| 1. |
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| 2. |
- Jansson, Inger, 1964, et al.
(författare)
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Documentation of person-centred health plans for patients with acute coronary syndrome.
- 2018
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Ingår i: European Journal of Cardiovascular Nursing. - : Oxford University Press (OUP). - 1474-5151 .- 1873-1953. ; 17:2, s. 114-122
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Tidskriftsartikel (refereegranskat)abstract
- Personalised care planning is argued for but there is a need to know more about what the plans actually contain.To describe the content of person-centred health, plans documented at three healthcare levels for patients with acute coronary syndrome.Patients with acute coronary syndrome aged under 75 years and admitted to two coronary care units at a university hospital were enrolled in the study. This retrospective descriptive study documented 89 person-centred health plans at three healthcare levels: hospital, outpatient and primary care. In total, 267 health plans were reviewed and a quantitative content analysis conducted. The health plans included commonly formulated goals, patients' own resources and support needed.The health plan goals were divided into three categories: lifestyle changes, illness management and relational activities. The most frequently reported goal for better health was increased physical activity, followed by social life/leisure activities and return to paid professional work. In order to reach the goals, patients identified three ways: own resources, family and social support and healthcare system, in total three categories. The most frequently reported own capability was self-motivation. Spouses and children were important sources of family and social support. The most frequently reported healthcare support was cardiac rehabilitation.In traditional care and treatment plans devised by health professionals, patient goals often comprise behavioural changes. When patients identify their own goals and resources with the help of professionals, they include maintaining social relations and being able to return to important activities such as work.
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| 3. |
- Ulin, Kerstin, 1963, et al.
(författare)
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Flip focus and emphasise patient resources in person-centred care over the telephone-A retrospective descriptive study
- 2023
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Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 37:3, s. 797-804
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Tidskriftsartikel (refereegranskat)abstract
- Aim: The study aim was to describe the content of person-centred health plans, formulated via telephone conversations between registered nurses and patients with chronic obstructive pulmonary disease and/or chronic heart failure. Method: Patients who had been hospitalised due to worsening chronic obstructive pulmonary disease and/or chronic heart failure were enrolled. After hospital discharge, the patients received a person-centred telephone support where a health plan was co-created with registered nurses who had received training in the theory and practice of person-centred care. A retrospective descriptive review of 95 health plans using content analysis was conducted. Results: The health plan content revealed personal resources such as optimism and motivation in patients with chronic obstructive pulmonary disease and/or chronic heart failure. Although patients reported severe dyspnoea symptoms, the most common goals were to engage in physical activity and to be able to manage social life and leisure activities. Additionally, the health plans illustrated that patients were capable of using their own interventions to reach their goals rather than accessing municipal and health care support. Conclusion: The focus on listening, that person-centred telephone care affords, promotes the patient's own goals, interventions, and resources, which can be used to tailor support and engage the patient as an active partner in their care. The flipped focus from patient to person highlights the person's own resources, which in turn may contribute to a reduced need for hospital care.
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| 4. |
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| 5. |
- Wagman, Petra, et al.
(författare)
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Making sustainability in occupational therapy visible by relating to the Agenda 2030 goals – A case description of a Swedish university
- 2020
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Ingår i: World Federation of Occupational Therapists Bulletin. - : Taylor & Francis. - 1447-3828 .- 2056-6077. ; 76:1, s. 7-14
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Tidskriftsartikel (refereegranskat)abstract
- Occupational therapy has a lot to contribute to sustainable development considering the discipline's occupational focus and knowledge. This has been recognised by researchers and professional associations, but there is still a scarcity of research explicitly mentioning sustainability. Relevant contributions may be identified by relating education and research to the Agenda 2030 sustainable development goals. The aim of this article was to describe explicit and implicit inclusion of sustainable development and Agenda 2030 goals in occupational therapy education and research at one Swedish university. Current course syllabi and study guides, as well as research over the past five-year period, were examined and related to sustainability. The results showed that although only a few courses and articles were explicitly related to sustainable development, more course and research content became relevant when this content was compared with the sustainable development goals. It can be concluded that sustainability was more extensively addressed than first visible, but further studies including more universities are warranted.
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| 6. |
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| 7. |
- Almqvist, Monica, et al.
(författare)
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European Medical Imaging Technology Training, EMIT – ett prisbelönt EU-utbildningsprojekt
- 2005
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Ingår i: [Host publication title missing].
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Konferensbidrag (refereegranskat)abstract
- I ett sameuropeiskt Leonardo da Vinci-projekt har utvecklats ett internationellt utbildnings- och praktikpa- ket för blivande sjukhusfysiker [1-3]. Utbildningspaketet innehåller praktiska och kliniska övningsuppgifter där delta- garna tränas i för en sjukhusfysiker vanligt förekommande arbetsuppgifter. Målet har varit att det skall ge sjukhusfysi- kern den praktiska kompetens som krävs av det europeiska regelverket inom ämnesområdena magnetresonans (MRI), ultraljud, röntgendiagnostik, nuklearmedicin och strålbe- handling. Utbildningsmaterialet är webbaserat med en stor bilddata- bas och används redan i nära 70 länder runt om i världen. EMIT-projektet (European Medical Imaging Technology Training) belönades i december 2004 med det första Leonar- do da Vinci priset som delades ut till de tre bästa av totalt 4000 EU-projekt inom praktisk yrkesrelaterad utbildning. I projektet har vi konfronterats med den pedagogiska ut- maningen att förmedla praktisk kunskap, i sjukhusmiljöer med mycket olika förutsättningar beroende på vilket land deltagarna arbetar i. En omöjlig uppgift kan tyckas, men eftersom materialet är sammanställt av några av Europas starkaste forsknings- och utbildningsgrupper inom respekti- ve område så har det visat sig vara en stor tillgång och varje användare utnyttjar materialet efter sina egna behov. En an- nan erfarenhet är samarbetet över nationsgränser där vi har utnyttjat och konfronterats med likheter och oliktänkande inte minst vad gäller pedagogik och didaktik. Vi har dessut- om fått ett stort kontaktnät och många goda vänner. Den här presentationen beskriver delar av utbildningspaketet och erfarenheter av samarbetsprojektet.
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| 8. |
- Bergman, Paula, et al.
