| 1. |
- Andersson, Annika, 1981-, et al.
(författare)
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Managing boundaries at the accident scene : a qualitative study of collaboration exercises
- 2014
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Ingår i: International Journal of Emergency Services. - : Emerald Group Publishing Ltd. United Kingdom. - 2047-0894 .- 2047-0908. ; 3:1, s. 77-94
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Tidskriftsartikel (refereegranskat)abstract
- Purpose The purpose of this study is to identify what is practiced during collaboration exercises and possible facilitators for inter-organisational collaboration.Design/methodology/approach Interviews with 23 participants from four exercises in Sweden were carried out during autumn 2011. Interview data were subjected to qualitative content analysis.Findings Findings indicate that the exercises tend to focus on intra-organisational routines and skills, rather than developing collaboration capacities. What the participants practiced depended on roles and order of arrival at the exercise. Exercises contributed to practicing leadership roles, which was considered essential since crises are unpredictable and require inter-organisational decision-making.Originality/value The results of this study indicate that the ability to identify boundary objects, such as injured/patients, was found to be important in order for collaboration to occur. Furthermore, lessons learned from exercises could benefit from inter-organisational evaluation. By introducing and reinforcing certain elements and distinct aims of the exercise, the proactive function of collaboration exercises can be clarified.
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| 2. |
- Andersson, Annika, 1981-, et al.
(författare)
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Managing boundaries at the accident scene : a qualitative study of collaboration exercises
- 2014
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Ingår i: International Journal of Emergency Services. - 2047-0894 .- 2047-0908. ; 3:1, s. 77-94
-
Tidskriftsartikel (refereegranskat)abstract
- Purpose The purpose of this study is to identify what is practiced during collaboration exercises and possible facilitators for inter-organisational collaboration.Design/methodology/approach Interviews with 23 participants from four exercises in Sweden were carried out during autumn 2011. Interview data were subjected to qualitative content analysis.Findings Findings indicate that the exercises tend to focus on intra-organisational routines and skills, rather than developing collaboration capacities. What the participants practiced depended on roles and order of arrival at the exercise. Exercises contributed to practicing leadership roles, which was considered essential since crises are unpredictable and require inter-organisational decision-making.Originality/value The results of this study indicate that the ability to identify boundary objects, such as injured/patients, was found to be important in order for collaboration to occur. Furthermore, lessons learned from exercises could benefit from inter-organisational evaluation. By introducing and reinforcing certain elements and distinct aims of the exercise, the proactive function of collaboration exercises can be clarified.
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| 3. |
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| 4. |
- Berlin, Johan, 1975-, et al.
(författare)
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The Three-Level Collaboration Exercise : Impact of Learning and Usefulness
- 2015
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Ingår i: Journal of Contingencies and Crisis Management. - : Wiley. - 0966-0879 .- 1468-5973. ; 23:4, s. 257-265
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the study was to examine the emergency personnel’s perception of the effects of exercises, with regard to learning and usefulness. The exercises were quasi-experimental and constructed in such a way that employees from different organizations overlapped each other’s tasks. This was accomplished by: having asymmetries included in the scenarios, repeating exercise procedures and testing different strategies, which were discussed at joint seminars. The exercises were compared to a similar study, published in this journal, of nonquasi-experimental but merely traditional exercises. Surveys were distributed and collected from emergency personnel in connection with seven exercises. At the exercises, 94.3% of the personnel thought that the exercises had a focus on collaboration (traditional exercises, 75.6%).
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| 5. |
- Berlin, Johan, 1975-, et al.
(författare)
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Typifiering eller normering? : En kritisk studie av teamteoretiska modeller
- 2009
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Ingår i: Företagsekonomisk ämneskonferens 2009. ; , s. 1-15
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Konferensbidrag (refereegranskat)abstract
- I den här studien fokuseras den starka passion som finns för typologier inom teamforskningen. Det finns typologier av teamprocesser, strukturella teamtyper och modeller för implementering av teamarbete. Vid första anblicken kan man i vissa fall få intrycket av att modellerna utvecklats utan att vara baserade på empiriska fynd och i andra fall att modeller blir en sorts självuppfyllande profetior som döljer möjligheten att urskilja variationer ur empiriska fynd.Syftet med denna artikel är att granska samband mellan ett antal typologier och diskutera varför teamarbete uttrycks som stegvisa utvecklingsmodeller. Speciellt fokus läggs på trestegsmodeller, så kallade triader.Vi har identifierat och analyserat fem teoretiska triader som beskriver teamarbete. Forskningsfrågan för denna artikel är: Är teamtypologierna värderande på så sätt att de särskiljer excellenta team från mindre framgångsrika, eller klassificerar de utan att värdera teamens grad av excellens? Är de teoretiska modellerna sorterande eller värderande?
