| 141. |
- Zakrisson, Ann-Britt, et al.
(författare)
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Nurse-led multidisciplinary programme for patients with COPD in primary health care : a controlled trial
- 2011
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Ingår i: Primary Care Respiratory Journal. - : The Primary Care Respiratory Society U K. - 1471-4418 .- 1475-1534. ; 20:4, s. 427-433
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Tidskriftsartikel (refereegranskat)abstract
- AIM:To investigate the effects of a nurse-led multidisciplinary programme (NMP) of pulmonary rehabilitation in primary health care with regard to functional capacity, quality of life (QoL), and exacerbations among patients with chronic obstructive pulmonary disease (COPD).METHOD:A 1-year longitudinal study with a quasi-experimental design was undertaken in patients with COPD, 49 in the intervention group and 54 in the control group. Functional capacity was assessed using the 6-minute walking test, and quality of life (QoL) was assessed using the Clinical COPD Questionnaire. Exacerbations were calculated by examination of patient records.RESULTS:No significant differences were found between the groups in functional capacity and QoL after 1 year. The exacerbations decreased in the intervention group (n = -0.2) and increased in the control group (n = 0.3) during the year after NMP. The mean difference of change in exacerbation frequency between the groups was statistically significant after one year (p=0.009).CONCLUSIONS:The NMP in primary care produced a significant reduction in exacerbation frequency, but functional capacity and QoL were unchanged. More and larger studies are needed to evaluate potential benefits in functional capacity and QoL.
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| 142. |
- Bagga-Gupta, Sangeeta, 1962-, et al.
(författare)
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Learning on-the-go in institutional telecollaboration : Anthropological perspectives on the boundaries of digital spaces
- 2015
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Ingår i: Researching Language Learner Interaction Online. - Texas State University : CALICO. - 9780996316507
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Bokkapitel (refereegranskat)abstract
- As Digitally Mediated Communication increasingly becomes a dimension of everyday life across the globe, a greater number of individuals have access to newer ways of engaging in learning practices on-the-go. Learning here, i.e. in institutionalized educational settings like the videoconferencing program Adobe Connect explicitly can be conceptualized in terms of participation in distributed networks of relationships across both physical geopolitical as well as virtual spaces.The study presented here is interested in (i) examining the nature of languaging ‘in situ’ in digital institutional learning settings like virtual classroom, including the types of practices that unfold at the boundaries of different glocal communities, and (ii) throwing light upon the relationship(s) between the openness and parallel closure of online glocal spaces. We draw upon ethnographic data from a project at the CCD[1] research group in Sweden. Our anthropologically framed study takes sociocultural and postcolonial perspectives as points of departure and focuses upon screen recordings of online sessions of an Italian for Beginners course (80 hours) offered by a Swedish university.Sociocultural and postcolonial perspectives on culture, language and identity allow us to empirically investigate how students in cyber communities negotiate and co-construct SpaceTime as a single dimension during the institutionally framed agenda of an online language course focused in this study. We argue that in order to understand and empirically study such encounters (or sites of engagement) it is fruitful to use the epistemological lenses of TimeSpace as well as the postcolonial concepts of Third Space and Hybridity. This allows us an analytical shift in focus, from what happens inside a space or a community, to what occurs at the boundaries, in-between (virtual) spaces.Our results highlight the need to focus the distributed-discursive and the discursive-technological constitution of participants’ worlds i.e. humans-in-concert-with-artifacts in the shared space(s) of the virtual classroom, where the boundaries of what is real-tangible and what is curtailed-obscure become both fluid-diffuse and concrete-tangible. Dismantling notions of one nation-one language, facilitated by emerging media practices, it is suggested, also challenges dominant language ideologies based on monolingual-monomodal communication.[1]www.oru.se/humus/ccd/
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| 143. |
- Bourbour, Maryam, 1977-, et al.
(författare)
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Integration of interactive whiteboard in Swedish preschool practices
- 2015
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Ingår i: Early Child Development and Care. - : Routledge. - 0300-4430 .- 1476-8275. ; 185:1, s. 100-120
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Tidskriftsartikel (refereegranskat)abstract
- This paper aims at exploring the roles preschool teachers give technologies in mathematics education and the ways they structure their mathematics learning activities using interactive whiteboard (IWB) as a technological artefact. Data collected from observations of three preschool teachers embedding IWB in a preschool practice in Sweden provided the primary data sources. The findings suggest that the use of IWB in preschool can be viewed as 'Multisensory resources to engage young children's reasoning', 'Challenging young children to engage in problem-solving activities' and 'Taking the child's interest as a point of departure'. This study also highlights the importance of preschool teachers' pedagogical and technological knowledge that shape and mediate the ways they embed IWB in preschool pedagogical practices.
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| 144. |
- Eldh, Ann Catrine, et al.