(författare)
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Effects of arts on prescription for persons with common mental disorders and/or musculoskeletal pain : A controlled study with 12 months follow-up
- 2023
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Ingår i: Cogent Public Health. - : Taylor & Francis. - 2770-7571. ; 10:1
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Tidskriftsartikel (refereegranskat)abstract
- Aims: Involvement in arts has shown potential to promote mental health. Thus, arts may be able to complement conventional healthcare to address common mental disorders (CMD). The aim of this study was to evaluate the long-term effect of a 10-week Arts on Prescription program regarding CMD (stress, anxiety, depression), compared to conventional healthcare. The study also aimed to examine whether CMD differed between groups.Methods: A quasi-experimental prospective design with intervention and control group and 6- and 12-month follow-up was used to evaluate an Arts on Prescription program in Sweden, focusing on the effects on stress, anxiety, and depression. Participants were on sick leave due to CMD and/or musculoskeletal pain. Data was collected using questionnaires.Results: The study population consisted of 479 participants (n=247 intervention group, n=232 control group). The result indicates a greater effect size (ŋ) in the intervention group compared to the control group for reduction in stress, anxiety, and depression at follow-up after 12 months. The difference in depression was significant.Conclusions: The results indicate AoP could be an adjunct to conventional healthcare interventions to address CMD, especially depression.
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| 9. |
- Bergman, Paula, et al.
(författare)
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‘No one forced anybody to do anything – and yet everybody painted’ : Experiences of Arts on Referral, a focus group study
- 2021
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Ingår i: Nordic Journal of Arts, Culture and Health. - : Universitetsforlaget. - 2535-7913. ; 3:1-2, s. 9-20
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Tidskriftsartikel (refereegranskat)abstract
- Arts on Referral (AoR) is a complementary intervention used to support people who are on sick leave due to common mental disorders (CMD) and/or musculoskeletal pain, challenging public health.Aim: To deepen the understanding of how AoR works from a health-promoting perspective and how people with CMD and/or musculoskeletal pain experience AoR.Design: The study adopted a qualitative approach. Thirty women (21–65 years old) participated in a total of five focus groups after the AoR intervention, which consisted of two sessions a week for ten weeks.Findings: A qualitative content analysis of the focus group identified four categories: 1. Place of belonging including descriptions of social connectedness and understanding; 2. Experiences of AoR as a respite from demands; 3. Arts activities offering challenge and reward; and 4. Contributing to health-promoting changes. The findings were discussed in the light of Wenger’s concept of community of practice and Csikszentmihalyi’s concept of flow.Value: This study describes how AoR contributed to health-promoting changes by offering a place of belonging, free from demands but still with opportunities to challenge oneself and explore new skills. Findings suggest that AoR can be helpful in improving mental wellbeing and feelings of belonging.
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| 10. |
- Berndt, Sonja I., et al.
(författare)
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Genome-wide meta-analysis identifies 11 new loci for anthropometric traits and provides insights into genetic architecture
- 2013
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Ingår i: Nature Genetics. - : Springer Science and Business Media LLC. - 1061-4036 .- 1546-1718. ; 45:5, s. 501-U69
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Tidskriftsartikel (refereegranskat)abstract
- Approaches exploiting trait distribution extremes may be used to identify loci associated with common traits, but it is unknown whether these loci are generalizable to the broader population. In a genome-wide search for loci associated with the upper versus the lower 5th percentiles of body mass index, height and waist-to-hip ratio, as well as clinical classes of obesity, including up to 263,407 individuals of European ancestry, we identified 4 new loci (IGFBP4, H6PD, RSRC1 and PPP2R2A) influencing height detected in the distribution tails and 7 new loci (HNF4G, RPTOR, GNAT2, MRPS33P4, ADCY9, HS6ST3 and ZZZ3) for clinical classes of obesity. Further, we find a large overlap in genetic structure and the distribution of variants between traits based on extremes and the general population and little etiological heterogeneity between obesity subgroups.
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| 11. |
- Bjorvell, Catrin, et al.
(författare)
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Creating Subsets of International Classification for Nursing Practice Precoordinated Concepts
- 2024
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Ingår i: Computers, Informatics, Nursing. - : Lippincott Williams & Wilkins. - 1538-2931 .- 1538-9774. ; 42:1, s. 21-26
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Tidskriftsartikel (refereegranskat)abstract
- The International Classification for Nursing Practice is a comprehensive terminology representing the domain of nursing practice. A categorization of the diagnoses/outcomes and interventions may further increase the usefulness of the terminology in clinical practice. The aim of this study was to categorize the precoordinated concepts of the International Classification for Nursing Practice into subsets for nursing diagnoses/outcomes and interventions using the structure of an established documentation model. The aim was also to investigate the distribution of the precoordinated concepts of the International Classification for Nursing Practice across the different areas of nursing practice. The method was a descriptive content analysis using a deductive approach. The VIPS model was used as a theoretical framework for categorization. The results showed that all the precoordinated concepts of the International Classification for Nursing Practice could be categorized according to the keywords in the VIPS model. It also revealed the parts of nursing practice covered by the concepts of the International Classification for Nursing Practice as well as the parts that needed to be added to the International Classification for Nursing Practice. This has not been identified in earlier subsets as they covered only one specific area of nursing.
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| 12. |
- Bjurling-Sjöberg, Petronella, 1968-, et al.
(författare)
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Action research improved general prerequisites for evidence-based practice
- 2021
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Ingår i: Heliyon. - : Elsevier BV. - 2405-8440. ; 7:4
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Tidskriftsartikel (refereegranskat)abstract
- The present study was part of an action research project that was performed to implement a clinical pathway for patients on mechanical ventilation and simultaneously explore the implementation process in a Swedish intensive care unit. The aim of this questionnaire study was to evaluate whether an action research methodology could affect the general prerequisites for evidence-based practice (EBP). Informed by the Promoting Action on Research Implementation in Health Services (PARIHS) framework, the study included registered nurses, assistant nurses and anesthesiologists in the unit at start of the project (n = 50) and at follow-up (n = 44). Data was collected with the Evaluation Before Implementation Questionnaire and the Attitudes towards Guidelines Scale. The results revealed that the general prerequisites for EBP in the setting improved. Compared to baseline measurements, the staff at follow-up conversed significantly more about the importance of the patients' experiences, research utilization, context and facilitation, while changes with respect to clinical experiences were not significant. The attitudes towards guidelines were perceived as positive at baseline as well as at follow-up and did not significantly change. Longer professional experience was associated with a slightly lower probability of perceiving that the importance of research utilization was discussed and reflected upon, while belonging to a profession with longer education was associated with a higher probability of this perception. Compared to registered nurses and assistant nurses, the anesthesiologists perceived, to a greater extent, that the importance of clinical experience was discussed and reflected upon in the setting, while there was no significant association with the length of professional experience and/or specific professions regarding the other components. In conclusion, using action research to implement a clinical pathway methodology seems to set in motion various mechanisms that improve some but not all prerequisites that, according to the PARIHS framework, are advantageous for EBP.
