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  • Ahlström, Gerd, et al. (författare)
  • Encounters in close care relations from the perspective of personal assistants working with persons with severe disablility.
  • 2010
  • Ingår i: Health & Social Care in the Community. - 0966-0410. ; 18:2, s. 180-188
  • Tidskriftsartikel (refereegranskat)abstract
    • In Sweden adults with major and sustainable disabilities can be granted publicly financed support in the form of personal assistance after assessment and decision-making in accordance with government rules. The purpose of the present study was to explore more deeply the encounters in close care relations between personal assistants and disabled persons of working age, as well as the prerequisites for and obstacles to the success of such encounters, this from the perspective of the personal assistants. Thirty-two personal assistants (22- to 55-year old) who worked for 32 persons with serious neurological diseases living at home were interviewed. The transcribed unstructured interviews were qualitatively analysed using latent content analysis. The analyses resulted in five main themes: Perceptive awareness, Entering into the other's role, Mutuality, Handling the relationship and Personal difficulties facing the assistant. These themes illustrated that a prerequisite for the encounter's being meaningful is that the assistant should be able to observe and understand the unique needs of the disabled person. The assistant must furthermore be able to put herself/himself into the other person's position. It is also important that the personal chemistry between the assistant and the disabled person should be good. Being able to share feelings and interests with the functionally impaired person provides the assistant with positive emotional confirmation of a good relationship. A distressing dilemma the assistant faces is that of distinguishing between the working relationship and the personal friendship. In this borderline area are found experiences, feelings and events that the assistant may view as negative or even unacceptable. This study contributes to the understanding of the complexity underlying the daily community care of disabled persons with an extensive need for care and assistance.
  • Akerman, Eva, et al. (författare)
  • Development of the 3-SET 4P questionnaire for evaluating former ICU patients' physical and psychosocial problems over time: A pilot study.
  • 2008
  • Ingår i: Intensive & critical care nursing : the official journal of the British Association of Critical Care Nurses. - 0964-3397. ; Aug 7
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND: Current studies reveal a lack of consensus for the evaluation of physical and psychosocial problems after ICU stay and their changes over time. OBJECTIVES: The aim was to develop and evaluate the validity and reliability of a questionnaire for assessing physical and psychosocial problems over time for patients following ICU recovery. PATIENTS: Thirty-nine patients completed the questionnaire, 17 were retested. METHODS AND RESULTS: The questionnaire was constructed in three sets: physical problems, psychosocial problems and follow-up care. Face and content validity were tested by nurses, researchers and patients. The questionnaire showed good construct validity in all three sets and had strong factor loadings (explained variance >70%, factor loadings >0.5) for all three sets. There was good concurrent validity compared with the SF 12 (r(s)>0.5). Internal consistency was shown to be reliable (Cronbach's alpha 0.70-0.85). Stability reliability on retesting was good for the physical and psychosocial sets (r(s)>0.5). CONCLUSION: The 3-set 4P questionnaire was a first step in developing an instrument for assessment of former ICU patients' problems over time. The sample size was small and thus, further studies are needed to confirm these findings.
  • Akerman, Eva, et al. (författare)
  • Preferred content and usefulness of a photodiary as described by ICU-patients-A mixed method analysis.
  • 2013
  • Ingår i: Australian critical care : official journal of the Confederation of Australian Critical Care Nurses. - ELSEVIER SCIENCE INC. - 1036-7314. ; 26:1, s. 29-35
  • Tidskriftsartikel (refereegranskat)abstract
    • Many ICU-patients have memory-gaps which may affect their recovery. A tool in the recovery can be an ICU-diary to explain and clarify thoughts and events from the ICU-period. There are different standards for the content in the ICU-diary. The aim of this study was to identify the preferred content and usefulness of an ICU-diary as described by ICU-patients. METHOD: A descriptive, exploratory cohort design with a mixed method approach. The patients answered a questionnaire (n=115) and participated in an interview (n=15) six months after the ICU-stay. Data analysis was carried out in three stages; the questionnaire was analysed by descriptive statistics and categorised by content (four open-ended questions) and the interviews were analysed by manifest content analysis. RESULTS: The patients were explained that detailed information about daily activities and medical facts had to be included to understand and give a sense of coherence of what had happened. The content in the ICU-diary had to be chronological in order to follow the process in which photos were an important part. The patients re-read the ICU-diary during the recovery which helped them to fill in the memory gaps and used it as a tool for communication. CONCLUSION: To construct a coherent story, it was essential that the ICU-diary was complete and were amplified by photos, all appearing in a chronological order. The results of this study could form a basis for further developments of standards and guidelines for ICU-diaries.
  • Almasri, Abdullah, et al. (författare)
  • An illustration of the causality relation between government spending and revenue using wavelet analysis on Finnish data
  • 2003
  • Ingår i: Journal of Applied Statistics. - Carfax Publishing. - 0266-4763. ; 30:5, s. 571-584
  • Tidskriftsartikel (refereegranskat)abstract
    • Quarterly data for the period 1960: 1 to 1997: 2, conventional tests, a bootstrap simulation approach and a multivariate Rao's F-test have been used to investigate if the causality between government spending and revenue in Finland was changed at the beginning of 1990 due to future plans to create the European Monetary Union (EMU). The results indicate that during the period before 1990, the government revenue Granger-caused spending, while the opposite happened after 1990, which agrees better with Barro's tax smoothing hypothesis. However, when using monthly data instead of quarterly data for almost the same sample period, totally different results have been noted. The general conclusion is that the relationship between spending and revenue in Finland is still not completely understood. The ambiguity of these results may well be due to the fact that there are several time scales involved in the relationship, and that the conventional analyses may be inadequate to separate out the time scale structured relationships between these variables. Therefore, to investigate empirically the relation between these variables we attempt to use the wavelets analysis that enables us to separate out different time scales of variation in the data. We find that time scale decomposition is important for analysing these economic variables.
