| 1. |
- Abbadi, Ahmad, et al.
(författare)
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Validation of the Health Assessment Tool (HAT) based on four aging cohorts from the Swedish National study on Aging and Care
- 2024
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Ingår i: BMC Medicine. - : BioMed Central (BMC). - 1741-7015. ; 22:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: As global aging accelerates, routinely assessing the functional status and morbidity burden of older patients becomes paramount. The aim of this study is to assess the validity of the comprehensive clinical and functional Health Assessment Tool (HAT) based on four cohorts of older adults (60 + years) from the Swedish National study on Aging and Care (SNAC) spanning urban, suburban, and rural areas.Methods: The HAT integrates five health indicators (gait speed, global cognition, number of chronic diseases, and basic and instrumental activities of daily living), providing an individual-level score between 0 and 10. The tool was constructed using nominal response models, first separately for each cohort and then in a harmonized dataset. Outcomes included all-cause mortality over a maximum follow-up of 16 years and unplanned hospital admissions over a maximum of 3 years of follow-up. The predictive capacity was assessed through the area under the curve (AUC) using logistic regressions. For time to death, Cox regressions were performed, and Harrell’s C-indices were reported. Results from the four cohorts were pooled using individual participant data meta-analysis and compared with those from the harmonized dataset.Results: The HAT demonstrated high predictive capacity across all cohorts as well as in the harmonized dataset. In the harmonized dataset, the AUC was 0.84 (95% CI 0.81–0.87) for 1-year mortality, 0.81 (95% CI 0.80–0.83) for 3-year mortality, 0.80 (95% CI 0.79–0.82) for 5-year mortality, 0.69 (95% CI 0.67–0.70) for 1-year unplanned admissions, and 0.69 (95% CI 0.68–0.70) for 3-year unplanned admissions. The Harrell’s C for time-to-death throughout 16 years of follow-up was 0.75 (95% CI 0.74–0.75).Conclusions: The HAT is a highly predictive, clinically intuitive, and externally valid instrument with potential for better addressing older adults’ health needs and optimizing risk stratification at the population level. © The Author(s) 2024.
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| 2. |
- Albinsson, Gunilla, et al.
(författare)
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Försvarsbeslut 2004 : Försvarsbeslutsprocessen sett ur ett kommunalpolitiskt perspektiv
- 2005
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Rapport (refereegranskat)abstract
- Inom det svenska försvaret pågår en av de största militära reformer som Sverige genomfört i modern tid. Från att ha varit ett invasionsförsvar ändras nu inriktningen mot ett rörligt, flexibelt insatsförsvar, som både kan försvara Sverige och medverka vid internationella insatser. I december 2004 fattade riksdagen ett beslut om Försvarsmaktens struktur under tiden 2005-2007. För Karlskronas del var beslutet av yttersta vikt, då det ger anvisningar om vilken verksamhet som skall bedrivas vid Sydkustens marinbas i Karlskrona.Syftet med föreliggande studie är att fördjupa förståelsen för den påverkansprocess som ledde fram till försvarsbeslutet 2004 sett ur ett kommunalpolitiskt perspektiv. Studien omfattar tiden från det att överbefälhavare Håkan Syrén lämnade sitt underlag inför kommande försvarsbeslut till dess att riksdagen fattade beslut. De frågor som studien söker svar på är:• Vilka hegemoniska diskurser respektive motdiskurser finns från det att överbefälhavaren lämnade sitt underlag i februari 2004 till dess att propositionen röstades igenom i riksdagen 15 december 2004?• Hur uttrycks den politiska påverkansprocessen på lokal nivå?Avsikten är inte att utvärdera vare sig aktörer eller resultatet av försvarsbeslutet utan att skapa förståelse för försvarsbeslutsprocessen. I fokus står den påverkansprocess som lokala aktörer är en del av med målsättning att bibehålla Sydkustens marinbas. Studien kan därmed sägas sluta där en egentligen utvärdering skulle ha börjat. Den del av försvarsbeslutsprocessen som berör Flygflottiljen i Kallinge inkluderas inte i denna studie.
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| 3. |
- Albinsson, Gunilla, et al.
(författare)
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How Critical can you be as an Ongoing-evaluator?