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| 6. |
- Carlström, Eric D., 1957-
(författare)
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Strategies for change : Adaptation to new accounting conditions
- 2012
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Ingår i: Journal of Accounting and Organizational Change. - : Emerald Group Publishing Limited. - 1832-5912 .- 1839-5473. ; 8:1, s. 41-61
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Tidskriftsartikel (refereegranskat)abstract
- Purpose - The purpose of this paper is to identify middle managers' strategies during changed accounting conditions. Design/methodology/approach - Middle managers from hospitals, primary care and community care were interviewed about their strategies during change processes. Each middle manager selected changes that had played the greatest part in a ten-year period. Findings - Each change was dominated by one strategy that corresponded to the tactics of middle managers during change. They ITquestioned/IT new control models, they ITexperimented/IT with smart budget strategies and they ITimplemented/IT new IT technology. These strategies formed transitions in a continuous circular change model based on Hinings and Malholtra. The study points to two key findings. First, strategies that can be perceived as irrational are organised within a context of plausible explanations; and second, middle managers in public organisations are likely to adopt innovations supported by management policy voluntarily and to question or even reject those prohibited. Research limitations/implications - Criticism may be directed towards the fact that the theoretical model presented in the analysis has an element of determinism. In the model, the managers' control strategies are given limited influence. The theoretical model's strength is that it measures the development in slow-to-change public organisations with long histories and deeply rooted practices. Practical implications - The results can be used to understand the motives of the middle managers' strategies for change. It provides support to management that hesitates between defending a well-established but criticised organisational model, and implementing new and untested approaches. Originality/value - Theoretical change models frequently originate from a management perspective or differentiate between "top-down" and "bottom up" change. In this paper, change is regarded as a generalised process where different phenomena are connected. This forms a circular model that moves between stable phases without change and transformative phases of major change. © 2012 Emerald Group Publishing Limited. All rights reserved.
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| 7. |
- Crilly, J., et al.
(författare)
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Staff perceptions of the emergency department working environment: An international cross-sectional survey
- 2019
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Ingår i: EMA - Emergency Medicine Australasia. - : Wiley. - 1742-6731 .- 1742-6723. ; 31:6, s. 1082-91
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: The aims of this study were to describe clinical staff perceptions of their ED working environment and to explore associations between staff demographics, coping styles and the work environment. Methods: A cross-sectional study was conducted in one Swedish ED and two Australian EDs in 2015–2016. Descriptive statistics were used to explore stressors, coping styles and aspects of the working environment for the combined cohort and the cohort split by age, sex, professional role, years of employment in the ED and country. Regression analyses examined the impact of coping style and demographic characteristics on staff perceptions of the working environment. Results: Two hundred and six ED staff completed the survey (response rate: 64%). Factors most stressful for ED staff included death or sexual abuse of a child, heavy workload and poor skill mix. Staff perceptions of the working environment differed based on age, sex, country, tenure and job role. Regression analysis of perceptions of the work environment on demographics and coping strategies revealed that negative coping strategies were associated with low self-realisation, high workload, high conflict and high nervousness. Active coping and positive thinking were associated with increased self-realisation. Positive thinking was associated with lower levels of conflict. Conclusions: Employees engaging in positive coping strategies had more positive perceptions of the work environment, while those engaging in maladaptive coping strategies reported negative perceptions of the work environment. These data suggest that strategies that promote the use of active coping and positive thinking should be encouraged and warrant further research in the ED. © 2019 Australasian College for Emergency Medicine
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| 8. |
- Hernborg, Martin N., et al.