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| 13. |
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| 14. |
- Bjurling-Sjöberg, Petronella, et al.
(författare)
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Balancing intertwined responsibilities: A grounded theory study of teamwork in everyday intensive care unit practice
- 2017
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Ingår i: Journal of Interprofessional Care. - : Informa UK Limited. - 1356-1820 .- 1469-9567. ; 31:2, s. 233-244
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Tidskriftsartikel (refereegranskat)abstract
- This study aimed to describe and explain teamwork and factors that influence team processes in everyday practice in an intensive care unit (ICU) from a staff perspective. The setting was a Swedish ICU. Data were collected from 38 ICU staff in focus groups with registered nurses, assistant nurses, and anaesthetists, and in one individual interview with a physiotherapist. Constant comparative analysis according to grounded theory was conducted, and to identify the relations between the emerged categories, the paradigm model was applied. The core category to emerge from the data was balancing intertwined responsibilities. In addition, eleven categories that related to the core category emerged. These categories described and explained the phenomenon's contextual conditions, causal conditions, and intervening conditions, as well as the staff actions/interactions and the consequences that arose. The findings indicated that the type of teamwork fluctuated due to circumstantial factors. Based on the findings and on current literature, strategies that can optimise interprofessional teamwork are presented. The analysis generated a conceptual model, which aims to contribute to existing frameworks by adding new dimensions about perceptions of team processes within an ICU related to staff actions/interactions. This model may be utilised to enhance the understanding of existing contexts and processes when designing and implementing interventions to facilitate teamwork in the pursuit of improving healthcare quality and patient safety.
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| 15. |
- Bjurling-Sjöberg, Petronella, 1968-
(författare)
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Clinical Pathway Implementation and Teamwork in Swedish Intensive Care : Challenges in Evidence-Based Practice and Interprofessional Collaboration
- 2018
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Suboptimal quality of care is an evident issue in current healthcare services. Clinical pathways (CPs) have the potential to facilitate evidence-based practice and interprofessional teamwork, and thereby improve patient safety and quality of care.The overall aim of the thesis was to develop comprehensive empirical knowledge and understanding of CP implementation and teamwork in Swedish intensive care units (ICUs). Four studies were included (I-IV).Study I was a survey including all Swedish ICUs (N84) and a document analysis of CP examples (n12). In total, 17 (20%) ICUs used CPs and many had implementation plans. The quality, extent and content of the CPs (n56) varied greatly, with sometimes insufficient interprofessionalism, evidence base and renewal.Study II was a mixed method including ICUs using CPs. The implementation processes were retrospectively explored through questionnaire data (n15) and qualitative content analysis of interviews with key informants (n10). The CP implementation was revealed as a process directed at realizing the usefulness and creating new habits, which requires enthusiasm, support and time.Studies III and IV were grounded theory studies in an action research project in an ICU. Study III explored everyday teamwork through focus group interviews with registered nurses, assistant nurses and anesthesiologists, as well as an individual interview with a physiotherapist (n38). Teamwork was revealed as an act of ‘balancing intertwined responsibilities.’ The type of teamwork fluctuated as the team processes were affected by circumstantial factors and involved individuals. Study IV prospectively explored the implementation process of a CP during a five-year period through repeated focus groups and individual interviews, questionnaires and logbooks/field notes, including the interprofessional project group, staff and managers (n71), and retrospective screening of health records (n136). ‘Struggling for a feasible tool’ was revealed as a central phenomenon. The implementation process included contextual and processual circumstances that enforced negotiations to achieve progress, which made the process tentative and prolonged and had consequences on the process output.In conclusion, CP implementation processes are affected by multiple interplaying factors. Although progress has been achieved in evidence-based practice and interprofessional collaboration there is still potential for substantial improvements, emphasizing a need for further facilitation.
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| 16. |
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| 17. |
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| 18. |
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| 19. |
- Bjurling-Sjöberg, Petronella, et al.
(författare)
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Factors affecting the implementation process of clinical pathways : A mixed method study within the context of Swedish intensive care
- 2015
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Ingår i: Journal of Evaluation In Clinical Practice. - : Wiley. - 1356-1294 .- 1365-2753. ; 21:2, s. 255-261
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Tidskriftsartikel (refereegranskat)abstract
- Rationale, aims and objectives Clinical pathways (CPs) can improve quality of care on intensive care units (ICUs), but are infrequently utilized and of varying quality. Knowledge regarding factors that facilitate versus hinder successful implementation of CPs is insufficient and a better understanding of the activities and individuals involved is needed. The aim of this study was to explore the implementation process of CPs within the context of ICUs. Methods An exploratory design with a sequential mixed method was used. A CP survey, including all Swedish ICUs, was used to collect quantitative data from ICUs using CPs (n = 15) and interviews with key informants (n = 10) were used to collect qualitative data from the same ICUs. Descriptive statistics and qualitative content analysis were used, and the quantitative and qualitative findings were integrated. Results The CP implementation was conceptualized according to two interplaying themes: a process to realize the usefulness of CPs and create new habits; and a necessity of enthusiasm, support and time. Multiple factors affected the process and those factors were organized in six main categories and 14 subcategories. Conclusions Bottom-up initiatives, interprofessional project groups and small ICUs seem to enhance successful implementation of CPs while inadequate electronic health record systems, insufficient support and time constrains can be barriers. Support regarding the whole implementation process from centralized units at the local hospitals, as well as cooperation between ICUs and national guidance, has the potential to raise the quality of CPs and benefit the progress of CP implementation.
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| 20. |
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| 21. |
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| 22. |
- Bjurling-Sjöberg, Petronella, et al.
(författare)
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Prevalence and quality of clinical pathways in Swedish intensive care units : a national survey
- 2014
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Ingår i: Journal of Evaluation In Clinical Practice. - : Wiley. - 1356-1294 .- 1365-2753. ; 20:1, s. 48-57
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Tidskriftsartikel (refereegranskat)abstract
- RATIONALE, AIMS AND OBJECTIVESTo identify the prevalence of clinical pathways (CPs) in Swedish intensive care units (ICUs) and to explore the quality, content and evidence base of the documents.METHODSA descriptive and explorative survey of all Swedish ICUs (N84) and a review of submitted examples of CPs (n12) were conducted.RESULTSCPs were in use at 20% of the Swedish ICUs. There was a significant geographic variation but no relationship between the use of CPs and category of hospital, type of ICU, size of ICU or type of health record applied. In total, 56 CPs were reported within a range of scopes and extensions. The content of the ICUs' CPs, as well as the degree to which they were interprofessional, evidence based, and renewed varied.CONCLUSIONSProgress has been made in relation to CPs in recent years, but there is potential for further improvements. None of the ICUs had CPs that contained all key characteristics of a high-quality, interprofessional and evidence-based CP identified in the literature. Greater knowledge sharing and cooperation within the field would be beneficial, and further research is needed.
