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Search: LAR1:cth > University of Borås > Doctoral thesis

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1.
  • Adekunle, Kayode (author)
  • Bio-based Composites from Soybean Oil Thermosets and Natural Fibers
  • 2011
  • Doctoral thesis (other academic/artistic)abstract
    • In order to reduce over-dependency on fossil fuels and to create an environment that is free of non-degradable plastics, and most importantly to reduce greenhouse gas emission, bio-based products are being developed from renewable resources through intense research to substitute conventional petrochemical-based plastics with renewable alternatives and to replace synthetic fibers with natural fibers. Many authors have done quite a lot of work on synthesizing polymers from renewable origin. Polylactic acid (PLA) has been developed and characterized, and it was found that it has enormous potential and can serve as an alternative to conventional thermoplastics in many applications. Modification of the plant oil triglycerides has been discussed by many authors, and research is still going on in this area. The challenge is how to make these renewable polymers more competitive in the market, and if possible to make them 100% bio-based. There is also a major disadvantage to using a bio-based polymer from plant oils because of the high viscosity, which makes impregnation of fibers difficult. Although natural fibers are hydrophilic in nature, the problem of compatibility with the hydrophobic matrix must be solved; however, the viscosity of the bio-based resin from plant oils will complicate the situation even more. This is why many authors have reported blending of the renewable thermoset resin with styrene. In the process of solving one problem, i.e reducing the viscosity of the renewable thermoset resin by blending with reactive diluents such as styrene, another problem which we intended to solve at the initial stage is invariably being created by using a volatile organic solvent like styrene. The solution to this cycle of problems is to synthesize a thermoset resin from plant oils which will have lower viscosity, and at the same time have higher levels of functionality. This will increase the crosslinking density, and they can be cured at room temperature or relatively low temperature. In view of the above considerations, the work included in this thesis has provided a reasonable solution to the compounded problems highlighted above. Three types of bio-based thermoset resins were synthesized and characterized using NMR, DSC, TGA, and FT-IR, and their processability was studied. The three resins were subsequently reinforced with natural fibers (woven and non-woven), glass fibers, and Lyocell fiber and the resulting natural fiber composites were characterized by mechanical, dynamic mechanical, impact, and SEM analyses. These composites can be used extensively in the automotive industry, particularly for the interior components, and also in the construction and furniture industries. Methacrylated soybean oil (MSO), methacrylic anhydride-modified soybean oil (MMSO), and acetic anhydride-modified soybean oil (AMSO) were found to be suitable for manufacture of composites because of their lower viscosity. The MMSO and MSO resins were found to be promising materials because composites manufactured by using them as a matrix showed very good mechanical properties. The MMSO resin can completely wet a fiber without the addition of styrene. It has the highest number of methacrylates per triglyceride and high crosslink density.
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2.
  • Andersson, Roy (author)
  • Supply chain resilience through quality management
  • 2009
  • Doctoral thesis (other academic/artistic)abstract
    • The length and complexity of the supply chain tend to increase, rather than diminish, thereby making the supply chain riskier and less predictable and, hence, more vulnerable. At the same time, customers are becoming increasingly demanding. The challenge to businesses today is to create a resilient supply chain in order to manage and mitigate risk and vulnerability.The purpose of the thesis is to explore, describe and develop the use of a combined quality management philosophy in logistics processes in order to improve supply chain resilience. The findings are supported by six studies, which are presented here in six papers.The studies show that there is a lot to gain if organisations are able to combine quality management philosophies, as they are complementary to one another. TQM places its strongest emphasis on the commitment and involvement of all employees. Lean is a discipline that focuses on process speed and removal of waste in order to increase customer value. Six Sigma benefits from an added focus on variability and design of products/services and processes. It has been indicated that a combined quality management philosophy makes the logistics processes more reliable, flexible, agile and robust while reducing cost. The companies’ risk awareness has increased and their risk management has been improved, thanks to the Six Sigma training programmes and philosophy. Using a combined quality management philosophy, the speed of production could be increased, and the responsiveness and flexibility could be improved, which means quicker response to changes. It has also been indicated that a combined quality management philosophy improves the companies’ resilience, due to their increased agility and strengthened ability to handle variability and risk management. Quality management tools can be very effective in the companies’ efforts to control supply chain risk and to identify risk sources of variation, even outside the focal company. In Six Sigma projects, the root cause of variation is often found outside the focal companies, which requires more collaboration in the supply chain. However, if the companies that use a combined quality management philosophy intend to become more resilient, they must involve suppliers and customers more in their own processes and design products/services and processes together.Collaboration with the suppliers and customers and the notion of how to extend a combined quality management philosophy outside the focal company are of importance in order to make the whole supply chain resilient. This could lead to a problem, especially since the conditions for transport and logistics in regards to the application of quality methods and tools represent a large area, unexploited by the companies. On the other hand, Six Sigma has standardised training courses, and it has been demonstrated how a Six Sigma framework can enable collaboration across companies’ boundaries in the supply chain, with the use of Six Sigma training and the DMAIC-roadmap as a common platform. Even if a combined quality management philosophy is effective and efficient, the companies must re-invest in additional methods, tools and strategies to make the entire supply chain resilient. It could be this re-investment in risk prevention and mitigation solutions that enables faster process responsiveness, the establishment of a risk management culture by creating common values, culture and rules in the supply chain and the use of logistics strategies and methods.