(författare)
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First initiatives in prehospital care : Basing assessments on incomplete preliminary information
- 2020
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Ingår i: Journal of Nursing Education and Practice. - : Sciedu Press. - 1925-4040 .- 1925-4059. ; 0:6, s. 47-54
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Rationale and aim: Ambulance staff, i.e. registered nurses and assistant nurses, receive assignments from emergency dispatch centres including information on level of priority, address and patient’s care requirements. One problem is that the preliminary information the dispatcher gives to the ambulance staff may be incomplete. The purpose of this study was to determine how ambulance staff base their assessments on incomplete preliminary information when assessing care requirements.Methods: Fifteen ambulance staff working at seven ambulance stations were interviewed for this study. Interviews were transcribed and analysed using content analysis.Results: Incomplete preliminary information means that ambulance staff may be misdirected. This means that if the preliminary information from the dispatcher is incomplete, the ambulance staff need to reassess, and this is perceived to be difficult. Ambulance staff tend to stick to the first initiative that is taken after they receive an alert from the dispatcher.Conclusions: When ambulance staff receive incomplete preliminary information, they need to consider the possibility of conducting a reassessment. Based on the results, there is a need for new procedures to improve preparedness to conduct a reassessment after receiving incomplete preliminary information.
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| 9. |
- Johansson, Catrin, 1980-, et al.
(författare)
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Culture as a predictor of resistance to change : a study of competing values in a psychiatric nursing context
- 2014
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Ingår i: Health Policy. - : Elsevier. - 0168-8510 .- 1872-6054. ; 114:2-3, s. 156-162
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Tidskriftsartikel (refereegranskat)abstract
- It is well known that a conservative organizational culture can hinder the implementation of new organizational models. Prior to introducing something new it is important to identify the culture within the organization. This paper sets out to detect the feasibility of reform in a psychiatric clinic in a Swedish hospital prior to implementation of a new working method - a structured tool based on the International Classification of Functioning Disability and Health. A survey consisting of two instruments - an organizational values questionnaire (OVQ) and a resistance to change scale (RTC) - was distributed to registered and assistant nurses at the clinic. The association between the organizational subcultures and resistance to change was investigated with regression analysis. The results revealed that the dominating cultures in the outpatient centers and hospital wards were characterized by human relation properties such as flexibility, cohesion, belongingness, and trust. The mean resistance to change was low, but the subscale of cognitive rigidity was dominant, reflecting a tendency to avoid alternative ideas and perspectives. An instrument like the one employed in the study could be a useful tool for diagnosing the likelihood of extensive and costly interventions.
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| 10. |
- Johansson, Catrin, 1980-, et al.
(författare)
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Daily Life Dialogue Assessment in Psychiatric Care—Face Validity and Inter-Rater Reliability of a Tool Based on the International Classification of Functioning, Disability and Health
- 2013
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Ingår i: Archives of Psychiatric Nursing. - : Elsevier BV. - 0883-9417 .- 1532-8228. ; 27:6, s. 306-311
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Tidskriftsartikel (refereegranskat)abstract
- This article describes the development of an assessment tool based on the International Classification of Functioning Disability and Health (ICF) adapted to a psychiatric nursing context where both the patient and the nurse assess the patient's ability to participate in various spheres of life. The aim was to test psychometric properties, focusing on face validity and inter-rater reliability. Three Swedish expert groups participated. Analysis of inter-rater reliability was conducted through simulated patient cases. The results of an unweighted kappa value of 0.38, a linear weighted kappa value of 0.65 and a quadratic weighted kappa value of 0.73 were considered as acceptable when using simulated patient cases.
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| 11. |
- Olofsson, Pia, 1954-, et al.
(författare)
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During and beyond the triage encounter : Chronically ill elderly patients' experiences throughout their emergency department attendances.
- 2012
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Ingår i: International Emergency Nursing. - : Elsevier BV. - 1755-599X .- 1878-013X. ; 20:4, s. 207-13
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Chronically ill elderly patients are frequent users of care in emergency departments (EDs). Due to their presenting symptoms, these patients are often assessed on a low urgency level of priority by the triage nurse.AIM: The aim of the study was to explore and describe the experiences of a group of chronically ill elderly patients' during their triage encounter and subsequent ED stay.METHOD: The data consisted of 14 open-ended interviews with chronically ill patients aged between 71 and 90years. A lifeworld approach was used in order to describe the essence of patient experiences. The study was carried out with a descriptive phenomenological research perspective.CONCLUSION: The visit to the ED was experienced as contradictory. The triage encounter fostered confidence and set promising expectations, but during the rest of the visit, the patient felt abandoned and considered the staff to be uncommitted and reluctant. These ambiguous experiences of their ED visits indicate a need for exploring possible ways of improving the situation for the chronically ill older person in ED.