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| 23. |
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| 24. |
- Bjurling-Sjöberg, Petronella, 1968-, et al.
(författare)
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Struggling for a feasible tool - the process of implementing a clinical pathway in intensive care: a grounded theory study
- 2018
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Ingår i: BMC Health Serv Res. - : Springer Science and Business Media LLC. - 1472-6963. ; 18
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundClinical pathways can enhance care quality, promote patient safety and optimize resource utilization. However, they are infrequently utilized in intensive care. This study aimed to explain the implementation process of a clinical pathway based on a bottom-up approach in an intensive care context.MethodsThe setting was an 11-bed general intensive care unit in Sweden. An action research project was conducted to implement a clinical pathway for patients on mechanical ventilation. The project was managed by a local interprofessional core group and was externally facilitated by two researchers. Grounded theory was used by the researchers to explain the implementation process. The sampling in the study was purposeful and theoretical and included registered nurses (n31), assistant nurses (n26), anesthesiologists (n11), a physiotherapist (n1), first- and second-line managers (n2), and health records from patients on mechanical ventilation (n136). Data were collected from 2011 to 2016 through questionnaires, repeated focus groups, individual interviews, logbooks/field notes and health records. Constant comparative analysis was conducted, including both qualitative data and descriptive statistics from the quantitative data.ResultsA conceptual model of the clinical pathway implementation process emerged, and a central phenomenon, which was conceptualized as Struggling for a feasible tool,' was the core category that linked all categories. The phenomenon evolved from the Triggers' (Perceiving suboptimal practice' and Receiving external inspiration and support'), pervaded the Implementation process' (Contextual circumstances,' Processual circumstances' and Negotiating to achieve progress'), and led to the process Output' (Varying utilization' and Improvements in understanding and practice'). The categories included both facilitating and impeding factors that made the implementation process tentative and prolonged but also educational.ConclusionsThe findings provide a novel understanding of a bottom-up implementation of a clinical pathway in an intensive care context. Despite resonating well with existing implementation frameworks/theories, the conceptual model further illuminates the complex interaction between different circumstances and negotiations and how this interplay has consequences for the implementation process and output. The findings advocate a bottom-up approach but also emphasize the need for strategic priority, interprofessional participation, skilled facilitators and further collaboration.
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| 25. |
- Björvell, Catrin, et al.
(författare)
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Creating Subsets of International Classification for Nursing Practice Precoordinated Concepts: Diagnoses/Outcomes and Interventions Categorized Into Areas of Nursing Practice
- 2024
-
Ingår i: Computers, informatics, nursing : CIN. - 1538-9774. ; 42:1, s. 21-26
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Tidskriftsartikel (refereegranskat)abstract
- The International Classification for Nursing Practice is a comprehensive terminology representing the domain of nursing practice. A categorization of the diagnoses/outcomes and interventions may further increase the usefulness of the terminology in clinical practice. The aim of this study was to categorize the precoordinated concepts of the International Classification for Nursing Practice into subsets for nursing diagnoses/outcomes and interventions using the structure of an established documentation model. The aim was also to investigate the distribution of the precoordinated concepts of the International Classification for Nursing Practice across the different areas of nursing practice. The method was a descriptive content analysis using a deductive approach. The VIPS model was used as a theoretical framework for categorization. The results showed that all the precoordinated concepts of the International Classification for Nursing Practice could be categorized according to the keywords in the VIPS model. It also revealed the parts of nursing practice covered by the concepts of the International Classification for Nursing Practice as well as the parts that needed to be added to the International Classification for Nursing Practice. This has not been identified in earlier subsets as they covered only one specific area of nursing.
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| 26. |
- Calebrant, H., et al.
(författare)
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How the Nurse Anesthetist Decides to Manage Perioperative Fluid Status
- 2016
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Ingår i: Journal of Perianesthesia Nursing. - Maryland Heights, MO : Elsevier BV. - 1089-9472 .- 1532-8473. ; 31:5, s. 406-414
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: To determine the factors that affect how nurse anesthetists in a county in Sweden decide how to manage perioperative fluid status. Design: A cross-sectional qualitative study was conducted at two surgical wards in a county hospital. Methods: Sixteen nurse anesthetists were interviewed to explore how nurse anesthetists assess patients' intraoperative fluid requirements and the subsequent measures adopted. Finding: Three categories emerged through content analysis: clinical criteria and the thought process that drives decision making, interdependence in decision making, and uncertainty in decision making. Conclusions: This study revealed differences with regard to fluid management among nurse anesthetists in a county in Sweden. For the assessments and subsequent measures that are carried out to ensure optimal fluid therapy, more research is needed to provide evidence, and evidence-based guidelines need to be developed in Sweden.
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| 27. |
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| 28. |
- Eriksson, Elisabet, 1971-, et al.
(författare)
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Preceptors' experiences of supervising internationally educated nurses attending a bridging program: An interview study
- 2023
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Ingår i: Nurse Education Today. - : Elsevier. - 0260-6917 .- 1532-2793. ; 131
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundInternationally educated nurses attending a bridging program must demonstrate clinical competence and meet requirements to apply for a nursing license in Sweden.ObjectivesTo describe preceptors' experiences of supervising internationally educated nurses undergoing clinical practice education during a bridging program.DesignA qualitative descriptive study.SettingsTwo universities offering the 1-year bridging program for nurses with a nursing degree from outside European Union/European Economic Area and Switzerland.ParticipantsFifteen preceptors, all registered nurses, who supervised internationally educated nurses were included.MethodsSemi-structured interviews were performed, and data were analyzed using qualitative content analysis.ResultsSupervising internationally educated nurses was not the same as supervising nursing students and raised feelings of both joy and frustration. Preceptors had to adapt supervision to the student's nursing knowledge and skills. They had to help students communicate in Swedish and form good relationships with other students, patients, and other professionals. Most preceptors requested more information about the student's nurse education, country of education/cultural background, and previous work experiences. Mixed experiences of support from the university, first-line managers, and colleagues were reported.ConclusionsBeing a preceptor for internationally educated nurses is a challenge, and supervision training is important for managing preceptorship. To supervise students based on their level of knowledge and skills, more information must be shared with the preceptor. Encounters with others are of importance in the training, where teamwork and person-centered care must be in focus, both in prior theoretical education and in clinical practice education.
