| 1. |
- Gustafsson, Tanja, PhD student, 1980-, et al.
(författare)
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An educational intervention to improve communication skills in home care – a feasibility study
- 2022
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Konferensbidrag (refereegranskat)abstract
- An educational intervention to improve communication skills in home care – a feasibility studyBackgroundAn educational intervention focused on person-centred communication with older persons in home care was developed. Twenty-three nursing assistants (NAs) from two home care units were offered the intervention. This feasibility study was conducted to capture benefits and pit falls with study processes before large scale interventions, such as acceptability and appropriateness of evaluation methods.AimTo explore the feasibility of proposed methods for evaluating a novel educational intervention on person-centered communication for NAs in home care.MethodFeasibility study with pre- and post-assessments, including evaluation of data collection procedures, completion rates, and missing data for two questionnaires: Self-efficacy Questionnaire measuring communication skills and Measure of Job Satisfaction. Descriptive and statistical analysis was conducted. ResultsThe results showed a completion rate of 83% and 61% in pre- and post-assessment respectively, and a low proportion of missing data. The questionnaires were feasible and acceptable for NAs to complete and understand. Stress due to staff shortages and high workload negatively affected NAs’ participation in data collection. Overall, NAs rated their communication skills as high with a tendency towards higher communication self-efficacy after the intervention, however, this difference was not statistically significant. Job satisfaction remained unchanged pre- and post-intervention.ConclusionLow follow-up rates suggest that the data collection procedures need refinement. Although the outcomes are preliminary at this point, they indicate a ceiling effect in NAs’ self-efficacy ratings. The ceiling effect limits possibilities for improvement and suggests that studies with a larger sample is needed.Implications for caring in a changing worldIn a changing world, where a rapid aging population challenges home care services, there is a need for innovative interventions that support and strengthen health care professionals’ communication skills, aiming at improving older persons’ well-being This study contributes with knowledge to the complexity of developing and evaluating complex interventions on communication in home care.
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| 2. |
- Gustafsson, Tanja, PhD student, 1980-, et al.
(författare)
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Communication in home care—A feasibility study of an educational intervention in self‐efficacy and job satisfaction
- 2023
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Ingår i: Nursing Open. - : John Wiley & Sons. - 2054-1058. ; 10:3, s. 1375-1382
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Tidskriftsartikel (refereegranskat)abstract
- AimTo explore the feasibility of evaluating a novel educational intervention on person-centered communication for nursing assistants (NAs) in home care.DesignA feasibility study with pre- and post-assessments.MethodsFeasibility was assessed pre- and post-intervention, including evaluation of data collection procedures, completion rates and missing data in two questionnaires: Self-efficacy Questionnaire measuring communication skills and Measure of Job Satisfaction, analysed descriptively and statistically.ResultsThe questionnaires were feasible and acceptable for the NAs to complete and understand. The pre- and post-assessments showed 83% and 61% completion rates, respectively, and a low proportion of missing data. Barriers for not participating in data collection were stress caused by staff shortages and high workload. Preliminary analysis of the questionnaires showed no significant difference pre- and post-intervention, even though an overall tendency of increased communication self-efficacy was observed. The NAs' self-efficacy ratings also revealed a ceiling effect.
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| 3. |
- Gustafsson, Tanja, PhD student, 1980-, et al.
(författare)
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Walk a fine line between meaningfulness or discomfort : the complexity of emotional communication
- 2022
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Konferensbidrag (refereegranskat)abstract
- Background: The home care of older persons includes inter-personal interactions and communication needed to care for and respond to diverse needs of older people. Previous research has focused on emotional expressions of older persons and responses by nursing staff. Research on the meaning of the interaction in these sequences is sparse. Therefore, the aim of this study was to illuminate the meaning attached to sequences of emotional communication and the interaction during these sequences between older persons and nursing assistants during home care visits.Methods: A descriptive observational design was used. The data consisted of 44 audio recordings of real-life conversations between older persons and nursing assistants during home care visits. A hermeneutic phenomenological analysis was conducted.Findings: Preliminary results indicate sequences of emotional communication being a window of opportunities. The interaction that followed were linked to dual and sometimes incongruent meanings. Expressions being actively blocked or ignored could cause an increase of unpleasant emotions or distract away from negative feelings. Simultaneously, such conversations could both ease or add to the complexity of the interaction and communication. Conversations elaborating on the older persons’ emotions seemed to instill trust and create meaningfulness, at the same time as these situations contained unpleasant moments with sad or angry feelings. The risk for discomfort in these sequences could threaten the trust in the relationship.Discussion: Conversations on older persons worries can be complex: the findings point to a fine line between meaningfulness and distress in these sequences. Unpleasant emotions call for attention and caution, these may need to be noticed at the same time as they cannot be forced out.