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3.
  • Axelberg, Peter (author)
  • On Tracing Flicker Sources and Classification of Voltage Disturbances
  • 2007
  • Doctoral thesis (other academic/artistic)abstract
    • Developments in measurement technology, communication and data storage have resulted in measurement systems that produce large amount of data. Together with the long existing need for characterizing the performance of the power system this has resulted in demand for automatic and efficient information-extraction methods. The objective of the research work presented in this thesis was therefore to develop new robust methods that extract additional information from voltage and current measurements in power systems. This work has contributed to two specific areas of interest. The first part of the work has been the development of a measurement method that gives information how voltage flicker propagates (with respect to a monitoring point) and how to trace a flicker source. As part of this work the quantity of flicker power has been defined and integrated in a perceptionally relevant measurement method. The method has been validated by theoretical analysis, by simulations, and by two field tests (at low-voltage and at 130-kV level) with results that matched the theory. The conclusion of this part of the work is that flicker power can be used for efficient tracing of a flicker source and to determine how flicker propagates. The second part of the work has been the development of a voltage disturbance classification system based on the statistical learning theory-based Support Vector Machine method. The classification system shows always high classification accuracy when training data and test data originate from the same source. High classification accuracy is also obtained when training data originate from one power network and test data from another. The classification system shows, however, lower performance when training data is synthetic and test data originate from real power networks. It was concluded that it is possible to develop a classification system based on the Support Vector Machine method with “global settings” that can be used at any location without the need to retrain. The conclusion is that the proposed classification system works well and shows sufficiently high classification accuracy when trained on data that originate from real disturbances. However, more research activities are needed in order to generate synthetic data that have statistical characteristics close enough to real disturbances to replace actual recordings as training data.
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4.
  • Barghi, Hamidreza (author)
  • Functionalization of Synthetic Polymers for Membrane Bioreactors
  • 2014
  • Doctoral thesis (other academic/artistic)abstract
    • Membrane bioreactors (MBRs) show great promise for productivity improvement and energy conservation in conventional bioprocesses for wastewater reclamation. In order to attain high productivity in a bioprocess, it is crucial to retain the microorganisms in the bioreactors by preventing wash out. This enables recycling of the microorganisms, and is consequently saving energy. The main feature of MBRs is their permeable membranes, acting as a limitative interface between the medium and the microorganisms. Permeation of nutrients and metabolites through the membranes is thus dependent on the membrane characteristics, i.e. porosity, hydrophilicity,and polarity. The present thesis introduces membranes for MBRs to be used in a continuous feeding process, designed in the form of robust, durable, and semi-hydrophilic films that constitute an effective barrier for the microorganisms, while permitting passage of nutrients and metabolites. Polyamide 46 (polytetramethylene adipamide), a robust synthetic polymer, holds the desired capabilities, with the exception of porosity and hydrophilicity. In order to achieve adequate porosity and hydrophilicity, bulk functionalization of polyamide 46 with different reagents was performed. These procedures changed the configuration from dense planar to spherical, resulting in increased porosity. Hydroxyethylation of the changed membranes increased the surface tension from 11.2 to 44.6 mJ/m2. The enhanced hydrophilicity of PA 46 resulted in high productivity of biogas formation in a compact MBR, due to diminished biofouling. Copolymerization of hydrophilized polyamide 46 with hydroxymethyl 3,4-ethylenedioxythiophene revealed electroconductivity and hydrophilic properties, adequate for use in MBRs. To find either the maximal pH stability or the surface charge of the membranes having undergone carboxymethylation, polarity and the isoelectric point (pI) of the treated membranes were studied by means of a Zeta analyzer. The hydroxylated PA 46 was finally employed in a multilayer membrane bioreactor and compared with hydrophobic polyamide and PVDF membranes. The resulting biogas production showed that the hydroxylated PA 46 membrane was, after 18 days without regeneration, fully comparable with PVDF membranes.
