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- Ivarsson, Jonas, 1976, et al.
(författare)
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Arranging for better learning opportunities in radiology
- 2015
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Ingår i: Optimisation in X-ray and Molecular Imaging 2015 - the Fourth Malmö Conference on Medical Imaging, Gothenburg, Sweden, 28-30 May 2015.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Purpose: The study provides an example on how it is possible to design environments at the workplace that could meet learning demands implied by the introduction of novel imaging technologies in radiology (in this case tomosynthesis). The innovative aspect of this design does not result from the implementation of any specific tool for learning. Instead, advancement is achieved by a novel set-up of existing imaging technologies. Based on a number of pedagogical principles, we developed what we call a Technology enhanced Learning Session (TLS), an interactive format that allows for focused discussions between learners with different levels of expertise. Method: Interactions during a TLS were videotaped and later analysed using interaction analysis. We did not seek to explain factors affecting learning, but rather identify qualities of the arrangement that presented opportunities for professionally meaningful forms of action, i.e. enabling conditions of the TLS for displaying knowledge on how to judge radiological section images produced by the novel technology. Results: Based on the analysis we propose three principles to be considered when designing learning environments for teaching professional modes of reasoning in radiology: First, the ways in which participants with different levels of experience interact and communicate have a large impact on the outcome of the activity. By publicly displaying records of the participants’ individual assessments everyone can become involved and mistakes become dissected rather than hidden. Second, experts working on authentic cases give prominence to case specific details, disambiguation practices, and several dimensions of variation (in representations, anatomy, pathology etc.). Professional modes of reasoning, when being made publically visible, operate as instructions. Third, participants should be given shared access to visual materials: Given different setups, participants will have different possibilities of establishing shared references and partake in reasoning that build on visual details. As we have seen, the observers’ ability to notice, discuss, and investigate particular features of the radiological images became a necessary requirement for the accomplishment of their collaborative work. Conclusions: The study points to what we see as the underexplored possibilities of tailoring basic and specialist training that meets the new demands given by novel imaging technologies in radiology.
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| 2. |
- Ivarsson, Jonas, 1976, et al.
(författare)
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The application of improved, structured and interactive group learning methods in diagnostic radiology
- 2016
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Ingår i: Radiation Protection Dosimetry. - : Oxford University Press (OUP). - 0144-8420 .- 1742-3406. ; 169:1-4, s. 416-421
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Tidskriftsartikel (refereegranskat)abstract
- This study provides an example on how it is possible to design environments in a diagnostic radiology department that could meet learning demands implied by the introduction of new imaging technologies. The innovative aspect of the design does not result from the implementation of any specific tool for learning. Instead, advancement is achieved by a novel set-up of existing technologies and an interactive format that allows for focussed discussions between learners with different levels of expertise. Consequently, the study points to what is seen as the underexplored possibilities of tailoring basic and specialist training that meet the new demands given by leading-edge technologies.
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| 3. |
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| 4. |
- Almén, Anja, 1964, et al.
(författare)
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OPTIMISATION OF OCCUPATIONAL RADIATION PROTECTION IN IMAGE-GUIDED INTERVENTIONS: EXPLORING VIDEO RECORDINGS AS A TOOL IN THE PROCESS
- 2016
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Ingår i: Radiation protection dosimetry. - : Oxford University Press (OUP). - 1742-3406 .- 0144-8420. ; 169:1-4, s. 425-429
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Tidskriftsartikel (refereegranskat)abstract
- The overall purpose of this work was to explore how video recordings can contribute to the process of optimising occupational radiation protection in image-guided interventions. Video-recorded material from two image-guided interventions was produced and used to investigate to what extent it is conceivable to observe and assess dose-affecting actions in video recordings. Using the recorded material, it was to some extent possible to connect the choice of imaging techniques to the medical events during the procedure and, to a less extent, to connect these technical and medical issues to the occupational exposure. It was possible to identify a relationship between occupational exposure level to staff and positioning and use of shielding. However, detailed values of the dose rates were not possible to observe on the recordings, and the change in occupational exposure level from adjustments of exposure settings was not possible to identify. In conclusion, the use of video recordings is a promising tool to identify dose-affecting instances, allowing for a deeper knowledge of the interdependency between the management of the medical procedure, the applied imaging technology and the occupational exposure level. However, for a full information about the dose-affecting actions, the equipment used and the recording settings have to be thoroughly planned.
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| 5. |
- Cerna, Katerina, 1986, et al.
