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- Abraha, Aynalem, et al.
(författare)
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Breaking bad news in cancer care: preferences of patients, family caregivers and general public in Ethiopia
- 2021
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Ingår i: International Conference on Communication in Healthcare (ICCH) 2020 Part 2, 15-16 April, 2021.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- This study explores the preferences of cancer patients, family caregivers, and the general public regarding breaking bad news in an Ethiopian oncology setting. The research was conducted at Tikur Anbessa (Black Lion) Specialized Hospital. The sample consists of patients with a confirmed cancer diagnosis, their family caregivers, and representatives from the general public with 150 subjects per cohort. A comparative cross-sectional study design and a multivariable analysis were used. The patients would like to be informed, which contradicts the perceptions of family caregivers. This creates an ethical dilemma for staff in terms of how much they involve their patients in clinical decision-making. The patients also indicate that information not to be withheld from them. In contrast, the general public prefers information about poor life expectancy to be communicated to family only, which may reflect widespread public perception of cancer as a deadly disease. The findings indicate the complexity of communication concerning breaking bad news in oncology care in Ethiopia. It requires oncologists to probe patient attitudes before information disclosure in order to find a balance between involving patients in communication at the same time as keeping a constructive alliance with family caregivers.
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- Abraha, Aynalem, et al.
(författare)
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Perceptions of cancer patients and their caregivers regarding COVID-19 pandemic in Ethiopia
- 2021
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Ingår i: J Clin Oncol 39, 2021 (suppl 15; abstr e24116).
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Konferensbidrag (refereegranskat)abstract
- Background: Limited research is available about COVID 19 pandemic in Ethiopia in general and in relation to cancer care in particular. Ethiopia reported the first COVID-19 in March, 2020. The number of cases is increasing, putting much pressure on oncology care. This study examines what the Ethiopian cancer patients and their caregivers knew about COVID 19 after the initial stages of the pandemic. It also assesses the information needs, psychological experiences as well as the impact of pandemic on oncologist-patient-caregiver communication and treatment process. Methods: A cross-sectional study was conducted among 200 participants (100 cancer patients and 100 caregivers) at the initial stage of pandemic (May 1 - June 30, 2020) at Tikur Anbessa Specialized Hospital (TASH), Addis Ababa, Ethiopia. Data was collected using a pre-tested, structured questionnaire to assess knowledge and perceptions on COVID-19. Ethics approval was obtained from the Ethical Review Board of TASH (04/14/2015) and the Ethical Review Board of Western Sweden (DNR 520-18). Results: The results indicate that though both cancer patients and their caregivers show a high awareness of and knowledge about COVID 19, they need more information about the risks specific to cancer patients. The respondents are also concerned about the risks of pandemic outbreak in Ethiopia and its impact on availability of cancer care treatments in the country. The respondents report experiencing psychological concerns in relation to the pandemic. The higher educated patients and caregivers report being more concerned than the lower educated respondents. Delays in appointments and therapy are the main concerns in relation to cancer care. Further, both patients and caregivers experience that the restrictions on the number of caregivers present during interactions with oncologists negatively influence communication, resulting in relatives being excluded and patients experiencing loneliness and lack of support. Conclusions: Getting a better insight into knowledge and awareness of COVID-19 among cancer patients and their caregivers is essential for managing the effects of pandemic in cancer care. To our knowledge, there was no similar study in Ethiopia. The results of the study contribute to insights into patient and caregiver awareness of COVID 19, essential for adoption of health care protective practices, providing information and managing oncologist-patient-caregiver communication.
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- Abraha Woldemariam, Aynalem, et al.
(författare)
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Breaking Bad News in Cancer Care: Ethiopian Patients Want More Information Than What Family and the Public Want Them to Have.
- 2021
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Ingår i: JCO global oncology. - 2687-8941. ; 7, s. 1341-1348
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Tidskriftsartikel (refereegranskat)abstract
- This study explores the preferences of patients with cancer, family caregivers, and the general public regarding breaking bad news in an Ethiopian oncology setting.The study was conducted at Tikur Anbessa (Black Lion) Specialized Hospital. The sample consists of patients with a confirmed cancer diagnosis, their family caregivers, and representatives from the general public with 150 subjects per cohort. The study used a comparative cross-sectional design and multivariable data analysis.The patients would like to be informed, which contradicts the preferences of family caregivers. This creates an ethical dilemma for staff in terms of how much they involve their patients in clinical decision making. The patients also indicate that information should not be withheld from them. By contrast, the general public prefers information about poor life expectancy to be communicated to family only, which may reflect a widespread public perception of cancer as a deadly disease.The findings indicate the complexity of communication-related preferences concerning breaking bad news in oncology care in Ethiopia. It requires oncologists to probe patient attitudes before information disclosure to find a balance between involving patients in communication at the same time as keeping a constructive alliance with family caregivers.