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5.
  • Bashir, Tariq (author)
  • Conjugated Polymer-based Conductive Fibers for Smart Textile Applications
  • 2013
  • Doctoral thesis (other academic/artistic)abstract
    • Electrically conductive or electro-active fibers are the key components of smart and interactive textiles, which could be used in medical, sports, energy, and military applications in the near future. The functionalization of high-performance textile yarns/fibers with conjugated polymers can produce conductive fibers with better electro-mechanical properties, which is difficult with commonly used spinning techniques. In this thesis work, textile-based conductive yarns/fibers were prepared by coating viscose and polyester (PET) yarns with the conjugated polymer PEDOT. For coating purposes, an efficient technique called chemical vapor deposition (CVD) was used, which is a solventless technique and can produce PEDOT polymer layers with high conductivity values. The polymerization of EDOT monomer vapors and coating of oxidant (FeCl3 or FepTS) enriched viscose and PET yarns took place simultaneously. The PEDOT-coated viscose and polyester yarns showed relatively high conductivity values, which could be sufficient for many electronic applications. The polymerization process and the quality of PEDOT polymer strongly depends on different reaction conditions. In this research work, the impact of most of these reaction parameters on the electrical, mechanical, and thermal properties of PEDOT-coated conductive yarns was considered separately. Under specific reaction conditions, it was found that viscose fibers were successfully coated with PEDOT polymer and showed rather high electrical conductivity (≥ 15 S/cm). However, due to the acid hydrolysis of viscose fibers in FeCl3 solutions, the mechanical properties were drastically reduced. In order to improve the mechanical properties of conductive yarns, a relatively stable and chemical-resistant substrate (PET) was coated with PEDOT polymer. Comparative studies between PEDOT-coated viscose and PET conductive yarns showed that the electrical and mechanical properties were enhanced by changing the substrate material. Later on, PEDOT-coated conductive fibers were treated with silicone elastomer solution and due to the thin silicone layers, the hydrophobic properties, flexibility, and durability of coated yarns was improved. Furthermore, a novel electrical resistance-measuring setup was developed, which can be used not only for fibers but also for fabric structures. The electrical characterization of PEDOT-coated conductive yarns showed that it can be used effectively for sensitive fibers without damaging their surface morphology. Finally, the use of conductive yarns as stretch sensors was evaluated. For this purpose, small rectangular knitted patches of conductive yarns were prepared and then the change in electrical resistance values at different extension percentages (5–50%) was investigated. The constant variations in electrical resistance values at different extension and relaxation cycles for longer periods of time revealed that the conductive yarns produced have the potential to be used as stretch sensors for monitoring of vital signs in medical and sports applications.
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6.
  • Bazooyar, Faranak (author)
  • Molecular-level Simulations of Cellulose Dissolution by Steam and SC-CO2 Explosion
  • 2014
  • Doctoral thesis (other academic/artistic)abstract
    • Dissolution of cellulose is an important but complicated step in biofuel production from lignocellulosic materials. Steam and supercritical carbon dioxide (SC-CO2) explosion are two effective methods for dissolution of some lignocellulosic materials. Loading and explosion are the major processes of these methods. Studies of these processes were performed using grand canonical Monte Carlo and molecular dynamics simulations at different pressure/ temperature conditions on the crystalline structure of cellulose. The COMPASS force field was used for both methods. The validity of the COMPASS force field for these calculations was confirmed by comparing the energies and structures obtained from this force field with first principles calculations. The structures that were studied are cellobiose (the repeat unit of cellulose), water–cellobiose, water-cellobiose pair and CO2-cellobiose pair systems. The first principles methods were preliminary based on B3LYP density functional theory with and without dispersion correction. A larger disruption of the cellulose crystal structure was seen during loading than that during the explosion process. This was seen by an increased separation of the cellulose chains from the centre of mass of the crystal during the initial stages of the loading, especially for chains in the outer shell of the crystalline structure. The ends of the cellulose crystal showed larger disruption than the central core; this leads to increasing susceptibility to enzymatic attack in these end regions. There was also change from the syn to the anti torsion angle conformations during steam explosion, especially for chains in the outer cellulose shell. Increasing the temperature increased the disruption of the crystalline structure during loading and explosion.