- 2010
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Ingår i: International Journal of Action Research. - : Reiner Hampp Verlag. - 1861-1303 .- 1861-9916. ; 6:2-3, s. 256-287
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Tidskriftsartikel (refereegranskat)abstract
- This article discusses experiences of on-going evaluation within a project funded by the EU Structural Funds. A question that is particularly illustrated is how we as on-going evaluators have handled the dilemma between closeness and involvement in the project in relation to distance and a critical approach. This dilemma is standard within action- and interactive research and becomes particularly evident in a concrete reality within a project. The problem is important to illustrate, especially considering the fact that the on-going evaluation task is politically governed, that is, the EU requires that the customary evaluation be replaced with an on-going evaluation. Furthermore, on-going evaluation finds itself in a developmental phase where discussions are carried on about how to define the concept and also on how the role as an on-going evaluator should be worked out. A possible outcome of this could be that the on-going evaluation becomes far too uncritical, or critical, and with that not come up to the expectations that are placed. In this article the point of departure is that the task of the on-going evaluator is to follow the development in a project vis-á-vis established goals with the purpose of creating practice-relevant knowledge. We also discuss the balancing that exists between being supportive of progress, giving constructive criticism and not being regarded as far too critical. After having worked in an innovative development project for two years, we have been strengthened in our understanding that the interactive research approach, concept usage, theoretical connection and methodological knowledge constitute imperative demands in order to handle the changing between closeness and distance
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| 4. |
- Albinsson, Gunilla, et al.
(författare)
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I vardagen konstrueras jämställdhet
- 2004
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Rapport (refereegranskat)abstract
- Studiens övergripande syfte är att fördjupa förståesen för jämställdhet inom en kommunal förvaltning utifrån tre teoretiska utgångspunkter; teoretiska perspektiv på organisation, könsperspektiv samt teorier om makt. I fokus står en grupp yrkesverksamma kvinnor och män. Vid genomförandet av den empiriska studien används observationer och kvalitativa intervjuer. När ett könsperspektiv är utgångspunkt vid studier av en organisation framträder könets betydelse på såväl struktur- som individnivå. I resultatet illustrerar en bild av både hinder och möjligheter för en jämställd organisation. De hinder som finns är hierarki, könssegregering, kunskapsbrist, kulturell kod samt språkbruk. Möjligherna utgörs av styrning, kunskap och metoder.
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| 5. |
- Albinsson, Gunilla, et al.
(författare)
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Projekt, Centrum för telemedicin : Följeutvärderingsrapport
- 2014
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Rapport (refereegranskat)abstract
- Strukturfonderna är EU:s viktigaste verktyg för att minska regionala skillnader inom och mel-lan medlemsländerna. I den tredje programperioden, 2007-2013, satsas med nationell medfi-nansiering mer än 30 miljarder kronor i olika strukturfondsprojekt. Det ekonomiska stödet ska användas till insatser för regional utveckling, sysselsättning och kompetenshöjning i Sverige.Under programperiodenhar utvärderingsupplägget ändrats till "on-going evaluation", följe-forskning, som syftar till att fortlöpande utvärdera projekten för få underlag till nya vägval och alternativa aktiviteter som bättre leder projekten mot effektmålen. Ytterligare förändring är att medlemsländerna ska visa att de utvecklar utvärderingskapacitet (evaluation capacity building) som kan ta sig an nya krav på följeforskning. Den europeiska kommissionen betonar även att erfarenheter och kunskaper från utvärderingsinsatserna kontinuerligt ska leda till lä-rande i program och projekt liksom till offentlig diskussion, public debate.I föreliggande slutrapport redogörs för den följeforskning som genomförtsinom struktur-fondsprojektet Centrum för Telemedicin, CTM under tiden 2012-2013 där syftet var att utvär-dera projektets utveckling mot uppsatta mål. Centralt i denna lärande utvärdering har varit dialogen med projektledaren, projektdeltagarna och representanten för projektägaren. Rollen som följeforskare har inriktats på att vara stödjande, men också störande, det vill säga ifråga-sättande och kritisk.Rapporten är indelad i fyra delar. Den första beskriver bakgrunden till projektet, dess syfte och mål. I den andra delen redogörs för följeforskningens metodologiska utgångspunkteroch därefter redovisas resultateti den tredje delen.I den avslutande delenförs ett framåtsyftande resonemang om vilka hållbara effekter som projektet bidragit med
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| 6. |
- Albinsson, Gunilla, et al.