(författare)
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The meaning of patient participation for patients and nurses at a nurse-led clinic for chronic heart failure
- 2006
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Ingår i: European Journal of Cardiovascular Nursing. - : Oxford University Press (OUP). - 1474-5151 .- 1873-1953. ; 5:1, s. 45-53
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundThe legislation of many Western countries emphasizes active patient participation. Patients with chronic heart failure (CHF), however, have experienced participation differently from the general interpretation of legal definitions. Education improves uptake of self-management strategies yet knowledge is lacking about support of patients' own resources in CHF. AimTo explore the phenomena of patient participation and non-participation as shown in patient visits to a nurse-led clinic for CHF and as experienced by the patients and nurses. MethodsData triangulation of field notes from participatory observations and texts from narrative interviews with the patients and assigned nurse specialists. Data were analyzed according to the phenomenological hermeneutic tradition. FindingsPatients' experience of participation and non-participation was interpreted as “Being responsible and accepting responsibility” and “Lacking an equal relationship while being controlled”, respectively. Nurses experienced patient participation as “Getting information and security to act” and patient non-participation as “Not accepting”. ConclusionConflicting values of patients and nurses, which were interpreted with respect to participation and non-participation, presumably might influence patient information and education negatively. The issue of participation should be raised as a means of attaining concordance and to facilitate patient participation with education specifically tailored to the individual patient's needs.
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| 145. |
- Eldh, Ann Catrine, et al.
(författare)
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The phenomena of participation and non-participation in health care : experiences of patients attending a nurse-led clinic for chronic heart failure
- 2004
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Ingår i: European Journal of Cardiovascular Nursing. - : Oxford University Press (OUP). - 1474-5151 .- 1873-1953. ; 3:3, s. 239-246
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Tidskriftsartikel (refereegranskat)abstract
- Background: Patient participation is stressed in the health care acts of many western countries yet a common definition of the concept is lacking. The understanding of experiences of patients with chronic heart failure (CHF) who attend nurse-led specialist clinics, a form of care suggested as beneficiary to this group, may promote a better understanding of participation. Aim: To investigate the meanings of participation and non-participation as experienced by patients living with CHF. Methods: Narrative interviews analysed in the phenomenological hermeneutic tradition inspired by Ricoeur where the interpretation is made in the hermeneutic circle, explaining and understanding the experienced phenomena. Findings: Participation was experienced as to “be confident”, “comprehend” and “seek and maintain a sense of control”. Non-participation was experienced as to “not understand”, “not be in control”, “lack a relationship” and “not be accountable”. The findings indicate that the experiences of participation and non-participation can change over time and phases of the disease and treatment. Conclusion: The study suggests an extended view on the concept of participation. Patients' experiences of participation in health care can vary and should therefore be an issue for dialogue between nurses and patients with CHF in nurse-led specialist clinics.
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| 146. |
- Husdal, Rebecka, et al.
(författare)
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Resource allocation and organisational features in Swedish primary diabetes care : Changes from 2006 to 2013
- 2017
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Ingår i: Primary Care Diabetes. - : Elsevier. - 1751-9918 .- 1878-0210. ; 11:1, s. 20-28
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Tidskriftsartikel (refereegranskat)abstract
- Aims: To compare the resource allocation and organisational features in Swedish primary diabetes care for patients with type 2 diabetes mellitus (T2DM) between 2006 and 2013.Methods: Using a repeated cross-sectional study design, questionnaires covering personnel resources and organisational features for patients with T2DM in 2006 and 2013 were sent to all Swedish primary health care centres (PHCCs) during the following year. In total, 684 (74.3%) PHCCs responded in 2006 and 880 (76.4%) in 2013.Results: Compared with 2006, the median list size had decreased in 2013 (p<0.001), whereas the median number of listed patients with T2DM had increased (p<0.001). Time devoted to patients with T2DM and diabetes-specific education levels for registered nurses (RNs) had increased, and more PHCCs had in-house psychologists (all p<0.001). The use of follow-up systems and medical check-ups had increased (all p<0.05). Individual counselling was more often based on patients' needs, while arrangement of group-based education remained low. Patient participation in setting treatment targets mainly remained low.Conclusions: Even though the diabetes-specific educational level among RNs increased, the arrangement of group-based education and patient participation in setting treatment targets remained low. These results are of concern and should be prioritised as key features in the care of patients with T2DM. (C) 2016 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.
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| 147. |
- Husdal, Rebecka, et al.
(författare)
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Resources and organisation in primary health care are associated with HbA(1c) level : A nationwide study of 230 958 people with Type 2 diabetes mellitus
- 2018
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Ingår i: Primary Care Diabetes. - : Elsevier. - 1751-9918 .- 1878-0210. ; 12:1, s. 23-33
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Tidskriftsartikel (refereegranskat)abstract
- Aims: To examine the association between personnel resources and organisational features of primary health care centres (PHCCs) and individual HbAic level in people with Type 2 diabetes mellitus (T2DM).Methods: People with T2DM attending 846 PHCCs (n =230 958) were included in this crosssectional study based on PHCC-level data from a questionnaire sent to PHCCs in 2013 and individual-level clinical data from 2013 for people with T2DM reported in the Swedish National Diabetes Register, linked to individual-level data on socio-economic status and comorbidities. Data were analysed using a generalized estimating equations linear regression models.Results: After adjusting for PHCC- and individual-level confounding factors, personnel resources associated with lower individual HbAi, level were mean credits of diabetes specific education among registered nurses (RNs) (-0.02 mmol/mol for each additional credit; P < 0.001) and length of regular visits to RNs (-0.19 mmol/mol for each additional 15 min; P < 0.001). Organisational features associated with HbAie level were having a diabetes team (-0.18 mmol/mol; P <0.01) and providing group education (-0.20 mmol/mol; P < 0.01).Conclusions: In this large sample, PHCC personnel resources and organisational features were associated with lower HbA(1c), level in people with T2DM.