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7.
  • Bengtsson, Magnus, 1973 (author)
  • Quality-Driven Production of Aggregates in Crushing Plants
  • 2009
  • Doctoral thesis (other academic/artistic)abstract
    • Aggregate quality is of great importance, and in this context it is essential to understand how various process parameters influence the product quality characteristics. Thus, there is a need for aggregate producers to improve their process knowledge.Research has led to an improved understanding of how different process parameters affect the outcomes of specific comminution processes. In aggregate production, breakage models are one example of such a research result. These models have been refined over the years. The breakage models that have been presented to date can accurately predict the size distribution of aggregates. On the other hand, they cannot normally predict any other material characteristics such as shape and strength. This thesis outlines the research to date, which has focused on a frequently discussed quality parameter, namely the shape of the product. Knowledge of various methodologies is required to measure this parameter. A novel method for measuring the shape of fine aggregates is presented. The rheology test, the methodology of which was originally based on a New Zealand standard, can be correlated with other data to measure particle shape in accordance with the F-aspect method. The correlation between these methods is very good, and since the rheology test is easy to use, it is suitable for a quarry or a basic test facility.The cone crusher is the most commonly used tertiary stage crusher today. One of its great advantages is that it produces a relatively low amount of fines. However, it only produces acceptable particle shapes for certain fraction sizes. The vertical shaft impact crusher (VSI) creates particles of a very satisfactory shape across all fractions, including fine aggregate, as confirmed by studies using the aforementioned rheology test.This thesis presents two models for predicting shape in crushed aggregate from a cone crusher. The first model is empirical, and my conclusion is that there are four dominating parameters affecting shape: the average feed size, the closed side setting (CSS), throw and eccentric speed. To further investigate how compressive breakage affects particle shape, an inter-particle breakage model is introduced. This model simulates a specific crushing stage inside the crusher. Simulation results show that the outcome from a crushing event can be predicted with good accuracy. A VSI model for describing particle size and shape is presented in this work. It is proposed that the dominating breakage mechanism in a VSI equipped with a rock box is of abrasive character. Abrasive breakage can appropriately shape all particle sizes, assuming the crusher is operated at a proper velocity.The empirical cone crusher model and the VSI models are combined in a mathematical simulation in order to determine how a crushing plant should be operated to maximise both yield and aggregate quality. The results show that there exists a set of rules to determine the crusher and screen settings that will achieve the best performance in terms of product yield and quality requirements.
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8.
  • Ekwall, Daniel (author)
  • Managing the risk for antagonistic threats against the transport network
  • 2009
  • Doctoral thesis (other academic/artistic)abstract
    • The World Trade Centre terror attack in 2001 changed the world and with it the conditions for logistics worldwide. The aftermath of the attack brought needed attention to the vulnerability of modern supply chains. This thesis addresses the antagonistic threats that exploit the vulnerability in a supply chain. Antagonistic threats are a limited array of risks and uncertainties and can be addressed with risk management tools and strategies. There are three key demarcations between antagonistic threats and other risks and uncertainties: deliberate (caused), illegal (defined by law), and hostile (negative impact, in this thesis, for transport network activities). This thesis makes a theoretical contribution to the usage of theories from criminology in supply chain risk management to handle antagonistic threats against the transport network. The recognition that antagonistic threats toward the transport network are a problem leads to verification of the research questions from the background and the theoretical framework. This is done to place or relate the research questions closer to the context. Furthermore, it leads to the conclusion that the answers may or may not contain competing and/or incompatible parts which differ depending on the perspective or viewpoint at the moment. One of the most important things to understand is that antagonistic threats toward freight always have been a feature in both business and politics. The different functions and goals for all stakeholders mean that all stakeholders and actors may use similar methods to manage antagonistic threats but the effects and consequences will change according to the circumstances. The system approach in this thesis is a soft-system thinking where reality is described in subjective terms and the whole system has the distinctive trait of vague or undefined boundaries between system components and the surrounding environment. Therefore, this thesis uses a complex system approach in which paradoxes and bounded rationality describes the system’s behaviour. This thesis defines the legal descriptions and criminal threats against and within supply chain management activities that entail both the systems context and boundaries. Managing of the antagonistic threats through the risk management perspective is separated into two sides, pre-event and post-event measures, which means the system needs to be robust and resilient, using logistics terms. It should be robust to automatically handle small risks (normally with high likelihood and low impact). The system also needs resilience in order to adapt, improvise, and overcome any disturbance greater than the system’s robustness can handle. Both robustness and its resilience can constitute of the full range of prevention, mitigation, and transferring tools and methods. Regardless of which perspective or viewpoint is chosen for analysing the problem, the same basic set of tools and methods are valid, but in practical use they need to be adapted to the actors’ needs and wants for managing their exposure to antagonistic threats.
