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| 2. |
- Abraha, Aynalem, et al.
(author)
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Breaking bad news in cancer care: preferences of patients, family caregivers and general public in Ethiopia
- 2021
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In: International Conference on Communication in Healthcare (ICCH) 2020 Part 2, 15-16 April, 2021.
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Conference paper (other academic/artistic)abstract
- This study explores the preferences of cancer patients, family caregivers, and the general public regarding breaking bad news in an Ethiopian oncology setting. The research was conducted at Tikur Anbessa (Black Lion) Specialized Hospital. The sample consists of patients with a confirmed cancer diagnosis, their family caregivers, and representatives from the general public with 150 subjects per cohort. A comparative cross-sectional study design and a multivariable analysis were used. The patients would like to be informed, which contradicts the perceptions of family caregivers. This creates an ethical dilemma for staff in terms of how much they involve their patients in clinical decision-making. The patients also indicate that information not to be withheld from them. In contrast, the general public prefers information about poor life expectancy to be communicated to family only, which may reflect widespread public perception of cancer as a deadly disease. The findings indicate the complexity of communication concerning breaking bad news in oncology care in Ethiopia. It requires oncologists to probe patient attitudes before information disclosure in order to find a balance between involving patients in communication at the same time as keeping a constructive alliance with family caregivers.
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| 3. |
- Abraha Woldemariam, Aynalem, et al.
(author)
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Breaking Bad News in Cancer Care: Ethiopian Patients Want More Information Than What Family and the Public Want Them to Have.
- 2021
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In: JCO global oncology. - 2687-8941. ; 7, s. 1341-1348
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Journal article (peer-reviewed)abstract
- This study explores the preferences of patients with cancer, family caregivers, and the general public regarding breaking bad news in an Ethiopian oncology setting.The study was conducted at Tikur Anbessa (Black Lion) Specialized Hospital. The sample consists of patients with a confirmed cancer diagnosis, their family caregivers, and representatives from the general public with 150 subjects per cohort. The study used a comparative cross-sectional design and multivariable data analysis.The patients would like to be informed, which contradicts the preferences of family caregivers. This creates an ethical dilemma for staff in terms of how much they involve their patients in clinical decision making. The patients also indicate that information should not be withheld from them. By contrast, the general public prefers information about poor life expectancy to be communicated to family only, which may reflect a widespread public perception of cancer as a deadly disease.The findings indicate the complexity of communication-related preferences concerning breaking bad news in oncology care in Ethiopia. It requires oncologists to probe patient attitudes before information disclosure to find a balance between involving patients in communication at the same time as keeping a constructive alliance with family caregivers.
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| 4. |
- Ahlsén, Elisabeth, 1951, et al.
(author)
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Multimodal communication in intercultural health care interactions
- 2013
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In: Allwood, J,. Ahlsén, E., Paggio, P. (2013). Proceedings of the Fourth Nordic Symposium on Multimodal Communication, Nov 15-16, University of Gothenburg. NEALT Proceedings Series No. 21.. - Linköping : Linköping University Electronic Press. ; , s. 39-46
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Book chapter (peer-reviewed)
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| 5. |
- Allwood, Jens, 1947, et al.
(author)
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Intercultural Dynamics of First Acquaintance: Comparative Study of Swedish, Chinese and Swedish-Chinese First Time Encounters
- 2011
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In: C. Stephanidis (Ed.): Universal Access in HCI, Part IV, 2011, LNCS 6768. Springer-VErlag, Berlin Heidelberg.. - Berlin, Heidelberg : Springer Berlin Heidelberg. - 0302-9743. ; 6768, s. 12-21, s. 12-21
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Journal article (peer-reviewed)abstract
- Today, intercultural first acquaintance meetings are becoming more and more frequent. The aim of this study is to describe, analyze and compare Swedish, Chinese and Swedish-Chinese first acquaintance interactions. Our focus lies on a classification of the topics in mono- and intercultural first-time encounters. The analysis is based on 12 arranged face-to-face first acquaintance interactions between Chinese-Chinese, Swedish-Swedish and Swedish-Chinese students (4 of each dyad). The interactions are video-recorded and transcribed. In addition, semi-structured interviews with the participants have been conducted to get a better understanding of their communication. The method of activity-based communication analysis is used to analyze the data. The result of the study is a classification and a cross-cultural comparison of topics and the order of their occurrence in first time encounters. In addition, the study sheds light on the similarities and differences between Chinese and Swedish communication patterns.