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| 29. |
- Eriksson, Inger, 1952-, et al.
(författare)
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Algebraic developmental teaching an example from a grade one classroom
- 2014
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Konferensbidrag (refereegranskat)abstract
- The issue in this paper is grade one students´ emerging understanding of the equal sign in an algebraic meaning inspired by the Davydov curriculum. The mainstream understanding that young students must start with arithmetic, mainly through operations with quantity and numbers in order to develop both an understanding of numbers and to develop a pre-algebraic thinking has been questioned during the latest decades. What if the arithmetic foundations in the mathematics teaching in themselves create problems for some students in relation to developing and expanding a theoretical thinking and reasoning beyond concrete numeric operations? What if such problems hinder students to develop a more comprehensive understanding of numbers and different number systems; mathematical structures; symbols and models as tools for mathematical work? Vygotsky and his contemporary colleagues argued, as a numbers of researchers internationally, that through an early introduction to algebraic work and reasoning students are given the opportunity to develop a theoretical understanding that will function as a foundation for all kinds of arithmetic operations as well as for algebraic reasoning and problem-solving. This paper reports preliminary results from a pilotstudy in a Swedish grade one that indicates that students when working with assignments inspired by the Davydov programme gave examples of an algebraic reasoning in relations to the equal sign that students in the parallel class did not master. When students in an interview (3 month of project) were presented to expressions as A+B=C and M+N= P for the first time all but one of the 28 could, in relation to artefacts/signs, exemplify in a multiple ways the expressions and argue how they know if it was true or not. The parallel class (28) were introduced to the equal sign with numbers as presented in the textbook (algebraic traditions). When shown the expressions A+B=C only few students related that to a mathematics -most associated the expressions to the alphabet.
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| 30. |
- Eriksson, Inger, 1952-, et al.
(författare)
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Att introducera likhetstecken i ett algebraiskt sammanhang för elever i årskurs 1
- 2013
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Ingår i: Forskning om undervisning och lärande. - 2000-9674 .- 2001-6131. ; :10, s. 29-49
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Tidskriftsartikel (refereegranskat)abstract
- Artikeln bygger på data från forsknings- och utvecklingsprojektet (FoU) ”Utveckling av matematiskt tänkande – expanderande uppgifter i nybörjarundervisningen” där lärare från Skärsätra skola tillsammans med forskare från Stockholms universitet genomförde ett undervisningsexperiment i syfte att introducera algebra i nybörjarundervisningen.
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| 31. |
- Eriksson, Inger, 1952-, et al.
(författare)
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Designing algebraic tasks for 7-year-old students – a pilot project inspired by Davydov’s learning activity concept
- 2017
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Ingår i: International Journal for Mathematics Teaching and Learning. - 1473-0111. ; 18:2, s. 257-272
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Tidskriftsartikel (refereegranskat)abstract
- The issue of this article is to identify and discuss what conditions may be necessary to build into tasks to make it likely for students to be involved in an algebraic Learning Activity inspired by Davydov. Data from a pilot study was used in which a group of students (N=28) in grade 1 (7-year-olds) were invited to participate in discussions and laborations of how to decide whether two or more variables are equal or not, and making unequal “variables” equal by the help of measurement, abstract symbols and relational material. Three tasks were designed and from the analysis we will highlight five requirements for tasks that have the potential to enable students to engage in an algebraic learning activity.
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| 32. |
- Eriksson, Inger, 1952, et al.
(författare)
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The expansive learning cycle transformed into a tool for educational design
- 2017
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Ingår i: ISCAR 5th International Congress August 28th - September 1st 2017 Quebec, Canada.
-
Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- The aim of this presentation is to give an empirical example of what can be an indicator of transformative agency in a Change Laboratory (CL). The idea of a CL is to empower the participants to enable transformative agency and changes in their activity. The researchers are supposed to both provoke and sustain the work of the participants. We argue that the issue of agency – both relational and transformative – is of great importance in a CL but that sustaining participants’ agency is a demanding task. Furthermore, participants’ agency must be analysed empirically. A CL-project at the Swedish Manilla-school (grades 1-10), a special school for students with impaired hearing aimed at qualifying math-teaching. The team consisted of teachers in all grades and a group of researchers. The researchers produced mirror data. The teachers prepared themselves by reading the epistemology underpinning the national curriculum. At the end of the project, teachers created a new way of using the expansive learning cycle and the process of change laboratory, fit for their purposes, for designing, developing and assessing their math-teaching. This we see as an indicator of a transformative agency
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| 33. |
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| 34. |
- Florin, Jan, et al.
(författare)
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A comparison between the ICNP and the ICF for expressing nursing content in the electronic health record
- 2021
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Ingår i: International Journal of Medical Informatics. - : Elsevier BV. - 1386-5056 .- 1872-8243. ; 154
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Tidskriftsartikel (refereegranskat)abstract
- Background: The use of standardised terminologies for electronic health records (EHRs) is important and a sufficient coverage of all aspects of health care is increasingly being developed worldwide. The International Classification of Functioning, Disabilities and Health (ICF) is suggested as a unifying terminology suitable in a multi-professional EHR, but the level of representation of nursing content is unclear. Objectives: The aim was to describe lexical and semantic accordance in relation to comprehensiveness and granularity of concepts between the International Classification of Nursing Practise (ICNP) and the ICF. Methods: 806 pre-coordinated concepts for diagnoses and outcomes in the ICNP terminology were manually mapped to 1516 concepts on level 4-6 in the ICF. Results: Several dimensions of nursing diagnoses and outcomes in the ICNP were missing in the ICF. 60% of the concepts for diagnosis and outcome in the ICNP could not be stated using the ICF while another 31% could only be matched either as a subordinate or as a superordinate concept. Conclusions: The lexical and semantic accordance in relation to comprehensiveness and granularity between concepts in the ICNP and ICF was rather low. A large proportion of concepts for diagnoses and outcomes in the ICNP could not be satisfactorily stated using the ICF. Standardised terminologies rooted in a nursing tradition (e. g., the ICNP) is needed for communication and documentation in health care to represent the patient's health situation as well as professional diagnostic decisions and evaluations in nursing.
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| 35. |
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| 36. |
- Fors, Andreas, 1977, et al.
