elsevier BV. - 1462-3889 .- 1532-2122. ; 12:5, s. 430-435
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Tidskriftsartikel (refereegranskat)abstract
- Aim: To prospectively explore the quality of the relationship between significant others and patients during lung cancer. based on the perceptions of the significant others.Method: In a sample of 91 significant others, longitudinal data were collected during the first year after diagnosis, and explored on group level and as individual patterns over time.Results: Relational quality was skewed towards high quality, although 30% of the significant others reported low levels close to diagnosis. Forty-eight percent reported stability in the quality of their relationship during the disease trajectory. Within this group, 36% reported low levels of relational quality. Fifty-two percent reported change in quality of relationship and four typical patterns of change were identified. Two showed approximate linear changes in either a positive direction (15%) or a negative direction (49%), and two showed non-linear changes with a temporary ascending curve (11%) or a descending curve (26%). This implies that a change towards low levels of relational quality was most common.Conclusion: The present results show that illness may be a trigger for change in relational quality, which may have implications for future family-centred practice and research, since previously high relational quality has been linked to improved emotional well-being. (C) 2008 Elsevier Ltd. All rights reserved.
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