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| 7. |
- Berbyuk Lindström, Nataliya, 1978, et al.
(author)
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Accelerating Ukrainian Academic Teachers’ Professional Digital Competence in Times of War
- 2022
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In: International Conference on Information Systems (ICIS), TREOs. 46, Copenhagen, December 9-14..
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Conference paper (other academic/artistic)abstract
- In February 2022, hostilities broke out in Ukraine, when the world just started recovering from the COVID-19 pandemic and returning to physical presence at workplaces and schools. The war has had a tremendous impact on Ukrainian Higher Education, resulting in the displacement of students and staff, evacuations and relocations of institutions, infrastructural losses and damages. The Ukrainian universities had to resume the online mode to ensure the safety of their students and staff. At this moment, research on the impact of war on the Ukrainian higher education is scarce. While the pandemic has contributed to the rapid development of digital competence of Ukrainian academic staff (Ovcharuk and Ivaniuk 2021), the development of the Ukrainian teachers’ professional digital competence in times of war has not yet been investigated. To this end, this study poses the following research question: How is the digital competence of academic teachers developed during the war? The study is guided by Mishra and Koehler's TPACK framework for technology integration in the classrooms (Mishra and Koehler 2006), addressing the development of three aspects of teacher knowledge such as technological knowledge (TK), pedagogical knowledge (PK), content knowledge (CK) and the integration of these in specific contexts. The preliminary analysis of 31semi-structured interviews with university management, teachers, and students from 11 Ukrainian universities reveals the acceleration of teachers’ professional digital competence from the beginning of the hostilities. In particular, we find the teachers developing their pedagogical knowledge (PK) in terms of becoming more flexible in classroom management, and adapting assessment forms to meet the needs of the students who experience hurdles due to lack of internet access, relocations, and bombings. The respondents also comment on teachers showing increased creativity in developing their courses and examinations. Further, formal teaching tools such as MOOCS platforms, Zoom and MS Teams are commonly combined with informal tools, such as mobile apps Telegram, Viber, and WhatsApp, which are used for sharing course materials, informing about potential risks of attacks, and abrupt course changes. The teachers who moved to the European countries mentioned further developing their Technological Knowledge (TK) in terms of learning new technologies in collaboration with European universities. The study offers insight into digital competence development in times of crisis, aiming to contribute to the fields of digital transformation, online education, and crisis management. References Mishra, P., and Koehler, M. J. 2006. "Technological Pedagogical Content Knowledge: A Framework for Teacher Knowledge," Teachers college record (108:6), pp. 1017-1054. Ovcharuk, O., and Ivaniuk, I. 2021. "A Self-Assessment Tool of the Level of Digital Competence of Ukrainian Teachers in the Context of Lifelong Learning: The Results of an Online Survey 2021," Educational Dimension (57:5), pp. 75-88.
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| 12. |
- Berbyuk Lindström, Nataliya, 1978, et al.
(author)
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Cultural Diversity in the Digital Age: Developing Mobile Support for Migrant Professionals.
- 2019
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In: Fifteenth International Conference on Technology, Knowledge & Society, 11-12 March 2019, ELISAVA – Barcelona School of Design and Engineering, Barcelona, Spain..
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Conference paper (other academic/artistic)abstract
- Fluency in the language of host society in combination with early entry into the job market are essential elements of successful migrant integration and social inclusion. Due to its accessibility, mobile technology can serve as a support and bridging tool for many people for both language learning and managing employment opportunities. The aim of this study is to explore what professional integration needs the newly arrived professionals (teachers, healthcare professionals and engineers) coming to Sweden, one of the top recipients of asylum applications per capita, experience. Further, we discuss how to develop mobile support to enhance a personalised and sustainable professional integration. We apply participatory design principles conducting semi-structured focus group interviews and interactive workshops with above mentioned migrant professionals, mentors and language teachers. Thematic content analysis is used for analysis of the data. The results demonstrate diverse professional needs and requirements for digital competence for work and at work. The study also gives suggestions for developing mobile applications for enhancing integration of professionals in the Swedish labor market.
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| 13. |
- Berbyuk Lindström, Nataliya, 1978, et al.
(author)
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Decision making in Ethiopian cancer care: An explorative qualitative study
- 2021
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In: International Conference on Communication in Healthcare, October 17-20..