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| 148. |
- Hysing, Erik, 1977-, et al.
(författare)
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Making governance networks more democratic : lessons from the Swedish governmental commissions
- 2016
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Ingår i: Critical Policy Studies. - : Routledge. - 1946-0171 .- 1946-018X. ; 10:1, s. 21-38
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Tidskriftsartikel (refereegranskat)abstract
- Governance networks (GNs) are theorized as institutions for state–civil society interaction with important merits as well as shortcomings for effective and democratic governance. Here we compare GNs with a far less researched type of state–civil society interaction, the Swedish governmental commission (GC), critically discussing them in terms of organizational and functional features, the role of the state and democratic anchorage. Drawing on lessons from the institutional design of GCs, we contest the notion that well-functioning GNs require a low level of formal institutionalization and discuss how democratic problems with GNs could be addressed through a formal institutional framework that provides pre-established and generally applied ground rules, ensures elected politicians the final say on policy, and values broad participation and consultation. Recognizing that GNs are not a self-evident form for state–civil society interactions, traditional institutional designs should be more fully considered in the discussion and theorization of the democratic anchorage of GNs.
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| 149. |
- Kankkunen, Tina Forsberg, et al.
(författare)
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New Public Management i kommunal praktik : En studie om chefers möjlighet att hantera styrning inom verksamheterna Vatten, Gymnasium och Äldreomsorg
- 2014
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Ingår i: ISM rapport. - Göteborg : Institutet för stressmedicin. - 1652-7089. ; 2014:15
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Denna studie belyser chefers möjligheter att hantera styrning inom olika kommunala verksamheter. Syftet med rapporten är att undersöka och jämföra hur styrning praktiseras inom den kvinnodominerade verksamheten ’Äldreboende’, den könsintegrerade verksamheten ’Gymnasium’, samt den mansdominerade tekniska verksamheten ’Vatten’. Analysen baseras på 30 intervjuer med linjechefer i fyra kommuner. För att förstå sammanhanget runt chefernas berättelser har även aktörer på kommunledningsnivå intervjuats. En utgångspunkt i studien är att jämförelser mellan olika organisatoriska sammanhang kan skapa lärande i arbetslivet.De deskriptiva resultat som presenteras i rapporten visar att styrning i linje med New Public Management har inneburit att cheferna upplever sig allt mer klämda mellan organisationens styrning och medarbetarnas och verksamhetens behov. Med New Public Management betonas styrning genom ekonomi, standardiserade processer, mål och uppföljning samt värderingar. De medverkande cheferna beskriver att detta har medfört målkonflikter som kan vara svåra att hantera. Det skiljer sig dock mellan verksamheterna hur målkonflikterna hanteras. Inom den mansdominerade verksamheten Vatten beskriver cheferna hur organisationen tar ansvar för målkonflikterna på ett sätt som möjliggör för cheferna att hantera dem. Inom Gymnasium och Äldreboende beskriver cheferna istället att de många gånger själva får hantera och ta konsekvenserna av målkonflikterna.Vi pekar sammanfattningsvis på fyra lärdomar kring chefens möjligheter att hantera målkonflikter. Dessa lärdomar handlar om hur arbetet organiseras, snarare än om chefernas individuella strategier. Vi talar om vikten av ett nära stöd, av att dela värld, av gemensamt språk och avgränsade mål och slutligen, vikten av tillit.
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| 150. |
- Matić, Teodora, et al.
(författare)
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Unsupervised Learning from Motion Sensor Data to Assess the Condition of Patients with Parkinson’s Disease
- 2019
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Ingår i: AIME 2019. - Cham : Springer. - 9783030216429 - 9783030216412 ; , s. 420-424
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Konferensbidrag (refereegranskat)abstract
- Parkinson’s disease (PD) is a chronic neurodegenerative disorder that predominantly affects the patient’s motor system, resulting in muscle rigidity, bradykinesia, tremor, and postural instability. As the disease slowly progresses, the symptoms worsen, and regular monitoring is required to adjust the treatment accordingly. The objective evaluation of the patient’s condition is sometimes rather difficult and automated systems based on various sensors could be helpful to the physicians. The data in this paper come from a clinical study of 19 advanced PD patients with motor fluctuations. The measurements used come from the motion sensors the patients wore during the study. The paper presents an unsupervised learning approach applied on this data with the aim of checking whether sensor data alone can indicate the patient’s motor state. The rationale for the unsupervised approach is that there was significant inter-physician disagreement on the patient’s condition (target value for supervised machine learning). The input to clustering came from sensor data alone. The resulting clusters were matched against the physicians’ estimates showing relatively good agreement.
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