(författare)
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Team learning activities : reciprocal learning through the development of a mediating tool for sustainable learning
- 2012
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Ingår i: Learning Organization. - : Emerald Group Publishing Limited. - 0969-6474 .- 1758-7905. ; 19:6, s. 257-287
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Tidskriftsartikel (refereegranskat)abstract
- Purpose – The purpose of this article is to show how a model for sustainable learning has been formed in the meetings between practitioners and researchers.Design/methodology/approach – With the point of departure in an interactive research approach, the authors have worked with learning and common knowledge development. Empirical data were collected from nine learning seminars, which were carried out within the framework of an EU project.Findings – It is shown by means of empirical examples from an ongoing EU project how the pedagogic method of learning seminars came to be a mediating tool for reciprocal learning between researchers, project leaders and project participants.Originality/value – The learning seminars constituted an important part of a reflexive learning process where the learning consists of both practicable and theoretically anchored knowledge. Together with the project participants, the authors developed a model for sustainable learning. This model consists of a reflection model, which rests on four fundamental conditions; pedagogic leadership, the learning group, problem areas/situation and time aspects. This article fills a significant knowledge gap in terms of the development of learning within organizations.
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| 7. |
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| 8. |
- Allert, Camilla, et al.
(författare)
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Nursing students' experiences of applying problem-based learning to train the core competence teamwork and collaboration : An interview study
- 2022
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Ingår i: Nursing Open. - : John Wiley & Sons. - 2054-1058. ; 9:1, s. 569-577
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Tidskriftsartikel (refereegranskat)abstract
- Aim: To explore nursing students' experiences of applying problem-based learning to train the core competence teamwork and collaboration.Design: The study used a qualitative descriptive design.Method: The data were collected using individual interviews with a purposive sample of 11 students and analysed using inductive qualitative content analysis.Results: The students' experiences of applying problem-based learning to train the core competence teamwork and collaboration were described in two generic categories: prerequisites to train teamwork and collaboration and abilities practised in the base group. The generic category "prerequisites to train teamwork and collaboration" includes three subcategories: previous experience and education, composition of the base group, and common goals and values in the base group. The generic category "abilities practised in the base group" includes four subcategories: taking personal responsibility, practising role distribution and leadership, developing communication skills and creating togetherness in the base group.
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| 9. |
- Andersson, Ewa K., et al.
(författare)
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Care experiences of younger people and next of kin following myocardial infarction
- 2020
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Ingår i: British Journal of Cardiac Nursing. - : MAG online. - 1749-6403 .- 2052-2207. ; 15:12, s. 1-11
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Tidskriftsartikel (refereegranskat)abstract
- Background/Aims Coronary heart diseases, including myocardial infarction, remain a major health problem worldwide. Little is known about the cardiac care experiences post myocardial infarction of younger people and their next of kin. This study aimed to describe the cardiac care experiences of post-myocardial infarction younger people (<55 years old) and their next of kin. Method This study employed an exploratory inductive qualitative design involving individual interviews with younger people (n=17) and their next of kin (n=13). Results Three categories were identified and patients were deemed to be in need of: tailored information, recognition or a post-discharge rehabilitation plan Conclusions Findings demonstrated the importance of using the experiences of younger people and their next of kin as the starting point when planning care and cardiac rehabilitation. Health professionals must systematically and purposefully provide person-centred care, both in hospital and post-discharge settings. Next of kin must be regarded as an important resource in post-myocardial infarction care for younger people, as they tend to be engaged in providing their relatives with support, which is valuable for the recovery of young people post myocardial infarction. Further research is warranted to investigate what makes person-centred interventions directed towards post-myocardial infarction younger people and their next of kin effective.
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| 10. |
- Andersson, Ewa K., et al.
(författare)
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Relatives' experiences of sharing a written life story about a close family member with dementia who has moved to residential care : An interview study
- 2019
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Ingår i: Nursing Open. - : John Wiley & Sons. - 2054-1058. ; 6:2, s. 276-282
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Tidskriftsartikel (refereegranskat)abstract
- Aim The aim of this study was to describe relatives' experiences of sharing a written life story about a close family member with dementia who has moved to residential care. Design An explorative descriptive qualitative design was used. Methods The data were collected using semi-structured interviews with a purposeful sample of eight relatives and analyzed using a qualitative content analysis. Results Results show that creating and sharing the life story of a close family member could help relatives handle grief and stress. It was perceived as an important, yet difficult, task to ensure that the close family member got good quality care. The creation of a meaningful life story takes time and requires cooperation with family members and other significant people.
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