(författare)
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Effects of a person-centred telephone-support in patients with chronic obstructive pulmonary disease and/or chronic heart failure - A randomized controlled trial
- 2018
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Ingår i: PLOS ONE. - : Public Library of Science (PLoS). - 1932-6203. ; 13:8
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Tidskriftsartikel (refereegranskat)abstract
- To evaluate the effects of person-centred support via telephone in two chronically ill patient groups, chronic obstructive pulmonary disease (COPD) and/or chronic heart failure (CHF). 221 patients ≥ 50 years with COPD and/or CHF were randomized to usual care vs. usual care plus a person-centred telephone-support intervention and followed for six months. Patients in the intervention group were telephoned by a registered nurse initially to co-create a person-centred health plan with the patient and subsequently to discuss and evaluate the plan. The primary outcome measure was a composite score comprising General Self-Efficacy (GSE), re-hospitalization and death. Patients were classified as deteriorated if GSE had decreased by ≥ 5 points, or if they had been re-admitted to hospital for unscheduled reasons related to COPD and/or CHF or if they had died. At six-month follow-up no difference in the composite score was found between the two study groups (57.6%, n = 68 vs. 46.6%, n = 48
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| 37. |
- Forsman, Henrietta, et al.
(författare)
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Clusters of competence: Relationship between self-reported professional competence and achievement on a national examination among graduating nursing students
- 2020
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Ingår i: Journal of Advanced Nursing. - Hoboken, NJ : John Wiley & Sons. - 0309-2402 .- 1365-2648. ; 76:1, s. 199-208
-
Tidskriftsartikel (refereegranskat)abstract
- AimsTo identify clusters based on graduating nursing students’ self‐reported professional competence and their achievement on a national examination. Furthermore, to describe and compare the identified clusters regarding sample characteristics, students’ perceptions of overall quality of the nursing programme and students’ general self‐efficacy.DesignA cross‐sectional study combining survey data and results from a national examination.MethodsData were collected at two universities and one university college in Sweden in January 2017, including 179 students in the final term of the nursing programme. The study was based on the Nurse Professional Competence Scale, the General Self‐Efficacy scale and results from the National Clinical Final Examination. A Two‐Step Cluster Analysis was used to identify competence profiles, followed by comparative analyses between clusters.ResultsThree clusters were identified illustrating students’ different competence profiles. Students in Cluster 1 and 2 passed the examination, but differed in their self‐assessments of competence, rating themselves under and above the overall median value respectively. Students in Cluster 3 failed the examination but rated themselves at the overall median level or higher.ConclusionThe study illustrates how nursing students’ self‐assessed competence might differ from competency assessed by examination, which is challenging for nursing education. Self‐evaluation is a key learning outcome and is, in the long run, essential to patient safety.ImpactThe study has identified clusters of students where some overestimate and others underestimate their competence. Students who assessed their competence low but passed the exam assessed their general self‐efficacy lower than other students. The findings illuminate the need for student‐centered strategies in nursing education, including elements of self‐assessment in relation to examination to make the students more aware of their clinical competence.
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| 38. |
- Forsner, Maria
(författare)
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Att vara barn i sjukdom och sjukvård : barns berättelser om sina upplevelser av sjukdom och sjukvårdsrädsla
- 2006
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The overarching aim of this thesis is to illuminate the experience of illness and the meaning of fear of medical care through children’s narratives. A purposive sample of 22 children and youths, aged from 2 to 18 years, narrated through play and conversation their experiences of illness and of their fear of contact with medical care. The data were analysed using thematic qualitative content analysis and the phenomenological hermeneutic method. In childhood, the experience of being ill seems to vary with the child’s age. At the ages of 7 to 10 years, the child’s way of thinking can colour the experience;imagination can produce both problems and opportunities. Children seem to combine imagination and reality, and contrasts in the experience coexist such as being scared/confident, sad/cosy and hurt/having fun. At the age of 11 to 18,being ill seemed to imply being lost, hurt and in need of comfort from themselves and others. Medical care can be frightening to children and what is fearful can differ with age. To a 2-year-old child, medical care seemed to be dangerous; to children aged 7 to 11 years, it seemed threatening, like a monster. To the 2-year-old child, there seemed to be a conflict between, on the one hand, living up to expectations by ‘being good’ and hiding their feelings or, on the other hand, communicating their fear. The narrations by children in the 7–11 year age group, point to the importance of empathy when caring for children, i.e., to be receptive of the child’s fear in order to help the child through and out of the fear. To be afraid for a two-yearold was to have one’s trust broken yet still be searching for a trustful relationship. However, if the child is received along with the fear, this opened up an opportunity for the child to develop courage and to gain control over the fear when under gentle care. The results of this research revealed the possibility of using play to create stories in a creative relationship with the child. To express one’s inner feeling is a gift of trust, a gift of hospitality. Thus when caring for children we can be the ones who are receiving that gift. We can accept the offer of being a guest in the child’s world.
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| 39. |
- Hammer-Olsson, Roy, et al.
(författare)
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Method of purifying potassium hydroxide
- 2007
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Patent (populärvet., debatt m.m.)abstract
- Method of purifying potassium hydroxide comprising (a) providing a solution of saturated potassium hydroxide solution having a temperature in the range from about -25 to about 60 0C (b) controling the temperature of the solution in such a way that the variation in temperature is in a range from about 0 to about 5 °C/h to form crystals of potassium hydroxide (c) separating the crystals from the solution.
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| 40. |
- Hanberg, Annika, et al.
