| 1. |
- Morberg, Siv, et al.
(författare)
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The perceived perceptions of head school nurses in developing school nursing roles within schools
- 2009
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Ingår i: Journal of Nursing Management. - : Hindawi Limited. - 0966-0429 .- 1365-2834. ; 17:7, s. 813-821
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Tidskriftsartikel (refereegranskat)abstract
- Aim: To gain a deeper understanding of how Swedish head school nurses perceive their leadership in developing school health care. Background: A well-functioning school health care is important for promoting the health of children and young people. Method: Constructivist-grounded theory was used to analyse 11 individual interviews with nine head school nurses. Results Head school nurses strive to find a balance between what they experience as vague formal goals and strong informal goals which leads to creating local goals in order to develop school health care. Conclusion: The head school nurse's job is experienced as a divided and pioneering job in which there is uncertainty about the leadership role. They provide individual support to school nurses, are the link between school nurses and decision makers and highlight the importance of school nurses' work to organizational leaders. Implications for nursing management This study shows that school health care needs to be founded on evidence-based methods. Therefore, a structured plan for education and training in school health care management, based on research and in cooperation with the academic world, would develop the head school nurses' profession, strengthen the position of school health care and advance the school nurses' work.
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| 2. |
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| 3. |
- Dellve, Lotta, 1965, et al.
(författare)
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Stress and well-being among parents of children with rare diseases: a prospective intervention study
- 2006
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Ingår i: Journal of Advanced Nursing. - Oxford : Wiley. - 0309-2402 .- 1365-2648. ; 53:4, s. 392-402
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Tidskriftsartikel (refereegranskat)abstract
- AIM: This paper reports a study to assess stress, well-being and supportive resources experienced by mothers and fathers of children with rare disabilities, and how these variables were affected by an intensive family competence intervention. BACKGROUND: Despite diagnosis-specific studies, little overall knowledge exists about life-consequences for families of children with rare disorders. METHOD: We used a prospective design with baseline data and two follow-ups (at 6 and 12 months) after an intervention. The intervention aimed at empowering parents in managing their child's disability. Parents from all parts of Sweden visiting a national centre for families of children with rare disabilities were consecutively selected (n = 136 mothers, 108 fathers). Instruments of parental stress, social support, self-rated health, optimism and life satisfaction and perceived physical or psychological strain were used. Stratified analyses were carried out for mothers and fathers, and related to parental demands: single mothers, full-time employment, participation in a parent association, child's age and type of disability. RESULTS: We found high parental stress, physical and emotional strain among mothers, especially among single mothers. Fathers showed high stress related to incompetence, which decreased after the intervention. Decreased strain was found among full-time working mothers and fathers after the intervention. Parents' perceived knowledge and active coping and mothers' perceived social support were increased at follow-up. Factors related to parents' overall life satisfaction (57-70% explained variance) changed after the intervention, from being more related to internal demands (perceived strain, incompetence and social isolation) to other conditions, such as problems related to spouse, paid work and social network. CONCLUSION: Parents, especially fathers and full-time working parents, may benefit from an intensive family competence programme.
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| 4. |
- Flisberg, Anders, 1958, et al.
(författare)
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EEG and spectral edge frequency : analysis in posthypoxic newborn piglets
- 2010
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Ingår i: Neuro - endocrinology letters. - : Brain Research Promotion. - 0172-780X. ; 31:2, s. 181-186
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To evaluate the frequency content of the electroencephalogram (EEG) during recovery after a severe hypoxic insult in newborn piglets. METHODS: EEG was continuously monitored in nine newborn piglets exposed to a severe hypoxic period. Power spectra in five frequency bands were calculated using Fourier transformation. Spectral edge frequency 90 (SEF90) was defined as the frequency below which 90% of the power in the EEG was located. The piglets were divided into two groups; Group 1 represented piglets with some EEG recovery and Group 2 represented piglets without any EEG recovery. RESULTS: The recovery of the EEG in Group 1 had the same time course in all frequency bands. SEF90 indicates recovery earlier than the value of total power. But SEF90 also signals activity in the EEGs that were almost completely suppressed. When SEF90 was calculated during periods of periodic EEG activity during the very early phase of recovery, the values fell within the same range as during the control period. CONCLUSION: Spectral analysis of continuous EEG in newborn piglets exposed to very severe hypoxia showed that no specific frequency band of the EEG preceded the other ones during recovery. The results of the SEF90 measure, demonstrates the need for critical analysis of the raw EEG before any reliable estimation of cerebral function can be made.
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| 5. |
- Löfhede, Johan, et al.
(författare)
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Classification of burst and suppression in the neonatal electroencephalogram
- 2008
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Ingår i: Journal of Neural Engineering. - : Institute of Physics Publishing Ltd.. - 1741-2560 .- 1741-2552. ; 5:4, s. 402-410
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Tidskriftsartikel (refereegranskat)abstract
- Fisher's linear discriminant (FLD), a feed-forward artificial neural network (ANN) and a support vector machine (SVM) were compared with respect to their ability to distinguish bursts from suppressions in electroencephalograms (EEG) displaying a burst-suppression pattern. Five features extracted from the EEG were used as inputs. The study was based on EEG signals from six full-term infants who had suffered from perinatal asphyxia, and the methods have been trained with reference data classified by an experienced electroencephalographer. The results are summarized as the area under the curve (AUC), derived from receiver operating characteristic (ROC) curves for the three methods. Based on this, the SVM performs slightly better than the others. Testing the three methods with combinations of increasing numbers of the five features shows that the SVM handles the increasing amount of information better than the other methods.
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| 6. |
- Persson Waye, Kerstin, 1959, et al.