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| 12. |
- Olofsson, Pia, et al.
(författare)
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Manchester Triage in Sweden : Interrater reliability and accuracy
- 2009
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Ingår i: International Emergency Nursing. - : Elsevier BV. - 1755-599X .- 1878-013X. ; 17:3, s. 143-148
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Tidskriftsartikel (refereegranskat)abstract
- This study investigates the interrater reliability and the accuracy of Manchester Triage (MTS) at emergency departments in Western Sweden. Methods: A group of 79 nurses from seven emergency departments assessed simulated patient cases and assigned triage categories using the same principles as in their daily work. K statistics, accuracy, over-triage and under-triage were then analyzed. The nurses performed 1027 triage assessments. Results: The result showed an unweighted κ value of 0.61, a linear weighted κ value of 0.71, and a quadratic weighted κ value of 0.81. The determined accuracy was 92% and 91% for the two most urgent categories, but significantly lower for the less urgent categories. Conclusions: Patients in need of urgent care were identified in more than nine out of 10 cases. The high level of over-triage and under-triage in the less urgent categories resulted in low agreement and accuracy. This may suggest that the resources of emergency departments can be overused for non-urgent patients.
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| 13. |
- Olsson, Maivor, et al.
(författare)
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Assessment of Distress and Quality of Life : A Comparison of Self-Assessments by Outpatients with a Schizopsychotic Illness and the Clinical Judgment of Nurses
- 2015
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Ingår i: Archives of Psychiatric Nursing. - : Saunders Elsevier. - 0883-9417 .- 1532-8228. ; 29:5, s. 284-289
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to investigate how self-assessments of perceived distress and quality of life in patients with schizopsychotic illness are associated with nurse assessments of symptoms, function and life situation. Data were obtained through interviews that used evidence-based rating and visual analogue self-rating scales. Descriptive statistics, correlation and regression analyses were used to process the data. The results demonstrated that the patient self-ratings did not correlate with the nurse assessments, and the perceived distress was not affected by remission status. The findings indicate that patient self-assessments are not a sufficient basis for decisions regarding appropriate treatment interventions.
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| 14. |
- Thorsson, Sofia, 1972, et al.
(författare)
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Is Physiological Equivalent Temperature (PET) a superior screening tool for heat stress risk than Wet-Bulb Globe Temperature (WBGT) index? : Eight years of data from the Gothenburg half marathon
- 2021
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Ingår i: British Journal of Sports Medicine. - : BMJ Publishing Group Ltd. - 0306-3674 .- 1473-0480. ; 55:15, s. 825-830
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Tidskriftsartikel (refereegranskat)abstract
- Background: The Wet-Bulb Globe Temperature (WBGT) index is a common tool to screen for heat stress for sporting events. However, the index has a number of limitations. Rational indices, such as the physiological equivalent temperature (PET) and Universal Thermal Climate Index (UTCI), are potential alternatives. Aim: To identify the thermal index that best predicts ambulance-required assistances and collapses during a city half marathon. Methods: Eight years (2010-2017) of meteorological and ambulance transport data, including medical records, from Gothenburg's half-marathon were used to analyse associations between WBGT, PET and UTCI and the rates of ambulance-required assistances and collapses. All associations were evaluated by Monte-Carlo simulations and leave-one-out-cross-validation. Results: The PET index showed the strongest correlation with both the rate of ambulance-required assistances (R2=0.72, p=0.008) and collapses (R2=0.71, p=0.008), followed by the UTCI (R2=0.64, p=0.017; R2=0.64, p=0.017) whereas the WBGT index showed substantially poorer correlations (R2=0.56, p=0.031; R2=0.56, p=0.033). PET stages of stress, match the rates of collapses better that the WBGT flag colour warning. Compared with the PET, the WBGT underestimates heat stress, especially at high radiant heat load. The rate of collapses increases with increasing heat stress; large increase from the day before the race seems to have an impact of the rate of collapses. Conclusion: We contend that the PET is a better predictor of collapses during a half marathon than the WBGT. We call for further investigation of PET as a screening tool alongside WBGT.
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