(författare)
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Phthalates and their metabolites in human breast milk, blood and urine as measures for monitoring exposure in human risk groups
- 2005
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- För att undersöka halter av ftalater i svenskar och vilken matris som bäst lämpar sig för hälsorelaterad miljöövervakning har ftalater och ftalatmetaboliter analyserats i en grupp kvinnor som nyligen fött barn. I samband med förlossning på Universitetssjukhuset i Lund tillfrågades förstföderskor om medverkan och 42 kvinnor kom att ingå i studien. När barnet var 2-3 veckor gammalt pumpade mamman ut 50 mL bröstmjölk. Blod- och urinprov togs en vecka senare. Omfattande förändringar av standardmetoder för provtagning av mjölk och blod gjordes för att minimera risken för kontaminering av proverna. För mjölkprovtagningen användes en specialkonstruerad manuell pump av polykarbonat med ftalatfri packning. Blodprov togs med hjälp av endast kanyl och provrör (eftersom propparna i vaccutainrör innehåller ftalater). Proverna förvarades i värmebehandlade glasbehållare och fosforsyra tillsattes för att motverka metabolism av ftalater i mjölk- och blodprover. Analyserna av bröstmjölk visade värden nära eller under detektionsgränsen (LOD) för flertalet ftalater eller deras metaboliter. Även i blod och serum var nivåerna vanligtvis nära eller under LOD. I urin analyserades endast metaboliter och dessa kunde kvantifieras i 53-100 % av proverna. Nivåerna av ftalatmetaboliter i urin hos de svenska kvinnorna var i paritet med nivåerna hos en allmänbefolkning i USA och Tyskland. Några klara korrelationer mellan nivåer i t ex urin och bröstmjölk respektive blod påvisades inte. Resultaten av studien anger att för närvarande är analys av ftalatmetaboliter i urin den mest framkomliga vägen för skattning av ftalatexponering hos människa. Provtagning och analys av mjölk och blod innebar betydligt större svårigheter. Framför allt framstår risken för kontaminering vid provtagning som betydande och en stor del av ftalaterna och dess metaboliter uppvisade låga halter, vid eller under LOD. Dessutom kan ftalater brytas ned i blod och mjölk. I flertalet internationella publicerade studier av ftalatexponering används urinmetabolit-analyser som ett mått på exponering för ftalater. I en nyligen publicerad amerikansk studie av ett 80-tal nyfödda pojkar sågs ett samband mellan kort ano-genitalt avstånd och nivåer av ftalatmetaboliter i urin hos deras mammor under graviditeten. Den amerikanska studien behöver bekräftas, men metaboliterna var desamma som i vår studie och en jämförelse visar att mediannivåerna var lägre för vissa men högre för andra metaboliter. Vår studie indikerar att svenska kvinnor i fertil ålder inte sällan exponeras för ftalater i nivåer som satts i samband med fosterpåverkan.
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| 41. |
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| 42. |
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| 43. |
- Hyltbäck, Ida, et al.
(författare)
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Study on Treatment of Atrial Fibrillation Care at Nurse Based Clinics in Sweden
- 2014
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Ingår i: Nordic Journal of Nursing Research. - : SAGE Publications. - 0107-4083 .- 2057-1593 .- 2057-1585. ; 34:3, s. 14-17
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Tidskriftsartikel (refereegranskat)abstract
- Aim: The aim of the study was to illuminate activities at nurse- based atrial fibrillation/arrhythmia clinics in Sweden. Background: Atrial fibrillation is the most common cause of arrhythmia and it is expected that the number of patients with atrial fibrillation will continue to increase. It has been shown that in-patient care can be reduced by following up these patients using guidelines at a nurse-based clinic. The patients were better informed about their illness and guidelines were more comprehensively implemented. Method: An interview study with a descriptive approach and telephone interviews based on a questionnaire with quantitative and qualitative questions was carried out with staff from 14 clinics. Findings: The results show that patients with atrial fibrillation were treated using the recommended guidelines, but the inclusion criteria for this population differed among clinics. Patients with atrial fibrillation are in need of structured follow-up and designated support. Conclusion: Nurse-based clinics for patients with atrial fibrillation are not yet common in Sweden. The results of the study indicate that more atrial fibrillation/arrhythmia clinics should be started, and show how structured care at the clinics should be implemented.
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| 44. |
- Högstedt, Denice, et al.
(författare)
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Attending a bridging program to obtain a Swedish nursing license: An interview study with internationally educated nurses
- 2021
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Ingår i: Nurse Education Today. - : Elsevier BV. - 0260-6917 .- 1532-2793. ; 99
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Tidskriftsartikel (refereegranskat)abstract
- Background: Bridging programs have been created to facilitate internationally educated nurses? integration process. Thus far, studies on bridging programs have been few and have only been conducted in English-speaking countries. Due to language barriers, it may be a greater challenge to attend a bridging program in a non-Englishspeaking country. Objectives: The aim was to examine internationally educated nurses? experience of attending a one-year bridging program to obtain a Swedish nursing license. Design: A qualitative study with a descriptive design was applied. Settings: The study setting was the five universities offering the one-year, full-time Swedish bridging program. Participants: Purposive sampling was used. Eighteen nurses participated in the study at the end of the program. Methods: Semi-structured interviews were conducted and analyzed using qualitative content analysis. Results: Studying in a new environment and language was challenging and intensive, as were adapting to a new healthcare system and relearning some nursing practices. However, attending the bridging program was also rewarding and gave feelings of happiness and pride; the nurses developed their nursing skills as well as their language and academic skills. Moreover, they became familiar with Sweden?s nursing practices, healthcare system, and culture. Good support was important, but not always enough. Conclusions: By attending a bridging program, nurses can become familiar with the country?s healthcare system and nursing practices. Moreover, develop their language skills and attain skills important to lifelong learning. Although the program may not eliminate all difficulties nurses often experience in a new country, it can offer the support nurses need to handle the challenges. However, for some nurses, due to different backgrounds and prerequisites, the support offered may need to be more individualized.
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| 45. |
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| 46. |
- Högstedt, Denice, et al.
(författare)
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Nurses' experiences of a recertification process involving a series of examinations to obtain a nursing license in a new country
- 2021
-
Ingår i: Journal of Advanced Nursing. - : Wiley. - 0309-2402 .- 1365-2648. ; 77:12, s. 4876-4886
-
Tidskriftsartikel (refereegranskat)abstract
- Aim To examine internationally educated nurses' (IENs') experiences of the recertification process when undergoing a series of examinations to test their nursing knowledge and skills and, thereby, obtain a Swedish nursing license. Design A qualitative study with a descriptive design. Methods A convenience sample of 15 IENs at the end of the recertification process was included. Data were collected using semi-structured telephone interviews between September 2019 and January 2021 and analysed using qualitative content analysis. Results Conducting the recertification process to obtain a Swedish nursing license was challenging in many ways, and the nurses described a rollercoaster of emotions during the process: frustration, loneliness, stress and anxiety, but also happiness, pride and relief. The process was, for some, so demanding they almost gave up, and support was, therefore crucial for the nurses. However, many times, they had to struggle to find out where they could turn for help or guidance. Conclusion The nurses found the formal support during the recertification process to be inadequate and inaccessible. For this reason, and to decrease the risk of nurses dropping out and instead taking unlicensed jobs, there is a need to develop and introduce more supportive structures and to make the existing support and information more accessible for the nurses. Impact This study highlights the importance of offering accessible support during a demanding and challenging recertification process. These findings can help policymakers develop and introduce supportive structures in the process of recertification for IENs.
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| 47. |
- Högstedt, Denice, et al.