(författare)
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Supporting self-management of radiation-induced bowel and bladder dysfunction in pelvic-cancer rehabilitation: An ethnographic study
- 2019
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Ingår i: Journal of Clinical Nursing. - : Wiley. - 0962-1067 .- 1365-2702. ; 28:13-14, s. 2624-2634
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Tidskriftsartikel (refereegranskat)abstract
- © 2019 John Wiley & Sons Ltd Aims and objectives: To describe and understand strategies that oncological nurses use to support self-management of radiation-induced bowel and bladder issues in pelvic-cancer rehabilitation patients. Background: Nurse-led self-management of radiation-induced bowel and bladder issues holds the potential to support cancer survivors. Design: An ethnographic approach was applied in this study, which adhered to Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines. Methods: Data collection was conducted in Sweden between October 2015–April 2018, involving observations of nurses’ daily work, formal and informal interviews, individual and group interviews, and reviews of relevant documents used in the studied practice. Furthermore, 15 supportive nurse–patient talks were observed, and an ethnographic analysis was performed. Results: The analysis identified the following three categories of nursing strategies that support self-management of radiation-induced bowel and bladder issues in pelvic-cancer rehabilitation patients: encouraging self-reflection, tailoring solutions together and keeping patients motivated. Nurses and patients jointly make sense of patients’ symptoms using data that patients collect about themselves. Based on their shared understanding, they can co-create solutions to meet each individual patient's needs and develop routines to keep the patient motivated in performing the devised solutions. Conclusions: The results indicate that the strategies nurses use to support patients in self-management of radiation-induced bowel and bladder issues entail intertwining patients’ experiences with their nurses’ medical knowledge and specific clinical practice. Nurses’ strategies build on their ability to connect patients’ experiences and the elements of their own work practice. Relevance to clinical practice: A deeper understanding of nurses’ strategies to support self-management of radiation-induced bowel and bladder issues in pelvic-cancer rehabilitation patients can improve other self-management programmes, inform nurses’ education and aid in the design of tools for pelvic-cancer rehabilitation support.
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| 6. |
- Fjeldstad, Erling, 1949, et al.
(författare)
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Intersubjectivity in hypnotic interaction
- 2017
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Ingår i: Intersubjectivity in Action. 11th – 13th May 2017, University of Helsinki, Finland.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Despite the dubious reputation of hypnosis, there is now a large body of research that investigates how hypnosis can be used to reduce patients’ experience of pain. By closely analysing three video recorded quasi-naturalistic cases of hypnosis for pain relief, this study takes an interest in how hypnosis is interactionally organized and practically accomplished. A central question is how intersubjectivity is established and maintained in the different phases of the hypnosis. The hypnotic interaction predominately consists of the hypnotist formulating various instructions (by telling, proposing, suggesting, or asking) directed to the persons being hypnotized. In line with this, the sequence organization could be described as a series of adjacency pairs, consisting of a verbal instruction, followed by an attempt to follow the instruction and with occasional expansions. In the beginning of the session, the instructions are mostly directed to actions in the external world where the hypnotist instructs the persons being hypnotized to move their body in certain ways. As the session progresses, the instructions turn from physical actions towards the ability to imagine certain situations, activities, or states. As a result, the visual access to responding actions are highly restricted. Given this lack of visual access, how is the hypnotist finding interactional evidence of the hypnotized person being able to follow the instructions? It is possible for the hypnotist to observe minute changes in body posture, breathing, and the relaxation of limbs, but what does this say about the hypnotic state of the other person? Questions pertaining to intersubjectivity, are not only relevant as analytic concerns, but remain central tasks for the participants. How to establish and share the hypnotic experience then, is here cast as a setting’s problem and its resolution, by way of its local interactional organization, could be telling vis-a-vis a more general interest in intersubjectivity-in-action.
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| 7. |
- Gow, Marcelyn, 1966, et al.
(författare)
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Architecture in the penumbra
- 2015
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Ingår i: In Sheppard, Lola & Ruy, David (Eds.), The expanding periphery and the migrating center.. - Washington, DC : ACSA Press. - 9780935502954 ; , s. 324-332, s. 324-332
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Bokkapitel (refereegranskat)
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| 8. |
- Ivarsson, Jonas, 1976, et al.
(författare)
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Actions carried by person mentions in design interaction
- 2015
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Ingår i: 2nd Loughborough Categories and Identities in Interaction seminar, Loughborough, July 2.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- The work looks at the interaction of a small group of architectural design researchers whose work has been documented for over two years. The analysis begins with the noticing of the frequent mentioning of other artists and designers. We take an interest in the design-work enabled by this practice. By inspecting the materials with an eye towards the separation between “doing referring” and “doing categorization” we find proper names to be a richer resource than previously discussed, figuring, not only as primary references to persons, but also in the action of doing referring to objects, projects places, or indexing general principles or styles.
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| 9. |
- Ivarsson, Jonas, 1976, et al.
(författare)
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Design Imaginaries. Knowledge transformation and innovation in experimental architecture
- 2017
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Ingår i: Mind, Culture and Activity. - : Informa UK Limited. - 1074-9039 .- 1532-7884. ; 24:1, s. 67-80
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Tidskriftsartikel (refereegranskat)abstract
- This article tracks the work of a group of architectural researchers and treats their experimental practices as vantages for analyzing the social production and transformation of architectural knowledge. This requires first examining the role of so-called design imaginaries, or modes of prototyping and analysis, which these researchers draw on to explore wider theoretical questions, as well as to test varying theories and hypotheses. It also includes examining how seemingly contradictory design concepts figure into their creative work, which we argue hold theoretical resonance with Gregory Bateson’s ideas on Learning III and Yrjö Engeström’s notion of expansive learning.
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