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Conference paper (other academic/artistic)abstract
- Background: After a cancer diagnosis, a number of decisions are to be made by patients, relatives, and oncologists. In spite of cancer being a growing concern, little is known about decision-making in cancer care in Ethiopia. This study aims to describe and analyze decision-making strategies in cancer care consultations, with a special focus on the factors that influence oncologists,’ patients’ and family’ decision-making. Methods: The study has an exploratory mixed methods design. It was conducted at the Oncology Center of the Tikur Anbassa Hospital (TASH), Addis Abeba, Ethiopia. Our data consists of: •38 transcribed video-recorded consultations between cancer patients (38), family caregivers (30), and oncologists (11) •91 transcribed audio-recorded, semi-structured interviews with patients (54), family caregivers (21), and oncologists (16) about their experiences of decision-making in cancer care In the recorded consultations, clinically relevant decisions were identified using the Decision Identification and Classification Taxonomy for Use in Medicine (DICTUM). The interviews were analyzed using thematic content analysis. Results: Eight out of ten DICTUM categories are present in the data. The oncologists focused on gathering additional information (medical treatments, use of traditional medicine, and drinking holy water) when their patients were diagnosed outside TASH. Decisions about drugs and treatments were discussed with family caregivers (if present), responsible for covering treatment costs. Due to a limited number of beds, decisions regarding admittance (or delay in admittance) and scheduling of chemotherapy were made with both patients and caregivers. While giving advice and precautions was common, the oncologists were careful with setting treatment goals due to many patients facing a poor prognosis. Discussion/implications: Family plays an important role in decision-making in Ethiopian cancer care. We provide suggestions for communication training for staff, with a focus on decision-making for patient and family-centered care in Ethiopia.
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| 17. |
- Berbyuk Lindström, Nataliya, 1978, et al.
(author)
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EXPLOITATION AND EXPLORATION OF DIGITAL TECHNOLOGIES IN TIMES OF WAR: EXPERIENCES OF UKRAINIAN HIGHER EDUCATION INSTITUTIONS
- 2024
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In: ECIS 2024 Proceedings. 10..
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Conference paper (peer-reviewed)abstract
- Amidst the abundance of studies on exploring and utilizing digital technologies during the pandemic, there remains a scarcity of research regarding technology adoption during other types of crises. Through a longitudinal interview study involving 40 teachers and students from Ukrainian Higher Education Institutions (HEIs), our research focuses on the following question: How does the exploration and exploitation of digital technologies evolve in response to events of a wartime crisis? Our findings indicate that during wartime, people predominantly lean towards exploitation. Challenges such as stress, infrastructure damage, limited access to digital tools, and the necessity to reduce cognitive burden hinder their willingness to experiment with new technologies. Both teachers and students also tend to forsake digital solutions, resorting instead to analog alternatives, thereby emphasizing the need for a more intricate and flexible model for exploring and exploiting digital technologies during periods of crises.
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| 19. |
- Berbyuk Lindström, Nataliya, 1978, et al.
(author)
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Framing of National Image in a Climate of Socio-Political Uncertainty: A Study of IKEA and Volvo Car Corporation in Swedish and Russian News Media
- 2018
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In: Economic and Geopolitical Perspectives of the Commonwealth of Independent States and Eurasia. - USA : IGI Global. - 9781522532644 ; , s. 137-156
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Book chapter (peer-reviewed)abstract
- The climate ripple of socio-political relations between countries can be seen to directly influence trading and international business relations. Discourse within the socio-political realms reflects in discourse within the economic realms. A common channel through which such perspectives are mediated between the political realms, corporate relations, and public opinion is the news media, both traditional and new, such as social media and Internet publishing. This chapter examines and compares how major business newspapers in Sweden, Dagens Industry (DI), and two business newspapers in Russia, Kommersant (Ъ-Газета - Коммерсантъ) and RBC (РБК) represent Sweden's national image between 2014-2015, a period of uncertain socio-political relations between Russia and the Nordic Eurasian states, in particular, Sweden, in the process of the annexation of Crimea by the Russian Federation in 2014.
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| 20. |
- Berbyuk Lindström, Nataliya, 1978, et al.
(author)
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From the Pandemic to War: The Role of Digital Technologies in Ukrainian Businesses Responding to Discontinuities and Building Resilience
- 2023
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In: AMCIS 2023 Proceedings. 5.