(författare)
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Self-rated professional competence and well-being at work after obtaining a Swedish nursing license: A longitudinal mixed-methods study of internationally and domestically educated nurses
- 2024
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Ingår i: International Journal of Nursing Studies. - : Elsevier. - 0020-7489 .- 1873-491X. ; 157
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundAn inclusive workplace is where everyone is supported to thrive and succeed regardless of their background. Supportive working conditions and general self-efficacy have been found to be important for nurses' perceived competence and well-being at work, however, in the context of being a nurse in a new country, research is limited. Moreover, knowledge is lacking about whether different paths to a nursing license are related to nurses' perceived competence and well-being when working.ObjectiveTo examine determinants and experiences of nursing competence and well-being at work (thriving and stress) among internationally and domestically educated nurses.DesignA longitudinal descriptive and correlational design with a mixed-methods convergent approach was used.MethodsA longitudinal study was conducted between January 2019 and June 2022 with two groups of internationally educated nurses who had completed a bridging program or validation to obtain a Swedish nursing license and one group of domestically newly educated nurses. Data were collected on three occasions: Time1 at the end of the nursing licensure process (n = 402), Time2 after three months (n = 188), and Time3 after 12 months (n = 195). At Time3, 14 internationally educated nurses were also interviewed. Data were analyzed separately and then interpreted together.ResultsMultiple regression models showed that greater access to structural empowerment (B = 0.70, 95 % CI [0.31; 1.08]), better cooperation (B = 3.76, 95 % CI [1.44; 6.08]), and less criticism (B = 3.63, 95 % CI [1.29; 5.96]) were associated with higher self-rated competence at Time3, whereas the variable path to a nursing license was non-significant (R2 = 49.2 %). For well-being, greater access to structural empowerment (B = 0.07, 95 % CI [0.02; 0.12]), better cooperation (B = 0.36, 95 % CI [0.07; 0.66]) and being domestically educated (B = 0.53, 95 % CI [0.14; 0.92]) were associated with higher thriving at work (R2 = 25.8 %). For stress, greater access to structural empowerment (B = − 0.06, 95 % CI [− 0.09; − 0.02]), better cooperation (B = − 0.30, 95 % CI [− 0.51; − 0.10]), and less criticism (B = − 0.28, 95 % CI [− 0.46; − 0.05]) were associated with having symptoms less frequently while being domestically educated was associated with having stress symptoms more often (B = 0.44, 95 % CI [0.07; 0.81]) (R2 = 43.3 %). Higher general self-efficacy at Time1 was associated with higher self-rated competence at Time2 (B = 4.76, 95 % CI [1.94; 7.59]). Quantitative findings concurred with findings from interviews with internationally educated nurses. However, qualitative findings also highlighted the importance of previous education, working experience, the new context, and communication abilities.ConclusionsBoth quantitative and qualitative data showed that working conditions were important for nurses' self-rated competence and well-being at work. Although communication difficulties, previous education, and working experience were not statistically significant in the multiple regression models, in the interviews these factors emerged as important for internationally educated nurses' competence and well-being.
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| 48. |
- Högstedt, Denice, et al.
(författare)
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Three paths to a Swedish nursing license: Two for internationally educated nurses and one for regular nursing students – A cross-sectional study of self-rated professional competence, self-efficacy, and thriving
- 2022
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Ingår i: Nurse Education Today. - : Elsevier BV. - 0260-6917 .- 1532-2793. ; 119
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Tidskriftsartikel (refereegranskat)abstract
- Background: Bridging programs are offered to support migrated nurses, but in some countries, nurses can also choose to validate their nursing competence. Thus far, little is known about how migrated nurses estimate their competence when they are about to enter working life in a new country and how this differs from regular nursing students. Objective: To compare two groups of internationally educated nurses' – those from bridging programs and those who chose validation – and one group of regular nursing students' self-rated professional competence when they are about to start working as registered nurses. The hypotheses were: 1) internationally educated nurses rate their competence higher than regular nursing students and 2) those from bridging programs rate their competence higher than those who chose validation. In addition, the aim was to compare the groups' self-efficacy and thriving. Design: A cross-sectional, comparative design. Settings: Five universities in Sweden. Participants: Nurses educated in non-European countries from a bridging program (n = 128, response rate 79.0 %) or validation process (n = 61, response rate 59.2 %) and students graduating from the regular nursing program (n = 213, response rate 68.3 %). Methods: Data were collected with coded questionnaires (paper or online) between 2019 and 2021 and analyzed using non-parametric tests, e.g., Kruskal-Wallis. Results: Both groups of internationally educated nurses had higher median scores on total nursing competence (both groups p < 0.001), general self-efficacy (bridging programs p < 0.001, validation p = 0.020), and total thriving (bridging programs p < 0.001, validation p = 0.012) than regular nursing students did. However, comparing the groups of internationally educated nurses showed no significant differences. Conclusion: Internationally educated nurses rated their competence high but with differences within the groups for different competence areas. More research is needed to investigate whether the different paths are important for nurses' competence later in working life, and some of the competence areas might need extra attention when nurses start working. © 2022 The Authors
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| 49. |
- Jansson, Anders, 1951-
(författare)
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"Nästan som en författare" - multimedialt berättande : Utforskande av lärande om och i berättande med inspiration från Vygotskij
- 2011
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- This thesis builds on an interest in teaching that enables learning for all children, including children with disabilities. The work is founded in a theoretical perspective on teaching and learning and respectively research practices based on Lev S. Vygotsky’s cultural-historical ideas of learning and development as emerging in zone(s) of proximal development. The aim of this thesis is to identify and comprehensively analyze learning processes that emerge while four students (boys), diagnosed with autism, create stories based on a cultural model of narration using multimedia software tools. A second aim is to try out a collaborative research model that enables the study of learning processes in a teaching practice. The thesis is based on a case study designed as a collaborative research project in a small, primary class in a Swedish compulsory school. The researcher and the teacher collaboratively designed and carried out assignments on narration concurrently served as experiments with cultural tools. The total material comprise over 30 hours of videotape and more than 30 digital stories/artefacts. Consequently the analysis is mainly based on video recordings and students’ multimedia stories. Four storytelling projects: Digital puppets, The Knight and the Princess, The Magical Necklace, and a Time Travel to the Middle Age, are analyzed sequentially highlighting changes in the learning and development. Key themes in the analysis are: The emergence and expansion of learning in a playful narrative community; The learning and development emerging in the interplay of explicit conscious narrative structure and everyday experience; The possibilities for creative and imaginative storytelling in different modalities. The discussion highlights narrative processes in the interplay of various cultural tools as a possibility in enabling important aspects of learning and cultural development. A key result is the potential for expansive learning in multi-faceted enabling educational activities. The learning and development emerging in storytelling, the becoming, was highlighted when one of the students expressed himself “almost as a writer”.
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| 50. |
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