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9.
  • Elled, Anna-Lena, 1975 (author)
  • Co-combustion of Biomass and Waste Fuels in a Fluidised Bed Boiler - Fuel Synergism
  • 2008
  • Doctoral thesis (other academic/artistic)abstract
    • The objective of this work was to study co-combustion of biomass and waste fuels in a circulating fluidised bed boiler and to detect synergy effects with respect to flue gas composition and ash formation during boiler operation. It was also the aim to perform supplementary thermodynamic equilibrium calculations in order to support the experimental results. The base fuel used was either wood or bark pellets and the additional fuels included municipal sewage sludge, sludge from the pulp and paper industry and demolition wood. In some of the tests, additives were supplied to the boiler to enhance any effects from substances of special interest. Examples of such additives are zinc oxide, PVC, ammonium sulphate, kaolin and zeolites.The 12 MWth circulating fluidised bed boiler situated at Chalmers University of Technology was central to the investigation. All combustion tests were performed in this boiler and it provided operating data, flue gas composition and samples of fuel, ash and deposits under required combustion conditions. Great effort was put into the analyses of ashes and deposits and in excess of conventional techniques, time-of-flight secondary ion mass spectrometer (TOF-SIMS), scanning electron microscopy energy dispersive x-ray (SEM EDX) and x-ray diffraction (XRD) were applied to several of the samples to create a more complete scan of the constituents. The thermodynamic equilibrium calculations were performed using the computer program FactSage and the module EQUILIB. The thermodynamic data was collected from the database FACT.The focus of the investigation was directed towards three main areas: sulphur capture performance by lime addition to the bed, distribution of heavy metals in ashes and flue gas, and formation of deposits on heat transfer surfaces in the convective pass and the use of municipal sewage sludge as a preventive additive.The relatively high content of phosphorus in municipal sewage sludge interferes with the sulphur capture by lime and decreases the sulphur capture performance. Phosphorus reacts with calcium, which otherwise is available for reaction with sulphur, and forms compounds such as calcium phosphates. The formation was supported by equilibrium calculations and proved by analysing the ashes with TOF-SIMS. The decreased lime efficiency must be taken into account when sulphur capture strategies are decided for the reduction of SO2 emissions from co-combustion of municipal sewage sludge. Further, the use of bark pellets as base fuel during co-combustion with sulphur containing wastes reduces the sulphur emissions due to their relatively high content of calcium and potassium in connection with its low content of sulphur.The supply of heavy metals to the combustion increases dramatically when wood is replaced by municipal sewage sludge under otherwise constant conditions. The heavy metals are to a large extent recovered in the ash and captured by the flue gas cleaning system. Even the most volatile species, such as mercury, are captured and enriched in the fine fly ash. The effective metal capture is partly due to the sludge ash and partly to the bag filter. The amount of ash in the boiler increases with the sludge and the fine fly ash fraction constitutes a high particle surface area which enhances the capture of volatile metals. Further, the ash contains large amounts of several elements known to retain trace elements such as aluminium, calcium, carbon and silicon. Especially the presence of zeolites in the sludge is likely to contribute to the capture of mercury. Further, the enrichment ratios of metals in the filter ash indicate the necessity of including bag-filters in the flue gas cleaning system in order to achieve sufficient removal of toxic heavy metals.Zinc, and its effect on deposit formation, was given special attention since the metal is commonly present in demolition wood. The result showed that combustion of demolition wood contaminated with zinc alone generates only a modest amount of deposits. Demolition wood contaminated with both zinc and chlorine gives rise to more severe deposit formation. The main reason for this is the formation of alkali chlorides but also zinc chlorides in the flue gas. The formation of zinc chlorides is, under reducing conditions, thermodynamically favoured between 450 and 850°C. Under oxidising conditions, the formation is initiated at 400°C and gradually increased with the temperature.Municipal sewage sludge is not only a waste that must be disposed of, it can also be regarded as an additive to prevent deposit formation during combustion of high alkali biomass. The sludge reduces the concentration of KCl in the flue gas, impedes the deposit formation and eliminates the content of chlorine in the deposits. The occurrence is clear of though the fuel is contaminated with chlorine. The effect is partly due to sulphation of potassium and partly to potassium sequestration by the sludge ash.
