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Sökning: hsv:(SAMHÄLLSVETENSKAP) > Mittuniversitetet > Högskolan i Skövde

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1.
  • Heikkilä, Katriina, et al. (författare)
  • Job Strain as a Risk Factor for Peripheral Artery Disease : A Multi-Cohort Study
  • 2020
  • Ingår i: Journal of the American Heart Association. - : Wiley-Blackwell. - 2047-9980 .- 2047-9980. ; 9:9
  • Tidskriftsartikel (refereegranskat)abstract
    • Background Job strain is implicated in many atherosclerotic diseases, but its role in peripheral artery disease (PAD) is unclear. We investigated the association of job strain with hospital records of PAD, using individual-level data from 11 prospective cohort studies from Finland, Sweden, Denmark, and the United Kingdom. Methods and Results Job strain (high demands and low control at work) was self-reported at baseline (1985-2008). PAD records were ascertained from national hospitalization data. We used Cox regression to examine the associations of job strain with PAD in each study, and combined the study-specific estimates in random effects meta-analyses. We used τ2, I2, and subgroup analyses to examine heterogeneity. Of the 139 132 participants with no previous hospitalization with PAD, 32 489 (23.4%) reported job strain at baseline. During 1 718 132 person-years at risk (mean follow-up 12.8 years), 667 individuals had a hospital record of PAD (3.88 per 10 000 person-years). Job strain was associated with a 1.41-fold (95% CI, 1.11-1.80) increased average risk of hospitalization with PAD. The study-specific estimates were moderately heterogeneous (τ2=0.0427, I2: 26.9%). Despite variation in their magnitude, the estimates were consistent in both sexes, across the socioeconomic hierarchy and by baseline smoking status. Additional adjustment for baseline diabetes mellitus did not change the direction or magnitude of the observed associations. Conclusions Job strain was associated with small but consistent increase in the risk of hospitalization with PAD, with the relative risks on par with those for coronary heart disease and ischemic stroke.
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2.
  • Lundh Hagelin, Carina, et al. (författare)
  • Teaching about death and dying : A national mixed-methods survey of palliative care education provision in Swedish undergraduate nursing programmes
  • 2022
  • Ingår i: Scandinavian Journal of Caring Sciences. - : John Wiley & Sons. - 0283-9318 .- 1471-6712. ; 36:2, s. 545-557
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: In coming decades, the number of people affected by illnesses who need palliative care will rise worldwide. Registered Nurses are in a central position in providing this care, and education is one of the necessary components for meeting coming requirements. However, there is a lack of knowledge about palliative care in undergraduate nursing education curricula, including the extent of the education provided and the related pedagogical methods. Aim: The aim was to investigate the extent, content and pedagogical methods used and to explore lecturers’ experiences of being responsible for teaching and learning about palliative care for undergraduate nursing students on nursing programmes at Swedish universities. Setting: All 24 universities responsible for providing undergraduate nursing education in Sweden participated. Participants: One lecturer with in-depth knowledge about palliative care or end-of-life care education participated in the quantitative (n = 24) and qualitative (n = 22) parts of the study. Method: A mixed-method research study with an explorative design was used. Descriptive statistics were used to analyse quantitative data, and content analysis for qualitative, with both also analysed integratively. Results: Few undergraduate nursing programmes included a specific course about palliative care in their curricula, however, all universities incorporated education about palliative care in some way. Most of the palliative care education was theoretical, and lecturers used a variety of pedagogical strategies and their own professional and personal experience to support students to understand the palliative care approach. Topics such as life and death were difficult to both learn and teach about. Conclusions: There is a need for substantial education about palliative care. Lecturers strive on their own to develop students’ understanding and increase the extent of palliative care education with innovative teaching strategies, but must compete with other topics. Palliative care teaching must be prioritised, not only by the universities, but also by the national authority. 
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3.