  • Almborg, Ann-Helene, et al. (författare)
  • Patients' perceptions of their participation in discharge planning after acute stroke
  • 2009
  • Ingår i: Journal of Clinical Nursing. - 0962-1067. ; 18:2, s. 199-209
  • Tidskriftsartikel (refereegranskat)abstract
    • Aims and objectives. To describe stroke patients' perceptions of their participation in the discharge planning process and identify correlates of perceived participation.Background. Patients have the right to participate in discharge planning, but earlier research has shown that they are often dissatisfied with the information they receive and their involvement in goal-setting during discharge planning.Design. Cross-sectional study.Methods. The sample consisted of 188 persons (mean age 74 years, SD 11·2) with acute stroke who were admitted to a stroke unit at a hospital in southern Sweden during 2003–2005. Data was collected by face-to-face interviews 2–3 weeks after discharge using the 'Patients' Questionnaire on Participation in Discharge Planning'. This instrument measures perceived participation in discharge planning in three subscales: P-Information, P-Medical Treatment, P-Goals and Needs.Results. The percentage of patients who perceived that they had participated in discharge planning was as follows: 72–90% according to P-Information, 29–38% according to P-Medical Treatment and 15–47% according to P-Goals and Needs. Age, education and performance of activities of daily living were significantly related to perceived participation as measured by different subscales.Conclusions. Most of the patients perceived that they received information, but fewer perceived participation in the planning of medical treatment and needs of care/service/rehabilitation and goal-setting. Professionals need to pay more attention to patients in different subgroups to facilitate their participation in discharge planning.Relevance to clinical practice. To facilitate and increase patients' participation in discharge planning, methods should be implemented for goal-setting and identifying patients' needs. Methods that foster patient participation may improve goal-orientated care, services and rehabilitation after discharge.
  • Alvegård, Christer, et al. (författare)
  • The interplay between content, expressions and their meaning when expressing understanding
  • 2010
  • Ingår i: Science & Education. - 0926-7220. ; 19:3, s. 283-303
  • Tidskriftsartikel (refereegranskat)abstract
    • In the intentional-expressive approach, a development within the phenomenographic tradition, an alternative view of the role of language is adopted. The approach focuses the learner's use of expressions and intended meanings, in relation to his/her conception of a phenomenon. The article presents empirical findings from a study made at a university of technology using a special dialogue structure. The aim of the dialogue is to capture the individual's way of reflecting on the interplay between the expressions he or she uses, their intended meanings, and his or her conception of the phenomenon. Twenty-four students participated and were presented an everyday situation involving the physical motion of a body. The results show that the interplay was ambiguous and dynamic. The relationships between expression and meaning were much weaker than between meaning and conception. In learning situations, this may cause problems concerning students' knowledge formation, since a stable relationship is often taken for granted in learning and teaching.
  • Anderberg, Elsie, et al. (författare)
  • Global learning for sustainable development in higher education
  • 2009
  • Ingår i: International Journal of Sustainability in Higher Education. - 1467-6370. ; 10:4, s. 368-378
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose – The purpose of this paper is to provide a synopsis of some major trends that have marked discussions on global learning for sustainable development (GLSD) in higher education. The aim is formulated against the background of the complexity represented in GLSD, as well as the fact that sustainable development (SD) is an issue of global interest for universities. Design/methodology/approach – The authors conducted an overview in recent trends in research on GLSD in higher education over the last 20 years, based on the combination of the keyword higher education for Sustainable Development with global learning (GL) and global education. Findings – The overview suggests that only relatively limited steps have been implemented to achieve GLSD, and rhetoric still dominates the discussions. It appears that little empirical research has been undertaken on learning in global settings. Several authors have identified the need for a competence-based curriculum for GLSD. Originality/value – Universities, professionals and students need to take greater responsibility. How knowledge, values and abilities are formed and developed from the global learner's perspective therefore, remains an open and fundamental question. The paper underlines the crucial role that higher education plays in GL for sustainability. Acknowledgements: This paper has been written with financial support from The Swedish Research Council and the International Institute for Industrial Environmental Economics at Lund University, Sweden.
  • Anderberg, Elsie, et al. (författare)
  • Micro processes of learning : Exploring the interplay between conceptions, meanings and expressions
  • 2009
  • Ingår i: Higher Education. - 0018-1560. ; 58:5, s. 653-668
  • Tidskriftsartikel (refereegranskat)abstract
    • The article describes qualitative variation in micro processes of learning, focusing the dynamic interplay between conceptions, expressions and meanings of expressions in students' learning in higher education. The intentional-expressive approach employed is an alternative approach to the function of language use in learning processes. In the empirical investigation, a dialogue model was used that both stimulates and documents students' ways of processing meaning. Results were grouped into three descriptive categories: vague, stabilising and developing ways of processing. Educational implications include, firstly, two distinct types of vague constitution of meaning in learning: one connected to fragmentary relationships between expressions and meanings, and another that triggers and creates close relationships and changes in relationships. Secondly, the categories display different unexplored ways of processing, related to deep and surface approaches in students' learning.
  • Anderberg, Elsie, et al. (författare)
  • The epistemological role of language use in learning
  • 2008
  • Ingår i: Educational Research Review. - 1747-938X. ; 3:1, s. 14-29
  • Tidskriftsartikel (refereegranskat)abstract
    • Denna artikel har har blivit nominerad till EARLI publication award. Vinnare utses i Amsterdam den 25 augusti.This article has been nominated to the EARLI publication award. The winner will be announced in Amsterdam on the 25th of August.
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