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Conference paper (peer-reviewed)abstract
- Disasters and crises are a part of human existence. While upsetting the normal operations of societies and revealing the inherent fragility of infrastructure and social order, they also push us to rethink “the normal” way of living and working. At this moment, IS research on the experiences of businesses in times of war as an extreme crisis is very limited. Taking the case of Ukrainian businesses, we ask the following research questions: How have organizations adapted to war discontinuities and built resilience? and How have the experiences of remote work from the pandemic contributed to building organizational resilience in times of war? Analyzing semi-structured interviews with managers from Ukrainian businesses through the lenses of adaptation theory, remote work discontinuities, and capability-based model of organizational resilience, we present the types of discontinuities experienced and the adaptation strategies used by the companies in addressing them. Our findings show that the resilience of Ukrainian companies has its roots in agile management, continuous communication and collaboration, experiences in using digital technologies during the pandemic, and international community support. The results also indicate the organizations continuously coping and adapting, re-coping, and re-adapting while anticipating unexpected events, which calls for developing a more dynamic resilience model.
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| 21. |
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| 22. |
- Berbyuk Lindström, Nataliya, 1978, et al.
(author)
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How to Succeed in Communicating Software Metrics in Organization?
- 2022
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In: AMCIS (Americas Conference on Information Systems), Minneapolis, MI, August 10-14. - : AMCIS 2022 TREO 80.
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Conference paper (peer-reviewed)abstract
- While software metrics are indispensable for quality assurance, using metrics in practice is complicated. Quality, productivity, speed, and efficiency are important factors to be considered in software development (Holmstrom et al. 2006; Svensson 2005). Measuring correct metrics and using them in the right and transparent way contributes to pushing development in a desirable direction, leading to achieving projected goals and outcomes (Staron and Meding 2018). On the other hand, tracking the wrong metrics, and failing to interpret and communicate them properly results in a stressful work environment, conflicts, distrust, lower engagement, and decreased productivity (de Sá Leitão Júnior 2018; Ellis et al. 1991; Staron 2012). To ensure proper and effective use of metrics in organizations, successful communication around metrics is essential (Lindström et al. 2021; Post et al. 2002; Staron and Meding 2015). The purpose of this study is to understand and improve communication about metrics in contexts of contemporary software development practice in organizations. This is achieved by identifying the bottlenecks in the process of communication around metrics and how to overcome them in practice. Drawing on 38 semi-structured interviews and interactive workshops with metrics teams members and stakeholders from three organizations, we identify three interrelated challenges including limited knowledge about metrics and lack of terminology, uncoordinated use of multiple communication channels, and sensitivity of metrics, which influence workplace communication, trust, and performance. Our study shows the importance of developing metrics terminology to ensure the development of a shared understanding of metrics. Further, raising awareness about the affordances such channels as dashboards, email, MS Teams meetings/chat, stand up meetings, reports, etc., commonly used in software organizations, and how they can be combined to successfully transfer information about metrics is essential (Verhulsdonck and Shah 2020). It becomes especially important in remote work practices. Finally, though metrics is a powerful tool for decision making, enhancing transparency, and steering development in the desired direction, they can also turn into finger-pointing, blaming, and a pressing tool, resulting in stress and conflicts (Streit and Pizka 2011). The findings also indicate the importance of creating a culture around metrics, clarifying, and informing about the purpose of metrics in the organization (Umarji and Seaman 2008). We plan to build on the early findings of this study to develop a comprehensive framework for successful software metrics communication within organizations.
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| 23. |
- Berbyuk Lindström, Nataliya, 1978, et al.
(author)
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“I Want a Real, Swedish Doctor:” Exploring Patient Bias Toward Physicians of Foreign Background in Sweden
- 2022
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In: The 72nd Annual International communication Association (ICA) Conference, One World, One Network? Paris, 26-30 May 2022..
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Conference paper (other academic/artistic)abstract
- Increasing diversity in the healthcare workforce has brought to the foreground the importance of addressing phenomena of racism, discrimination, and bias against healthcare workers of diverse backgrounds. This paper aims to contribute to the growing literature on patient bias by exploring the experiences of physicians of foreign background in Sweden. Semi-structured interviews with 17 foreign physicians practicing in Sweden have been thematically analyzed. Four themes pertaining different forms of patient bias experienced by the respondents emerged from the transcripts such as refusal of care, questioning language competence, questioning medical competence and ethnic jokes/stereotypes. Four additional themes dealing with strategies implemented by the respondents to cope with patient bias were also identified including confrontation avoidance, collaboration with Swedish healthcare staff, self-disclosure and active listening. The findings elucidate the need to encourage inclusion in the workplace and targeted support for foreign physicians.