  • van Laere, Joeri, 1974-, et al. (författare)
  • Analyzing the Implications of Design Choices in Existing Simulation-Games for Critical Infrastructure Resilience
  • 2018
  • Ingår i: Simulation Gaming: Applications for Sustainable Cities and Smart Infrastructures. - Cham : Springer. - 9783319919010 - 9783319919027 ; , s. 15-23
  • Bokkapitel (refereegranskat)abstract
    • A literature study has identified the major impacts of importantdesign choices in simulation models and simulation-games that model criticalinfrastructure resilience. The four major groups of design choices discussed inthis article are: (1) the chosen learning goal (system understanding or collaborationtraining), (2) realism and time scale of the scenario, (3) design of playerroles and communication rules, (4) number of action alternatives, replay-abilityand richness of performance feedback while playing. Researchers and practitionerswho build simulation-games for studying critical infrastructure resiliencecan use the accumulated insights on these four aspects to improve the quality oftheir game design and the quality of the simulation models the game participantsinteract with.
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4.
  • van Laere, Joeri, 1974-, et al. (författare)
  • Mitigating Escalation of Cascading Effects of a Payment Disruption Across Other Critical Infrastructures : Lessons Learned in 15 Simulation-Games
  • 2020
  • Ingår i: Critical Information Infrastructures Security. - Cham : Springer. - 9783030376697 - 9783030376703 ; , s. 110-121
  • Bokkapitel (refereegranskat)abstract
    • A disruption in one critical infrastructure can quickly lead to cascading effects in several other ones. Much research has been done to analyze dependencies between different critical infrastructures, but little is known about how to mitigate escalation and cascading effects across several critical infrastructures, i.e. how to develop collective critical infrastructure resilience. This research presents the results of 15 simulation-games where groups of 6 to 8 field experts from different sectors were challenged to collaboratively manage a disruption in the payment system that quickly affected food distribution, fuel distribution, transport, health care et cetera. Teams discussed possible strategies, which next were implemented in a computer simulation. Teams could influence the sequence of events on 4 decision points during a 10 day scenario, and play the same scenario several times to test alternative solutions. Each simulation-game session lasted a full day. Data analysis involved the recorded team discussions as well as computer simulation logs of the implemented decisions and their impacts. The results show how escalation and the severity of cascading effects largely depends on the quality of the early crisis response and not so much on the initial disruption. Also, it is shown how cross sectorial collaboration is required. Responses where groups focus too much on cascading effects in one area lead too poor overall performance for society at large. Groups tend to overbalance their mitigating strategies initially, until they arrive at a more balanced strategy that covers challenges in several different critical infrastructures from an integral perspective.
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5.
  • Ye, Zhoufeng, et al. (författare)
  • Core competencies for injury prevention among public health students and an advocacy for curriculum development in the medical universities in China : A cross-sectional study
  • 2020
  • Ingår i: Injury Prevention. - : BMJ Publishing Group Ltd. - 1353-8047 .- 1475-5785. ; 26:6, s. 555-561
  • Tidskriftsartikel (refereegranskat)abstract
    • Objectives: To assess the current status of injury prevention (IP) core competency among medical students majoring in public health in China and to advocate for incorporating IP in the medical curriculum. Methods: The study used purposive sampling in eight medical universities in China in 2017, including 420 undergraduates and 763 graduates, using self-Administered questionnaires based on the core competency instrument for IP with five domains (31 items): A) injury analysis and assessment (8 items), B) IP project planning and implementation (7 items), C) communication (6 items), D) community practice (5 items), and E) leadership and systematic thinking (5 items). The higher score indicated the higher level of proficiency of the ability (scores ranged from 1 to 5). We used linear regression model to test the effect of IP course experience on the core competency mean score after adjusting for potential confounders. Results: The total mean score was 2.78 (SD=0.76, median=2.9, range=1-4.55) and 2.68 (SD=0.75, median=2.81, range=1-4.45) for undergraduates and graduates, respectively. There were 60% and 36% of undergraduates and graduates who have ever taken IP course, respectively. IP course class hours were positively associated with core competency level (P<0.05) across five domains (except for domain D) and the total. Conclusion: The core competency level is relatively low among public health students in China. Setting IP courses should be considered as an effective way to improve students' core competency. It is a step moving towards the IP education promotion, and further boosting the field of public health. 
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