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10.
  • Eriksson, Erik, 1977 (author)
  • A Service Management Perspective on Healthcare Improvement: Integrating Social Context
  • 2016
  • Doctoral thesis (other academic/artistic)abstract
    • The current dissertation argues that ideas from service research should be given a more prominent position in improving healthcare that is capable of managing current and future challenges. The integration and combination of intangible resources, such as knowledge and skills, constitute the service in this thesis; thus, service is conceived as a verb. A central notion in such conceptualization is value co-creation, implying that healthcare providers may only offer potential value, which is realized as real value by people in their broader lifeworlds. Consequently, the healthcare provider is often only one of many actors in the individual’s value-creation process – in which resources from a multiplicity of actors are integrated and combined. One challenge that is particularly addressed in this thesis is unsatisfying inhabitant/patient perceptions concerning how healthcare is executed. More specifically, this refers to interpersonal aspects, including interaction between inhabitant/patient and provider, access to adequate information, and prerequisites to actively participate in one’s own care. Another challenge addressed herein is disparities between groups in society. A mainstream service management perspective is deemed relevant in targeting the first challenge, with foci on the inhabitant’s/patient’s active role rather than the internal affairs of the organization; interaction rather than results; and providing a holistic view rather than treating healthcare in isolation. In order to face the second challenge of disparities between groups, I argue that it is necessary to explicitly integrate the social context, which is claimed to have been neglected in traditional service research. Such context includes not only a diversity of actors, but also societal structures that influence – and are influenced by – the healthcare meeting and thus the individual’s prerequisites to actively participate in her or his care. By adopting a moderate social constructionist position – which contrasts to the individualism characterized by mainstream service research – the focus of the thesis moves from singular to plural, from individual to groups in society. On one hand, in such a position, categorization of individuals into groups is not uncomplicated. On the other hand, healthcare improvements are enabled on a collective level. The constructionist position also permeates conceptions of knowledge: rather than an absolute “truth,” knowledge is about different perspectives. An extension of this reasoning is that healthcare needs to manage multiple perspectives to achieve improvement. Consequently, the purpose of this thesis is not to proclaim a service management perspective as a universal solution, but rather to enhance its position among a diversity of mutually complementing perspectives. The empirical material draws from three studies, discussed in five papers. The first study sought to increase knowledge of three groups’ perceptions on parenthood in a child health service context. The second study mainly addressed the reasons why men and women reported complaints in healthcare. The third study addressed how healthcare providers and community representatives could contribute to increased participation in a screening program in an area with a large number of foreign-born inhabitants. Cumulatively, the studies illuminate the potential of a service management perspective to improve healthcare, not least being the focus on the inhabitant’s/patient’s perceptions, but also their active role and the inclusion of actors in the individual’s broader lifeworld such as family members and the local community. In line with a service management perspective, the interactional aspects are argued to be important enablers for individuals to participate in healthcare. However, by integrating the social context, it is also revealed that interaction may also constitute a constrainer of possibilities for individuals or groups to be participative. A service perspective integrating social context also offers possibilities, not least by enriching the emerging field of improvement science. Through lifeworld-situated perceptions, in which groups’ perceptions beyond healthcare are identified, healthcare may be improved to better address group members’ needs given their broader life situations. Representative co-creation implies that a collective’s unique knowledge and skills are used productively in order to improve healthcare that manages diversified needs and expectations.
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