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- Ahlsén, Elisabeth, 1951, et al.
(författare)
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Multimodal communication in intercultural health care interactions
- 2013
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Ingår i: Allwood, J,. Ahlsén, E., Paggio, P. (2013). Proceedings of the Fourth Nordic Symposium on Multimodal Communication, Nov 15-16, University of Gothenburg. NEALT Proceedings Series No. 21.. - Linköping : Linköping University Electronic Press. ; , s. 39-46
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Bokkapitel (refereegranskat)
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- Allwood, Jens, 1947, et al.
(författare)
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European Intercultural Workplace: SVERIGE
- 2007
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Ingår i: Institutionen för lingvistik, Kollegium SSKKII.
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Tidskriftsartikel (refereegranskat)abstract
- Den här rapporten består av två delar (1) en situatoinsanalys över invandringen till Sverige och (2) fallstudier. Situationsanalysen undersöker den mångkulturella arbetsmarknaden i Sverige, ger en kort historik över invandringen, visar arbetsområden där invandrare ofta är anställda, berör asylsökande och flyktningar och ger exempel på respons på förändringar från myndigheterna., industrin och övriga samhället.
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- Allwood, Jens, 1947, et al.
(författare)
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Intercultural Dynamics of First Acquaintance: Comparative Study of Swedish, Chinese and Swedish-Chinese First Time Encounters
- 2011
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Ingår i: C. Stephanidis (Ed.): Universal Access in HCI, Part IV, 2011, LNCS 6768. Springer-VErlag, Berlin Heidelberg.. - Berlin, Heidelberg : Springer Berlin Heidelberg. - 0302-9743. ; 6768, s. 12-21, s. 12-21
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Tidskriftsartikel (refereegranskat)abstract
- Today, intercultural first acquaintance meetings are becoming more and more frequent. The aim of this study is to describe, analyze and compare Swedish, Chinese and Swedish-Chinese first acquaintance interactions. Our focus lies on a classification of the topics in mono- and intercultural first-time encounters. The analysis is based on 12 arranged face-to-face first acquaintance interactions between Chinese-Chinese, Swedish-Swedish and Swedish-Chinese students (4 of each dyad). The interactions are video-recorded and transcribed. In addition, semi-structured interviews with the participants have been conducted to get a better understanding of their communication. The method of activity-based communication analysis is used to analyze the data. The result of the study is a classification and a cross-cultural comparison of topics and the order of their occurrence in first time encounters. In addition, the study sheds light on the similarities and differences between Chinese and Swedish communication patterns.
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- Allwood, Jens, 1947, et al.
(författare)
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Sticka huvudet i busken
- 2002
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Ingår i: Ett växande vetande. Vetenskapsrådetstemabok: Uppsala.
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Tidskriftsartikel (refereegranskat)
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- Allwood, Jens, 1947, et al.
(författare)
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"Vänta och se versus låtsas inte förstå om du inte gör det!" Om svensk sjukvårdspersonals erfarenheter av kommunikation med utländska läkare.
- 2005
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Ingår i: Aktuellt om Migration. - 1652-7119. ; 2:(finns på internet)
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Tidskriftsartikel (refereegranskat)abstract
- Det är knappt att de hörs, steg av fötter i vita fotriktiga inomhussandaler, mjuka och tassande. Ljusa korridorer, väggar med scheman, plastblommor vid fönster och fina neutrala ”institutionsgardiner.” Dämpade röster, deltagande leenden, automatiska dörrar, breda nog för en sjukhussäng. På akuten – en samling människor med väntande och uppgivna ansiktsuttryck. Nuläget: Långa väntetider, tajta och utmattande scheman för personalen med ett ökat antal sjukskrivningar som följd. Ständiga påminnelser om anstående neddragningar och sjukvårdens brister som förstasidesnyheter. Önskas: Tid och pengar, arbetskraft som orkar, kan och vill, som ser möjligheterna och inte problemen. Något som ökar vår återspegling av det nya mångkulturella samhället i vården och som även passar in i våra personalvisioner och måldokument.
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- Berbyuk Lindström, Nataliya, 1978, et al.
(författare)
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Accelerating Ukrainian Academic Teachers’ Professional Digital Competence in Times of War
- 2022
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Ingår i: International Conference on Information Systems (ICIS), TREOs. 46, Copenhagen, December 9-14..