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| 4. |
- Hylving, Lena, 1974-, et al.
(författare)
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Ratio and Intellectus : Towards a conceptual framework for understanding human and artificial intelligence
- 2022
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Ingår i: Digitization for the next generation. - : Association for Information Systems. - 9781958200049
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Konferensbidrag (refereegranskat)abstract
- This paper uses the pre-renaissance philosopher Nicolas Cusanus (1401-1464) and his concepts of ratio (calculating rationality) and intellectus (a relation to not-knowing) to assist in understanding the differences between human and artificial intelligence. The intention is to contribute to the ongoing discussions and debate pertaining to AI implementation and use, arguing that philosophy can be of ample use when it comes to understanding different types of intelligence in the digital world. The presented conceptual framework outlines the human and the artificial intelligence in terms of their characteristics in relation to Cusa's ratio and intellectus. This helps to apprehend the different forms of intelligence and, more specifically, their strengths and how they operate.
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| 5. |
- Höglander, Jessica, et al.
(författare)
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Implementing A person-centred CommunicaTION (ACTION) educational intervention for in-home nursing assistants – a study protocol
- 2023
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Ingår i: BMC Geriatrics. - : BioMed Central (BMC). - 1471-2318. ; 23:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: In this study, the focus is on how to support the competence development needed for nursing assistants in home care. Home care services for older persons can be challenging concerning the nature of the interpersonal interaction and communication needed to care for and respond to the diverse needs of older people who seek to live well in our communities. This implies a need to offer more person-centred care (PCC) to older persons. However, there is a lack of knowledge on how to develop such competence. We, therefore, developed A Person-centred CommunicaTION (ACTION) programme, which is a web-based educational intervention aimed at supporting competence development for nursing assistants. The research objective is to evaluate the ACTION programme with respect to participants’ responses to and the effect of the intervention. Methods: A multicentre case–control study with pre- and post-assessments was designed. The ACTION programme will be implemented at home care units, in two different geographic areas in Sweden. A total of 300 nursing assistants will be recruited: 150 for the intervention group and 150 for the control group. We will evaluate the impact measures and the process. Pre- and post-assessments will be performed with data collected via a) audio recordings of communication, b) a questionnaire on self-efficacy communication skills, PCC, empathy and job satisfaction, c) user data, evaluation forms, field notes and observations, and d) interviews. The data will be analysed with descriptive and analytic statistics and/or qualitative methods for meanings. Discussion: This study has the potential to contribute to the evidence supporting competence development required to offer person-centred and quality home care to older persons and to meet upcoming needs for flexible and easily accessible competence development. Trial registration: ISRCTN64890826. Registered 10 January 2022, https://www.isrctn.com/ISRCTN64890826
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| 6. |
- Kjeldgaard, Dannie, et al.
(författare)
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Failure : Perspectives and Prospects in Marketing and Consumption Theory
- 2021
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Ingår i: Marketing Theory. - : SAGE Publications. - 1470-5931 .- 1741-301X. ; 21:2, s. 277-286
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Tidskriftsartikel (refereegranskat)abstract
- Failure is ubiquitous in popular and consumer culture. In this commentary, we interrogate discourses around failure and outline potential avenues of inquiry for the marketing and consumption theory disciplines. We begin by synthesizing how failure has hitherto been conceptualized in marketing theory. Then, we discuss how recent rethinking of failure in other disciplines can be meaningful for marketing thought, and propose a new agenda for marketing scholars for studying failure, that moves beyond studying failure as a primarily destructive phenomenon that arises predominantly in service encounters.
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| 7. |
- Koutsikouri, Dina, 1970, et al.
(författare)
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Seven Elements of Phronesis : A framework for Understanding Judgment in Relation to Automated Decision-making
- 2023
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Ingår i: Proceedings of the Annual Hawaii International Conference on System Sciences. - Honolulu : University of Hawaiʻi. - 1530-1605. - 9780998133164 ; , s. 5292-5301
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Konferensbidrag (refereegranskat)abstract
- This conceptual paper aims to explore judgment in the context of automated decision-making systems (ADS). To achieve this, we adopt a modern version of Aristotle's notion of phronesis to understand judgment. We delineate seven elements of judgment which provide insights into what humans are better at, and what AI is better at in relation to automated decision-making. These elements are sources of knowledge that guide action including not-knowing, emotions, sensory perception, experience, intuition, episteme, and techne. Our analysis suggests that most of these attributes are not transferable to AI systems, because judgment in human decision-making requires the integration of all which involves considering the contextual and affective resources of phronesis, and the competence to make value judgments. The paper contributes to unpack human judgment capacities and what needs to be cultivated to achieve 'good' AI systems that serves humanity as well as guiding future information systems researchers to explore human-AI judgment further.
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