(författare)
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Methods for assessing preschool children's perception and experience of their soundscape. (Invited paper)
- 2006
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Ingår i: Congress and exposition of noise control engineering Inter-Noise;Honolulu, Hawaii, USA, 3-6 December. - : Congress and exposition of noise control engineering Inter-Noise.
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Konferensbidrag (refereegranskat)abstract
- Previous investigations indicate that noise may be a serious health problem in preparatory schools. The high sound pressure levels originate mainly from the children’s own activities indoors. Little is known of how preschool children (1-6 years) are affected. To gain a deeper understanding of how preschool-aged children recognize, communicate, perceive and are affected by the soundscape at their preparatory school. This, in order to develop a questionnaire assessing possible adverse effects on children. 36 children (4-6 years old) were interviewed in 18 focus-groups. The interviews were analysed with grounded theory. The children described their experience of sounds related to which consequences the sound had for themselves, the type of sound, their understanding of its source and the communicability of the “sound”. Children described physical symptoms, i.e. pain in ears, stomach, head and also feeling sick. Sounds described as “screaming, crying and angering noise” was experienced as disturbing and threatening. They handled this by avoiding strategies, e.g. withdrawal and “holding their ears”. Squeaking, creaking and scratching noise was described as unexpected and as a physical experience. Background sounds were often non-reflected, unknown sounds, not easy to communicate. Based on the findings a questionnaire was developed.
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| 8. |
- Dellve, Lotta, 1965, et al.
(författare)
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“Making it work in the frontline” explains female home care workers´ defining, recognising, communicating and reporting of occupational disorders.
- 2008
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Ingår i: Qualitative Studies On Health And Wellbeing. - Abingdon : Informa UK Limited. - 1748-2623 .- 1748-2631. ; 3:3, s. 176-184
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Tidskriftsartikel (refereegranskat)abstract
- Epidemiological research has so far failed to explain the high incidence of occupational disorders among home care workers (HCWs) and the great differences in organizational incidence rate. A qualitative approach may contribute to a deeper understanding of work group reasoning and handling in a more contextual manner. The aim of this grounded theory study was to gain a deeper understanding of the main concern in the processes of recognizing, communicating and reporting occupational disorders among HCWs. Focus group interviews were conducted with 40 HCWs in 9 focus groups. The selected municipalities represented variations in municipality type and incidence rate of occupational disorders. Making it work in the frontline was identified as the core category explaining that the perceived work situation in home care work was the main concern but interacted with work-group socialising processes as well as with the communicability and derivability of the occupational disorder when defining and reporting occupational disorders. Complex problems could be reformulated and agreed within the workgroup to increase communicability. Described significances for reporting/non-reporting were related to financial compensation, to a part of organizational political game or to an existential uncertainty, i.e. questioning if it belonged to their chosen work and life. Our conclusion is that working situation and work group attitudes have importance for reporting of occupational disorders. To support work-related health for HCWs, integrating communication should be developed about work-related challenges in work situation, as well as about attitudes, culture and efficiency within work-group.
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| 9. |
- Garrote Jurado, Ramon, et al.
(författare)
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Training teachers in e-learning without Internet access
- 2010
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Ingår i: Proceedings of EDULEARN10 Conference, 5th-7th July 2010, Barcelona, Spain.. - Barcelona : International Association of Technology, Education and Development. - 9788461393862 ; , s. 6336-6341
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Konferensbidrag (refereegranskat)abstract
- In this paper the authors present a solution to the problem of giving practical training in handling information and communication technology (ICT) without depending on internet access. The proposed method is to use an USB-memory to emulate selected educational resources that are otherwise available on the internet or on a local network. How this method can influence pedagogical issues is discussed and, it is asserted that the method offers interesting learning advantages beyond the obvious independence of internet connections. The paper describes the planning and implementation of a course about the use of Learning Management Systems (LMS) in higher education and, in particular, how it was designed to meet the needs of educators in a developing country with slow or unreliable internet connections. The course was a part of the project USo+I: Universidad, Sociedad e Innovación. Mejora de la pertinencia de la educación en las ingenierías de Latinoamérica (University and Society: Improving of the relevance of the education in the engineering of Latinoamerica) this project financed by the European Union, within the ALFA III program. The University of Borås was assigned to design and teach a course about LMS to engineering educators in Latin-America.
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| 10. |
- Holden, Richard, et al.
(författare)
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Healthcare workers' perceptions of lean : A context-sensitive, mixed methods study in three Swedish hospitals
- 2015
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Ingår i: Applied Ergonomics. - : Pergamon Press. - 0003-6870 .- 1872-9126. ; 47, s. 181-192
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Tidskriftsartikel (refereegranskat)abstract
- As the application of lean in healthcare expands, further research is needed in at least two areas: first, on the role of context in shaping lean and its consequences and second, on how healthcare workers perceive lean. Accordingly, this context-sensitive, mixed methods study addressed how hospital workers' perceptions of lean varied across contexts in three Swedish hospitals. Registered nurses and physicians at the hospitals and across units differing in acuity completed standardized surveys (N = 236, 57% response rate) about their perceptions of hospital-wide lean implementation. Perceptions varied by: hospital context, with one hospital's employees reporting the least favorable perceptions; unit acuity, with higher-acuity units reporting more favorable perceptions; and professional role, with nurses reporting more favorable perceptions than physicians. Individual interviews, group interviews, and observations provided insight about these dissimilar contexts and possible explanations for context-specific variability. Findings are discussed with respect to strategies for implementing lean in healthcare; the importance of attending to levels, context, and worker consequences of lean; and directions for future research.
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