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- In February 2022, hostilities broke out in Ukraine, when the world just started recovering from the COVID-19 pandemic and returning to physical presence at workplaces and schools. The war has had a tremendous impact on Ukrainian Higher Education, resulting in the displacement of students and staff, evacuations and relocations of institutions, infrastructural losses and damages. The Ukrainian universities had to resume the online mode to ensure the safety of their students and staff. At this moment, research on the impact of war on the Ukrainian higher education is scarce. While the pandemic has contributed to the rapid development of digital competence of Ukrainian academic staff (Ovcharuk and Ivaniuk 2021), the development of the Ukrainian teachers’ professional digital competence in times of war has not yet been investigated. To this end, this study poses the following research question: How is the digital competence of academic teachers developed during the war? The study is guided by Mishra and Koehler's TPACK framework for technology integration in the classrooms (Mishra and Koehler 2006), addressing the development of three aspects of teacher knowledge such as technological knowledge (TK), pedagogical knowledge (PK), content knowledge (CK) and the integration of these in specific contexts. The preliminary analysis of 31semi-structured interviews with university management, teachers, and students from 11 Ukrainian universities reveals the acceleration of teachers’ professional digital competence from the beginning of the hostilities. In particular, we find the teachers developing their pedagogical knowledge (PK) in terms of becoming more flexible in classroom management, and adapting assessment forms to meet the needs of the students who experience hurdles due to lack of internet access, relocations, and bombings. The respondents also comment on teachers showing increased creativity in developing their courses and examinations. Further, formal teaching tools such as MOOCS platforms, Zoom and MS Teams are commonly combined with informal tools, such as mobile apps Telegram, Viber, and WhatsApp, which are used for sharing course materials, informing about potential risks of attacks, and abrupt course changes. The teachers who moved to the European countries mentioned further developing their Technological Knowledge (TK) in terms of learning new technologies in collaboration with European universities. The study offers insight into digital competence development in times of crisis, aiming to contribute to the fields of digital transformation, online education, and crisis management. References Mishra, P., and Koehler, M. J. 2006. "Technological Pedagogical Content Knowledge: A Framework for Teacher Knowledge," Teachers college record (108:6), pp. 1017-1054. Ovcharuk, O., and Ivaniuk, I. 2021. "A Self-Assessment Tool of the Level of Digital Competence of Ukrainian Teachers in the Context of Lifelong Learning: The Results of an Online Survey 2021," Educational Dimension (57:5), pp. 75-88.
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- Berbyuk Lindström, Nataliya, 1978, et al.
(författare)
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Cultural Diversity in the Digital Age: Developing Mobile Support for Migrant Professionals.
- 2019
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Ingår i: Fifteenth International Conference on Technology, Knowledge & Society, 11-12 March 2019, ELISAVA – Barcelona School of Design and Engineering, Barcelona, Spain..
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Fluency in the language of host society in combination with early entry into the job market are essential elements of successful migrant integration and social inclusion. Due to its accessibility, mobile technology can serve as a support and bridging tool for many people for both language learning and managing employment opportunities. The aim of this study is to explore what professional integration needs the newly arrived professionals (teachers, healthcare professionals and engineers) coming to Sweden, one of the top recipients of asylum applications per capita, experience. Further, we discuss how to develop mobile support to enhance a personalised and sustainable professional integration. We apply participatory design principles conducting semi-structured focus group interviews and interactive workshops with above mentioned migrant professionals, mentors and language teachers. Thematic content analysis is used for analysis of the data. The results demonstrate diverse professional needs and requirements for digital competence for work and at work. The study also gives suggestions for developing mobile applications for enhancing integration of professionals in the Swedish labor market.
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18. |
- Berbyuk Lindström, Nataliya, 1978, et al.
(författare)
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Decision making in Ethiopian cancer care: An explorative qualitative study
- 2021
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Ingår i: International Conference on Communication in Healthcare, October 17-20..