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| 24. |
- Berbyuk Lindström, Nataliya, 1978
(author)
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Intercultural communication in health care. Non-Swedish physicians in Sweden
- 2008
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Doctoral thesis (other academic/artistic)abstract
- This thesis describes and analyzes intercultural communication between non-Swedish physicians and their Swedish patients, as well as communication between non-Swedish physicians and Swedish medical personnel. The focus is on the impact of cultural differences and the use of Swedish as a foreign language by physicians. In addition, the effects of gender and power in physician-patient and physician-colleague communication were investigated. The thesis is based on a combination of data collection methods (interviews, questionnaires, recordings of naturally occurring medical consultations and staff meetings, and observations) and data analysis (qualitative and quantitative). The goal was to get as complete a picture as possible of intercultural communication in Swedish health care. The thesis presents a general analysis of communication between non-Swedish physicians and their Swedish patients. This analysis includes the views of non-Swedish physicians, Swedish patients and Swedish personnel about communication, an outline of common problems and how the participants solve them, and an overview of the positive aspects of communication. A particular focus of the thesis is the comparative analysis of some aspects of information seeking (analysis of questions used by the non-Swedish and Swedish physicians and their patients in medical consultations), information giving (use of the pronoun man [‘one’] by the Swedish and non-Swedish physicians while providing information to their patients), and acknowledgment and checking (use of repetitions and reformulations for feedback purposes). In addition, an overall comparative analysis of intercultural and Swedish medical consultations was done. Differences and similarities between male and female Swedish and non-Swedish physicians and male and female Swedish patients and personnel are discussed. The power relationship in intercultural medical consultations in which the physician is “weaker” and the patient “stronger” in terms of language competence was analyzed. Furthermore, by comparing “intercultural” communication (between the non-Swedish physicians and Swedish patients) to “monocultural” communication (between Swedish physicians and Swedish patients), some insight into Swedish culture and communication patterns was gained. The work concludes with some ideas for teaching and training developed on the basis of the findings of the thesis.
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| 25. |
- Berbyuk Lindström, Nataliya, 1978, et al.
(author)
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Intercultural Communication in Software Engineering Workplace. A Case Study of Migrant Engineers in Sweden
- 2021
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In: ICIS 2021 TREO Talks, Dec 12-15, Austin, Texas.. - : Association for Information Systems Association for Information Systems AIS Electronic Library (AISeL).
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Conference paper (peer-reviewed)abstract
- We would like to share a small case study, which we plan to develop into a research project, and we invite collaborators to join us. Globally, software engineering (SE) organizations are becoming increasingly multicultural. Though the Swedish SE field is dominated by engineers educated outside Europe, little attention has been paid to their workplace integration. Our case study explores the experiences of migrant software engineers, addressing the following questions: 1) What challenges do they experience with workplace integration? 2) How do they mitigate these challenges? Our data includes 15 semi-structured interviews with software engineers from India and Pakistan, analyzed using Thematic Content Analysis. Our findings show that the engineers experience challenges primarily stemming from a combination of language problems and cultural differences. Though English is widely adopted as a corporate language, limited Swedish language skills create a “migrant-local gap,” hampering development of informal relationships. Poor Swedish language skills also prevent migrants from taking part in workplace activities, leading to power inequalities. Feelings of exclusion due to language problems are additionally strengthened by cultural differences. The Swedes being cautious in making friends with their colleagues (migrants or not) stems from such cultural traits as work-private life balance, differences in the perceptions on assertiveness and hierarchy (Hofstede et al. 2005). Further, the Agile way of working, which presupposes team empowerment, contributes to uncertainty concerning the role of management in decision making for our respondents, used to a more hierarchical, top-down leadership style from their home countries (Mayer, 2017). Migrant engineers report learning Swedish cultural norms from other migrants at work and managing language problems primarily by using Google translate. Though machine translation tools provide a non-judgmental, self-directed language support, in many cases they don’t match human translations, especially for professional terminology (Rodríguez-Castro et al. 2018), resulting in understanding problems for our respondents. Supporting migrants is essential if SE workplaces want to retain skilled professionals and create a productive multicultural working environment. Our project aims to contribute to knowledge accumulation in regard to profession-oriented learning in SE context. In particular, our research will provide insights in regard to professional inclusion, and the role of digital technology as a bridging tool between migrants and locals in SE workplace.
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