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Background: After a cancer diagnosis, a number of decisions are to be made by patients, relatives, and oncologists. In spite of cancer being a growing concern, little is known about decision-making in cancer care in Ethiopia. This study aims to describe and analyze decision-making strategies in cancer care consultations, with a special focus on the factors that influence oncologists,’ patients’ and family’ decision-making. Methods: The study has an exploratory mixed methods design. It was conducted at the Oncology Center of the Tikur Anbassa Hospital (TASH), Addis Abeba, Ethiopia. Our data consists of: •38 transcribed video-recorded consultations between cancer patients (38), family caregivers (30), and oncologists (11) •91 transcribed audio-recorded, semi-structured interviews with patients (54), family caregivers (21), and oncologists (16) about their experiences of decision-making in cancer care In the recorded consultations, clinically relevant decisions were identified using the Decision Identification and Classification Taxonomy for Use in Medicine (DICTUM). The interviews were analyzed using thematic content analysis. Results: Eight out of ten DICTUM categories are present in the data. The oncologists focused on gathering additional information (medical treatments, use of traditional medicine, and drinking holy water) when their patients were diagnosed outside TASH. Decisions about drugs and treatments were discussed with family caregivers (if present), responsible for covering treatment costs. Due to a limited number of beds, decisions regarding admittance (or delay in admittance) and scheduling of chemotherapy were made with both patients and caregivers. While giving advice and precautions was common, the oncologists were careful with setting treatment goals due to many patients facing a poor prognosis. Discussion/implications: Family plays an important role in decision-making in Ethiopian cancer care. We provide suggestions for communication training for staff, with a focus on decision-making for patient and family-centered care in Ethiopia.
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- Berbyuk Lindström, Nataliya, 1978, et al.
(författare)
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EXPLOITATION AND EXPLORATION OF DIGITAL TECHNOLOGIES IN TIMES OF WAR: EXPERIENCES OF UKRAINIAN HIGHER EDUCATION INSTITUTIONS
- 2024
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Ingår i: ECIS 2024 Proceedings. 10..
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Konferensbidrag (refereegranskat)abstract
- Amidst the abundance of studies on exploring and utilizing digital technologies during the pandemic, there remains a scarcity of research regarding technology adoption during other types of crises. Through a longitudinal interview study involving 40 teachers and students from Ukrainian Higher Education Institutions (HEIs), our research focuses on the following question: How does the exploration and exploitation of digital technologies evolve in response to events of a wartime crisis? Our findings indicate that during wartime, people predominantly lean towards exploitation. Challenges such as stress, infrastructure damage, limited access to digital tools, and the necessity to reduce cognitive burden hinder their willingness to experiment with new technologies. Both teachers and students also tend to forsake digital solutions, resorting instead to analog alternatives, thereby emphasizing the need for a more intricate and flexible model for exploring and exploiting digital technologies during periods of crises.
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- Berbyuk Lindström, Nataliya, 1978, et al.
(författare)
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Framing of National Image in a Climate of Socio-Political Uncertainty: A Study of IKEA and Volvo Car Corporation in Swedish and Russian News Media
- 2018
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Ingår i: Economic and Geopolitical Perspectives of the Commonwealth of Independent States and Eurasia. - USA : IGI Global. - 9781522532644 ; , s. 137-156
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Bokkapitel (refereegranskat)abstract
- The climate ripple of socio-political relations between countries can be seen to directly influence trading and international business relations. Discourse within the socio-political realms reflects in discourse within the economic realms. A common channel through which such perspectives are mediated between the political realms, corporate relations, and public opinion is the news media, both traditional and new, such as social media and Internet publishing. This chapter examines and compares how major business newspapers in Sweden, Dagens Industry (DI), and two business newspapers in Russia, Kommersant (Ъ-Газета - Коммерсантъ) and RBC (РБК) represent Sweden's national image between 2014-2015, a period of uncertain socio-political relations between Russia and the Nordic Eurasian states, in particular, Sweden, in the process of the annexation of Crimea by the Russian Federation in 2014.
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- Berbyuk Lindström, Nataliya, 1978, et al.
(författare)
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From the Pandemic to War: The Role of Digital Technologies in Ukrainian Businesses Responding to Discontinuities and Building Resilience
- 2023
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Ingår i: AMCIS 2023 Proceedings. 5.
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Konferensbidrag (refereegranskat)abstract
- Disasters and crises are a part of human existence. While upsetting the normal operations of societies and revealing the inherent fragility of infrastructure and social order, they also push us to rethink “the normal” way of living and working. At this moment, IS research on the experiences of businesses in times of war as an extreme crisis is very limited. Taking the case of Ukrainian businesses, we ask the following research questions: How have organizations adapted to war discontinuities and built resilience? and How have the experiences of remote work from the pandemic contributed to building organizational resilience in times of war? Analyzing semi-structured interviews with managers from Ukrainian businesses through the lenses of adaptation theory, remote work discontinuities, and capability-based model of organizational resilience, we present the types of discontinuities experienced and the adaptation strategies used by the companies in addressing them. Our findings show that the resilience of Ukrainian companies has its roots in agile management, continuous communication and collaboration, experiences in using digital technologies during the pandemic, and international community support. The results also indicate the organizations continuously coping and adapting, re-coping, and re-adapting while anticipating unexpected events, which calls for developing a more dynamic resilience model.
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